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Sample records for beijing teaching hospitals

  1. Epidemiology of hospitalized pediatric glaucoma patients in Beijing Tongren Hospital

    Institute of Scientific and Technical Information of China (English)

    QIAO Chun-yan; WANG Liang-hai; TANG Xin; WANG Tao; YANG Di-ya; WANG Ning-li

    2009-01-01

    Background No population-based assessment of the prevalence and incidence of pediatric glaucoma in China are available. Here we describe the spectrum of hospitalized pediatric glaucoma patients in Beijing Tongren Hospital in China.Methods We reviewed the charts of pediatric patients, from birth to 18 years old, with a discharge diagnosis of glaucoma in Beijing Tongren Hospital, from 2002 to 2008. All children were admitted for anti-glaucoma surgery, treating the sequelae of the glaucoma, or managing postoperative complications. We evaluated the demographic characteristics and the proportion of different glaucoma subtypes.Results Pediatric patients (n=1452) accounted for 12.91% of the total glaucoma in-patients from 2002 to 2008, and at last data of pediatric glaucoma were presented for 1055 children who came from 28 provinces, municipalities and autonomous regions in China. Boys were more common in all subtypes and et all ages, with a total ratio of boys to girls of 2.32:1. Congenital glaucoma was the most common subtype, accounting for 46.07% in all patients and accounting for 69.95% in children under 3 years of age. The median presenting age of congenital glaucoma patients was 2 years.Patients with traumatic glaucoma were the second most common group (n=128, 12.13%), and presented at older age (the median presenting age was 11 years). The majority of traumatic glaucoma occurred in children between 10 and 15 years of age (n=72, 56.25%). Aphakic glaucoma was the third most common (9.19%) subtype.Conclusions Congenital glaucoma is the most prevalent glaucoma subtype in hospitalized pediatric patients in Beijing Tongren Hospital. The prevention and treatment of traumatic glaucoma can reduce the incidence of visual damage in developing countries. Close follow-up for glaucoma is important after pediatric cataract surgery.

  2. Astrovirus infection in young children with diarrhea hospitalized at Beijing Children's Hospital

    Institute of Scientific and Technical Information of China (English)

    刘春艳; 申昆玲; 王树欣; 刘亚谊; 照日格图

    2004-01-01

    Background This study was to assess certain epidemiological and clinical characteristics of astrovirus infection in children with diarrhea below 5 years old hospitalized at the Beijing Children's Hospital. Methods From September 1999 to August 2001, a total of 288 children with diarrhea below 5 years old hospitalized at Beijing Children's Hospital were studied. Fecal specimens collected from each patient were tested for astrovirus by using enzyme immunoassay (EIA) and further serotyped by reverse-transcription polymerase chain reaction (RT-PCR) using serotype-specific primers. Results Astrovirus antigen was positive in 9.0% of the patients, and the rate of coinfection with rotavirus was 19.2% among the astrovirus positive patients. The patients with astrovirus infection were at the age of 7 days to 17 months, most (92.3%) of them were less than 12 months. Astrovirus infection occurred mainly between October and March of the following year. Main symptoms included watery stool, vomiting, fever, and dehydration. Increased activity of myocardial enzyme was seen in 4 patients. Of the 22 astrovirus positive specimens, 14 were successfully serotyped by RT-PCR and they were all serotype 1. Conclusions The overall incidence of astrovirus infection in young children with diarrhea hospitalized at the Beijing Children's Hospital was 9.0%. The predominant serotype was type 1. Astrovirus may play an important role in viral diarrhea in young children in Beijing, China.

  3. Control costs, enhance quality, and increase revenue in three top general public hospitals in Beijing, China.

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    Lue-Ping Zhao

    Full Text Available BACKGROUND: With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while controlling costs. Recent experiences are valuable lessons for guiding future healthcare reform. Here we carefully study three teaching hospitals, to exemplify their experiences during this period. METHODS: We performed a systematic analysis on hospitalization costs, health-care quality and delivery efficiencies from 2006 to 2010 in three teaching hospitals in Beijing, China. The analysis measured temporal changes of inpatient cost per stay (CPS, cost per day (CPD, inpatient mortality rate (IMR, and length of stay (LOS, using a generalized additive model. FINDINGS: There were 651,559 hospitalizations during the period analyzed. Averaged CPS was stable over time, while averaged CPD steadily increased by 41.7% (P<0.001, from CNY 1,531 in 2006 to CNY 2,169 in 2010. The increasing CPD seemed synchronous with the steady rising of the national annual income per capita. Surgical cost was the main contributor to the temporal change of CPD, while medicine and examination costs tended to be stable over time. From 2006 and 2010, IMR decreased by 36%, while LOS reduced by 25%. Increasing hospitalizations with higher costs, along with an overall stable CPS, reduced IMR, and shorter LOS, appear to be the major characteristics of these three hospitals at present. INTERPRETATIONS: These three teaching hospitals have gained some success in controlling costs, improving cares, adopting modern medical technologies, and increasing hospital revenues. Effective hospital governance and physicians' professional capacity plus government regulations and supervisions may have played a role

  4. MANAGEMENT OF MENEERE'S DISEASE-THE BEIJING TIANTAN HOSPITAL EXPERIENCE

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    YI Haijin; GUO Hong; WANG Chunhong; XIA Yin

    2014-01-01

    Objective To report outcomes of nonsurgical and surgical management of Menière's disease at Beijing Tiantan Hospital . Methods Patients with Menière's disease were categorized into groups based on hearing and quality of life. Individualized management was provided, including life style modification, drug therapies, endolymphatic sac decompression and labyrin-thectomy. Treatment outcomes were evaluated during up to 24 months follow up . Results Eighty seven patients under-went life style modification and drug therapies. The vertigo control rate of Grade A and B was 76.9% and 83.8% respec-tively. Six patients received surgical management, including endolymphatic sac decompression (n = 5) and labyrinthecto-my (n = 1) . For these patients, the vertigo control rate of Grade A and B was 80% and 100%, respectively. Conclu-Isions Management of Menière's disease depends on several factors, i.e. severities of vertigo and hearing loss, quality of life, surgical contraindications and patient subjective desire. The treatment is drug therapies for the majority of patients, as well as life style modification. Surgical indications are rare and the least invasive procedures should be considered first. The results of surgery are generally satisfying.

  5. Beijing

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    WANGPEI

    2004-01-01

    As the nation's capital, Beijing hasunderstandably been positioned as China's political and cultural centel As the second largest economy among China's cities according to figures for 2003, Beijing also earns the title of an economic center. In the past two years Beijing has started to realize the indispensable value of finance for its overall economic development and set out to build a financial area in the city.

  6. Developing Marketing Strategies for University Teaching Hospitals.

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    Fink, Daniel J.

    1980-01-01

    University teaching hospitals face increasing competition from community hospitals, expanding regulation of health care, consumerism, and a declining urban population base. New marketing strategies are seen as ways in which teaching hospitals can achieve better relationships with institutions, practitioners, and surrounding communities and…

  7. Prevalence of cardiovascular disease in subjects hospitalized due to chronic obstructive pulmonary disease in Beijing from 2000 to 2010

    OpenAIRE

    Cui, Hua; Miao, Dong-Mei; Wei, Zhi-Min; Cai, Jian-Fang; Li, Yi; Liu, Ai-min; Li, Fan

    2012-01-01

    Objectives To investigate the overall prevalence of cardiovascular disease (CVD) in subjects hospitalized for chronic obstructive pulmonary disease (COPD), and explore the prevalence of the major CVD complications and trends in patients with COPD over a 10-year period. Methods Medical records in the PLA General Hospital, Beijing Union Medical College Hospital, and Beijing Hospital from 2000/01/01 to 2010/03/03 were retrospectively reviewed. A total of 4960 patients with COPD were reviewed in ...

  8. In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China

    Institute of Scientific and Technical Information of China (English)

    XUN Yi-wen; YANG Jin-gang; SONG Li; SUN Yi-hong; LU Chang-lin; YANG Yue-jin; HU Da-yi

    2010-01-01

    Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction (STEMI) reduces complications. This study was undertaken to compare the in-hospital delay to primary percutaneous coronary intervention (PPCI) for patients with STEMI between specialized hospitals and non-specialized hospitals in Beijing, China. Methods Two specialized hospitals and fifteen non-specialized hospitals capable of performing PPCI were selected to participate in this study. A total of 308 patients, within 12 hours of the onset of symptoms and undergoing PPCI between November 1, 2005 and December 31, 2006 were enrolled. Data were collected by structured interview and review of medical records.Results The median in-hospital delay was 98 (interquartile range 105 to 180) minutes, and 16.9% of the patients were treated within 90 minutes. Total in-hospital delay and ECG-to-treatment decision-making time were longer in the non-specialized hospitals than in the cardiac specialized hospitals (147 minutes vs. 120 minutes, P<0.001; 55 minutes vs. 45 minutes, P=0.035). After controlling the confounding factors, the non-specialized hospitals were independently associated with an increased risk of being in the upper median of in-hospital delays.Conclusions There were substantial in-hospital delays between arrival at the hospital and the administration of PPCI for patients with STEMI in Beijing. Patients admitted to the cardiac specialized hospitals had a shorter in-hospital delay than those to the non-specialized hospitals because of a shorter time of ECG-to-treatment decision-making.

  9. Comparative Study of Three Commonly Used Methods for Hospital Efficiency Analysis in Beijing Tertiary Public Hospitals, China

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    Guo-Chao Xu; Jian Zheng; Zi-Jun Zhou; Chuan-Kun Zhou; Yang Zhao

    2015-01-01

    Background: Tertiary hospitals serve as the medical service center within the region and play an important role in the medical and health service system.They are also the key targets of public hospital reform in the new era in China.Through the reform of health system, the public hospital efficiency has changed remarkably.Therefore, this study aimed to provide some advice for efficiency assessment of public hospitals in China by comparing and analyzing the consistency of results obtained by three commonly used methods for examining hospital efficiency, that is, ratio analysis (RA), stochastic frontier analysis (SFA), and data envelopment analysis (DEA).Methods: The theoretical basis, operational processes, and the application status ofRA, SFA, and DEA were learned through literature analysis.Then, the empirical analysis was conducted based on measured data from 51 tertiary public hospitals in Beijing from 2009 to 2011.Results: The average values of hospital efficiency calculated by SFA with index screening and principal component analysis (PCA) results and those calculated by DEA with index screening results were relatively stable.The efficiency of specialized hospitals was higher than that of general hospitals and that of traditional Chinese medicine hospitals.The results obtained by SFA with index screening results and the results obtained by SFA with PCA results showed a relatively high correlation (r-value in 2009, 2010, and 2011 were 0.869, 0.753, and 0.842, respectively, P < 0.01).The correlation between results obtained by DEA with index screening results and PCA results and results obtained by other methods showed statistical significance, but the correlation between results obtained by DEA with index screening results and PCA results was lower than that between results obtained by SFA with index screening results and PCA results.Conclusions: RA is not suitable for multi-index evaluation of hospital efficiency.In the given conditions, SFA is a stable

  10. Rediscovering university teaching hospitals for Australia.

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    Penington, David G

    2008-09-15

    Partnership between research and health services has a long history in other countries, but has been relatively recent in Australia, with several models arising in the 1960s and 1970s as research-based specialties developed. Since the implementation of Medibank, which became Medicare, Australian Health Care Agreements have been primarily crafted on the basis of transactional numbers, ignoring the need for links with teaching and research and the need to implement new developments. Education and research have been seen as the responsibility of the federal government, and hospitals are progressively less recognised or funded for these functions by the states. Australia's teaching hospitals are in danger of falling seriously behind those in other countries and losing their capacity to monitor quality, to innovate and to branch into new strategies in partnership with primary care services. We should look at initiatives in other countries such as the United Kingdom and Canada, which are making big strides in tackling similar issues. University hospitals hold the key, if appropriately linked with other services. The current Australian Health Care Agreements are on hold. A new agency is needed to support clinical and service-related research, with a new structure and track for federal government funding, and providing oversight of research and development, of clinical governance and quality of outcomes in health care, linked with new strategies for prevention and treatment. A component of the foreshadowed additional federal government funding for health should be sequestered to set up such an agency. PMID:18803539

  11. Pre-hospital care-seeking in patients with acute myocardial infarction and subsequent quality of care in Beijing infarction an subsequent quality care in Beijing

    Institute of Scientific and Technical Information of China (English)

    SONG Li; YAN Hong-bing; HU Da-yi; YANG Jin-gang; SUN Yi-hong

    2010-01-01

    Background Cumulative evidence demonstrates that primary percutaneous coronary intervention(PCI)is a mperfusion strategy for ST-elevation myocardial Infarction(STEMI).This study was undertaken to evaluate the pre-hospital care-seeking pathway and subsequent care quality in patients with STEMI in the Beijing health care system,which offers patients a choice between seeking care in a small community hospital(SH group)or a large hospital(LH group).Methods Between January 1 and December 31,2006, a cross-sectional and multicenter survey was conducted in 11 hospitals qualified as tertiary centers in Beijing and included consecutive patients with STEMI admitted within 24 hours after onset of symptoms.Results Among the 566 patients interviewed,28.3%first arnved at a small community hospitaI and were transferred to large hospitals with the ability to perform primary PCI.The median total pre-hospital delay in the SH group(n=160)was significantly longer than in the LH group(n=406)(225 vs.120 minutes,P<0.001).Multivariate analysis showed that interpreting symptoms to non-cardiac origin(OR,1.996;95%CI: 1.264-3.155),absence of history of myocardial infarction(OR,1.595;95%CI:1.086-3.347),non-health insuranca coverage(OR,1.931;95%Cl:1.079-3.012)and absence of sense of impending doom (OR,4.367;95%CI:1.279-1 4.925) were independent predictors for choosing small hospitals.After adjusting for demographics and medical history,patients in the SH group were 1.698 times(95% CI: 1.1 82-3.661) less likely to receive primary PCI compared with those in the LH group. Conclusions Above one fourth of the STEMI patients in Beijing experienced inter-hospital transfer.Factors including symptoms interpretation,symptoms,history of myocardial infarcUon,and insurance coverage were associated with the patients'pre-hospital care-seeking pathway.The patients who were transferred had longer pre-hospital delays and were less Iikely to receive primary PCI.

  12. Veterinary Teaching Hospital introduces radioactive iodine therapy for feline hyperthyroidism

    OpenAIRE

    Douglas, Jeffrey S.

    2008-01-01

    The Virginia-Maryland Regional College of Veterinary Medicine's Veterinary Teaching Hospital has introduced a new radioactive iodine therapy for an endocrine disorder that commonly affects older cats.

  13. Human bocavirus in children suffering from acute lower respiratory tract infection in Beijing Children's Hospital

    Institute of Scientific and Technical Information of China (English)

    ZHANG Li-li; XU Wen-bo; SHEN Kun-ling; TANG Liu-ying; XIE Zheng-de; TAN Xiao-juan; LI Chong-shan; CUI Ai-li; JI Yi-xin; XU Song-tao; MAO Nai-ying

    2008-01-01

    Background Human bocavirus(HBoV)is a parvovirus recently found to possibly cause respiratory tract disease in children and adults.This studV investigated HBoV infection and its clinical characte rist:ics in children younger than five years of age suffering from acute Iower respiratory tract infection in Beijing Children's Hospital.Methods Nasopharyngeal aspirates were collected from children suffering from acute Iower respiratory tract infection during the winters of 2004 to 2006 (from November through the following February).HBoV was detected by polymerase chain reaction amplification and virus isolation and the amplification products were sequenced for identification.Results HBoV jnfection was detected in 16 of 333 study subjects.Coinfections with respiratory syncytial virus were detected in 3 of 16 HBoV positive patients with acute lower respiratory tract infection.The median age for HBoV positive children was 8 months(mean age,17 months;range,3 to 57 months).Among the HBoV positive children,14 were younger than 3 years old.9 were younger than 1 year old and 7 were younger than 6 months.These 16 positive HBoV children exhibited coughing and abnormal chest radiography findings and more than 60%of these children had wheezing and fever.Ten children were clinically diagnosed with pneumonia,2 bronchiolitis,2 acute bronchitis and 2 asthma.One child died.Conclusions HBoV was detected in about 5%of children with acute Iower respiratory infection seen in Beijing Children's Hospital.Fudher investigations regarding clinical and epidemiologic charactedstics of HBoV infection are needed.

  14. Higher isolation of NDM-1 producing Acinetobacter baumannii from the sewage of the hospitals in Beijing.

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    Chuanfu Zhang

    Full Text Available Multidrug resistant microbes present in the environment are a potential public health risk. In this study, we investigate the presence of New Delhi metallo-β-lactamase 1 (NDM-1 producing bacteria in the 99 water samples in Beijing City, including river water, treated drinking water, raw water samples from the pools and sewage from 4 comprehensive hospitals. For the bla NDM-1 positive isolate, antimicrobial susceptibility testing was further analyzed, and Pulsed Field Gel Electrophoresis (PFGE was performed to determine the genetic relationship among the NDM-1 producing isolates from sewage and human, as well as the clinical strains without NDM-1. The results indicate that there was a higher isolation of NDM-1 producing Acinetobacter baumannii from the sewage of the hospitals, while no NDM-1 producing isolates were recovered from samples obtained from the river, drinking, or fishpond water. Surprisingly, these isolates were markedly different from the clinical isolates in drug resistance and pulsed field gel electrophoresis profiles, suggesting different evolutionary relationships. Our results showed that the hospital sewage may be one of the diffusion reservoirs of NDM-1 producing bacteria.

  15. Analysis on Antimicrobial Resistance of Clinical Bacteria Isolated from County Hospitals and a Teaching Hospital

    Institute of Scientific and Technical Information of China (English)

    SUN Ziyong; LI Li; ZHU Xuhui; MA Yue; LI Jingyun; SHEN Zhengyi; JIN Shaohong

    2006-01-01

    The distinction of antimicrobial resistance of clinical bacteria isolated from county hospitals and a teaching hospital was investigated. Disc diffusion test was used to study the antimicrobial resistance of isolates collected from county hospitals and a teaching hospital. The data was analyzed by WHONET5 and SPSS statistic software. A total of 655 strains and 1682 strains were collected from county hospitals and a teaching hospital, respectively, in the year of 2003. The top ten pathogens were Coagulase negative staphylococci (CNS), E. coli, Klebsiella spp. , S. areus, P. aeruginosa, Enterococcus spp. , Enterobacter spp. , otherwise Salmonella spp. , Proteus spp. , Shigella spp. in county hospitals and Streptococcus spp. , Acinetobacter spp. , X. maltophilia in the teaching hospital. The prevalence of multi-drug resistant bacteria was 5% (4/86) of methicillin-resistant S. areus (MRSA), 12% (16/133) and 15.8 % (9/57) of extended-spectrum β-lactamases producing strains of E. coli and Klebsiella spp. , respectively, in county hospitals. All of the three rates were lower than that in the teaching hospital and the difference was statistically significant (P<0.01). However, the incidence of methicillin-resistant CNS (MRCNS) reached to 70 % (109/156) in the two classes of hospitals. Generally, the antimicrobial resistant rates in the county hospitals were lower than those in the teaching hospital, except the resistant rates of ciprofloxacin, erythromycin, clindamycin, SMZco which were similar in the two classes of hospitals. There were differences between county hospitals and the teaching hospital in the distribution of clinical isolates and prevalence of antimicrobial resistance. It was the basis of rational use of antimicrobial agents to monitor antimicrobial resistance by each hospital.

  16. Wiring a medical school and teaching hospital for telemedicine.

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    Hjelm, N M; Lee, J C K; Cheng, D; Chui, C

    2002-06-01

    The planning and installation of a telemedicine system for communication within a teaching hospital and its academic and hospital units with a capacity for accommodation of up to 400 video-stations is described. The system is intended for improving the communication between patients and health professionals, and between the health professionals themselves. It also provides the basis for improving pre-graduate teaching, especially problem-based learning, and all aspects of postgraduate teaching. PMID:12052428

  17. Assessment of Impacts of Public Health Interventions on the SARS Epidemic in Beijing in Terms of the Intervals Between Its Symptom Onset, Hospital Admission, and Notification

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    WAN-NIAN LIANG; MIN LIU; QI CHEN; ZE-JUN LIU; XIONG HE; YUE PAN; XUE-QIN XIE

    2005-01-01

    Objectives To assess the impacts of public health interventions on the outbreak of SARS in Beijing by analyzing the intervals between symptom onset, hospital admission and notification of its cases. Methods Data of SARS cases reported from the Beijing Municipal Centers for Disease Prevention and Control (BCDC) were collected and analyzed by descriptive epidemiology. Results In the early epidemic period, the intervals between the disease onset and the hospital admission seemed irregular, so was the intervals between the hospital admission and the notification. After the middle ten days of April, the intervals turned out to be more regular, and the disordered situation in terms of the hospital admission and the case notification was gradually brought under control. Conclusions Public health interventions against SARS has revealed positive impacts on SARS control program in Beijing. The timing and sensitivity of epidemic information reporting systems has been greatly improved in Beijing as a result of successful fight against this disease.

  18. Possible adverse drug events leading to hospital admission in a Brazilian teaching hospital

    OpenAIRE

    Fabiana Rossi Varallo; Helaine Carneiro Capucho; Cleópatra da Silva Planeta; Patrícia de Carvalho Mastroianni

    2014-01-01

    OBJECTIVES: Drug safety problems can lead to hospital admission. In Brazil, the prevalence of hospitalization due to adverse drug events is unknown. This study aims to estimate the prevalence of hospitalization due to adverse drug events and to identify the drugs, the adverse drug events, and the risk factors associated with hospital admissions. METHOD: A cross-sectional study was performed in the internal medicine ward of a teaching hospital in São Paulo State, Brazil, from August to Decemb...

  19. Fine Particulate Matter Pollution and Hospital Admissions for Respiratory Diseases in Beijing, China.

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    Xiong, Qiulin; Zhao, Wenji; Gong, Zhaoning; Zhao, Wenhui; Tang, Tao

    2015-09-22

    Fine particulate matter has become the premier air pollutant of Beijing in recent years, enormously impacting the environmental quality of the city and the health of the residents. Fine particles with aerodynamic diameters of 0~0.3 μm, 0.3~0.5 μm, and 0.5~1.0 μm, from the yeasr 2007 to 2012, were monitored, and the hospital data about respiratory diseases during the same period was gathered and calculated. Then the correlation between respiratory health and fine particles was studied by spatial analysis and grey correlation analysis. The results showed that the aerial fine particulate matter pollution was mainly distributed in the Zizhuyuan sub-district office. There was a certain association between respiratory health and fine particles. Outpatients with respiratory system disease in this study area were mostly located in the southeastern regions (Balizhuang sub-district office, Ganjiakou sub-district office, Wanshoulu sub-district office, and Yongdinglu sub-district office) and east-central regions (Zizhuyuan sub-district office and Shuangyushu sub-district office) of the study area. Correspondingly, PM₁ (particulate matter with aerodynamic diameter smaller than 1.0 um) concentrations in these regions were higher than those in any other regions. Grey correlation analysis results showed that the correlation degree of the fine particle concentration with the number of outpatients is high, and the smaller fine particles had more obvious effects on respiratory system disease than larger particles.

  20. Prevalence of cardiovascular disease in subjects hospitalized due to chronic obstructive pulmonary disease in Beijing from 2000 to 2010

    Institute of Scientific and Technical Information of China (English)

    Hua Cui; Dong-Mei Miao; Zhi-Min Wei; Jian-Fang Cai; Yi Li; Ai-Min Liu; Fan Li

    2012-01-01

    Objectives To investigate the overall prevalence of cardiovascular disease (CVD) in subjects hospitalized for chronic obstructive pulmonary disease (COPD),and explore the prevalence of the major CVD complications and trends in patients with COPD over a 10-year period.Methods Medical records in the PLA General Hospital,Beijing Union Medical College Hospital,and Beijing Hospital from 2000/01/01 to 2010/03/03 were retrospectively reviewed.A total of 4960 patients with COPD were reviewed in the study (3570 males,mean age,72.2 ± 10.5 years; 1390 females,mean age,72.0 ± 10.4 years).Results The prevalence of CVD in COPD patients was 51.7%.The three most prevalent CVDs were ischemic heart disease (28.9%),heart failure (19.6%),and arrhythmia (12.6%).During the 10-year study period,the prevalence of various CVDs in COPD patients showed a gradual increasing trend with increasing age.There was higher morbidity due to ischemic heart disease (P < 0.01) in male COPD patients than in the female counterparts.However,heart failure (P < 0.01)and hypertension (P < 0.01) occurred less frequently in male COPD patients than in female COPD patients.Furthermore,the prevalence of ischemic heart disease decreased year by year.In addition to heart failure,various types of CVD complications in COPD patients tended to occur in younger subjects.The prevalence of all major types of CVD in women tended to increase year by year.Conclusions The prevalence of CVD in patients hospitalized for COPD in Beijing was high.Age,sex and CVD trends,as well as life style changes,should be considered when prevention and control strategies are formulated.

  1. Pattern of heart failure in a Nigerian teaching hospital

    OpenAIRE

    Arthur C Onwuchekwa; Godspower E Asekomeh

    2009-01-01

    Arthur C Onwuchekwa, Godspower E AsekomehDepartment of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, NigeriaBackground: Congestive cardiac failure (CCF) has emerged as a major public health problem worldwide and imposes an escalating burden on the health care system. Objective: To determine the causes and mortality rate of CCF in the University of Port Harcourt Teaching Hospital (UPTH), south Nigeria, over a five-year period f...

  2. 'Blueprint' for creating classroom facilities in teaching hospitals.

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    Hayes, O W

    1993-06-01

    Classroom facilities in teaching hospitals have evolved from simple rooms with blackboards to sophisticated amphitheaters with high-tech audiovisual equipment. This article presents a "blueprint," which was used in an osteopathic hospital, to renovate existing space into classrooms that are conducive to learning. PMID:8349484

  3. Candiduria in Hospitalized Patients in Teaching Hospitals of Ahvaz

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    Ali Zarei Mahmoudabadi

    2012-12-01

    Full Text Available Background and Objectives: Nosocomial infections are usually acquired during hospitalization. Fungal infection of the urinary tract is increasing due to predisposing factors such as; antibacterial agents, indwelling urinary catheters, diabetes mellitus, long hospitalization, immunosuppressive agents, use of IV catheters, radiation therapy, malignancy. The aim of our study was to determine the prevalence of candiduria and urinary tract infection in patients admitted in Golestan and Emam Khomeini hospitals of Ahvaz, Iran.Materials and Methods: During 14 months, a total of 744 urine samples were collected and transferred to medical mycology laboratory immediately. Ten μl of uncentrifuged sample was cultured on CHROM agar Candida plates and incubated at 37°C for 24-48h aerobically. Candida species were identified based on colony morphology on CHROM agar Candida, germ tube production and micro-morphology on corn meal agar including 1% Tween 80.Results: In the present study, 744 hospitalized patients were sampled (49.5%, female; 50.5%, male. The prevalence of candiduria in subjects was 16.5% that included 65.1% female and 34.9% male. The most common isolates were C. albicans (53.3%, followed by C. glabrata (24.4%, C. tropicalis (3.7%, C. krusei (2.2%, and Geotrichum spp. (0.7% Urine cultures yielded more than 10,000 yeast colonies in 34.1% of cases, and the major predisposing factor associated with candiduria was antibiotic therapy (69.1%.Conclusion: Candiduria is relatively common in hospitalized patients in educational hospitals of Ahvaz. In addition, there is a strong correlation between the incidence of candiduria in hospitalized patients and broad-spectrum antibiotics therapy.

  4. Risk factors for preterm birth in five Maternal and Child Health hospitals in Beijing.

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    Yun-Ping Zhang

    Full Text Available BACKGROUND: Preterm birth, the birth of an infant prior to 37 completed weeks of gestation, is the leading cause of perinatal morbidity and mortality. Preterm infants are at greater risk of respiratory, gastrointestinal and neurological diseases. Despite significant research in developed countries, little is known about the causes of preterm birth in many developing countries, especially China. This study investigates the association between sciodemographic data, obstetric risk factor, and preterm birth in five Maternal and Child Health hospitals in Beijing, China. METHODS AND FINDINGS: A case-control study was conducted on 1391 women with preterm birth (case group and 1391 women with term delivery (control group, who were interviewed within 48 hours of delivery. Sixteen potential factors were investigated and statistical analysis was performed by univariate analysis and logistic regression analysis. Univariate analysis showed that 14 of the 16 factors were associated with preterm birth. Inter-pregnancy interval and inherited diseases were not risk factors. Logistic regression analysis showed that obesity (odds ratio (OR = 3.030, 95% confidence interval (CI 1.166-7.869, stressful life events (OR = 5.535, 95%CI 2.315-13.231, sexual activity (OR = 1.674, 95%CI 1.279-2.191, placenta previa (OR 13.577, 95%CI 2.563-71.912, gestational diabetes mellitus (OR = 3.441, 95%CI1.694-6.991, hypertensive disorder complicating pregnancy (OR = 6.034, 95%CI = 3.401-10.704, history of preterm birth (OR = 20.888, 95%CI 2.519-173.218 and reproductive abnormalities (OR = 3.049, 95%CI 1.010-9.206 were independent risk factors. Women who lived in towns and cities (OR = 0.603, 95%CI 0.430-0.846, had a balanced diet (OR = 0.533, 95%CI 0.421-0.675 and had a record of prenatal care (OR = 0.261, 95%CI 0.134-0.510 were less likely to have preterm birth. CONCLUSIONS: Obesity, stressful life events, sexual activity, placenta previa

  5. Information Technology Assessment on Hospital Information System Implementation: Case Study A Teaching Hospital

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    Putu Wuri Handayani

    2013-04-01

    Full Text Available Currently, hospitals are required to improve their quality of health services to meet the higher standards. This improvement is supported by Ministry of Health which has launched electronic health (e-health program. Under this program, hospitals are required to have Hospital Information System (HIS or Enterprise Resource Planning (ERP for healthcare. However, to date only a few hospitals have implemented an integrated HIS. The purpose of this research is to asses the Information Technology (IT maturity of a teaching hospital in implementing HIS. This IT assessment observes from four layers namely business process, Information System (IS, Information Technology (IT and IS/IT management and organization. The result of this research is that teaching hospitals should prepare a plan to restructure their network with adequate infrastructure, create IT blue print and policy, IT organization restructuring, IT staff competency development and build integrated HIS.

  6. NICU OUTCOME IN A LOW RESOURCE TEACHING HOSPITAL SETTING

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    Sunil; Adarsh; Sahana; Prema; Tamil; Purushotham; Rajanish; Sebastain

    2013-01-01

    OBJECTIVE : To study the mortality pattern in a level III neonatal intensive care unit (NICU)in a low resource teaching hospital. METHODS : A retrospective study was conducted over a period of three years from January 2011 to December 2013. The medical records of all babies who died after being admitte d to the NICU were reviewed. Survival was defined as the discharge of a live infant from the hospital. Data regarding...

  7. Changes of four common non-infectious liver diseases for the hospitalized patients in Beijing 302 hospital from 2002 to 2013.

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    Chang, Binxia; Li, Baosen; Huang, Ang; Sun, Ying; Teng, Guangju; Wang, Xiaoxia; Liangpunsakul, Suthat; Li, Jin; Zou, Zhengsheng

    2016-08-01

    The implementation of a hepatitis B vaccination program in China has led to a significant decline in the prevalence and incidence of liver diseases secondary to hepatitis B virus over the past two decades. With recent changes in the economy and increases in average incomes in China during the same period, there has been a rapid rise in per capita alcohol consumption and an epidemic of obesity. We hypothesized that the burden of liver diseases in China has shifted from infectious to non-infectious etiologies. We retrospectively analyzed the data of 20,378 patients who were hospitalized in Beijing 302 hospital between 2002 and 2013. We found that the total admission rate secondary to alcoholic liver disease (ALD), non-alcoholic liver disease (NAFLD), autoimmune liver disease (AILD), and drug-induced liver injury (DILI) was 10.7%. ALD was the leading cause of inpatient hospitalization (3.9% of total admissions). The rate of inpatient admission for ALD, AILD, and DILI increased by 170%, 111%, and 107%, respectively during the study period. Chinese herbal medicine was the primary cause of DILI in our subjects. The burden of non-infectious liver diseases has increased over the last decade among hospitalized patients in a large tertiary hospital in China. The increase in the rate of admission for ALD and DILI from Chinese herbal medicine suggests that strategies to reduce harmful use of alcohol and increase awareness and education on the use of herbal medicine are needed. PMID:27519542

  8. Introduction of bubble CPAP in a teaching hospital in Malawi

    NARCIS (Netherlands)

    Van den Heuvel, M.; Blencowe, H.; Mittermayer, K.; Rylance, S.; Couperus, A.; Heikens, G. T.; Bandsma, R. H. J.

    2011-01-01

    Background: Continuous positive airway pressure (CPAP) is relatively inexpensive and can be easily taught; it therefore has the potential to be the optimal respiratory support device for neonates in developing countries. Objective: The possibility of implementing bubble CPAP in a teaching hospital w

  9. Dealing with the complex dynamics of teaching hospitals.

    Science.gov (United States)

    van Rossum, Tiuri R; Scheele, Fedde; Scherpbier, Albert J J A; Sluiter, Henk E; Heyligers, Ide C

    2016-01-01

    Innovation and change in postgraduate medical education programs affects teaching hospital organizations, since medical education and clinical service are interrelated.Recent trends towards flexible, time-independent and individualized educational programs put pressure on this relationship. This pressure may lead to organizational uncertainty, unbalance and friction making it an important issue to analyze.The last decade was marked by a transition towards outcome-based postgraduate medical education. During this transition competency-based programs made their appearance. Although competency-based medical education has the potential to make medical education more efficient, the effects are still under debate. And while this debate continues, the field of medical education is already introducing next level innovations: flexible and individualized training programs. Major organizational change, like the transition to flexible education programs, can easily lead to friction and conflict in teaching hospital organizations.This article analyses the organizational impact of postgraduate medical education innovations, with a particular focus on flexible training and competency based medical education. The characteristics of teaching hospital organizations are compared with elements of innovation and complexity theory.With this comparison the article argues that teaching hospital organizations have complex characteristics and behave in a non-linear way. This perspective forms the basis for further discussion and analysis of this unexplored aspect of flexible and competency based education. PMID:27048264

  10. Innovative Model for Information Assurance Curriculum: A Teaching Hospital

    Science.gov (United States)

    Goel, Sanjay; Pon, Damira; Bloniarz, Peter; Bangert-Drowns, Robert; Berg, George; Delio, Vince; Iwan, Laura; Hurbanek, Thomas; Schuman, Sandoor P.; Gangolly, Jagdish; Baykal, Adnan; Hobbs, Jon

    2006-01-01

    A novel idea for information security education created by the New York State Center for Information Forensics and Assurance (CIFA) is presented. This new approach incorporates a teaching hospital model originally developed for medical training. In this model, information security problems from industry and government are solved and abstracted…

  11. Management status of type 2 diabetes mellitus in tertiary hospitals in Beijing: gap between guideline and reality

    Institute of Scientific and Technical Information of China (English)

    LI Ming-zi; JI Li-nong; MENG Zhao-lin; GUO Xiao-hui; YANG Jin-kui; LU Ju-ming; L(U) Xiao-feng; HONG Xu

    2012-01-01

    Background Diabetes has become one of the most common chronic diseases and the third leading cause of death in China.Many programs have been initiated at national and local levels to address the illness.However,the effect of these programs in daily outpatient clinics is still unclear.The objective of this study was to investigate the management status of type 2 diabetes mellitus (T2DM) and factors associated with it in diabetes clinics of tertiary hospitals in Beijing.Methods A cross-sectional survey was conducted in six tertiary hospitals in Beijing.Control criteria were defined based on 2007 China guideline for type 2 diabetes (CGT2D).Results A sample of 1151 patients,age (60.8±9.2) years,and with a median disease duration of 7.3 years was included.The hemoglobin A1c (HbA1c) mean level was (7.15±1.50)%,the percentage of patients achieving the targets for HbA1c was 37.8%,blood pressure 65.6%,triglyceride (TG) 48.8%,high-density lipoprotein (HDL) 59.2%,low-density lipoprotein (LDL) 34.0%,and total cholesterol (TC) 42.0% The factors independently associated with glycemic control were diabetes duration (odds ratio (OR) =0.95; 95% confidence interval (C/): 0.919-0.982,P <0.01),body mass index (BMI) (OR=0.914,95% CI: 0.854-0.979,P=0.01) and smoking (OR=0.391,95% CI: 0.197-0.778,P<0.01).The factors independently associated with blood pressure control were BMI (OR=0.915,95% CI: 0.872-0.960,P <0.01) and male gender (OR=0.624,95% CI: 0.457-0.852,P <0.01).The factor independently associated with LDL control was education level (OR=1.429,95% CI: 1.078-1.896,P=0.013).Conclusions The management status of T2DM patients in tertiary hospitals in Beijing has improved remarkably.However,there is still room for further improvement to reach the guideline target.Long diabetes duration,high BMI,smoking,male gender and low education level were independently associated with poor metabolic control.

  12. The nurse in the management of materials in teaching hospitals

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    Priscila Conde Bogo

    2015-08-01

    Full Text Available OBJECTIVETo present the nurse's integration within materials management of six teaching hospitals of Paraná - Brazil, and to describe the activities performed by nurses within this process.METHODA study of a qualitative approach and descriptive nature, conducted in teaching hospitals in Paraná, between June and August of 2013. The data collection was conducted through semi-structured interviews with eight nurses who worked in materials management; data were analyzed using content analysis.RESULTSThese showed that nurses perform ten categories of activities, distributed into four of the five steps of the materials management process.CONCLUSIONThe nurse, in performing of these activities, in addition to favoring the development of participative management, contributes to the organization, planning, and the standardization of the hospital supply process, giving greater credibility to the work with professionals who use the materials, and to the suppliers.

  13. Variations in the Quality of Care at Large Public Hospitals in Beijing, China: A Condition-Based Outcome Approach.

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    Ye Xu

    Full Text Available Public hospitals deliver over ninety percent of all outpatient and inpatient services in China. Their quality is graded into three levels (A, B, and C largely based on structural resources, but empirical evidence on the quality of process and outcome of care is extremely scarce. As expectations for quality care rise with higher living standards and cost of care, such evidence is urgently needed and vital to improve care and to inform future health reforms.We compiled and analyzed a multicenter database of over 4 million inpatient discharge summary records to provide a comprehensive assessment of the level and variations in clinical outcomes of hospitalization at 39 tertiary hospitals in Beijing. We assessed six outcome measures of clinical quality: in-hospital mortality rates (RSMR for AMI, stroke, pneumonia and CABG, post-procedural complication rate (RS-CR, and failure-to-rescue rate (RS-FTR. The measures were adjusted for pre-admission patient case-mix using indirect standardization method with hierarchical linear mixed models.We found good overall quality with large variations by hospital and condition (mean/range, in %: RSMR-AMI: 6.23 (2.37-14.48, RSMR-stroke: 4.18 (3.58-4.44, RSMR-pneumonia: 7.78 (7.20-8.59, RSMR-CABG: 1.93 (1.55-2.23, RS-CR: 11.38 (9.9-12.88, and RS-FTR: 6.41 (5.17-7.58. Hospital grade was not significantly associated with any risk-adjusted outcome measures.Going to a higher grade public hospital does not always lead to better patient outcome because hospital grade only contains information about hospital structural resources. A hospital report card with some outcome measures of quality would provide valuable information to patients in choosing providers, and for regulators to identify gaps in health care quality. Reducing the variations in clinical practice and patient outcome should be a focus for policy makers in the next round of health sector reforms in China.

  14. 42 CFR 415.190 - Conditions of payment: Assistants at surgery in teaching hospitals.

    Science.gov (United States)

    2010-10-01

    ... teaching hospitals. 415.190 Section 415.190 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.190 Conditions of payment: Assistants at surgery in teaching hospitals....

  15. Study of Hospital Records Registration in Teaching Hospitals of Hamadan University of Medical Sciences in 2009

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    M. Shokouhee Solgi

    2009-07-01

    Full Text Available Introduction & Objectives: Hospital records are representative evidences of medical team activities. In this study, we analyzed hospital records in Hamadan teaching hospitals to find out the problem extent and possible solutions for the problem.Materials & Methods: In a cross-sectional study, hospital records from teaching hospitals were gathered and put in check lists. We used convenient sampling from all departments, so that by referring to hospital achieve, all new discharged cases from different wards were extracted. We used a 16 item check list which targeted some basic questions like: admission order, discharge order, early and final diagnosis and so on. In each case perfect answer was registered in yes or no boxes. Collected data were analyzed by SPSS16 hardware.Results: We achieved the following results after analyzing 457 records from 4 teaching hospitals; there were admission note in 94% of the patients' files. 93% of physicians and residents had signed the orders. 88% of the history sheets were being singed by medical students and/or residents. Differential diagnoses were present in only 75% of cases. Final diagnoses were found in 90% and discharge notes in 84% of the files. 86% of physicians had recorded therapeutic and/or surgical procedures. Paraclinical procedure recordings were present in 83% of the files. Only 63% of residents and/or interns had signed their progress notes. And nursing papers were signed in 99% of records. There was exact counseling information in 83% of the files which needed to be consulted; meanwhile 82% of the consulted files had been signed by physicians. Conclusion: This study shows that, there are important defects in hospital records. It seems that there are multiple factors contributing to the problem, such as overcrowding of the hospitals, careless medical students and the most important factors is insufficient training about the problem.

  16. Gaseous air pollution and emergency hospital visits for hypertension in Beijing, China: a time-stratified case-crossover study

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    Zhang Yanshen

    2010-10-01

    Full Text Available Abstract Background A number of epidemiological studies have been conducted to research the adverse effects of air pollution on mortality and morbidity. Hypertension is the most important risk factor for cardiovascular mortality. However, few previous studies have examined the relationship between gaseous air pollution and morbidity for hypertension. Methods Daily data on emergency hospital visits (EHVs for hypertension were collected from the Peking University Third Hospital. Daily data on gaseous air pollutants (sulfur dioxide (SO2 and nitrogen dioxide (NO2 and particulate matter less than 10 μm in aerodynamic diameter (PM10 were collected from the Beijing Municipal Environmental Monitoring Center. A time-stratified case-crossover design was conducted to evaluate the relationship between urban gaseous air pollution and EHVs for hypertension. Temperature and relative humidity were controlled for. Results In the single air pollutant models, a 10 μg/m3 increase in SO2 and NO2 were significantly associated with EHVs for hypertension. The odds ratios (ORs were 1.037 (95% confidence interval (CI: 1.004-1.071 for SO2 at lag 0 day, and 1.101 (95% CI: 1.038-1.168 for NO2 at lag 3 day. After controlling for PM10, the ORs associated with SO2 and NO2 were 1.025 (95% CI: 0.987-1.065 and 1.114 (95% CI: 1.037-1.195, respectively. Conclusion Elevated urban gaseous air pollution was associated with increased EHVs for hypertension in Beijing, China.

  17. Possible adverse drug events leading to hospital admission in a Brazilian teaching hospital

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    Fabiana Rossi Varallo

    2014-03-01

    Full Text Available OBJECTIVES: Drug safety problems can lead to hospital admission. In Brazil, the prevalence of hospitalization due to adverse drug events is unknown. This study aims to estimate the prevalence of hospitalization due to adverse drug events and to identify the drugs, the adverse drug events, and the risk factors associated with hospital admissions. METHOD: A cross-sectional study was performed in the internal medicine ward of a teaching hospital in São Paulo State, Brazil, from August to December 2008. All patients aged ≥18 years with a length of stay ≥24 hours were interviewed about the drugs used prior to hospital admission and their symptoms/complaints/causes of hospitalization. RESULTS: In total, 248 patients were considered eligible. The prevalence of hospitalization due to potential adverse drug events in the ward was 46.4%. Overprescribed drugs and those indicated for prophylactic treatments were frequently associated with possible adverse drug events. Frequently reported symptoms were breathlessness (15.2%, fatigue (12.3%, and chest pain (9.0%. Polypharmacy was a risk factor for the occurrence of possible adverse drug events. CONCLUSION: Possible adverse drug events led to hospitalization in a high-complexity hospital, mainly in polymedicated patients. The clinical outcomes of adverse drug events are nonspecific, which delays treatment, hinders causality analysis, and contributes to the underreporting of cases.

  18. Racial Disparity in Duration of Patient Visits to the Emergency Department: Teaching Versus Non-teaching Hospitals

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    Zynal Karaca

    2013-09-01

    Full Text Available Introduction: The sources of racial disparity in duration of patients’ visits to emergency departments (EDs have not been documented well enough for policymakers to distinguish patient-related factors from hospital- or area-related factors. This study explores the racial disparity in duration of routine visits to EDs at teaching and non-teaching hospitals.Methods: We performed retrospective data analyses and multivariate regression analyses to investigate the racial disparity in duration of routine ED visits at teaching and non-teaching hospitals. The Healthcare Cost and Utilization Project (HCUP State Emergency Department Databases (SEDD were used in the analyses. The data include 4.3 million routine ED visits encountered in Arizona, Massachusetts, and Utah during 2008. We computed duration for each visit by taking the difference between admission and discharge times.Results: The mean duration for a routine ED visit was 238 minutes at teaching hospitals and 175 minutes at non-teaching hospitals. There were significant variations in duration of routine ED visits across race groups at teaching and non-teaching hospitals. The risk-adjusted results show that the mean duration of routine ED visits for Black/African American and Asian patients when compared to visits for white patients was shorter by 10.0 and 3.4%, respectively, at teaching hospitals; and longer by 3.6 and 13.8%, respectively, at non-teaching hospitals. Hispanic patients, on average, experienced 8.7% longer ED stays when compared to white patients at non-teaching hospitals.Conclusion: There is significant racial disparity in the duration of routine ED visits, especially in non-teaching hospitals where non-White patients experience longer ED stays compared to white patients. The variation in duration of routine ED visits at teaching hospitals when compared to non-teaching hospitals was smaller across race groups. [West J Emerg Med. 2013;14(5:529–541.

  19. Epidemiology of systemic inflammatory response syndrome and sepsis in cats hospitalized in a veterinary teaching hospital.

    Science.gov (United States)

    Babyak, Jonathan M; Sharp, Claire R

    2016-07-01

    OBJECTIVE To describe the epidemiology of the systemic inflammatory response syndrome (SIRS) and sepsis in cats hospitalized in a veterinary teaching hospital. DESIGN Observational study. ANIMALS 246 client-owned cats. PROCEDURES During a 3-month period, daily treatment records were evaluated for all hospitalized cats. Information extracted included signalment, temperature, heart rate, respiratory rate, diagnostic test results, diagnosis, duration of hospitalization, and outcome (survival or death). Cats were classified into 1 of 4 disease categories (sepsis [confirmed infection and SIRS], infection [confirmed infection without SIRS], noninfectious SIRS [SIRS without a confirmed infection], and no SIRS [no SIRS or infection]). RESULTS Of the 246 cats, 26 and 3 were hospitalized 2 and 3 times, respectively; thus, 275 hospitalizations were evaluated. When SIRS was defined as the presence of ≥ 2 of 4 SIRS criteria, 17 cats had sepsis, 16 had infections, 81 had noninfectious SIRS, and 161 were classified in the no SIRS category at hospital admission. The prevalence of sepsis at hospital admission was 6.2 cases/100 admissions. Four cats developed sepsis while hospitalized, resulting in a sepsis incidence rate of 1.5 cases/100 hospital admissions. Four of 17 cats with sepsis at hospital admission and 3 of 4 cats that developed sepsis while hospitalized died or were euthanized, resulting in a mortality rate of 33.3% for septic cats; 239 hospitalizations resulted in survival, 28 resulted in euthanasia, and 8 resulted in death. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that many hospitalized cats have evidence of SIRS and some have sepsis. In cats, sepsis is an important clinical entity with a high mortality rate. PMID:27308883

  20. Financial Pressures Prompt Teaching Hospitals to Cut Costs, Raising Fears about Medical Education and Patient Care.

    Science.gov (United States)

    Grassmuck, Karen

    1991-01-01

    Financial pressures are forcing the closure of some teaching hospitals and retrenchment using such strategies as development of ambulatory care and satellite facilities, merging with or acquiring other hospitals, and shortening patient hospital stays. A table lists revenues and profit margins for the 20 largest university-owned teaching hospitals.…

  1. Circumcision: Perspective in a Nigerian teaching hospital

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    L O Abdur-Rahman

    2013-01-01

    Full Text Available Background: The practice and pattern of male infants circumcised is influenced by culture, religion and socio-economic classification. The debate about the benefits and risks of circumcision has made a hospital-based practice the most acceptable. Objective: The objective of this study is to evaluate the ages, indications, co-morbidity, types and methods of circumcision, usage and mode of anaesthesia and outcome of male circumcision at a tertiary health centre in Nigeria. Materials and Methods: A retrospective review of male circumcision in a paediatric surgery unit was done from January 2002 to December 2007. The data was analysed using SPSS software version 15. Results: There were 438 boys with age ranged between 6 days and 10 years (median 28 days, mean 53.6 days standard deviation 74.2. Neonatal circumcision (<29 days was 201 (46% and 318 (72.6% of the children were circumcised by the 3 rd month of live. Religion or tradition were the major indicators in 384 (87.7% patients while phimosis 38 (8.7%, paraphimosis 4 (1%, redundant post circumcision skin 10 (2.3% and defective prepuce in 2 (0.5% were other indications. Plastibel™ (PD was used in 214 (48.9%, classical circumcision 194 (44.2%, guillotine technique (GT and Gomco™ 10 (2.3% cases each while 10 (2.3% had a refashioning/re-excision post previous circumcision. There was an increase in use of PD, drop in the use of GT; and increase in the number of circumcision done over the years. Only 39.7% had anaesthesia administered and complication rate was 6.7%. Conclusion: Neonatal circumcision was highest in the hospital-based circumcision practice, which allowed the expected ideals in the use of devices in a tertiary health centre. However, the low rate of anaesthetic use is unacceptable.

  2. Development of hospital formulary for a tertiary care teaching hospital in south India

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    D′Almeida R

    2007-01-01

    Full Text Available Formulary is a continually revised compilation of pharmaceuticals (plus important ancillary information that reflects the current clinical judgment of medical staff. Kasturba Hospital is a 1400 bedded tertiary care teaching hospital with different specialties, having more than 3000 brands and ancillary products in use. The hospital does not have a formulary of any kind. Present study involved development of a formulary for the hospital and comparing it with WHO Model Formulary. Monographs of the drugs were prepared as per the recommendation of Pharmacy and Therapeutic Committee of the hospital. Prepared hospital formulary consisted of 476 generic drugs of various categories and 95 fixed dose combinations. Availability of brands varied from single to many. About 75 medicines recommended by the essential medicine list were not present in the prepared hospital formulary. The drugs to be avoided or used with caution in renal failure, hepatic failure and in pregnancy were categorized and included in the formulary as additional information. The prepared hospital formulary was recommended for implementation in the hospital, which could thereby help as a tool to promote rational drug use.

  3. Teaching hospital performance: towards a community of shared values?

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    Mauro, Marianna; Cardamone, Emma; Cavallaro, Giusy; Minvielle, Etienne; Rania, Francesco; Sicotte, Claude; Trotta, Annarita

    2014-01-01

    This paper explores the performance dimensions of Italian teaching hospitals (THs) by considering the multiple constituent model approach, using measures that are subjective and based on individual ideals and preferences. Our research replicates a study of a French TH and deepens it by adjusting it to the context of an Italian TH. The purposes of this research were as follows: to identify emerging views on the performance of teaching hospitals and to analyze how these views vary among hospital stakeholders. We conducted an in-depth case study of a TH using a quantitative survey method. The survey uses a questionnaire based on Parsons' social system action theory, which embraces the major models of organizational performance and covers three groups of internal stakeholders: physicians, caregivers and administrative staff. The questionnaires were distributed between April and September 2011. The results confirm that hospital performance is multifaceted and includes the dimensions of efficiency, effectiveness and quality of care, as well as organizational and human features. There is a high degree of consensus among all observed stakeholder groups about these values, and a shared view of performance is emerging. Our research provides useful information for defining management priorities to improve the performance of THs. PMID:24560230

  4. Relationship between organizational structure and creativity in teaching hospitals

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    RITA REZAEE

    2014-07-01

    Full Text Available Introduction: Organization structure and manpower constitute two basic components of anorganization and both are necessary for stablishing an organization. The aim of this survey was to investigate the type of the organization structure (mechanic and organic from viewpoint of senior and junior managers in Shiraz teaching hospitals and creativity in each of these two structures. Methods: In this cross-sectional and descriptive-analytic study, organization structure and organizational creation questionnaires were filled out by hospital managers. According to the statistical consultation and due to limited target population, the entire study population was considered as sample. Thus, the sample size in this study was 84 (12 hospitals and every hospital, n=7. For data analysis, SPSS 14 was used and Spearman correlation coefficient and t-test were used. Results: Results showed that there is a negative association between centralization and complexity with organizational creation and its dimensions. Also there was a negative association between formalization and 4 organizational creation dimensions: reception change, accepting ambiguity, abet new view and less control outside (p=0.001. Conclusion: The results of this study showed that the creation in hospitals with organic structure is more than that in hospitals with mechanic structure.

  5. Analysis of drug resistance determinants in Klebsiella pneumoniae isolates from a tertiary-care hospital in Beijing, China.

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    Bin Li

    Full Text Available BACKGROUND: The rates of multidrug-resistant (MDR, extensively drug-resistant (XDR and pandrug-resistant (PDR isolates among Enterobacteriaceae isolates, particularly Klebsiella pneumoniae, have risen substantially worldwide. METHODOLOGY/PRINCIPAL FINDINGS: To better understand the molecular mechanisms of drug resistance in K. pneumoniae, we analyzed the drug resistance determinants for K. pneumoniae isolates collected from the 306 Hospital, a tertiary-care hospital in Beijing, China, for the period of September 1, 2010-October 31, 2011. Drug susceptibility testing, PCR amplification and sequencing of the drug resistance determinants were performed. Conjugation experiments were conducted to examine the natural ability of drug resistance to disseminate among Enterobacteriaceae strains using a sodium azide-resistant Escherichia coli J53 strain as a recipient. Among the 223 consecutive non-repetitive K. pneumoniae isolates included in this study, 101 (45.3% were extended-spectrum beta-lactamases (ESBLs positive. The rates of MDR, XDR, and PDR isolates were 61.4% (n = 137, 22.0% (n = 49, and 1.8% (n = 4, respectively. Among the tested drug resistance-associated genes, the following ones were detected at relatively high rates bla(CTX-M-10 (80, 35.9%, aacC2 (73, 32.7%, dhfr (62, 27.8%, qnrS (58, 26.0%, aacA4 (57, 25.6%, aadA1 (56, 25.1%. Results from conjugation experiments indicate that many of the drug resistance genes were transmissible. CONCLUSIONS/SIGNIFICANCE: Our data give a "snapshot" of the complex genetic background responsible for drug resistance in K. pneumoniae in China and demonstrate that a high degree of awareness and monitoring of those drug resistance determinants are urgently needed in order to better control the emergence and transmission of drug-resistant K. pneumoniae isolates in hospital settings.

  6. Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

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    Yallew WW

    2016-08-01

    Full Text Available Walelegn Worku Yallew,1 Abera Kumie,2 Feleke Moges Yehuala3 1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, 2School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Medical Microbiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Purpose: Hospital-acquired infection (HAI is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia. Methods: A repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables. Results: A total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years. A total of 650 (71.6% patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1. Culture results showed that Klebsiella spp. (22.44% and Staphylococcus aureus (20.4% were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was

  7. Clinical and microbiological features of community-acquired and nosocomial bloodstream infections in the surgical department of a tertiary-care hospital in Beijing

    Institute of Scientific and Technical Information of China (English)

    L(U) You; GUO Peng; YE Ying-jiang; WANG Hui; SHEN Zhan-long; WANG Qi; ZHAO Chun-jiang

    2013-01-01

    Background Bloodstream infections (BSls) remain a major cause of morbidity and mortality in patients undergoing surgery.This study aimed at elucidating the clinical characteristics of community-acquired BSls (CABs) and nosocomial BSls (nBSls) in patients admitted to the surgical wards of a teaching hospital in Beijing,China.Methods This cross-sectional study compared 191 episodes of BSls in 4074 patients admitted to the surgical wards between January 2008 and December 2011.Cases of BSls were classified as CABs or nBSls,and the characteristics,relevant treatments,and outcomes of CABs and nBSls were compared.Results Of the 191 BSls,52 (27.2%) and 139 (72.8%) were CABs and nBSls,respectively.Eschedchia coli,coagulasenegative staphylococci,and Klebsiella spp,were the most frequently isolated microorganisms.There were significant differences between CABs and nBSls with respect to the use of hormonal drugs,ventilation,acute physiology and chronic health evaluation (APACHE) Ⅱ and American Society of Anesthesiologists scores,and prevalence of cancer (P <0.05).Empirical antibacterial therapy did not decrease the crude mortality,but multivariate analysis showed that high APACHE Ⅱ was independently associated with a risk of mortality (odds ratio =0.97,95% confidence interval:0.93-1.02 for APACHE Ⅱ).Conclusions We found significant differences in the clinical characteristics of surgical patients with CABs and nBSls.The outcome of patients seems to be related to high APACHE Ⅱ scores.

  8. Evaluation of Nosocomial Infections in a Teaching Hospital

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    Salmanzadeh

    2015-08-01

    Full Text Available Background Nosocomial infections (NIs have increasingly resulted in death and patients have to bear high treatment costs. Healthcare personnel could play a prominent role in prevention and control of NIs. Objectives The aim of this study was to evaluate NIs in patients admitted to a teaching hospital in Ahvaz, southwest of Iran, during 2013. Patients and Methods The present study was a cross-sectional study conducted in Razi Hospital, Ahvaz during 12 months from March 2013 to March 2014. All patients hospitalized with no signs and symptoms of infection within 48 hours of admission and presenting signs and symptoms of infection after 48 hours of hospitalization were included in the study. Data about patients’ age, sex, site of infection, ward of hospitalization and type of NIs were collected. Bacterial strains were isolated from various clinical samples of patients and identified by conventional methods. Results The incidence of NIs was low (i.e. < 2%. Among 16936 admitted patients in this hospital, 174 patients (79 males and 95 females with a mean age of 51.7 ± 24.6 years (range, 5 to 90 years were diagnosed with an NI. Incidence density of NIs were 3.18% in infectious diseases ward, 2.17% in intensive care unit (ICU, 2% in orthopedic ward, 0.68% in obstetrics and gynecology (OBGYN ward and 0.278% in general surgery. Regarding the etiology of infection, coagulase-negative staphylococci in 23.69%, Bacillus in 21.05%, Escherichia coli was found in 18.42%, and coagulase-positive staphylococci in 13.16% of the cases. The results indicated that coagulase-negative staphylococci was the most frequent pathogen. Conclusions The frequency of NIs in this hospital was lower in comparison with other worldwide studies. However, low incidence of health care-associated infections in our study may be due to under diagnosis and underreporting of such infections by health care staff.

  9. The teaching of clinical skills at a postgraduate hospital.

    Science.gov (United States)

    Creed, F; Murray, R M

    1981-05-01

    The teaching of 'clinical skills' is generally held to be central to postgraduate training in psychiatry, but the term itself has so far escaped exact definition. In an effort to study some of the component clinical abilities, their inter-relationships, and the factors promoting their transmission, all junior psychiatrists at the Maudsley Hospital were surveyed for their views on the clinical training they had received. Three hundred and seventy three assessement on 43 units were made. Trainees perceived the academic instruction and advice on formulating cases which they had received as being quite unrelated to the quality of help with interview skills and instruction in practical management, but feedback from the consultant to the trainee on the latter's performance was necessary for a high standard of both academic and practical instruction. Encouragement to do research was transmitted independently of other clinical teaching. Over a 3-year period the standard of multi-disciplinary teamwork appeared to improve, but there was a decline in the standard of academic instruction and in encouragement to do research. These overall differences were due to changes in the teaching staff, rather than alterations in teaching methods. Surveys such as this may help to define the goals of postgraduate clinical training, and also monitor the extent to which an institution is achieving these goals. PMID:7267879

  10. Twenty-year trends in major cardiovascular risk factors in hospitalized patients with acute myocardial infarction in Beijing

    Institute of Scientific and Technical Information of China (English)

    CAO Cheng-fu; REN Jing-yi; ZHOU Xiang-hai; LI Su-fang; CHEN Hong

    2013-01-01

    Background Hypertension,diabetes mellitus,hypercholesterolaemia and current smoking are the strongest modifiable cardiovascular risk factors for acute myocardial infarction (AMI).We examined their changing trends over the last 20years.Methods The clinical data of 3498 patients hospitalized in Peking University People's Hospital with AMI from 1991 to 2010 were used.Information was collected regarding to patients' demographic data,cardiovascular risk factors (hypertension,diabetes mellitus,hypercholesterolemia and current smoking).To assess trends over time in the prevalence of risk factors,we categorized patients into four groups (1991 to 1995,1996 to 2000,2001 to 2005 and 2006 to 2010).Results Highly significant increases were observed in the prevalence of hypertension from 40.8% to 55.6% for males and from 58.0% to 69.0% for females; and diabetes mellitus from 12.9% to 30.8% for males and from 23.0% to 42.3% for females.Similarly,the prevalence of hypercholesterolaemia decreased from 53.1% to 30.7% for males and from 57.0%to 44.0% for females.The prevalence of current smoking decreased in females from 29.0% to 11.1%,but remained unchanged in males.In addition,the proportion of patients with more than three modifiable risk factors increased from 19.0% to 27.1% and the age at onset of AMI extended to younger as well as older individuals.Conclusions The prevalence of hypertension and diabetes mellitus are still increasing in patients with AMI in Beijing and although the prevalence of hypercholesterolaemia and current smoking decreased,high clustering of risk factors were commonly present.These adverse trends show a compelling need for more effective management of cardiovascular risk factors.

  11. A survey of digital radiography practice in four South African teaching hospitals: an illuminative study

    OpenAIRE

    Nyathi, T; Chirwa, TF; van der Merwe, DG

    2010-01-01

    Purpose: The purpose of this study was to assess radiographer familiarity and preferences with digital radiography in four teaching hospitals and thereafter make recommendations in line with the migration from screen film to digital radiography. Materials and methods: A questionnaire was designed to collect data from either qualified or student radiographers from four teaching hospitals. From the four teaching hospitals, there were a total of 205 potential respondents. Among other things, res...

  12. The Balanced Budget Act of 1997: its impact on U.S. teaching hospitals.

    Science.gov (United States)

    Dickler, R; Shaw, G

    2000-05-16

    The Balanced Budget Act of 1997 had a profound impact on the financing and organization of many health care services. The Act disproportionately affected U.S. teaching hospitals, leading to substantial budget reductions in many institutions and the threat of cuts in major programs and services that teaching hospitals provide to communities. This paper examines the overall financial and organizational impact of the Balanced Budget Act on teaching hospitals and considers its effect on residency education. It also discusses to what degree the Balanced Budget Refinement Act of 1999 will mitigate these effects and posits other solutions to the serious financial issues facing teaching hospitals in the United States. PMID:10819706

  13. The Research-Teaching Nexus among Academics from 15 Institutions in Beijing, Mainland China

    Science.gov (United States)

    Zhang, Li-fang; Shin, Jung-Cheol

    2015-01-01

    For long, the research-teaching nexus has maintained the interest of the scholarly community. The present study introduced a process variable--teaching styles--into the investigation of the association between research and teaching. The study adopted a predominantly quantitative-driven, mixed research method design, with a questionnaire survey…

  14. Surgical Management of Uterine Fibroids at Aminu Kano Teaching Hospital

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    Abiodun Omole-Ohonsi

    2012-01-01

    Full Text Available Objective. To determine the influence of age and parity on the surgical management of uterine fibroids, clinical presentation, presence of pelvic adhesions, cadre of surgeons, and postoperative complications at the Aminu Kano Teaching Hospital, Kano, Nigeria. Methods. A retrospective analysis of 105 cases of uterine fibroids that were managed between 1st January 2003 and 31st December 2007. Results. The period prevalence of uterine fibroids was 24.7% of all major gynecological operations. The mean age was 35.8 ± 7.6 and mean parity 4.7 ± 2.8. Abdominal hysterectomy accounted for 58.1% of the cases and myomectomy 41.9%. The odd of using abdominal hysterectomy was about twice that of myomectomy. Pelvic adhesions were found in 67.6% of the cases. Menorrhagia (86.7% was the commonest symptom, while post operative anemia and pyrexia showed significant association with myomectomy. There was no maternal mortality. Conclusion. Surgical operations for uterine fibroids are safe and common kind of gynecological operations at the Aminu Kano Teaching Hospital. Uterine fibroid is associated more with high parity and dominance of abdominal hysterectomy over myomectomy, because early girl marriage is common in our community.

  15. Pattern of heart failure in a Nigerian teaching hospital

    Directory of Open Access Journals (Sweden)

    Arthur C Onwuchekwa

    2009-09-01

    Full Text Available Arthur C Onwuchekwa, Godspower E AsekomehDepartment of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, NigeriaBackground: Congestive cardiac failure (CCF has emerged as a major public health problem worldwide and imposes an escalating burden on the health care system. Objective: To determine the causes and mortality rate of CCF in the University of Port Harcourt Teaching Hospital (UPTH, south Nigeria, over a five-year period from January 2001 to December 2005.Methods: A retrospective study of CCF cases were identified from the admission and discharge register of the medical wards of UPTH and the case notes were retrieved from the medical records department and analyzed.Results: There were 423 patients: 242 males and 181 females. Their ages ranged from 18 to 100 years with a mean of 54.4 ± 17.3. The commonest causes of CCF were hypertension (56.3% and cardiomyopathy (12.3%. Chronic renal failure, rheumatic heart disease, and ischemic heart disease accounted for 7.8%, 4.3%, and 0.2% of CCF, respectively. Peripartum heart disease was rare despite being commonly reported in northern Nigerian females. Eighteen patients died from various complications with a mortality rate of 4.3%.Conclusion: The burden of CCF in the Niger Delta is mainly attributed to hypertension. Efforts should be geared towards hypertension awareness, detection, treatment, and prevention in the region.Keywords: pattern, cardiac failure, Nigeria, etiological factors

  16. 北京医院住院患者满意度研究%Study on inpatient satisfaction with Beijing Hospital

    Institute of Scientific and Technical Information of China (English)

    贺鹏

    2013-01-01

    Founded in 1905, Beijing hospital was previously a German hospital and now has become a tertiary A-level hospital which is directly under the Ministry of Health. It is a modern general hospital which centers on senior cadres’ healthcare, focuses on geriatrics research and opens to the public with offering medical care, education, scientific research and prevention. In this paper, there is a study on satisfaction of Beijing Hospital targeting at finding some useful results and elements that can be utilized ultimately for similar hospitals in management to avoid detours and that can be as a basis on which correct decisions are made to improve inpatient satisfaction and achieve the sustainable development of the hospital.%我院的前身是德国医院,始建于1905年。是卫生部直属的大型公立三甲综合医院。是一所以高干医疗保健为中心、老年医学研究为重点、向社会开放的医疗、教学、科研、预防全面发展的现代化综合性医院。本文通过对我院住院患者满意度的研究,从中总结提炼出一些有益的成果和要素,使其有利于吸取医院管理中的经验教训,从而加以参考利用,最终有利于同类医院在发展中少走弯路,通过正确的制订和选择决策提高患者满意度,实现医院的可持续发展。

  17. Improvement of hospital processes through business process management in Qaem Teaching Hospital: A work in progress.

    Science.gov (United States)

    Yarmohammadian, Mohammad H; Ebrahimipour, Hossein; Doosty, Farzaneh

    2014-01-01

    In a world of continuously changing business environments, organizations have no option; however, to deal with such a big level of transformation in order to adjust the consequential demands. Therefore, many companies need to continually improve and review their processes to maintain their competitive advantages in an uncertain environment. Meeting these challenges requires implementing the most efficient possible business processes, geared to the needs of the industry and market segments that the organization serves globally. In the last 10 years, total quality management, business process reengineering, and business process management (BPM) have been some of the management tools applied by organizations to increase business competiveness. This paper is an original article that presents implementation of "BPM" approach in the healthcare domain that allows an organization to improve and review its critical business processes. This project was performed in "Qaem Teaching Hospital" in Mashhad city, Iran and consists of four distinct steps; (1) identify business processes, (2) document the process, (3) analyze and measure the process, and (4) improve the process. Implementing BPM in Qaem Teaching Hospital changed the nature of management by allowing the organization to avoid the complexity of disparate, soloed systems. BPM instead enabled the organization to focus on business processes at a higher level.

  18. Quality of Life in Emergency Medicine Specialists of Teaching Hospitals

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    Afshin Amini

    2014-08-01

    Full Text Available Introduction: Quality of life (QOL of emergency medicine specialists can be effective in providing services to patients. The aim of the present study was evaluating the lifestyle of emergency medicine practitioners, understanding their problems, and addressing the solutions to enhance and improve their lifestyles, in teaching hospitals in Iran. Method: This descriptive cross-sectional study was conducted on emergency medicine physicians in 10 teaching hospitals of Iran in 2011. Emergency physicians with at least three years of experience who interested in the study, were enrolled in the project. All participants filled out the consent form and QOL questionnaires, then underwent physical examinations and some medical laboratory tests. Categorical variables were reported as percentages, while continuous variables expressed as means and standard deviations. p <0.05 was considered statistically significant. Results: Totally, 100 subjects participated in the study, of whom 48 were male. The mean and standard deviation of the physicians’ age were 38.7±5.1 years. 43% of physicians had an average QOL, while 37% good. 96% of studied physicians had a good condition regarding habitual history, while 93% of them had a poor condition in performing screening tests. Exercise program and personal health in individuals with normal BMI were correlated with higher levels of QOL. BMI was higher in 40-50 years old subjects than youngers. Hypertension was present in five cases (5%, hypercholesterolemia in six (6%, hypertriglyceridemia in six (6%, increased LDL in four (4%, low HDL in four (4%, and impaired FBS in 4 (4%. Conclusion: The findings showed that 63% of studied emergency physicians had an average level of QOL and other ones good. The majority of physicians had undesirable situation regarding the performance of screening tests.

  19. Incidence of extreme hyperglycemia and hypoglycemia in hospitalized patients during the month of July in teaching hospitals

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    Mansur Shomali

    2012-07-01

    Full Text Available Introduction: Blood glucose control has been found to be an important component in the care of hospitalized patients. Maintaining blood glucose within a target range using insulin intensively is a challenging task for physicians and requires skill and experience. We hypothesized that there may be more hyper- and hypoglycemia in July in teaching hospitals when new resident physicians begin their training. Methods: We reviewed point-of-care blood glucose data from hospitalized patients at four community teaching hospitals for 2010. We defined severe hypoglycemia as blood glucose < 41 mg/dL and severe hyperglycemia as blood glucose > 399 mg/dL. Occurrence of hyper- and hypoglycemic events was assessed overall at the particular hospital globally and based on individual nursing units. Monthly occurrence rates were compared against the annual mean for that unit. Results: The occurrence of hyper- and hypoglycemic events in July 2010 did not differ from the mean annual percentage of events at the applicable hospital. However, when the data were analyzed by the nursing unit, these extreme glucose events were significantly more common in 4 of the 11 units studied. Three of those four units were resident teaching units. Conclusions: These data suggest that there is some potential for increased risk of extreme hyper- and hypoglycemia at teaching hospitals in July, when new residents begin training.

  20. Association between Ambient Air Pollution and Hospital Emergency Admissions for Respiratory and Cardiovascular Diseases in Beijing:a Time Series Study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Ying; WANG Shi Gong; MA Yu Xia; SHANG Ke Zheng; CHENG Yi Fan; LI Xu; NING Gui Cai; ZHAO Wen Jing; LI Nai Rong

    2015-01-01

    Objective To investigate the association between ambient air pollution and hospital emergency admissions in Beijing. Methods In this study, a semi-parametric generalized additive model (GAM) was used to evaluate the specific influences of air pollutants (PM10, SO2, and NO2) on hospital emergency admissions with different lag structures from 2009 to 2011, the sex and age specific influences of air pollution and the modifying effect of seasons on air pollution to analyze the possible interaction. Results It was found that a 10 µg/m3 increase in concentration of PM10 at lag 03 day, SO2 and NO2 at lag 0 day were associated with an increase of 0.88%, 0.76%, and 1.82% respectively in overall emergency admissions. A 10 µg/m3 increase in concentration of PM10, SO2 and NO2 at lag 5 day were associated with an increase of 1.39%, 1.56%, and 1.18% respectively in cardiovascular disease emergency admissions. For lag 02, a 10 µg/m3 increase in concentration of PM10, SO2 and NO2 were associated with 1.72%, 1.34%, and 2.57% increases respectively in respiratory disease emergency admissions. Conclusion This study further confirmed that short-term exposure to ambient air pollution was associated with increased risk of hospital emergency admissions in Beijing.

  1. The relationship between employees’ continuing education and performance in Tehran’s teaching hospitals

    OpenAIRE

    Mohsen Ghobadi Tara; Kamran Haji Nabi

    2016-01-01

    Introduction: Continuing education and training of employees significantly affect a hospital’s performance and efficiency, and learning organizations usually exhibit higher efficiency. Hence, the objective of this study was to evaluate the correlation between the hospital employees’ continuing education and performance indicators in the teaching hospitals affiliated to Tehran’s Azad University. Method: A cross-sectional study was conducted in the teaching hospitals affiliated to Tehran’s A...

  2. EVALUATION OF CUSTOMER RELATIONSHIP MANAGEMENT IN A TEACHING HOSPITAL

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    Fereshteh Farzianpour

    2013-01-01

    Full Text Available Communication between individuals has a vital role in human being’s life, specially their professional. In medical practice it is a certain and economical way recognize the patient’s problems and identify them. It is necessary to communicate with patients suffering mental or physical problems to be able to look after them. An analytical-descriptive cross-sectional study was conducted. The population under study consisted of the patients being discharged from a teaching hospital during a 15-day period. The patients were interviewed at discharge time. A sample of 100 patients was included in the study. The samples were selected through simple random method. The data were gathered using a valid questionnaire which was approved by the experts in this field. The reliability of the questionnaire was determined to be 82% using the method test- retest and Cronbach’s alpha test. Fisher test and T test analyses were carried out to determine the association between each variable and satisfaction status. patients’ satisfaction with hospital services concerning medical, nursing, paraclinical and discharge services, section and Patients’ general satisfaction with hospital services were in general, 13.2, 45, 20.1, 7.6 and 2.8% were quiet satisfied, satisfied, rather satisfied and quiet dissatisfied respectively. The statistical-analytical test showed that there was a significant statistical relation between the age of the patients and the degree of their satisfaction with the nursing staff treatment (p = 0.012 and that of service staff (p = 0.009.

  3. Medication safety in an acute teaching hospital: an Irish perspective

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    Eileen C. Relihan

    2005-12-01

    Full Text Available

    Background In line with international trends, patient safety has become a priority health issue in the Irish healthcare system in recent years. In August 2004, a medication safety facilitator (MSF was appointed in an acute teaching hospital in Ireland for the investigation of medication safety events (MSEs.

    Methods The MSF designed a pilot medication safety reporting system for trial in three ward areas over seven months. The system was subsequently expanded to the entire hospital.

    Results During the first year of the appointment of the MSF, reporting levels increased by 290% relative to the same period the previous year. The majority of reports involved potential risks, near misses and medication errors that reached the patient but caused no discernable harm. For the more serious events, a root cause analysis was undertaken and action plans were developed by collaboration between the MSF and ward staff. A system of regular feedback to staff was introduced to encourage continued reporting and heightened awareness of medication safety issues. Proactive safety reviews were undertaken for high-risk medications, resulting in the introduction of system changes to optimise safety. Guidance was provided to staff in the form of bulletins, alerts and education sessions.

    Future plans Expansion plans for the second year of the project involve the development of a network of safety champions across the hospital. These individuals will undergo root cause analysis training and then liaise with the MSF with regard to the communication of safety messages and the implementation of action plans.

  4. Evolution of Hospital-based Pharmacy Teaching Programs from 1989-1998.

    Science.gov (United States)

    Raehl, Cynthia; Bond, C. A.

    2000-01-01

    Analyzed databases from four U.S. National Clinical Pharmacy Services Studies and the American Hospital Association for trends in hospital involvement in pharmacy education. Detailed findings indicated that clinical pharmacy services within the nation's teaching hospitals are not standardized and that financial pressures impede a full, consistent…

  5. Self-Efficacy and Postpartum Depression Teaching Behaviors of Hospital-Based Perinatal Nurses

    OpenAIRE

    Logsdon, M. Cynthia; Foltz, Melissa Pinto; Scheetz, James; Myers, John A.

    2010-01-01

    Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, self-efficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a perinatal nurse's self-efficacy in postpartum-depression teaching, self-esteem, and the following self-efficacy-related variables: social persuasion (supervisor's expectations for teaching); mastery...

  6. Organizational factors associated with quality of care in US teaching hospitals.

    Science.gov (United States)

    Harrison, Jeffrey P; Lambiase, Louis R; Zhao, Mei

    2010-01-01

    This study is unique because it uses multiple regression and data envelopment analysis (DEA) to evaluate teaching hospital quality. The results support the premise that teaching hospital leadership through the effective allocation of resources can improve the quality of care. This study has managerial implications by demonstrating the positive correlation between HMO market penetration and improved clinical quality outcomes. This would suggest that improved efficiency caused by limited HMO reimbursement and tight utilization controls encourage hospitals to cut waste as well as improve their clinical care processes. Additionally, our research found that teaching hospitals with higher levels of long-term debt also had improved quality. This shows that increased investments in facilities and advanced technology at teaching hospitals can lead to enhanced quality. PMID:22329326

  7. Effectiveness of mask ventilation performed by hospital doctors in an Irish tertiary referral teaching hospital.

    LENUS (Irish Health Repository)

    Walsh, K

    2012-02-03

    The objective of this study was to assess the effectiveness of mask ventilation performed by 112 doctors with clinical responsibilities at a tertiary referral teaching hospital. Participant doctors were asked to perform mask ventilation for three minutes on a Resusci Anne mannequin using a facemask and a two litre self inflating bag. The tidal volumes generated were quantified using a Laerdal skillmeter computer as grades 0-5, corresponding to 0, 334, 434, 561, 673 and > 800 ml respectively. The effectiveness of mask ventilation (i.e. the proportion of ventilation attempts which achieved a volume delivery of > 434 mls) was greater for anaesthetists [78.0 (29.5)%] than for non anaesthetists [54.6 (40.0)%] (P = 0.012). Doctors who had attended one or more resuscitation courses where no more effective at mask ventilation than their colleagues who had not undertaken such courses. It is likely that first responders to in-hospital cardiac arrests are commonly unable to perform adequate mask ventilation.

  8. PRESENT SCENARIO OF NON TRAUMATIC QUADRIPARESIS IN A TEACHING HOSPITAL

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    Radha Krishnan

    2015-04-01

    Full Text Available AIMS & OBJECTIVES: Patients presenting with acute quadriparesis may pose therapeutic challenge to the treating physician especially the development of bulbar palsy and respiratory paralysis and require intensive monitoring and treatment in acute clinical and respiratory care units. So this study was conducted to know the etiology of cases of non - traumatic Quadriparesis and its outcome. MATERIALS AND METHODS: 50 adult patients admitted in medical and neurology wards with non - traumatic quadriparesis were prospectively studied b etween October ’2012 to September ’2014at Government General Hospital, Kakinada, a teaching hospital with rural referrals. OBSERVATIONS AND RESULTS: In the study cohort of 50 cases the age of patients ranged from 13 to 80 years with more number of male patients. 29 patients (58% presented with flaccid and 21 cases (42% with spastic quadriparesis. Guillian barre syndrome with 18 (36% cases was the most common cause of quadriparesis followed by Spondylotic myelopathy 11 cases ( 22% and Hypokalemic perio dic paralysis in 8 cases (16%. Transverse Myelitis. Caries spine. Secondaries cervical spine, spinal epidural abscess were in other cases.7 (14% patients had cranial nerve dysfunction. 4(8% patients had facial nerve palsy . CONCLUSION: Guillian barre syn drome constituted the most common cause of nontraumatic quadriparesis, followed by Spondylotic myelopathy, Transverse Myelitis. Caries spine. S econdaries cervical spine, spinal epidural abscess . AIDP and Hypokalemic periodic paralysis were the most frequen t causes of flaccid quadriparesis while Spondylotic myelopathy was the most common cause of spastic quadriparesis . M.R.I was the most useful and appropriate investigation . Severity of paralysis and need for ventilator support were associated with poor prog nosis in patients with acute flaccid quadriparesis . Decompressive surgery in spondylotic myelopathy had good recovery after surgery. Patient recovery was

  9. Problems and countermeasures of the teaching quality of teaching hospitals%教学医院教学质量存在的问题及对策

    Institute of Scientific and Technical Information of China (English)

    廖绮霞

    2013-01-01

    The article first analyzes the status quo and problems of the teaching quality of teaching hospitals. Then it proposes enhancing teaching awareness, improving teaching, strengthening teaching management and improving teaching conditions so as to improve the teaching quality of teaching hospitals.%通过对教学医院教学质量的现状和存在问题分析,提出应从增强教学意识,提升教学水平,加强教学管理和改善教学条件四个方面,促进教学医院教学质量的提升.

  10. NICU OUTCOME IN A LOW RESOURCE TEACHING HOSPITAL SETTING

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    Sunil

    2013-12-01

    Full Text Available OBJECTIVE : To study the mortality pattern in a level III neonatal intensive care unit (NICUin a low resource teaching hospital. METHODS : A retrospective study was conducted over a period of three years from January 2011 to December 2013. The medical records of all babies who died after being admitte d to the NICU were reviewed. Survival was defined as the discharge of a live infant from the hospital. Data regarding birth weight , gestational age , final cause of death and diagnosis was analyzed. Exclusion criteria were to exclude (A babies who came in the NICU for a few hours observation and were shifted to mother. (B Any baby who could not be successfully resuscitated in labor room and (C babies who left the hospital against medical advice and calculation of survival was done after subtracting them f rom total admission. RESULTS : A total of 1031 babies were admitted in this 3 year period in our NICU. Out of these , 95.5% babies survived and 46 babies expired (4.4%. The total number of deliveries in these three years was 5400 and the neonatal mortality r ate (NMR in this study was 8.5% per 1000 live births. In the very low birth weight (VLBW group the survival was 92% (n=101 and in extremely low birth weight (ELBW group it was 60% (n=10. In low birth weight (LBW group 95.1% babies survived (n=502. T otal Survival of VLBW & ELBW together was 89%. Out of 46 expired babies 86.9% (n=40 were premature and 45.6% babies (n=21 were below 30 weeks of gestational age. Sepsis was the predominant cause of death (34.7% followed by hyaline membrane disease (HMD (19.2% and Hypoxic Ischemic Encephalopathy (HIE (15.2% in these 46 babies. CONCLUSIONS : This study identified neonatal sepsis , Hyaline membrane disease or Respiratory distress syndrome (RDS and HIE as the major contributors to the neonatal mortality. A dequate antenatal care to at risk mothers and advances in the neonatal intensive care with the use of sophisticated technology will improve the

  11. Evaluation of ureteroscopy outcome in a teaching hospital

    Science.gov (United States)

    Al-Naimi, Abdulla; Alobaidy, Abdulqadir; Majzoub, Ahmad; Ibrahim, Tarek Ahmed Amin

    2016-01-01

    Objective To evaluate factors affecting semi-rigid ureteroscopy (URS) results highlighting the influence of teaching on its outcomes. Material and methods We reviewed the files of 891 adult patients who had undergone 1182 ureteroscopies at our institute during the period from July 2008 to June 2011. The outcomes of all URSs were evaluated. Outcomes were measured by stone- free rate and presence of complications, which were assessed using the Clavien-Dindo system. Patients were divided into 2 groups; Group 1 (favorable outcome) became stone- free after the first URS and had no documented complications, while Group 2 (unfavorable outcome) had residual stones and/or complications. Group 2 was subdivided according to the skill level of the operating surgeon into two subgroups. Patients belonging to subgroup A had their procedures performed by urology trainees under direct supervision of expert urologists, while those in subgroup B had their procedures performed by the expert urologists themselves. All groups were compared using univariate (chi-square and t tests) and multivariate (logistic regression) statistical tests to identify significant risk factors. All data was analyzed using SPSS. Results A total of 1182 URSs were evaluated. 958 patients had a favorable outcome (Group 1) while 224 patients had an unfavorable outcome (Group 2). Factors associated with an unfavorable outcome include location of the presenting stone (pteaching hospital, semi-rigid URS done by trainees under direct supervision is safe and their outcome is comparable to literature findings. PMID:27635290

  12. Diffusion of innovation I: Formulary acceptance rates of new drugs in teaching and non-teaching British Columbia hospitals--a hospital pharmacy perspective.

    Science.gov (United States)

    D'Sa, M M; Hill, D S; Stratton, T P

    1994-12-01

    Lag times in the diffusion of new drugs in the hospital setting have both patient care and pharmaceutical industry implications. This two-part series uses diffusion theory to examine differences in the adoption rates of new drugs in British Columbia teaching and non-teaching hospitals. Formulary addition of a new drug by a hospital's Pharmacy and Therapeutics Committee was considered the adoption indicator. Time for adoption was defined as the difference between a drug's Canadian market approval date and the date of formulary addition. Surveys were mailed in September 1990 to 41 hospital pharmacies (response rate = 88%), asking respondents to provide formulary inclusion dates of 29 drugs marketed between July 1987 and March 1990. A significant difference (Mann-Whitney U Test, p < 0.0358) in median adoption time was observed between the six teaching and 25 non-teaching study hospitals, with the former adopting a new drug in 7.5 months versus the latter adopting a new drug in 12.1 months. PMID:10139270

  13. Medical and surgical ward rounds in teaching hospitals of Kuwait University: students’ perceptions

    OpenAIRE

    Marwan, Yousef

    2013-01-01

    Sara AlMutar,1 Lulwa AlTourah,1 Hussain Sadeq,2 Jumanah Karim,2 Yousef Marwan3 1Department of Medicine, 2Department of Pediatrics, Mubarak Al-Kabeer Hospital, 3Department of Orthopedic Surgery, Al-Razi Orthopedic Hospital, Kuwait City, Kuwait Background: Teaching sessions for medical students during ward rounds are an essential component of bedside teaching, providing students with the opportunity to regard patients as actual people, and to observe their physical conditions directly, allowin...

  14. Oral health in nursing students at Kilimanjaro Christian Medical Centre teaching hospital in Moshi, Tanzania

    OpenAIRE

    Rwakatema, Deogratias Stanslaus; Ananduni, Kanankira Nnko; Katiti, Victor William; Msuya, Marycelina; Chugulu, Juliet; Kapanda, Gibson

    2015-01-01

    Background This study aimed to determine the prevalence and severity of dental caries, oral hygiene levels and assessment of the oral health knowledge and practices of nursing students at Kilimanjaro Christian Medical Centre teaching hospital in Moshi, Tanzania. Methods A cross-sectional survey was done on 217 student nurse population at Kilimanjaro Christian Medical Centre Teaching Hospital in Moshi, Tanzania in 2014. Ethical approval was obtained from the Kilimanjaro Christian Medical Unive...

  15. 对西药制剂室空气净化系统验证方法的探讨%Beijing Capital Medical University Affiliated Beijing Children's Hospital Pharmacy

    Institute of Scientific and Technical Information of China (English)

    张建

    2011-01-01

    Affiliated with Capital Medical University, Beijing Children's Hospital medicine preparation room, and to analyze the authentication method of air purification system, testing programs, concluded between the environmental control and management measures required by clean, validated, inter-hospital medicine preparation room air cleaner in the air purification system precipitating bacterial culture has reached the requirements of purification is in line with requirements.%结合首都医科大学附属北京儿童医院西药制剂室情况,分析空气净化系统的验证方法、检测方案,总结控制管理洁净间环境要求的措施,通过验证,本院西药制剂室洁净间的空气净化系统在空气培养沉降菌方面达到了净化的要求,是符合规定的.

  16. Competitive strategy in turbulent healthcare markets: an analysis of financially effective teaching hospitals.

    Science.gov (United States)

    Langabeer, J

    1998-01-01

    As the healthcare marketplace, characterized by declining revenues and heavy price competition, continues to evolve toward managed care, teaching hospitals are being forced to act more like traditional industrial organizations. Profit-oriented behavior, including emphases on market strategies and competitive advantage, is now a necessity if these hospitals are going to survive the transition to managed care. To help teaching hospitals evaluate strategic options that maximize financial effectiveness, this study examined the financial and operating data for 100 major U.S. teaching hospitals to determine relationships among competitive strategy, market environment, and financial return on invested capital. Results should help major hospitals formulate more effective strategies to combat environmental turbulence. PMID:10338929

  17. Rapid detection of Acinetobacter baumannii and molecular epidemiology of carbapenem-resistant A.baumannii in two comprehensive hospitals of Beijing, China

    Directory of Open Access Journals (Sweden)

    Puyuan eLi

    2015-09-01

    Full Text Available Acinetobacter baumannii is an important opportunistic pathogen associated with a variety of nosocomial infections. A rapid and sensitive molecular detection in clinical isolates is quite needed for the appropriate therapy and outbreak control of A. baumannii. Group 2 carbapenems have been considered the agents of choice for the treatment of multiple drug resistant A. baumannii. But the prevalence of carbapenem-resistant A. baumannii (CRAB has been steadily increasing in recent years. Here, we developed a loop-mediated isothermal amplification (LAMP assay for the rapid detection of A. baumannii in clinical samples by using high-specificity primers of the blaOXA-51 gene. Then we investigated the OXA-carbapenemases molecular epidemiology of A. baumannii isolates in 2 comprehensive hospitals in Beijing. The results showed that the LAMP assay could detect target DNA within 60 min at 65°C. The detection limit was 50 pg/μl, which was about 10-fold greater than that of PCR. Furthermore, this method could distinguish A. baumannii from the homologous A. nosocomialis and A. pittii. A total of 228 positive isolates were identified by this LAMP-based method for A. baumannii from 335 ICU patients with clinically suspected multi-resistant infections in 2 hospitals in Beijing. The rates of CRAB are on the rise and are slowly becoming a routine phenotype for A. baumannii. Among the CRABs, 92.3% harbored both the blaOXA-23 and blaOXA-51 genes. Thirty-three pulsotypes were identified by pulsed-field gel electrophoresis, and the majority belonged to clone C. In conclusion, the LAMP method developed for detecting A. baumannii was faster and simpler than conventional PCR and has great potential for both point-of-care testing and basic research. We further demonstrated a high distribution of class D carbapenemase-encoding genes, mainly OXA-23, which presents an emerging threat in hospitals in China.

  18. Specific Comments on the Use of Vancomycin in Beijing Grid Power Hospital%我院万古霉素应用专项点评

    Institute of Scientific and Technical Information of China (English)

    王娜; 林朝晖; 牛向平; 张淑荣

    2016-01-01

    Objective To promote the use of antibiotic in a save, rational and effective manner through the analysis of historical use of Vancomycin.Methods Thirty-nine hospitalized patients administered Vancomycin in 2014 in Beijing Grid Power Hospital were retrospectively analyzed in the aspects of medicine rationality, therapeutic effect, the distribution of admitted department, the examination of bacterial culture, drug sensitivity test and adverse events. Results The use of Vancomycin in Beijing Grid Power Hospital was basically rational without severe adverse events. But we have found that the use of Vancomycin in some patients was prolonged exceeding the routine periods. In addition, some patients were given Vancomycin when the indicative signs were not definite.Conclusion The clinical monitor to the use of Vancomycin shall be strengthened with the strict compliance to its indicative signs to secure the rational use of anti-bacterial medicine.%目的 分析万古霉素使用情况,促进临床安全、合理、有效使用抗菌药物.方法 对我院2014年39例使用万古霉素住院患者,就其用药合理性、疗效、住院科室分布、病原学检查、药物敏感性试验、不良反应等方面进行回顾性调查分析.结果 我院万古霉素使用情况基本合理,无严重不良反应,存在少数病例用药疗程超限,用药指征不明确.结论 应加强对此类药物的临床监测,严格遵照适应症用药,保证合理安全使用抗菌药物.

  19. Nurse-physician collaboration impacts job satisfaction and turnover among nurses: A hospital-based cross-sectional study in Beijing.

    Science.gov (United States)

    Zhang, Lin; Huang, Lei; Liu, Meng; Yan, Hong; Li, Xiue

    2016-06-01

    This study aims to explore the impact of physician-nurse collaboration on nurse job satisfaction and turnover in a dental hospital. Physician-nurse collaboration is important for the stability of the entire nursing team. Few studies have shown the impact on job satisfaction and turnover among nurses working in Chinese dental hospitals. This was a prospective, cross-sectional study and investigated nurses from a tertiary dental hospital in Beijing using convenience non-randomized sampling. A structured questionnaire was used to collect data, which included general information, the Index of Work Satisfaction, the Nurse-Physician Collaboration Scale and the Turnover Intention Scale. The scores of physician-nurse collaboration correlated positively with those for job satisfaction and negatively with the stated likelihood of turnover intention. Physician-nurse collaboration scores positively predicted job satisfaction and negatively predicted the likelihood of quitting the current job. In conclusion, improving the level of physician-nurse collaboration is helpful to enhance job satisfaction and reduce turnover among nurses in a dental hospital.

  20. Nurse-physician collaboration impacts job satisfaction and turnover among nurses: A hospital-based cross-sectional study in Beijing.

    Science.gov (United States)

    Zhang, Lin; Huang, Lei; Liu, Meng; Yan, Hong; Li, Xiue

    2016-06-01

    This study aims to explore the impact of physician-nurse collaboration on nurse job satisfaction and turnover in a dental hospital. Physician-nurse collaboration is important for the stability of the entire nursing team. Few studies have shown the impact on job satisfaction and turnover among nurses working in Chinese dental hospitals. This was a prospective, cross-sectional study and investigated nurses from a tertiary dental hospital in Beijing using convenience non-randomized sampling. A structured questionnaire was used to collect data, which included general information, the Index of Work Satisfaction, the Nurse-Physician Collaboration Scale and the Turnover Intention Scale. The scores of physician-nurse collaboration correlated positively with those for job satisfaction and negatively with the stated likelihood of turnover intention. Physician-nurse collaboration scores positively predicted job satisfaction and negatively predicted the likelihood of quitting the current job. In conclusion, improving the level of physician-nurse collaboration is helpful to enhance job satisfaction and reduce turnover among nurses in a dental hospital. PMID:26952765

  1. Antifungal agent utilization evaluation in hospitalized neutropenic cancer patients at a large teaching hospital

    Directory of Open Access Journals (Sweden)

    Vazin A

    2015-06-01

    Full Text Available Afsaneh Vazin,1 Mohammad Ali Davarpanah,2 Setareh Ghalesoltani3 1Department of Clinical Pharmacy, Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran; 2HIV Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; 3International Branch of Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran Abstract: To evaluate pattern of using of three antifungal drugs: fluconazole, amphotericin B and voriconazole, at the hematology–oncology and bone marrow transplant wards of one large teaching hospital. In a prospective cross-sectional study, we evaluated the appropriateness of using antifungal drugs in patients, using Infectious Disease Society of America (IDSA and National Comprehensive Cancer Network (NCCN guidelines. All the data were recorded daily by a pharmacist in a form designed by a clinical pharmacist and infectious diseases specialist, for antifungals usage, administration, and monitoring. During the study, 116 patients were enrolled. Indications of prescribing amphotericin B, fluconazole, and voriconazole were appropriate according to guidelines in 83.4%, 80.6%, and 76.9% respectively. The duration of treatments were appropriate according to guidelines in 75%, 64.5%, and 71.1% respectively. The dose of voriconazole was appropriate according to guidelines in 46.2% of patients. None of the patients received salt loading before administration of amphotericin B. The most considerable problems with the mentioned antifungals were about the indications and duration of treatment. In addition, prehydration for amphotericin B and dosage of voriconazole were not completely compatible with the mentioned guidelines. A suitable combination of controlling the use of antifungals and educational programs could be essential for improving the general process of using antifungal drugs at our hospital. Keywords: utilization evaluation, fluconazole, amphotericin B, voriconazole, neutropenia

  2. Handwashing Practices amongst Health Workers in a Teaching Hospital

    Directory of Open Access Journals (Sweden)

    B. A. Alex-Hart

    2011-01-01

    Full Text Available Problem statement: Hand washing with soap is an important means of preventing hospital acquired infections .However the rate of hand washing with soap and water is unacceptably low amongst health workers. Few studies on this subject have been done amongst health workers in Nigeria. The aims of this study were to explore perceptions, attitudes and hand washing practices amongst health workers in a tertiary health institution in Port Harcourt, Nigeria. Approach: This was a descriptive cross sectional survey carried out amongst randomly selected doctors and nurses in University of Port Harcourt Teaching Hospital. A simple questionnaire exploring perceptions, attitudes and self reported behavior was used. Information obtained included bio data, awareness information and practice. Data were analyzed using descriptive statistics. Results: A total of 258 health workers (139 doctors and 119 nurses participated in this study. Male to female ratio was 1: 3.3. The rate of hand washing before and after interacting with patients were 9.3 and 51.2% respectively (χ2= 105.19, p-value=0.000. The rate of hand washing before and after simple procedures were 13.6 and 59.7% respectively (χ2 = 116.25, p-value = 0.000. Soapy water in a basin was most frequently (55.8% used for hand washing. Doctors were more likely than nurses to wash hands before interacting with patients (χ2 = 7.98, p-value = 0.005 and before simple procedures (χ2 = 4.29, p-value = 0.039. The rates of hand washing before meals and after defaecation were 69.0% and 58.1% respectively. Soap and running water were more frequently used after defecation (61.6% than before meals and snacks (46.5%.The greatest motivation for hand washing was fear of contracting disease, whilst constraints included lack of soap and water. Conclusion/Recommendations: Hand washing rates are low amongst health workers in Port Harcourt. There is need for regular education and re-education and provision of

  3. Improved blood culture identification by FilmArray in cultures from regional hospitals compared with teaching hospital cultures.

    Science.gov (United States)

    Inglis, Timothy J J; Bzdyl, Nicole; Chua, I-Ly Joanna; Urosevic, Nadezda M; Leung, Michael J; Geelhoed, Elizabeth

    2016-01-01

    Rapid identification of bacteria isolated from blood cultures by direct matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is now in wide spread use in major centres but is not yet feasible in smaller hospital laboratories. A FilmArray multiplex PCR panel for blood culture isolate identification (BCID) provides an alternative approach to near point-of-care microbial identification in regional hospitals. We assessed the accuracy and time to identification of the BCID FilmArray in a consecutive series of 149 blood cultures from 143 patients in a teaching hospital and smaller regional hospitals, currently identified by direct MALDI-TOF and proprietary molecular methods. The BCID FilmArray contained 18 of 34 species and 20 of 23 species isolated from teaching and regional hospital, respectively. Overall, 85 % of the teaching hospital and 100 % of the regional hospital monomicrobial blood cultures were identified, compared with 60 and 68 %, respectively, for direct MALDI-TOF on the same cultures. There were no incorrect results from blood cultures containing Staphylococcus aureus, streptococci, Pseudomonas aeruginosa or Enterobacteriaceae. The three discrepant results were all in mixed cultures. The mean reduction in time to identification of blood culture isolates was 53 h, which did not include the time required to transport cultures from regional centres to a central laboratory. The overall performance of the BCID FilmArray is stronger in blood cultures from smaller regional hospitals that encounter a narrower range of bacterial species dominated by the commonest species. This approach is more suited to smaller clinical laboratories than the MALDI-TOF direct method.

  4. Pediatric pain: prevalence, assessment, and management in a teaching hospital

    Directory of Open Access Journals (Sweden)

    M.B.M. Linhares

    2012-12-01

    Full Text Available The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents, their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28% answered the questionnaire and for the other 72% (unable to communicate, the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49% had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.

  5. Evaluation of drug administration errors in a teaching hospital

    Directory of Open Access Journals (Sweden)

    Berdot Sarah

    2012-03-01

    Full Text Available Abstract Background Medication errors can occur at any of the three steps of the medication use process: prescribing, dispensing and administration. We aimed to determine the incidence, type and clinical importance of drug administration errors and to identify risk factors. Methods Prospective study based on disguised observation technique in four wards in a teaching hospital in Paris, France (800 beds. A pharmacist accompanied nurses and witnessed the preparation and administration of drugs to all patients during the three drug rounds on each of six days per ward. Main outcomes were number, type and clinical importance of errors and associated risk factors. Drug administration error rate was calculated with and without wrong time errors. Relationship between the occurrence of errors and potential risk factors were investigated using logistic regression models with random effects. Results Twenty-eight nurses caring for 108 patients were observed. Among 1501 opportunities for error, 415 administrations (430 errors with one or more errors were detected (27.6%. There were 312 wrong time errors, ten simultaneously with another type of error, resulting in an error rate without wrong time error of 7.5% (113/1501. The most frequently administered drugs were the cardiovascular drugs (425/1501, 28.3%. The highest risks of error in a drug administration were for dermatological drugs. No potentially life-threatening errors were witnessed and 6% of errors were classified as having a serious or significant impact on patients (mainly omission. In multivariate analysis, the occurrence of errors was associated with drug administration route, drug classification (ATC and the number of patient under the nurse's care. Conclusion Medication administration errors are frequent. The identification of its determinants helps to undertake designed interventions.

  6. Clinical setting influences off-label and unlicensed prescribing in a paediatric teaching hospital

    NARCIS (Netherlands)

    Czarniak, Petra; Bint, Lewis; Favié, Laurent; Parsons, Richard; Hughes, Jeff; Sunderland, Bruce

    2015-01-01

    PURPOSE: To estimate the prevalence of off-label and unlicensed prescribing during 2008 at a major paediatric teaching hospital in Western Australia. METHODS: A 12-month retrospective study was conducted at Princess Margaret Hospital using medication chart records randomly selected from 145,550 pati

  7. A prospective audit of emergency urology activity in a university teaching hospital

    LENUS (Irish Health Repository)

    2014-06-01

    Urology cover is commonly available out-of-hours in most teaching hospitals. However, increased pressure to reduce hospital expenditure has forced many institutions to consider removing middle grade cover outside of normal working hours. The aim of this study was to audit the emergency urology activity in our institution over a 12-month period.

  8. Association between Hospital Birth Volume and Maternal Morbidity among Low-Risk Pregnancies in Rural, Urban, and Teaching Hospitals in the United States.

    Science.gov (United States)

    Kozhimannil, Katy B; Thao, Viengneesee; Hung, Peiyin; Tilden, Ellen; Caughey, Aaron B; Snowden, Jonathan M

    2016-05-01

    Objectives This study aims to examine the relationship between hospital birth volume and multiple maternal morbidities among low-risk pregnancies in rural hospitals, urban non-teaching hospitals, and urban teaching hospitals, using a representative sample of U.S. hospitals. Study Design Using the 2011 Nationwide Inpatient Sample from 607 hospitals, we identified 508,146 obstetric deliveries meeting low-risk criteria and compared outcomes across hospital volume categories. Outcomes include postpartum hemorrhage (PPH), chorioamnionitis, endometritis, blood transfusion, severe perineal laceration, and wound infection. Results Hospital birth volume was more consistently related to PPH than to other maternal outcomes. Lowest-volume rural (< 200 births) and non-teaching (< 650 births) hospitals had 80% higher odds (adjusted odds ratio [AOR] = 1.80; 95% CI = 1.56-2.08) and 39% higher odds (AOR = 1.39; 95% CI = 1.26-1.53) of PPH respectively, than those in corresponding high-volume hospitals. However, in urban teaching hospitals, delivering in a lower-volume hospital was associated with 14% lower odds of PPH (AOR = 0.86; 95% CI = 0.80-0.93). Deliveries in rural hospitals had 31% higher odds of PPH than urban teaching hospitals (AOR = 1.31; 95% CI = 1.13-1.53). Conclusions Low birth volume was a risk factor for PPH in both rural and urban non-teaching hospitals, but not in urban teaching hospitals, where higher volume was associated with greater odds of PPH. PMID:26731180

  9. Profilaxia para tromboembolismo venoso em um hospital de ensino Venous thromboembolism prophylaxis at a teaching hospital

    Directory of Open Access Journals (Sweden)

    Rafael de Melo Franco

    2006-06-01

    Full Text Available OBJETIVO: Verificar se a profilaxia da trombose venosa profunda está sendo utilizada de maneira correta e rotineira em um hospital de ensino. MÉTODOS E CASUÍSTICA: Foi realizado um estudo transversal de pacientes internados em sete setores (enfermarias do Conjunto Hospitalar de Sorocaba (Hospital de Ensino, no período de agosto de 2004 a agosto de 2005. Para estratificação do risco de trombose venosa profunda de cada paciente, foram pesquisados fatores clínicos e cirúrgicos, segundo o protocolo preconizado pela Sociedade Brasileira de Angiologia e Cirurgia Vascular. No período estudado, foram analisados 216 prontuários, dos quais 30 eram da cirurgia abdominal, 30 da cirurgia vascular, 30 da urologia, 31 da clínica médica, 31 da unidade de terapia intensiva, 31 da ortopedia e 33 da ginecologia/obstetrícia. RESULTADOS: Do total de pacientes, foi efetuada profilaxia para trombose venosa profunda em 57 (26%, sendo que, em 51 (89%, a execução foi de maneira correta e, em 6 (11%, não-preconizada. O método profilático mais utilizado foi o medicamentoso; 49 de 57 pacientes fizeram uso de heparina de baixo peso molecular. Também foi verificada a utilização de meias elásticas em cinco pacientes e deambulação precoce em sete. Já a compressão pneumática intermitente não foi utilizada em nenhum deles. CONCLUSÃO: De acordo com os resultados e com base no protocolo, concluiu-se que, no período da pesquisa, a profilaxia para trombose venosa profunda, no Conjunto Hospitalar de Sorocaba, foi executada rotineiramente e de forma adequada em apenas 23,6% (51 do total de 216 pacientes.OBJECTIVE: To verify whether deep venous thrombosis prophylaxis is being correctly and routinely used at a teaching hospital. METHODS: A cross-sectional study of hospitalized patients on seven sectors at Conjunto Hospitalar de Sorocaba (Hospital de Ensino was performed from August 2004 to August 2005. For the deep venous thrombosis risk stratification of

  10. Role of Organizational Climate in Organizational Commitment: The Case of Teaching Hospitals

    OpenAIRE

    Bahrami, Mohammad Amin; Barati, Omid; Ghoroghchian, Malake-sadat; Montazer-alfaraj, Razieh; RANJBAR EZZATABADI, Mohammad

    2015-01-01

    Objective The commitment of employees is affected by several factors, including factors related to the organizational climate. The aim of this study was to investigate the relationship between organizational commitment of nurses and the organizational climate in hospital settings. Methods A cross-sectional study was conducted in 2014 at two teaching hospitals in Yazd, Iran. A total of 90 nurses in these hospitals participated. We used stratified random sampling of the nursing population. The ...

  11. Assault and abuse of health care workers in a large teaching hospital.

    OpenAIRE

    Yassi, A.

    1994-01-01

    OBJECTIVES: To determine the nature, extent and costs of injuries to health care workers caused by physical abuse. DESIGN: Retrospective study. SETTING: Large acute and tertiary care teaching hospital in Winnipeg. PARTICIPANTS: All health care workers at the hospital who filed reports of abuse-related injuries and of verbal abuse and threatening behaviour from Apr. 1, 1991, to Mar. 31, 1993. OUTCOME MEASURES: Frequency of physical and verbal abuse of hospital personnel according to job catego...

  12. Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR

    Directory of Open Access Journals (Sweden)

    Ali Garavand

    2016-07-01

    Full Text Available Introduction: Due to the importance of Electronic Medical Record (EMR in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the Electronic Medical Record in the first place. The aim of this study was to evaluate the readiness of Shiraz teaching hospitals to implement Electronic Medical Record. Method: This study was a cross-sectional descriptive study done in 2015. The study population included Health Information Management (HIM staff of Shiraz teaching hospitals. Five hospitals from a total of 14 hospitals were selected as Single-stage cluster sampling with a population of 79 health information management staff. Data collection was performed by using a validated questionnaire. The questionnaire consisted of three main dimensions including technical, organizational and legal requirements. For data analysis, SPSS software version 16 and one way Analysis of Variance (ANOVA for comparisons between five hospitals were used. Results:The results showed that Shiraz teaching hospitals have high readiness (3.66 out of 5 to implement Electronic Medical Record. Shiraz teaching hospitals are better prepared in terms of legal requirements. Also, a significant difference was not observed among the hospitals in any of the technical, organizational and legal aspects (P > 0.05. Conclusion: Due to the importance of the technical, organizational and legal aspects in the implementation of Electronic Medical Record, it is recommended that the authorities consider these aspects in implementation of Electronic Medical Record. Also, according to the high readiness of Shiraz teaching hospitals to implement Electronic Medical Record, it is recommended that authorities should take necessary measures, including financial support in order to run it.

  13. Some correlates of electronic health information management system success in nigerian teaching hospitals.

    Science.gov (United States)

    Ojo, Adebowale I; Popoola, Sunday O

    2015-01-01

    Nowadays, an electronic health information management system (EHIMS) is crucial for patient care in hospitals. This paper explores the aspects and elements that contribute to the success of EHIMS in Nigerian teaching hospitals. The study adopted a survey research design. The population of study comprised 442 health information management personnel in five teaching hospitals that had implemented EHIMS in Nigeria. A self-developed questionnaire was used as an instrument for data collection. The findings revealed that there is a positive, close relationship between all the identified factors and EHIMS's success: technical factors (r = 0.564, P < 0.05); social factors (r = 0.616, P < 0.05); organizational factors (r = 0.621, P < 0.05); financial factors (r = 0.705, P < 0.05); and political factors (r = 0.589, P < 0.05). We conclude that consideration of all the identified factors was highly significant for the success of EHIMS in Nigerian teaching hospitals.

  14. A prospective longitudinal study evaluating a T-cell-based assay for latent tuberculosis infection in health-care workers in a general hospital in Beijing

    Institute of Scientific and Technical Information of China (English)

    ZHANG Li-fan; LIU Xiao-qing; ZHANG Yao; DENG Guo-hua; Manish Pareek; Ajit Lalvani

    2013-01-01

    Background The health-care workers (HCWs) are at high risk of acquiring infection with Mycobacterium tuberculosis.The objectives of this study were to compare the performance of the T-SPOT.TB and tuberculin skin test (TST) for latent tuberculosis infection (LTBI),evaluate diagnostic concordance and risk factors for LTBI,and observe the progression to active tuberculosis (TB) disease among HCWs in a general hospital in Beijing.Methods The prospective cohort study enrolled HCWs in a tertiary general hospital in Beijing,China,to evaluate LTBI with T-SPOT.TB and TST.The subjects were evaluated every 12 months during the 60-month follow-up.Results Of 101 participating HCWs,96 and 101 had valid TST and T-SPOT.TB results,respectively.Twenty-nine (28.7%,95% confidence interval (CI),19.9%-37.5%) were defined as positive by T-SPOT.TB and 53 (55.2%,95% CI,45.2%-64.9%) were defined as positive by TST (using a ≥10 mm cutoff).An agreement between the two tests was poor (57.3%,K=0.18,95% CI,0.01%-0.52%).In multivariate analysis,direct exposure to sputum smear-positive TB patients was a significant risk factor for a positive T-SPOT.TB (OR 5.76; 95% CI 1.38-24.00).Pooled frequency of antigenspecific IFN-γ secreting T-cells for subjects who reported direct contact with sputum smear-positive TB patients was significantly higher than that for participants without direct contact (P=-0.045).One of 20 participants with positive result of T-SPOT.TB and TST developed active TB at 24-month follow-up.Conclusion T-SPOT.TB is a more accurate,targeted method of diagnosing LTBI than TST.

  15. Evaluation of standardized teaching plans for hospitalized pediatric patients: a performance improvement project.

    Science.gov (United States)

    Blagojevic, Joanne; Stephens, Sigrid

    2008-01-01

    Discharge teaching in a pediatric hospital setting is difficult because the situation involves multiple learners, time constraints, and differing skill levels of nurse teachers. Shortened length of stay forces nurses to complete patient education efficiently. Unstructured education can lead to failed learning, as evidenced by readmissions and postdischarge feedback. A performance improvement project was conducted to evaluate the effectiveness of standardized teaching plans for diabetes mellitus and infant cardiopulmonary resuscitation. Preliminary data indicated a passing score of at least 90% on posttests by all learners, suggesting that standardized teaching plans may help nurses complete prescribed discharge teaching. PMID:18507236

  16. Comparison of Percutaneous Coronary Intervention Safety Before and During the Establishment of a Transradial Program at a Teaching Hospital

    OpenAIRE

    Leonardi, Robert A.; Townsend, Jacob C; Bonnema, D. Dirk; Patel, Chetan A.; Gibbons, Michael T.; Todoran, Thomas M.; Nielsen, Christopher D.; Powers, Eric R.; Steinberg, Daniel H

    2012-01-01

    This study sought to examine the safety of percutaneous coronary intervention (PCI) before and during the de novo establishment of a transradial (TR) program at a teaching hospital. TR access remains underused in the United States, where cardiology fellowship programs continue to produce cardiologists with little TR experience. The establishment of TR programs at teaching hospitals may affect PCI safety. Starting in July of 2009, a TR program was established at teaching hospital. PCI-related ...

  17. Does outsourcing paramedical departments of teaching hospitals affect educational status of the students?

    Science.gov (United States)

    Moslehi, Shandiz; Atefimanesh, Pezhman; Sarabi Asiabar, Ali; Ahmadzadeh, Nahal; Kafaeimehr, Mohamadhosein; Emamgholizadeh, Saeid

    2016-01-01

    Background: There is an increasing trend of outsourcing public departments. Teaching hospitals also outsourced some of their departments to private sectors. The aim of this study was to investigate and compare the educational status of students in public and outsourced departments of teaching hospitals affiliated to Iran University of Medical Sciences. Methods: This study was conducted in six teaching hospitals of Iran University of Medical Sciences, which had public and outsourced teaching departments in 2015. One hundred fifty students from the departments of radiology, physiotherapy and laboratory participated in this study and their perceptions about their educational status were assessed. A valid and reliable questionnaire was used; participation in the study was voluntary. Descriptive statistics such as mean (SD), t-test and Kolmogorov-Smirnov were used. Results: No difference was detected between the educational status of students in public and outsourced departments of radiology, physiotherapy and laboratory (p>0.05). Conclusion: Based on the students’ perception, the private sectors could maintain the educational level of the teaching departments similar to the public departments. It is recommended to involve all the stakeholders such as hospital administrators, academic staff and students in the decision- making process when changes in teaching environments are being considered.

  18. Does outsourcing paramedical departments of teaching hospitals affect educational status of the students?

    Science.gov (United States)

    Moslehi, Shandiz; Atefimanesh, Pezhman; Sarabi Asiabar, Ali; Ahmadzadeh, Nahal; Kafaeimehr, Mohamadhosein; Emamgholizadeh, Saeid

    2016-01-01

    Background: There is an increasing trend of outsourcing public departments. Teaching hospitals also outsourced some of their departments to private sectors. The aim of this study was to investigate and compare the educational status of students in public and outsourced departments of teaching hospitals affiliated to Iran University of Medical Sciences. Methods: This study was conducted in six teaching hospitals of Iran University of Medical Sciences, which had public and outsourced teaching departments in 2015. One hundred fifty students from the departments of radiology, physiotherapy and laboratory participated in this study and their perceptions about their educational status were assessed. A valid and reliable questionnaire was used; participation in the study was voluntary. Descriptive statistics such as mean (SD), t-test and Kolmogorov-Smirnov were used. Results: No difference was detected between the educational status of students in public and outsourced departments of radiology, physiotherapy and laboratory (p>0.05). Conclusion: Based on the students’ perception, the private sectors could maintain the educational level of the teaching departments similar to the public departments. It is recommended to involve all the stakeholders such as hospital administrators, academic staff and students in the decision- making process when changes in teaching environments are being considered. PMID:27683645

  19. 北京市三级综合医院卫生人力资源配置分析%Health Human Resources of Tertiary General Hospitals in Beijing

    Institute of Scientific and Technical Information of China (English)

    王向荣; 秦鹏; 刘福祥

    2016-01-01

    目的:了解北京市三级综合医院卫生人力资源的配置现状,提出优化同类医院人力资源配置的策略,从而提升医院服务水平。方法通过整群抽样、文献回顾等方法,收集北京市800张床位以上16所三级综合医院2009年至2011年基本运营数据和卫生人员配置情况,利用SPSS 18.0和Excel2010等软件对医院的人力资源配置进行描述性分析。结果2009年至2011年北京市三级综合医院收容量逐年升高,平均住院日呈现逐年下降趋势;以往根据床位规模确定人员编制数额的方式与近年医院实际运营情况相差较大;医师与护士、药师、检验技师数量存在显著相关性,并且比例关系稳定。结论医院服务量和卫生人力增长,综合医院卫生人力构成比例已发生明显变化;医师稳定的构成比例可以作为本地区同类医院人员配置的参考标准。%Objective To explore a clear picture of the health human resources allocation in tertiary general hospitals in Beijing ,and propose strategies to optimize the configuration of human resources at the same level hospitals ,so as to improve the medical service quality for society. Methods Basic operational data and human resources configuration of 16 tertiary general hospitals with more than 800 beds in Beijing were col⁃lected by using clustering sampling and literature review ,and then a descriptive analysis of the human resource configuration data at the same level hospitals was carried out by SPSS18.0 and Excel2010. Results The number of patients increased year by year,but the average days of hospitaliza⁃tion showed a downward trends during 2009⁃2011. According to the previous way of beds to determine personnel ,there was significantly different from the actual situation. A significant quantitative correlation was foung between the physicians and the nurses,pharmacists,medical laboratory technician,and the ratio between physicians and

  20. Is leadership compatible with hospitals? Lessons from 10 years of teaching leadership to hospital managers.

    Science.gov (United States)

    Georges, Patrick M; Samson, Julien

    2012-01-01

    Leadership methods can be understood and applied by hospital managers in the same way teachers and the seminar's participants respect certain conventions. Each method should be discussed and adapted, recognizing its limitations for use within hospitals. This article first presents what is taught in a traditional leadership course and then, discusses ways the course can be adapted for use by hospital managers. PMID:23342760

  1. Migration of patients between five urban teaching hospitals in Chicago.

    Science.gov (United States)

    Galanter, William L; Applebaum, Andrew; Boddipalli, Viveka; Kho, Abel; Lin, Michael; Meltzer, David; Roberts, Anna; Trick, Bill; Walton, Surrey M; Lambert, Bruce L

    2013-04-01

    To quantify the extent of patient sharing and inpatient care fragmentation among patients discharged from a cohort of Chicago hospitals. Admission and discharge dates and patient ZIP codes from 5 hospitals over 2 years were matched with an encryption algorithm. Admission to more than one hospital was considered fragmented care. The association between fragmentation and socio-economic variables using ZIP-code data from the 2000 US Census was measured. Using validation from one hospital, patient matching using encrypted identifiers had a sensitivity of 99.3 % and specificity of 100 %. The cohort contained 228,151 unique patients and 334,828 admissions. Roughly 2 % of the patients received fragmented care, accounting for 5.8 % of admissions and 6.4 % of hospital days. In 3 of 5 hospitals, and overall, the length of stay of patients with fragmented care was longer than those without. Fragmentation varied by hospital and was associated with the proportion of non-Caucasian persons, the proportion of residents whose income fell in the lowest quartile, and the proportion of residents with more children being raised by mothers alone in the zip code of the patient. Patients receiving fragmented care accounted for 6.4 % of hospital days. This percentage is a low estimate for our region, since not all regional hospitals participated, but high enough to suggest value in creating Health Information Exchange. Fragmentation varied by hospital, per capita income, race and proportion of single mother homes. This secure methodology and fragmentation analysis may prove useful for future analyses.

  2. Modern Instrument Analysis Teaching Practice and Experience of Agricultural Environmental Discipline in Beijing%北京地区农业环境类现代仪器分析课程教学实践探讨

    Institute of Scientific and Technical Information of China (English)

    芮玉奎

    2013-01-01

    Teaching practice and experience of environmental science instrument analysis course in Beijing were described.The modem instrument analysis teaching practice was elaborated through strengthen the teaching of introduction,pay attention to teaching method and practice of pretreatment,and make good use of the instrument resources in Beijing.%介绍了北京地区学习现代仪器分析课程的优势,通过采取加强前言课教学,重视前处理方法教学与实践,以“实验操作为主、理论为辅”的教学模式,阐述了现代仪器分析课程的教学实践.

  3. Beijing Alley

    Institute of Scientific and Technical Information of China (English)

    LiXiaoke

    2004-01-01

    There are many distinguished artists with work in residence at Beijing's Creation Gallery, but there is one worthy of particular mention - gallery founder Li Xiaoke. Through his work, Li successfully unites elements of western art with traditional Chinese ideas and art theories. His favorite places of inspiration are old Beijing, Tibet, and southern China.

  4. Beijing Paralympics

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Paralympics is an important milestone for Beijing as it continues to steadily progress toward fulfilling its promise of delivering Paralympic Games equally as important and splendid as the Olympic Games.Scheduled for September 6--17,the Beijing Paralympics will see 20 sports con- tested——more than any Games in Paralympic history.

  5. BEIJING BARS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Cappuccino Bar Cappuccino Bar, at the intersection of Dongzhimenwai Dajie and Sanlitun Beijie, Beijing's most vibrant nightlife area, is a hot new destination for European food lovers. With its perfect combination of both energy and tranquility, and surrounded by diplomatic compounds, it is conveniently located near other Beijing destinations including Lady Street

  6. Research on Teaching Reform of Internet Marketing in ;Beijing University of Agriculture%北京农学院网络营销教学改革研究

    Institute of Scientific and Technical Information of China (English)

    严继超; 刘瑞涵

    2015-01-01

    信息技术的发展迫使网络营销理论与技术处于不断变化之中,因此网络营销的教学也必处于不断变革和发展之中。北京农学院网络营销教学在课程结构、学时安排和授课内容三个方面进行了改革,其中课程结构和学时安排上的改革较为成功,授课内容改革还需要进一步完善。%The development of information technology forced the theory and technology of Internet marketing to change constantly, so the teaching of Internet marketing was in constant change and development. In Beijing University of Agriculture, the teaching reform of Internet marketing occurred in three aspects, which were course structure, class hours and teaching content. The re-form of course structure and class hours was successful, and teaching content needed to be further improved.

  7. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

    Directory of Open Access Journals (Sweden)

    Huang Jianshi

    2008-09-01

    Full Text Available Abstract Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE. Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5% of the 400 hospitals surveyed. Of the valid responses, 264 (85.2% hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix. Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above

  8. PRESCRIPTION AUDIT OF ACNE VULGARIS IN SKIN OUTPATIENT DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Vishal Prakash

    2014-10-01

    Full Text Available : OBJECTIVE: To evaluate prescribing pattern in acne vulgaris cases at a tertiary care teaching hospital in south India. METHODS: Prescriptions of 120 patients of acne vulgaris who attended Dermatology OPD of a tertiary care teaching hospital were selected for study and their drug data were analyzed. RESULTS: Topical Benzoyl peroxide, adapalene, ketoconazole were prescribed as monotherapy, while aloevera, liquid paraffin and white soft paraffin as polytherapy. Azithromycin, antibiotics, anti histaminics were prescribed as systemic monotherapy and polytherapy. Statistical analysis revealed p-value was > 0.05. CONCLUSIONS: Prescription patterns were in consensus with the general guidelines, with few changes, in the choice of established therapeutic agents.

  9. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

    OpenAIRE

    TU Agan; EI Archibong; JE Ekabua; et al

    2010-01-01

    TU Agan1, EI Archibong1, JE Ekabua1, EI Ekanem1, S E Abeshi1, TA Edentekhe2, EE Bassey21Department of Obstetrics and Gynecology and 2Department of Anesthesia, College of Medical Sciences, University of Calabar Teaching Hospital, NigeriaBackground: Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general.Objective: The objective of this study was to assess trends in maternal mortality in a tertia...

  10. Prescribing practice and evaluation of appropriateness of enteral nutrition in a university teaching hospital

    OpenAIRE

    Zhu XP; Zhu LL; Zhou Q

    2013-01-01

    Xiu-Ping Zhu,1 Ling-Ling Zhu,2 Quan Zhou11Department of Pharmacy, 2Cadre Department, Division of Nursing, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of ChinaBackground: A retrospective utilization study was performed to evaluate utilization patterns for enteral nutrition in a university teaching hospital.Methods: Enteral nutrition was divided into three types according to the nitrogen source, ie, total prot...

  11. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

    OpenAIRE

    Agan, TU; Archibong, EI; Ekabua, JE; Ekanem, EI; Abeshi, S E; Edentekhe, TA; Bassey, EE

    2010-01-01

    Background Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general. Objective The objective of this study was to assess trends in maternal mortality in a tertiary health facility, the maternal mortality ratio, the impact of sociodemographic factors in the deaths, and common medical and social causes of these deaths at the hospital. Methodology This was a retrospective review of obstetric servic...

  12. Self-Concept, Values Orientation, and Teaching Performance Among Hospitality Educators

    OpenAIRE

    Joy D. Jocson

    2014-01-01

    This survey-correlational study aimed to investigate the self-concept, values orientation, and teaching performance among hospitality educators of the West Visayas State University System. The study was conducted in January 2013 and utilized 42 randomly selected hospitality educators as participants. The simple random sampling method was used in the selection of the participants. Three (3) standardized and published datagathering instruments were adapted to obtain the data for the...

  13. A Case Study of the Implementation of a Competency-based Curriculum in a Caribbean Teaching Hospital

    NARCIS (Netherlands)

    Koeijers, J. J.; Busari, J. O.; Duits, A. J.

    2012-01-01

    Objective: Several teaching hospitals are currently modifying their curriculum to comply with the changing demands in medical education. As a result, we decided to evaluate whether a competency-based curriculum implemented in a Caribbean teaching hospital fulfilled the requirements as defined by the

  14. Research on hospital leadership power inherence awareness and implementation in public hospital in Beijing%北京市公立医院集体领导力的内涵认知与运行研究

    Institute of Scientific and Technical Information of China (English)

    宋林子; 吴宇彤; 张建

    2015-01-01

    Objectives: To explore hospital leadership power inherence awareness and implementation in public hospital in Beijing. Methods: 5 good social reputation public hospitals in Beijing were selected to have a questionnaire survey. The individual leadership power and leadership group power were analyzed to find the influence factors of leadership power and its implementation. Results: The top 6 factors of leadership power composition are forecasting, cohesiveness, decision making, innovation, implementation and communication. 15 factors such as the general authority, emergency and great event solution, the capacity of dealing with hospital related information and staff care are the main factors influencing leadership power. Conclusions: The implementation of leadership power can divided into start, communication and running stages. During the 3 stages, some factors will influence leadership power.%目的:探索北京市公立医院集体领导力的内涵认知与运行情况.方法:以北京地区5所社会公信力较好的公立医院为研究对象,采取问卷调查的方式对集体领导力中的领导个体和领导集体进行多维度的调查分析,综合研究公立医院集体领导力形成的相关影响因素及医院领导班子的运行情况.结果:公立医院集体领导力应包含的要素选择,排在前6位的分别是前瞻力、凝聚力、决策力、创新力、执行力和沟通力.领导班子的整体威信、对于重大事件的处理状况、处理与医院相关信息的能力、询问员工工作中困难的情况等15个因素对公立医院集体领导力具有影响.结论:公立医院集体领导力的运行分为启动、传播和运行3个阶段,这3个阶段中均会有一些影响因素让医院的员工对集体领导力产生不同的感受.

  15. A "Prepaid Package" for Obstetrics: Effect on Teaching and Patient Care in a University Hospital

    Science.gov (United States)

    Young, Philip E.

    1976-01-01

    The changing social milieu has removed the charity patient but not the need for a teaching population. The University Hospital's program is described, in which patients prepaid a fixed, single fee for all obstetrics-related care through the third post partum day. (LBH)

  16. MORPHOLOGIC & FLOWCYTOMETRIC ANALYSIS OF ACUTE LEUKEMIAS IN A TEACHING HOSPITAL IN CHHATTISGARH

    OpenAIRE

    Rabia Parveen; Minal; Vanita; Patra; Swati

    2015-01-01

    BACKGROUND : Immunophenotyping of leukemi a by flowcytometry offers a better classification of the hematopoietic lineage of malignant cells as compared to morphology. AIM : To determine the immunophenotypic subtypes of acute leukemia in a tertiary care teaching hospital. MATERIAL & METHODS : A one y ear study of morphologic & flowcytometric data of patients with acute leukemia. RESULTS : Total numbers ...

  17. An outbreak of psittacosis due to Chlamydophila psittaci genotype A in a veterinary teaching hospital

    NARCIS (Netherlands)

    E.R. Heddema; E.J. van Hannen; B. Duim; B.M. de Jongh; J.A. Kaan; R. van Kessel; J.T. Lumeij; C.E. Visser; C.M.J.E. Vandenbroucke-Grauls

    2006-01-01

    An outbreak of psittacosis in a veterinary teaching hospital was recognized in December 2004. Outbreak management was instituted to evaluate the extent of the outbreak and to determine the avian source. Real-time PCR, serologic testing and sequencing of the ompA gene of Chlamydophila psittaci were p

  18. Historical evidence for the origin of teaching hospital, medical school and the rise of academic medicine.

    Science.gov (United States)

    Modanlou, H D

    2011-04-01

    Historical progression and the development of current teaching hospitals, medical schools and biomedical research originated from the people of many civilizations and cultures. Greeks, Indians, Syriacs, Persians and Jews, assembled first in Gondi-Shapur during the Sasanian empire in Persia, and later in Baghdad during the Golden Age of Islam, ushering the birth of current academic medicine. PMID:21233794

  19. Factors Associated with Waiting Time for Breast Cancer Treatment in a Teaching Hospital in Ghana

    Science.gov (United States)

    Dedey, Florence; Wu, Lily; Ayettey, Hannah; Sanuade, Olutobi A.; Akingbola, Titilola S.; Hewlett, Sandra A.; Tayo, Bamidele O.; Cole, Helen V.; de-Graft Aikins, Ama; Ogedegbe, Gbenga; Adanu, Richard

    2016-01-01

    Background: Breast cancer is the leading cause of cancer-related mortality among women in Ghana. Data are limited on the predictors of poor outcomes in breast cancer patients in low-income countries; however, prolonged waiting time has been implicated. Among breast cancer patients who received treatment at Korle Bu Teaching Hospital, this study…

  20. Hospitality and tourism management professor receives Fulbright to teach in India

    OpenAIRE

    Ho, Sookhan

    2009-01-01

    Mahmood A. Khan, professor of hospitality and tourism management at Virginia Tech's Pamplin College of Business, has been awarded a Fulbright-Nehru Scholar grant to teach at the Indian Institute of Technology in New Delhi during the 2009-10 academic year.

  1. Persistence and transmission of Salmonella Infantis in a veterinary teaching hospital

    Science.gov (United States)

    The purpose of this study was to compare Salmonella enterica serotype Infantis isolates obtained from patients or the environment of a veterinary teaching hospital over a period of nine years following a nosocomial outbreak to determine whether isolates were epidemiologically related or represented ...

  2. Historical evidence for the origin of teaching hospital, medical school and the rise of academic medicine.

    Science.gov (United States)

    Modanlou, H D

    2011-04-01

    Historical progression and the development of current teaching hospitals, medical schools and biomedical research originated from the people of many civilizations and cultures. Greeks, Indians, Syriacs, Persians and Jews, assembled first in Gondi-Shapur during the Sasanian empire in Persia, and later in Baghdad during the Golden Age of Islam, ushering the birth of current academic medicine.

  3. Beijing Language and Cultural Center for Diplomatic Missions

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As an educational institution with nearly 50 years of history, Beijing Language and Cultural Center for Diplomatic Missions (LCC) specializes in teaching Mandarin and offering Chinese cultural lessons.

  4. 北京市属公立医院改革的实践与体会%Practice and Experience of Beijing Public Hospital Reform

    Institute of Scientific and Technical Information of China (English)

    封国生

    2014-01-01

    公立医院改革是我国医改最难啃的硬骨头和绕不开的深水区,而公立大医院的改革由于涉及面更广、利益关系更复杂,老百姓反映强烈的“看病贵”、“看病难”问题表现得更为突出。在新一轮医药卫生体制改革背景下,北京市在针对解决“低收入者看不起病、社区看不好病、大医院看不上病”三个问题和前期医改取得成效的基础上,以北京市属公立大医院作为改革的先锋,先后启动了医药分开、法人治理、绩效分配和创新服务模式等一系列改革举措,实施一年以来,使门诊患者次均个人自付费用下降55.2元(降幅达到28.1%),有效降低了患者的负担;试点医院医务人员收入较改革前增长均达到31%以上,调动了医务人员的积极性;并带来了试点医院管理体制更加科学与运行机制更加有效等深层次的变化。北京市公立医院试点改革的初步成效对全国公立医院改革具有一定的借鉴意义,它带来诸多启示:即公立医院改革必须是在一定基础上进行的综合改革,需要顶层设计、统筹谋划、扎实有序推进,需要政策配套和各部门的大力配合,需要坚强完善的组织保障体系和社会的广泛理解与参与。%Public hospital reform is inevitably the most intractable issue of our national medical reform. Poor access and high fee are more serious problems in general public hospitals, as the public general hospitals are more extensive, and more complex in interest relation. In the new round of medicine and healthcare system reform, on the basis of preliminary results of medical reform, and dealing with the problems that low-income people could not afford medical services, patients could not be treated well in community hospitals, and patients could not access to general hospital services, Beijing municipal general public hospitals, as vanguards of reform, successively launched a

  5. Heating ventilating and air conditioning design for Beijing Tsinghua Changgeng Hospital%北京清华长庚医院暖通空调设计

    Institute of Scientific and Technical Information of China (English)

    韩佳宝; 贾昭凯; 于丽华; 刘建华

    2016-01-01

    介绍了北京清华长庚医院暖通空调设计,包括室内设计参数的确定及集中空调冷热源系统、空调水系统、空调风系统和供暖系统等的设计,重点分析了负压病房、检验科、影像科、核医学、放疗科、中心供应等科室和医技用房空调和通风系统的特殊要求及运行效果。%Presents the design of HVAC system for Beijing Tsinghua Changgeng Hospital,including indoor design parameters determination,design of cold and heat sources,chilled water system,air conditioning ventilation system and heating system.Selectively analyses the special requirements on HVAC system and operating effect in particular zone,such as negative pressure ward,clinical laboratory,medical imaging room,nuclear medicine department,radiotherapy department,central supply department and medical treatment and technical rooms.

  6. Organizational Citizenship Behavior (OCB) amongthe Managers of Teaching Hospitals

    OpenAIRE

    Fereshteh Farzianpour; Abbas R. Foroushani; Hossein Kamjoo; Sayed S. Hosseini

    2011-01-01

    Problem statement: Organizational behavior is desirable for any organization, as it is associated with important organizational variables such as job satisfaction, organizational productivity and system maintenance. The main purpose of this study is to evaluate the mean organizational behavior score among the managers of the hospitals affiliated to Shahid Sadoughi University of Medical Sciences and Health Services, Yazd. Approach: A descriptive-analytic cross-sectional study was conducted on ...

  7. Characteristics of infertile couples attending OPD of a teaching hospital

    OpenAIRE

    Parul Sinha; Kiran Pandey; Anand Srivastava; Iti Chowdhary

    2015-01-01

    Background: Infertility is defined as failure to conceive even after one year of regular, frequent and unprotected intercourse. Infertility has, in the last few years surfaced in society as a significant problem affecting as many as 15% of couples. This study aimed at identifying the characteristics of infertility among Indian couples. Methods: The present study was carried out on 100 infertile couples attending the OPD of upper India sugar exchange maternity hospital attached to GSVM med...

  8. Factors affecting the informal payments in public and teaching hospitals

    Science.gov (United States)

    Aboutorabi, Ali; Ghiasipour, Maryam; Rezapour, Aziz; Pourreza, Abolghasem; Sarabi Asiabar, Ali; Tanoomand, Asghar

    2016-01-01

    Background: Informal payments in the health sector of many developing countries are considered as a major impediment to health care reforms. Informal payments are a form of systemic fraud and have adverse effects on the performance of the health system. In this study, the frequency and extent of informal payments as well as the determinants of these payments were investigated in general hospitals affiliated to Tehran University of Medical Sciences. Methods: In this cross-sectional study, 300 discharged patients were selected using multi-stage random sampling method. First, three hospitals were selected randomly; then, through a simple random sampling, we recruited 300 discharged patients from internal, surgery, emergency, ICU & CCU wards. All data were collected by structured telephone interviews and questionnaire. We analyzed data using Chi- square, Kruskal-Wallis and Mann-Whitney tests. Results: The results indicated that 21% (n=63) of individuals paid informally to the staff. About 4% (n=12) of the participants were faced with informal payment requests from hospital staff. There was a significant relationship between frequency of informal payments with marital status of participants and type of hospitals. According to our findings, none of the respondents had informal payments to physicians. The most frequent informal payments were in cash and were made to the hospitals’ housekeeping staff to ensure more and better services. There was no significant relationship between the informal payments with socio-demographic characteristics, residential area and insurance status. Conclusion: Our findings revealed that many strategies can be used for both controlling and reducing informal payments. These include training patients and hospitals’ staff, increasing income levels of employees, improving the quantity and quality of health services and changing the entrenched beliefs that necessitate informal payments. PMID:27390685

  9. Occurrence of hypoxia in the wards of a teaching hospital

    Directory of Open Access Journals (Sweden)

    Virendra Singh

    2012-01-01

    Full Text Available Objective : Appearance of hypoxia in a patient may be an indicator of a serious medical condition that can have grave consequences. Clinical evaluation fails to detect majority of the patients of hypoxia, and therefore, it may remain unnoticed in the wards. We planned to assess the magnitude of hypoxia in different wards of our tertiary care hospital. Materials and Methods: We studied all the patients admitted in various medical and surgical wards during 1 week of study. Oxygen saturation (SpO 2 was measured with the help of a pulse oximeter in all the patients who remained admitted for at least 24 h. Hypoxia was diagnosed in a patient when he had SpO 2 less than 90%. Results: During the study period, 1167 patients were admitted in various wards of the hospital. Hypoxia was detected in 121 patients (10.36%. Among them, 7 (0.59% patients were already having a diagnosis of respiratory failure, but were not on oxygen therapy while 5 (0.42% patients were having SpO 2 less than 90% despite of oxygen therapy. In 109 (9.34% patients, hypoxia was detected incidentally. Conclusion: Unnoticed hypoxia was detected in a significant number of the patients admitted in the wards of the hospital. Therefore, it is concluded that oxygen saturation measurements should be included with other vital parameters like pulse, temperature, and blood pressure, in the monitoring chart of all the admitted patients.

  10. BEIJING RESTAURANT

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Maxim’s de Paris, Beijing In the late 19th century, Maxim Garcia opened a restaurant, Maxim’s, in Paris. On September 26, 1983, a new Maxim’s de Paris was opened in Beijing, becoming the first Sino-foreign cooperative Western-style restaurant. The interior decorations of Maxim’s de Paris imitate those of Maxim’s in Paris. Entering the restaurant, you will feel you have entered the French royal palace in the 19th century. Maxim’s de Paris Beijing has a dining hall, a coffee house and several bars, being able to accommodate 200 persons for dinner or 300 persons for a cocktail party and buffet. Here, you can enjoy different kinds of delicious food from European countries. Maxim’s cakes are loved by people because of their unique taste and style. At present, the restaurant is promoting a type of sugarless cake for those who dislike or cannot eat sugar. For more than 20 years, Maxim’s de Paris Beijing has consistently provided top-notch service and food. Welcome to Maxim’s de Paris Beijing to enjoy your life! Address: No.2 Chongwenmen Xidajie, Beijing Tel: 86-10-6512-1992

  11. Self-Concept, Values Orientation, and Teaching Performance Among Hospitality Educators

    Directory of Open Access Journals (Sweden)

    Joy D. Jocson

    2014-02-01

    Full Text Available This survey-correlational study aimed to investigate the self-concept, values orientation, and teaching performance among hospitality educators of the West Visayas State University System. The study was conducted in January 2013 and utilized 42 randomly selected hospitality educators as participants. The simple random sampling method was used in the selection of the participants. Three (3 standardized and published datagathering instruments were adapted to obtain the data for the study. To ascertain the degree of self-concept, Girdano and Everly’s (1979 Self-perception Test instrument was used. In determining the pre-dominant values orientation, Rokeach’s (1973 Value Survey Form used by Rabago (1988 was utilized. To ascertain the level of teaching performance, the WVSU F-PES was employed. Frequency counts, rank, percentage analyses, mean scores, and standard deviations were employed as descriptive statistics; while t-test for independent samples, one-way ANOVA, and Pearson’s Product Moment Coefficient of Correlation (Pearson’s r were employed as inferential statistics. The criterion for the acceptance or rejection of the null hypotheses was set at .05 alpha level. The results of the study revealed that, generally, the hospitality educators had outstanding teaching performance and strong self-concept. Family security, salvation, and happiness were their most important terminal values while social recognition, a world of beauty and pleasure were their least important values. Loving, responsible, and honest were their most important instrumental values and imaginative, ambitious, and clean were their least important values. In terms of teaching performance, no significant differences existed when hospitality educators were classified according sex, age, civil status, educational attainment, status of employment and number of years in teaching. Significant differences existed in the degree of self-concept among hospitality educators grouped

  12. Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework.

    Science.gov (United States)

    Trotta, Annarita; Cardamone, Emma; Cavallaro, Giusy; Mauro, Marianna

    2013-01-01

    Teaching hospitals (THs) simultaneously serve three different roles: offering medical treatment, teaching future doctors and promoting research. The international literature recognises such organisations as 'peaks of excellence' and highlights their economic function in the health system. In addition, the literature describes the urgent need to manage the complex dynamics and inefficiency issues that threaten the survival of teaching hospitals worldwide. In this context, traditional performance measurement systems that focus only on accounting and financial measures appear to be inadequate. Given that THs are highly specific and complex, a multidimensional system of performance measurement, such as the Balanced Scorecard (BSC), may be more appropriate because of the multitude of stakeholders, each of whom seek a specific type of accountability. The aim of the paper was twofold: (i) to review the literature on the BSC and its applications in teaching hospitals and (ii) to propose a scorecard framework that is suitable for assessing the performance of THs and serving as a guide for scholars and practitioners. In addition, this research will contribute to the ongoing debate on performance evaluation systems by suggesting a revised BSC framework and proposing specific performance indicators for THs. PMID:23081849

  13. Applying the Balanced Scorecard approach in teaching hospitals: a literature review and conceptual framework.

    Science.gov (United States)

    Trotta, Annarita; Cardamone, Emma; Cavallaro, Giusy; Mauro, Marianna

    2013-01-01

    Teaching hospitals (THs) simultaneously serve three different roles: offering medical treatment, teaching future doctors and promoting research. The international literature recognises such organisations as 'peaks of excellence' and highlights their economic function in the health system. In addition, the literature describes the urgent need to manage the complex dynamics and inefficiency issues that threaten the survival of teaching hospitals worldwide. In this context, traditional performance measurement systems that focus only on accounting and financial measures appear to be inadequate. Given that THs are highly specific and complex, a multidimensional system of performance measurement, such as the Balanced Scorecard (BSC), may be more appropriate because of the multitude of stakeholders, each of whom seek a specific type of accountability. The aim of the paper was twofold: (i) to review the literature on the BSC and its applications in teaching hospitals and (ii) to propose a scorecard framework that is suitable for assessing the performance of THs and serving as a guide for scholars and practitioners. In addition, this research will contribute to the ongoing debate on performance evaluation systems by suggesting a revised BSC framework and proposing specific performance indicators for THs.

  14. 北京市医院睡眠监测报告现状分析%Analysis of the PSG Reports from 10 Beijing Hospitals

    Institute of Scientific and Technical Information of China (English)

    吴慧莉; 陈钢; 马秀玲; 高巍; 肖明明; 高和

    2012-01-01

    目的 通过对北京市医院睡眠监测报告(报告)结构和内容的分析,了解目前报告现状和存在问题,为今后制定规范的报告形式提供客观依据.方法 对北京市10家医院190份报告内容分三部分进行信息资料汇总统计.第一部分,依据睡眠疾病常用诊断指标将报告内容分为十大类共60项细目,每项细目正确填写者得1分,缺项不得分.第二部分,将报告按照编制形式划分为3组:设备软件编制的报告、睡眠监测技师编制的报告、前二者组合的报告.第三部分,按文字处理方法分为3类:中文报告、英文报告和中英文混合报告.对第一部分得分的百分比,运用分层聚类分析方法对各家报告进行分组,对分组后的数据再进行比较,找出差异和问题;对第二和第三部分数据进行统计描述.结果 聚类分析将医院分为3组,第1组有4家医院,第2组有5家医院,第3组只有1家医院.10家医院报告中的个人信息项有1家医院得分的百分比为45.7%,其余均>85.7%.睡眠结构、呼吸事件、低氧事件得分的百分比分别为33.3%~100.0%、46.1%~100.0%和66.7%~100.0%.体位记录、体动记录、心电事件、趋势图得分为0的医院编号分别为6、9、4、2.监测总结得分的百分比有2家医院>90.0%.10家报告编制形式均以设备软件提供的报告为主,只有1家医院对睡眠监测中的重要数据有总结性描述.10家报告文字的书写以中文形式占20.0%,英文形式占40.0%,中英文混编形式占40.0%.结论 10家医院睡眠监测报告内容框架齐全,细目叙述质量参差不齐,规范睡眠监测报告是亟待解决的问题,可根据睡眠疾病诊断标准制定规范统一的报告模板.%Objective To develop a standard report template by studying the PSG reports from the hospitals in Beijing and analyzing the problems embedded in the reports. Methods 190 PSG reports from 10 hospitals were divided into three groups to

  15. Prevalence of auditory changes in newborns in a teaching hospital

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    Guimarães, Valeriana de Castro

    2012-01-01

    Full Text Available Introduction: The precocious diagnosis and the intervention in the deafness are of basic importance in the infantile development. The loss auditory and more prevalent than other joined riots to the birth. Objective: Esteem the prevalence of auditory alterations in just-born in a hospital school. Method: Prospective transversal study that evaluated 226 just-been born, been born in a public hospital, between May of 2008 the May of 2009. Results: Of the 226 screened, 46 (20.4% had presented absence of emissions, having been directed for the second emission. Of the 26 (56.5% children who had appeared in the retest, 8 (30.8% had remained with absence and had been directed to the Otolaryngologist. Five (55.5% had appeared and had been examined by the doctor. Of these, 3 (75.0% had presented normal otoscopy, being directed for evaluation of the Evoked Potential Auditory of Brainstem (PEATE. Of the total of studied children, 198 (87.6% had had presence of emissions in one of the tests and, 2 (0.9% with deafness diagnosis. Conclusion: The prevalence of auditory alterations in the studied population was of 0,9%. The study it offers given excellent epidemiologists and it presents the first report on the subject, supplying resulted preliminary future implantation and development of a program of neonatal auditory selection.

  16. Characteristics of infertile couples attending OPD of a teaching hospital

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    Parul Sinha

    2015-04-01

    Full Text Available Background: Infertility is defined as failure to conceive even after one year of regular, frequent and unprotected intercourse. Infertility has, in the last few years surfaced in society as a significant problem affecting as many as 15% of couples. This study aimed at identifying the characteristics of infertility among Indian couples. Methods: The present study was carried out on 100 infertile couples attending the OPD of upper India sugar exchange maternity hospital attached to GSVM medical college, Kanpur, other hospital and nursing homes of Kanpur. Both the partners were completely evaluated by taking proper history, examination and investigation to assess the cause of infertility. Results: Majority of female partners were between ages of 25-29. Female factors were found in 45% couples and male factors in 30 % couples. Among female factors, tuboperitoneal factor was found in 32% cases and ovulatory factor was found in 40% cases. Oligospermia was the commonest cause in male factor infertility. Conclusions: From this study we concluded that infertility is a public health problem in India and the main infertility pattern is a primary rather than secondary infertility. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 373-377

  17. Resistant patterns of Pseudomonas aeruginosa in a Malaysian teaching hospital

    Institute of Scientific and Technical Information of China (English)

    Zaidah AR; Siti SMN; Zahiruddin WM; Zeehaida M

    2009-01-01

    Objective:Pseudomonas aeruginosa is an opportunistic pathogen and the leading cause of nosocomial infec-tions.Currently a notable increase in the prevalence of multidrug-resistant P.aeruginosa worldwide has been reported in hospitalized patients and was associated with high morbidity and mortality.Methods:A retrospec-tive laboratory based analysis regarding the spectrum and distribution of P.aeruginosa from a wide range of clinical samples in Hospital Universiti Sains Malaysia since January 2003 to December 2007 was done.Re-sults:Altogether,there were 2 308 clinical isolates analyzed.The main sources of P.aeruginosa were from swab,respiratory,urine and blood specimens which accounted for 28.2 %,21.8 %,13.2 % and 12.8 %respectively.Results showed significant reduction in percentage of resistant towards three antibiotic namely ciprofloxacin,ceftazidime and imipenem.However the percentage of pan-resistant P.aeruginosa increased steadily over these years.Conclusion:This data is helpful to the clinician in guiding the choice of appropriate antibiotic to treat P.aeruginosa infection.At the same time,it warrants a more aggressive infection control ac-tivity to be implemented to control the spread of pan resistant strain in this centre.

  18. Patient safety: the experience of an Italian teaching hospital

    Directory of Open Access Journals (Sweden)

    Marco Marchetti

    2005-12-01

    Full Text Available

    Introduction The risk management project of The University Hospital “A. Gemelli” aims to define the necessary procedures to manage clinical risk, by identifying the structures involved within this process, so that all of the personnel can contribute to a measurable improvement in the safety of both patients and staff.

    Methods The Risk Management Program is comprised of 5 long-term phases: Phase 1 - Strategy Definition and Communication: a clear and shared Risk Management Strategy is indispensable to guarantee a coordinated action plan, in order to focus all of the interventions towards the achievement of common and measurable results. Phase 2 - Risk Management System Governance: all of the organisational structures have been activated in order to effectively manage the Risk Management System. The system has been introduced to interact within all areas of the hospital and to transfer information. Phase 3 - Promotion within the Organisation: this phase fosters the aims of the project within the whole organisation, by stressing the concept of “learning from errors”. This is crucial if organisational and healthcare workers are to understand the true aims of risk prevention and protection and offer to contribute to the process. Phase 4 - Risk Assessment: a data survey system was created and institutionalized. This phase begins with an analysis of the information flow, in order to estimate the probabilities that certain risks occur, and ends with defining the interventions to undertake. Risk assessment makes it possible to forecast the consequences of certain risks and thus prioritise those for prevention. Phase 5 - Risk Management: this consists of planning and implementing all of the actions necessary to prevent risks, protect and finance (in terms of prevention A. Gemelli University Hospital.

    Results The results achieved are remarkable especially when one

  19. Some correlates of electronic health information management system success in nigerian teaching hospitals.

    Science.gov (United States)

    Ojo, Adebowale I; Popoola, Sunday O

    2015-01-01

    Nowadays, an electronic health information management system (EHIMS) is crucial for patient care in hospitals. This paper explores the aspects and elements that contribute to the success of EHIMS in Nigerian teaching hospitals. The study adopted a survey research design. The population of study comprised 442 health information management personnel in five teaching hospitals that had implemented EHIMS in Nigeria. A self-developed questionnaire was used as an instrument for data collection. The findings revealed that there is a positive, close relationship between all the identified factors and EHIMS's success: technical factors (r = 0.564, P < 0.05); social factors (r = 0.616, P < 0.05); organizational factors (r = 0.621, P < 0.05); financial factors (r = 0.705, P < 0.05); and political factors (r = 0.589, P < 0.05). We conclude that consideration of all the identified factors was highly significant for the success of EHIMS in Nigerian teaching hospitals. PMID:25983557

  20. Some Correlates of Electronic Health Information Management System Success in Nigerian Teaching Hospitals

    Science.gov (United States)

    Ojo, Adebowale I; Popoola, Sunday O

    2015-01-01

    Nowadays, an electronic health information management system (EHIMS) is crucial for patient care in hospitals. This paper explores the aspects and elements that contribute to the success of EHIMS in Nigerian teaching hospitals. The study adopted a survey research design. The population of study comprised 442 health information management personnel in five teaching hospitals that had implemented EHIMS in Nigeria. A self-developed questionnaire was used as an instrument for data collection. The findings revealed that there is a positive, close relationship between all the identified factors and EHIMS’s success: technical factors (r = 0.564, P < 0.05); social factors (r = 0.616, P < 0.05); organizational factors (r = 0.621, P < 0.05); financial factors (r = 0.705, P < 0.05); and political factors (r = 0.589, P < 0.05). We conclude that consideration of all the identified factors was highly significant for the success of EHIMS in Nigerian teaching hospitals. PMID:25983557

  1. French-Style Luxury Comes to Beijing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    LANDMARK LUXURY: Francois Vanvi,Director of Sales & Marketing of Sofitel Wanda Beijing, points to the hotel as a landmark in the hospitality industry of Beijing"Our customer- minded services are the embodiment of French luxury, and focus on offering enjoyment and feelings of ease."—Francis Vanvi

  2. Patient safety culture in teaching hospitals in Iran: assessment by the hospital survey on patient safety culture (HSOPSC

    Directory of Open Access Journals (Sweden)

    Mohammad Zakaria Kiaei

    2016-04-01

    Full Text Available Introduction: Patient safety culture is an important part of improvement in the safety of health care. Knowing its present status is required for development of safety culture. The present study aimed to evaluate the current status of Patient safety culture in hospitals of three central provinces of Iran. Method: The present cross-sectional study was performed in teaching hospitals of Tehran, Alborz, and Qazvin provinces. The standard HSOPSC questionnaire was used for evaluation of the patient safety culture from the viewpoint of 522(Qazvin: 200, Tehran: 312, Alborz: 40 individuals who were randomly selected as workers of the hospitals. The collected data were analyzed using Chi-square and ANOVA tests. Results:The mean positive response to 12 aspects of the patient safety was 62.9%. “Organizational learning” had the highest proportion of positive response (71.18% and “Handoffs & Transitions” had the lowest (54.49%. There was a statistically significant difference in scores of “Teamwork within Units”(p=0.006(,”Manager Expectations & actions promoting”(p=0.014,”organizational learning and continuous improvement”(p=0.001, “Management support”(p=0.007, “Feedback and communication”(p=0.012, and “Communication openness”(p=0.003 among the provinces, respectively. Conclusion: We performed a full assessment of the patient safety culture in the studied provinces. Organizational learning was satisfactory in the hospitals. The studied hospitals need arrangement of safety-based programs and supports of senior administrators to perform more sophisticated efforts and improve the patient safety culture.

  3. Methicillin-resistant staphylococcal contamination of cellular phones of personnel in a veterinary teaching hospital

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    Julian Timothy

    2012-07-01

    Full Text Available Abstract Background Hospital-associated infections are an increasing cause of morbidity and mortality in veterinary patients. With the emergence of multi-drug resistant bacteria, these infections can be particularly difficult to eradicate. Sources of hospital-associated infections can include the patients own flora, medical staff and inanimate hospital objects. Cellular phones are becoming an invaluable feature of communication within hospitals, and since they are frequently handled by healthcare personnel, there may be a potential for contamination with various pathogens. The objective of this study was to determine the prevalence of contamination of cellular phones (hospital issued and personal carried by personnel at the Ontario Veterinary College Health Sciences Centre with methicillin-resistant Staphylococcus pseudintermedius (MRSP and methicillin-resistant Staphylococcus aureus (MRSA. Results MRSP was isolated from 1.6% (2/123 and MRSA was isolated from 0.8% (1/123 of cellular phones. Only 21.9% (27/123 of participants in the study indicated that they routinely cleaned their cellular phone. Conclusions Cellular phones in a veterinary teaching hospital can harbour MRSP and MRSA, two opportunistic pathogens of significant concern. While the contamination rate was low, cellular phones could represent a potential source for infection of patients as well as infection of veterinary personnel and other people that might have contact with them. Regardless of the low incidence of contamination of cellular phones found in this study, a disinfection protocol for hospital-issued and personal cellular phones used in veterinary teaching hospitals should be in place to reduce the potential of cross-contamination.

  4. Pattern of sudden death at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South West Nigeria

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    Akinwusi PO

    2013-06-01

    Full Text Available Patience Olayinka Akinwusi,1,2 Akinwumi Oluwole Komolafe,3 Olanrewaju Olayinka Olayemi,2 Adeleye Abiodun Adeomi41Department of Medicine, College of Health Sciences, Osun State University, 2Department of Medicine, LAUTECH Teaching Hospital, Osogbo, 3Department of Morbid Anatomy, Obafemi Awolowo University Teaching, Hospitals Complex, Ile-Ife, Osun State, 4Department of Community Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, NigeriaBackground: The purpose of this study was to determine the etiology and epidemiologic characteristics of sudden death at Ladoke Akintola University of Technology (LAUTECH Teaching Hospital, South West Nigeria.Methods: This was a retrospective descriptive study of all cases of natural unexpected death, either occurring out of hospital or less than 24 hours after admission to LAUTECH Teaching Hospital, over a nine-year period from January 2003 to December 2011. Data were generated from information in the case notes and autopsy reports for these cases.Results: Sudden death accounted for 29 (4.0% of 718 adult medical deaths and 1.0% of all adult medical admissions. Out-of-hospital deaths occurred in 72.4% of cases. The mean age of the patients was 46.8 ± 11.5 (range 25–74 years. The male to female ratio was 6.25:1. Cardiovascular disease were the most common cause of death (51.7%, followed by respiratory disease (20.7%, pulmonary thromboembolism (10.4%, central nervous system disease (13.8%, gastrointestinal disorders (13.8%, severe chemical/drug poisoning (13.8%, and combined cardiovascular and central nervous system disease (13.8%. Hypertension-related causes were responsible for 14/29 (48.3% of the sudden deaths. Hypertensive heart disease accounted for 86.7% of the cardiovascular deaths, hypertensive heart failure accounted for 73.3%, whilst all heart failure cases accounted for 80.0%. Left ventricular hypertrophy was present in 69.2% of the patients with hypertensive heart disease. Moderate to severe

  5. Organizational Citizenship Behavior (OCB amongthe Managers of Teaching Hospitals

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    Fereshteh Farzianpour

    2011-01-01

    Full Text Available Problem statement: Organizational behavior is desirable for any organization, as it is associated with important organizational variables such as job satisfaction, organizational productivity and system maintenance. The main purpose of this study is to evaluate the mean organizational behavior score among the managers of the hospitals affiliated to Shahid Sadoughi University of Medical Sciences and Health Services, Yazd. Approach: A descriptive-analytic cross-sectional study was conducted on 117 managers in various organizational levels working at the study hospitals who were randomly selected. questionnaire was used which validity and reliability are approved by the university management professors and Cronbach’s alpha coefficient of 0.70, respectively. All the questions were presented in a Likert scale with five options measuring four dimensions: (A Generosity (B Civil behavior (C Conscious (3 D Friendship. The data were entered in the SPSS software and Fisher exact test and chi-square test were used for data analysis. Results: The mean age of the study population is 39 years among whom 66.7% were male and 33.3%were female. The working experience of the study population was averagely 15.6 years. A total of 78 (66.7% managers are educated in medicine, allied medicine and basic sciences. Considering the scores in different components of organizational behavior, generosity was placed first with a mean score of 12.3 and conscious was placed fourth with a mean score of 5.47. Conclusion: There was statistically significant association between sex, education level and the field of study and being placed in certain quartiles of OCBs domains (p<0.05.

  6. Pattern and outcome of medical admissions in a Nigerian rural teaching hospital (2009-2012

    Directory of Open Access Journals (Sweden)

    John Osarenkhoe

    2014-01-01

    Full Text Available Background: Medical diseases vary depending on the locality and it reflects the pattern of medical admissions into a medical centre. We set out to collect, analyse, present the report of results from Igbinedion University Teaching Hospital to the wider scientific community on pattern and outcome of patients in medical wards in the hospital between January 2009 to December 2012. This we believe would reflect the relative pattern, trend of diseases burden and relative importance of diseases in the hospital locality. Methods: The study was a retrospective descriptive study where data of admission cases in both male and female medical wards were collected (from the admission register with occasional reference to some patients′ case notes and analysed. Results: A total of 1066 patients were admitted during the study period, Male patients constituted 52.5% while female were 47.5% (Male: Female ratio 1.11:1 , age range 14-99 years while under 20 years, Under 30 years and Elderly constituted 30.1%, 59.3% and 12.5% respectively. Malaria, hypertension, Vaso-occlussive Crisis in Sickle Cell Diseases, Peptic Ulcer Disease, Gastroenteritis and Enteric Fever were the most common diseases admitted during the study period. Infectious and parasitic diseases was found to constitute the majority of diseases admitted. 81.2%, 4.6% and 1.6% of admitted patients were discharged, referred and died respectively. Discussions and Conclusion: The large proportion of patients in younger age groups was likely due to the university community that is located in the same town with the teaching hospital. Elderly patients accounted for 11.1% of total hospitalization similar to value gotten in another Teaching Hospital. The study showed essentially that Infectious diseases constituted the bulk of admission with malaria being the largest single disease. Non-Communicable Diseases (NCDs were also prominent. Majority of the patients were discharged home with lesser outcome of

  7. Gender inequality in acute coronary syndrome patients at Omdurman Teaching Hospital, Sudan

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    Hyder O Mirghani

    2016-01-01

    Full Text Available Background: Gender differences among patients with the acute coronary syndrome is still being debated, no research has been done on gender inequality among coronary syndrome patients in Sudan. Objectives: To study gender differences in presentation, management, and outcomes of acute coronary syndrome in Sudan. Subjects and Methods: This cross-sectional descriptive longitudinal study was conducted in Omdurman Teaching Hospital between July 2014 and August 2015. Patients were invited to sign a written informed consent form, were interviewed and examined by a physician, and then followed during their hospital stay. Information collected includes coronary risk factors, vital signs, echocardiography findings, arrhythmias, heart failure, cardiogenic shock, and death. The Ethical Committee of Omdurman Teaching Hospital approved the research. Results: A total of 197 consecutive acute coronary syndrome patients were included, 43.1% were females. A significant statistical difference was evident between males and females regarding the type of acute coronary syndrome, its presentation, and time of presentation to the hospital, smoking, and receipt of thrombolysis (P 0.05. Conclusion: Women were less likely to receive thrombolytic therapy, present with chest pain, and diagnosed with ST-segment elevation myocardial infarction. No gender differences were found in acute coronary syndrome risk factors apart from smoking, which was more common in males, and there were no differences between males and females as regards in-hospital complications.

  8. Teaching evidence-based practice in the hospital and the library: two different groups, one course.

    Science.gov (United States)

    Blake, Lindsay; Ballance, Darra

    2013-01-01

    Key roles in teaching evidence-based practice (EBP) are of interest to many hospital and academic librarians. This article describes how three academic librarians, in collaboration with the academic medical center's EBP Nursing Council, developed a seminar consisting of three credit hours of instruction in the basics of evidence-based practice. The seminar consists of three core elements: basic principles of EBP and finding literature, clinical experience and integration of knowledge into the hospital setting, and patient education and participation. Emphasis is placed upon analysis of the literature, institutional models of practice change, and the importance of patient roles in guideline development. PMID:23394424

  9. Needlestick injuries at a tertiary teaching hospital in Singapore.

    Science.gov (United States)

    Seng, M; Sng, G K J; Zhao, X; Venkatachalam, I; Salmon, S; Fisher, D

    2016-09-01

    This study investigated the incidence and risk to staff groups for sustaining needlestick injuries (NSIs) in the National University Hospital (NUH), Singapore. A retrospective cohort review of incident NSI cases was undertaken to determine the injury rate, causation, and epidemiological profile of such injuries. Analysis of the risk of sustaining recurrent NSI by occupation and location was done using the Cox proportional hazards model. There were 244 NSI cases in 5957 employees in NUH in 2014, giving an incidence rate of 4·1/100 healthcare workers (HCWs) per year. The incidence rate was highest for doctors at 21·3, and 2·7 for nurses; 40·6% of injuries occurred in wards, and 32·8% in operating theatres. There were 27 cases of repeated NSI cases. The estimated cost due to NSIs in NUH ranged from US$ 109 800 to US$ 563 152 in 2014. We conclude that creating a workplace environment where top priority is given to prevention of NSIs in HCWs, is essential to address the high incidence of reported NSIs. The data collected will be of value to inform the design of prevention programmes to reduce further the risk of NSIs in HCWs. PMID:27151164

  10. Cancer Mortality Pattern in Lagos University Teaching Hospital, Lagos, Nigeria

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    Olakanmi Ralph Akinde

    2015-01-01

    Full Text Available Background. Cancer is a leading cause of death worldwide and about 70% of all cancer deaths occurred in low- and middle-income countries. The cancer mortality pattern is quite different in Africa compared to other parts of the world. Extensive literature research showed little or no information about the overall deaths attributable to cancer in Nigeria. Aims and Objectives. This study aims at providing data on the patterns of cancer deaths in our center using the hospital and autopsy death registers. Methodology. Demographic, clinical data of patients who died of cancer were extracted from death registers in the wards and mortuary over a period of 14 years (2000–2013. Results. A total of 1436 (4.74% cancer deaths out of 30287 deaths recorded during the period. The male to female ratio was 1 : 2.2 and the peak age of death was between 51 and 60 years. Overall, breast cancer was responsible for most of the deaths. Conclusion. The study shows that the cancers that accounted for majority of death occurred in organs that were accessible to screening procedures and not necessary for survival. We advise regular screening for precancerous lesions in these organs so as to reduce the mortality rate and burden of cancer.

  11. Early neonatal sepsis at tertiary care teaching hospital

    Institute of Scientific and Technical Information of China (English)

    Muhammad Javed; Abdul Majid Memon

    2009-01-01

    Objective:To study organisms in cases of early neonatal sepsis, and sensitivity patterns of these isolates. Methods: All pregnant mothers admitted from Jan 2006-Dec 2006 were registered. Neonates delivered at the hospital were examined upto 72 hours of birth, with special emphasis on the signs and symp-toms of suspected sepsis. Neonates with no maternal or neonatal risk factor were included in the study, blood examination and appropriate cultures were taken. Antibiotics as cephatexime and amikacin were started on em-pirical bases until final cultures report was received. In cases of negative cultures, antibiotics were stopped. Other wise it continued according to culture and sensitivity for 10 to 14 days. Results: Among these 257 ca-ses, 113 neonates full filled our criteria. Staph aureus being the commonest organism in our study (59.29%) followed by KlebsieUa pneumoniae (19.47%) and Entrococci (19.47%). These findings are not consistent with other studies in the country. Conclusion: Neonatal sepsis is a major cause of mortality and morbidity. Choice of antibiotic should depend on the local studies from time to time.

  12. Remembering Beijing

    Institute of Scientific and Technical Information of China (English)

    Ian Corbett

    2012-01-01

    Every General Assembly is remembered for something - in the past few years, Sydney for starting the International Year of Astronomy, Prague for Pluto, and Rio de Janeiro for the Strategic Plan. 1 thought that Beijing would be remembered for restructuring the Divisions and for the impressive progress we have made in implementing the Strategic Plan. But I was wrong! Above all, Beijing will be remembered for the unobtrusive but impeccable organization, the overwhelming generosity of our hosts, the smiling teams of volunteers, and the impressive CNCC.

  13. COST-EFFECTIVENESS ANALYSIS OF ANTI-DIABETIC THERAPY IN A UNIVERSITY TEACHING HOSPITAL

    OpenAIRE

    Giwa Abdulganiyu; Tayo Fola

    2014-01-01

    Purpose: To conduct cost-effectiveness analysis of anti-diabetic therapy in a University Teaching Hospital in 2010. Methods: A retrospective review of selected case-notes was conducted. World Health Organization Defined Daily Dose Method of evaluating drug use and probability method for potential effectiveness of antidiabetic therapeutic options from literature analysis was employed in determining cost-effectiveness of each anti-diabetic therapeutic option identified from anti-diabetic dru...

  14. Clinicopathological Profile of Lung Cancer Patients in a Teaching Hospital in South India

    OpenAIRE

    Srinath Dhandapani; Aravind Srinivasan; Rajalakshmi Rajagopalan; Santhosh Chellamuthu; Aishwarya Rajkumar; Paramesh Palaniswamy

    2016-01-01

    Introduction: Lung cancer is one of the leading causes of cancer related deaths in the world. The incidence of lung cancer is increasing in India and there is a need to understand the natural history of this disease. Aim of the study: To study the clinico- pathological- radiological profile of patients diagnosed with lung cancer from January 2013 to May 2015 at a tertiary care teaching hospital. Materials and Methods: Inpatient records of all patients admitted during the study period were exa...

  15. The mental health of nurses in acute teaching hospital settings: a cross-sectional survey

    OpenAIRE

    Perry, Lin; Lamont, Scott; Brunero, Scott; Gallagher, Robyn; Duffield, Christine

    2015-01-01

    Background Nursing is an emotionally demanding profession and deficiencies in nurses’ mental wellbeing, characterised by low vitality and common mental disorders, have been linked to low productivity, absenteeism and presenteeism. Part of a larger study of nurses’ health, the aim of this paper was to describe the mental health status and related characteristics of nurses working in two acute metropolitan teaching hospitals. Methods A cross sectional survey design was used. The Registered and ...

  16. Medication prescribing errors in a public teaching hospital in India: A prospective study.

    OpenAIRE

    Pote S; Tiwari P; D’Cruz S

    2007-01-01

    Background: To prevent medication errors in prescribing, one needs to know their types and relative occurrence. Such errors are a great cause of concern as they have the potential to cause patient harm. The aim of this study was to determine the nature and types of medication prescribing errors in an Indian setting.Methods: The medication errors were analyzed in a prospective observational study conducted in 3 medical wards of a public teaching hospital in India. The medication errors were an...

  17. Questionnaire survey of working relationships between nurses and doctors in University Teaching Hospitals in Southern Nigeria

    OpenAIRE

    Adebamowo Clement A; Ogbimi Roseline I

    2006-01-01

    Abstract Background Smooth working relationships between nurses and doctors are necessary for efficient health care delivery. However, previous studies have shown that this is often absent with negative impact on the quality of health care delivery. In 2002, we studied factors that affect nurse-doctor working relationships in University Teaching Hospitals (UTH) in Southern Nigeria in order to characterize it and identify managerial and training needs that might be used to improve it. Method Q...

  18. Investigation of Seclusion in one of the Psychiatric Wards in Razi Teaching Hospital of Tabriz

    OpenAIRE

    Maryam Vahidi; Mina Hosseinzadeh

    2014-01-01

    Seclusion is one of the methods in controlling violent behavior of inpatients in psychiatric wards. In current descriptive analytic study, data collection instrument included the seclusion list of inpatients by considering individual, social and clinical characteristics in one of the psychiatry wards In the Razi teaching hospital of Tabriz in the first six months of 2012. Among 264 admitted patients, 24 patients (9.1%) had been secluded and a total of 29 isolated incidents w...

  19. Positioning academic medical centers and teaching hospitals to thrive in the next decade.

    Science.gov (United States)

    Morris, D E

    1985-06-01

    Market share for academic medical centers and teaching hospitals will decline over the next five years necessitating new strategies to ensure growth and profitability. These types of institutions are, however, in a strong position to compete and gain market share locally by building a defensible competitive advantage. This article offers three avenues for increasing market share: networking, brand name product differentiation, and business diversification. PMID:10271804

  20. An audit of blood component therapy in a Canadian general teaching hospital.

    OpenAIRE

    Brien, W F; Butler, R J; Inwood, M J

    1989-01-01

    As part of a quality assurance program a retrospective audit of transfusion practices for packed red blood cells, fresh frozen plasma and albumin was undertaken with predetermined criteria in a general teaching hospital. Of 520 transfusion episodes with 1218 units of packed red blood cells given to 297 patients 88% were considered appropriate; of 106 episodes with 405 units of fresh frozen plasma given to 83 patients 90% were deemed appropriate; and of 187 episodes with 320 units of albumin g...

  1. Documentation in labour among midwives in Madonna university teaching hospital elele, rivers state, Nigeria

    OpenAIRE

    Frank Maureen Dike; Olayinka A. Onasoga; Esther Njoku

    2015-01-01

    Background: Documentation is a fundamental and vital communication tool among healthcare professionals. It is an essential part of midwifery that has clinical and legal implications for the client and midwife as well as the health care institution. This study assessed the knowledge, practice of and factors influencing documentation in labour among nurses in Madonna University Teaching Hospital, Elele Rivers State. Methods: This is a descriptive cross sectional study with a sample size of 1...

  2. ANTIHYPERTENSIVE MEDICATION PRESCRIBING PATTERNS IN A UNIVERSITY TEACHING HOSPITAL IN SOUTH DELHI

    OpenAIRE

    Fowad Khurshid et al.

    2012-01-01

    Study objective: To investigate the use of antihypertensive drugs in hypertensive patients and to identify whether such pattern of prescription is appropriate in accordance with international guidelines for management of hypertension. Methods: This was a prospective analysis. A prescription based survey among patients with established hypertension was conducted at the Medicine Out-Patient Department of University Teaching Hospital in South Delhi, India. Data were collected from patients’ medi...

  3. Malpractice awareness among surgeons at a teaching hospital in Pakistan

    Directory of Open Access Journals (Sweden)

    Sheikh Asfandyar

    2012-11-01

    Full Text Available Abstract Background The duty of a doctor to take care presumes the person who offers medical advice and treatment to unequivocally possess the skills and knowledge to do so. However, a sense of responsibility cannot be guaranteed in the absence of accountability, which in turn requires a comprehensive medical law system to be in place. Such a system is almost non-existent in Pakistan. Keeping the above in mind, we designed this study to assess the knowledge, attitudes and practices of surgeons regarding malpractice at a tertiary care center in Pakistan. Methods This was an observational, cross-sectional, questionnaire-based study conducted during a three month period from 31st March, 2012 to 30th June, 2012 at Civil Hospital, Karachi. Surgeons who were available during the period of our study and had been working in the hospital for at least 6 months were included. Self-administered questionnaires were distributed after seeking informed, written consent. The specialties included were general surgery, cardiothoracic surgery, neurosurgery, ophthalmology, otolaryngology, plastic surgery, pediatric surgery, orthopedic surgery, oral and maxillofacial surgery and gynecology and obstetrics. The study questionnaire comprised of four sections. The first section was concerned with the demographics of the surgeons. The second section analyzed the knowledge of the respondents regarding professional negligence and malpractice. The third section assessed the attitudes surgeons with regard to malpractice. The last section dealt with the general and specific practices and experiences of surgeons regarding malpractice. Results Of the 319 surgeons interviewed, 68.7% were oblivious of the complete definition of malpractice. Leaving foreign objects inside the patient (79.6% was the most commonly agreed upon form of malpractice, whereas failure to break news in entirety (43.9% was most frequently disagreed. In the event of a medical error, majority (67.7% were ready

  4. Delayed elective surgery in a major teaching hospital in Uganda

    Directory of Open Access Journals (Sweden)

    Kajja I

    2014-05-01

    Full Text Available Isaac Kajja,1 Cees Th Smit Sibinga21Department of Orthopedics, Makerere University, Kampala, Uganda; 2ID Consulting for International Development of Transfusion Medicine (IDTM, Groningen, The NetherlandsBackground: A number of factors come into play in determining the timing of an elective surgical intervention, particularly in the developing world. The present study explores the factors that contribute to the timing of elective surgery and patients' opinions on their quality of life as they wait for surgery.Methods: We followed adult patients with delayed elective surgical interventions (n=204. The causes for the delay and, particularly, the influence of blood shortage on the timing of the procedure were noted. Patients' perceptions on their quality of life as they waited for surgery were also noted.Results: We were able to establish a cause for delayed elective surgery in 133 patients. Shortage of operating space was the leading cause of surgery delay in 44 patients, while blood shortage followed closely in 40 patients. The higher the amount of blood ordered for use in the perioperative time, the longer the delay to surgery (P=0.001. Patients waiting for surgery had a low opinion of their in-hospital quality of life. Here, the key indicators included the threat of losing a job, limited family time, and an increase in day-to-day living costs.Conclusion: Blood shortage is the second most common cause of the delayed performance of elective surgical interventions in our institution. The patients have a low opinion on their quality of life as they wait for surgery.Keywords: blood shortage, delayed elective surgery, quality of life

  5. Patients’ experiences of being nursed by student nurses at a teaching hospital

    Directory of Open Access Journals (Sweden)

    Ferdinand C. Mukumbang

    2014-02-01

    Full Text Available Background: Teaching hospitals are medical institutes at which most nursing education institutions provide their students with practical nursing experience. Although the focus of care is the patient, attention is sometimes focused more on the nursing students rather than on the patients who are undergoing care at the hands of both the nursing professionals and students. However, proper nursing care should also take into account the experiences of patients during the care process in the health facility.Objectives: The study had three objectives: to describe the experiences of patients nursed by student nurses in a teaching hospital in the Western Cape; to identify patterns in the experiences of patients receiving patient care from student nurses; and to analyse aspects of the experiences that may need further attention for the training of student nurses.Method: A descriptive phenomenological approach was used to explore the experiences of patients nursed by student nurses. Participant selection took place purposively from different wards of the identified teaching hospital, and thematic saturation was achieved at 10 participants. The data were collected through in-depth interviews and analysed using thematic content analysis.Results: Three main themes were discovered after data analysis: methods of identification of student nurses by patients; positive perceptions of student nurses by patients; and negative perceptions of student nurses by patients.Conclusion: The findings will inform the clinical supervisors and educational institutions of aspects of the nursing training of student nurses that need improvement and those that require enforcement. 

  6. Painful medicine: managed care and the fate of America's major teaching hospitals.

    Science.gov (United States)

    Levey, S; Anderson, L

    1999-01-01

    Healthcare spending in the United States has risen steadily throughout the post-World War II period as the American healthcare system has been transformed from cottage industry to big business. The increasing rate of social investment in healthcare also transformed America's major teaching hospitals. As a case in point, the University of Iowa Hospitals and Clinics saw annual operating revenues rise from $1 million in 1945 to more than $350 million in 1995, which was accompanied by an extraordinary expansion in its physical facilities and in its multifaceted operations. In the 1970s and even more so in the 1980s, however, the unceasing climb in healthcare spending fueled concern among policy experts, politicians, employers, and insurers alike. In turn, the search for effective cost controls led to the current managed care revolution. While the end of that revolution is not yet in sight, managed care has, it appears, effected significant cost savings, but at no small cost to America's major teaching hospitals and their social missions of teaching, research, and patient care. Whether those missions can survive--and, if so, in what form--in a healthcare system dominated by the managed care ethos is an increasingly important concern. PMID:10539198

  7. Medical and surgical ward rounds in teaching hospitals of Kuwait University: students’ perceptions

    Directory of Open Access Journals (Sweden)

    AlMutar S

    2013-09-01

    Full Text Available Sara AlMutar,1 Lulwa AlTourah,1 Hussain Sadeq,2 Jumanah Karim,2 Yousef Marwan3 1Department of Medicine, 2Department of Pediatrics, Mubarak Al-Kabeer Hospital, 3Department of Orthopedic Surgery, Al-Razi Orthopedic Hospital, Kuwait City, Kuwait Background: Teaching sessions for medical students during ward rounds are an essential component of bedside teaching, providing students with the opportunity to regard patients as actual people, and to observe their physical conditions directly, allowing a better understanding of illnesses to be developed. We aim to explore medical students’ perceptions regarding medical and surgical ward rounds within the Faculty of Medicine at Kuwait University, and to evaluate whether this teaching activity is meeting the expectation of learners. Methods: A pretested questionnaire was used to collect data from 141 medical students during the 2012–2013 academic year. They were asked to provide their current and expected ratings about competencies that were supposed to be gained during ward rounds, on a scale from 1 (lowest to 5 (highest. Mean scores were calculated, and the Student t-test was used to compare results. P < 0.05 was the cut-off level for significance. Results: Only 17 students (12.1% declined to participate in the study. The students' current competency scores (for competencies taught within both disciplines – medical and surgical were significantly lower than the scores indicating students’ expectations (P < 0.001. The best-taught competency was bedside examination, in both medical (mean: 3.45 and surgical (mean: 3.05 ward rounds. However, medical ward rounds were better than surgical rounds in covering some competencies, especially the teaching of professional attitude and approach towards patients (P < 0.001. Conclusion: Both medical and surgical ward rounds were deficient in meeting the students’ expectations. Medical educators should utilize the available literature to improve the bedside

  8. Knowledge and attitude toward interdisciplinary team working among obstetricians and gynecologists in teaching hospitals in South East Nigeria

    OpenAIRE

    Iyoke CA; Lawani LO; Ugwu GO; Ajah LO; Ezugwu EC; Onah P; Onwuka CI

    2015-01-01

    Chukwuemeka Anthony Iyoke,1 Lucky Osaheni Lawani,2 George Onyemaechi Ugwu,1 Leonard Ogbonna Ajah,2 Euzebus Chinonye Ezugwu,1 Paul Onah,1 Chidinma Ifechi Onwuka1 1Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Nigeria Background: Interdisciplinary team working could facilitate the efficient provision and coordination of increasingly diverse health ...

  9. Patients’ receptiveness for Medical students during consultation in Out patient department of a teaching hospital in Karachi Pakistan

    OpenAIRE

    Laiq-uz-Zaman Khan, Muhammad; Jawaid, Masood; Hafeez, Kamran

    2013-01-01

    Objective: Patients’ attitude towards medical students’ presence during treatment depends on the cultural values of the society. This study was conducted to find out the patients’ receptiveness in our society to be involved in teaching process for medical students during consultation in out patient department of a teaching hospital in Karachi Pakistan. Methodology: This cross sectional study was conducted in the surgical Out Patient Department (OPD) at Dow University Hospital from May 2012 to...

  10. Neon Beijing

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    One evening this spring, my friends and I were sitting in a small square near the finacial street, singing and dancing while awaiting the switching on of the neon lights. I recorded this exciting scene with my camera,simply'because it revealed the prosperity of Beijing and the energy of Chinese youth.

  11. BEIJING BOUND

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Capital to one fifth of mankind and the fastest developing nation in history, Beijing is attracting a growing number of foreign residents drawn by interest and opportunity.The city is in thrall to incredibly rapid development that is altering its appearance and character.So what can the new arrivals expect?

  12. Farewell beijing

    Institute of Scientific and Technical Information of China (English)

    Yuan Yuan

    2016-01-01

    For the lOth year in a row, Jiang Shaoxia made the 700 km journey back to Beijing from her hometown in central China'sHenan Province on February 13, right after the annual Spring Festival. But 2016 could mark the last year she makes the trek.

  13. Continua Beijing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    From January 1 to March 30, 2008,Continua Beijing will host a solo exhibition of Italian contem- porary art master Michelangelo Pistoletto for the first time. Born in 1933,Michelangelo Pistoletto hehl his first solo exhi- hition in Dulin,Italy,and created a series of artworks named after painted objects.These artworks

  14. Assessment of biomedical waste management practices in a tertiary care teaching hospital in Ludhiana

    Directory of Open Access Journals (Sweden)

    Savan Sara Mathew

    2011-08-01

    Full Text Available Biomedical waste (BMW is waste generated during diagnosis, treatment or immunization of human beings or animals, or in research activities pertaining thereto, or in the production and testing of biologicals, and is contaminated with human fluids.1 Though 75-80% of wastes generated from hospitals are non-infectious, 20-25% is hazardous.2 It is a potential health hazard to health workers, public, flora and fauna of the area.3 The Government of India has given specifications for hospital waste management under the Environment (Protection Act Biomedical Waste (Management and Handling Rules 1998.4 The present study was undertaken to assess the knowledge and practices regarding BMW management amongst staff of a large tertiary care teaching hospital in Ludhiana, with about 700 beds which, according to its Chief Maintenance Officer, generates about 70 kg biomedical waste per day.

  15. 北京市居民冠心病住院率及其变化趋势%Hospitalization rates for coronary heart disease from 2007 to 2009 in Beijing

    Institute of Scientific and Technical Information of China (English)

    谢学勤; 刘军; 万浩; 刘静; 张秀英; 赵冬; 王薇; 王淼; 郭默宁; 孙佳艺; 郑建鹏; 齐玥

    2012-01-01

    Objective To examine the distribution and trends of hospitalization rates for coronary heart disease (CHD) from 2007 to 2009 in Beijing.Methods We calculated hospitalization rates for CHD using data from Beijing Hospital Discharge Information System.Information of census registered population in Beijing was obtained from Beijing Municipal Bureau of Statistics.CHD includes acute myocardial infarction,unstable angina and other forms of CHD. Age-standardized hospitalization rates for CHD per 100 000 population aged 25 years or more were calculated.Results During 2007 - 2009,a total of 248 049 patients aged 25 years or more hospitalized in Beijing with the primary discharge diagnosis of CHD were enrolled,of whom 73.7% were permanent registered Beijing citizens.The average hospitalization rate for CHD in 2007 -2009 was 651.2/100 000 for the permanent residences in Beijing (741.2/100 000 in men,560.9/100 000 in women).The highest average hospitalization rote (671.9/100 000) was seen in exurban area compared to other areas in Beijing.The average hospitalization rate for acute myocardial infarction,unstable angina,and other CHD was 126.4/100 000,226.4/100 000 and 298.4/100 000,respectively.The hospitalization rate for CHD increased 18.1% from 2007 to 2009 (from 598.1/100 000 to 706.5/100 000 ).The same trend was seen in women ( 20.2% ) and men ( 16.6% ).The hospitalization rates of CHD in the urban,suburban,and exurban areas of Beijing all increased in the three years,and the greatest increase (36.6% ) was found in exurban area. Hospitalization rates of acute myocardial infarction and unstable angina increased 24.5% and 55.3%,respectively,in the three years,while hospitalization rates of other CHD decreased 5.7%.Conclusions The hospitalization rate of CHD is higher in men than in women in Beijing.The hospitalization rates for CHD increased from the observation period,especially in those living in exurban area.Awareness of the magnitudes and trends of CHD

  16. Teaching and practice for Position requirements-oriented training system of ICU training nurses in secondary hospital

    OpenAIRE

    Huang, Hai-yan; Luo, Jian

    2014-01-01

    Objective: Establish position requirements-oriented training system of ICU training nurses in secondary hospital .To standardize the teaching management and improve the training effect for the training nurses in our ICU. Methods: Form the ICU training nurse teaching staff; Formulate training manual according to survey results of nurse training demand;Implement clinical teaching in stages according to the content of the training manual; Proceed comprehensive skills assessment in the different ...

  17. Study of resistance to carbapenems of Pseudomonas aeruginosa in 5 Beijing hospitals%北京地区五家医院获得性铜绿假单胞菌对碳青霉烯类抗菌药物耐药机制研究

    Institute of Scientific and Technical Information of China (English)

    杨春霞; 王清涛; 栗方; 黎斌斌; 杜小玲; 肖白

    2009-01-01

    Objective To investigate the molecular mechanism of resistance to carbapenems in Pseudomonas aeruginasa from 5 teaching hospitals in Beijing. Methods A total of 213 non-duplicate imipenem-resistant Pseudomonas aernginosa (IRPA) isolates were collected from 5 hospitals in Beijing from June 2004 to December 2005. The minimal inhibitory concentrations (MICs) of meropenem, imipenem and others antibiotics were determined by agar dilution method. Disk diffusion test was used for screening metalloenzymes. The bla IMP,bla VIM and OprD2 genes were amplified by PCR and only sequenced. Results Out of 213 isolates, OprD2 loss was detected in 84 isolates and IMP-1 enzyme was detected in 6 isolates simultaneously. Thirteen IRPAs only produced IMP-1 and 2 isolates only produced VIM-2. Conclusion OprD2 loss and metallo-β-lactamuse production are the parts of the mechanisms of resistance to carbapenems in Pseudomonas aeruginosa in Beijing.%目的 研究北京地区5家教学医院临床分离的亚胺培南耐药铜绿假单胞菌(IRPA)对碳青霉烯类抗菌药物耐药的分子机制.方法 收集2004年6月-2005年12月北京地区5家教学医院临床分离的非重复性213株IRPA,采用琼脂稀释法测定美罗培南、亚胺培南等抗菌药物对这些菌株的MIC值;采用纸片法初筛产金属酶菌株;对金属酶IMP-、VIM-基因以及孔道蛋白OprD2基因进行PCR及序列分析.结果 5家教学医院分离的213株IRPA中84株存在孔道蛋白OprD2缺失,其中有6株还同时产IMP-1型金属酶.另有13株IRPA单独产IMP-1型金属酶,2株单独产VIM-2型金属酶.结论 孔道蛋白OprD2缺失、产金属酶是北京地区铜绿假单胞菌(PA)对碳青霉烯类抗菌药物耐药的部分机制.

  18. Use of potentially inappropriate medications in hospitalized elderly at a teaching hospital: A comparison between Beers 2003 and 2012 criteria

    Directory of Open Access Journals (Sweden)

    Taufik G Momin

    2013-01-01

    Full Text Available Objectives: To detect the prevalence and pattern of use of Potentially inappropriate medications (PIMs in hospitalized elderly patients of a tertiary care teaching hospital using Beers 2012 criteria and to compare the same with Beers 2003 criteria. Materials and Methods: Prescriptions of the elderly patients aged 65 years and above were collected from the medicine ward and analyzed. PIMs were identified with help of Beers 2003 and Beers 2012 criteria and comparison was made between the two criteria. Predictors associated with use of PIM were identified using bivariate and multivariate logistic regression analysis. Results: A total of 210 patients received 2,267 drugs. According to Beers 2003 criteria, 60 (28.57% elderly patients received at least one PIM and 2.9% drugs were prescribed inappropriately. According to Beers 2012 criteria, 84 (40% elderly received at least one PIM while 22 (10.47% received multiple PIMs and about 5% drugs were prescribed inappropriately. The most commonly prescribed PIM was mineral oil-liquid paraffin (30, 14.3% followed by spironolactone (25, 11.9%, digoxin (19, 9%, and benzodiazepines (14, 6.7%. There was a significant association between the number of patients receiving more than six drugs and the use of PIMs (P < 0.01. Use of more than 10 drugs was a significant predictor for use of PIMs in the elderly. Conclusion: The study shows high prevalence of prescribing PIMs in hospitalized elderly patients. Beers 2012 criteria are more effective in identifying PIMs than Beers 2003 criteria.

  19. 京津冀著者医院管理论文文献计量学研究%BIBLIOMETRICS STUDY ON ACADEMIC PAPERS OF HOSPITAL MANAGEMENT OF THE AUTHOR IN ;BEIJING-TIANJIN-HEBEI

    Institute of Scientific and Technical Information of China (English)

    鲍冬旭; 杨涛; 栾奕

    2016-01-01

    院,总计147篇文章。结论根据对2010—2014年京津冀及其各地区医院管理论文年度数量、载文期刊、著者等情况结果研究分析,得出京津冀地区医院管理学科学术发展平稳,但是在作者群和发文期刊的影响力等方面仍存在诸多问题。%Objective To research the development of hospital management in Beijing-Tianjin- Hebei re-gions,and to provide valuable information for the hospital management,and to promote the innovation of hospital management and the coordinated development of health in Beijing-Tianjin- Hebei.Methods This research retrieved the hospital management literature in Beijing,Tianjin and Hebei from January 2010 to December 2014.And by checking sort of health management and domestic related databases,a database was established,and then the data was analyzed by using BICOMB2.0,SPSS13.0,and Microsoft Excel software.This research was focus on the annual number of areas,papers journals,authors,and identifying the intrinsic link from the data.Results ①During five years(2010-2014),the total amount of paper fo-cus on hospital management in Beijing-Tianjin-Hebei region was 12 160,which published in Beijing are-a,Tianjin and Hebei area were 8 161,1 354,and 2 645 respectively.The number of papers and the speed of the development of Beijing,Tianjin and Hebei on medical and health services were basically consistent, and there were obvious differences between the stages and the regions.②In Beijing,hospital management articles commonly published in"Chinese Hospital Dean","Chinese Hospital","Chinese Medical Record";In Tianjin,hospital management articles published most commonly in"China Urban and Rural Industrial","Tianjin Journal of Nursing" ,"Medical Equipment Magazine";In Hebei,hospital management articles published most commonly in journals of the"Hebei Medicine","Rational Drug Use" ,"Chinese Journal of Misdiagnosis".Journal papers scattered dozen professional journals cover only less than half of hospital

  20. Adherence to oral anti-diabetic drugs among patients attending a Ghanaian teaching hospital

    Directory of Open Access Journals (Sweden)

    Bruce SP

    2015-03-01

    Full Text Available Background: The burden of diabetes mellitus, especially Type-2, continues to increase across the world. Medication adherence is considered an integral component in its management. Poor glycemic controls due to medication nonadherence accelerates the development of long-term complications which consequently leads to increased hospitalization and mortality. Objective: This study examined the level of adherence to oral antidiabetic drugs among patients who visited the teaching hospital and explored the probable contributory factors to non-adherence. Methods: A cross-sectional descriptive study using systematic sampling to collect quantitative data was undertaken. Questionnaires were administered to out-patients of the medical department of a teaching hospital in Ghana. Logistic regression was performed with statistical significance determined at p<0.05. Results: A total of 200 diabetic patients participated in the study. Using the Morisky Medication Adherence scale, the level of adherence determined was 38.5%. There were significant correlations between level of adherence and educational level [(OR=1.508; (CI 0.805- 2.825, P=0.019, and mode of payment [(OR=1.631; (CI 0.997- 2.669, P=0.05. Conclusion: Adherence in diabetic patients was low among respondents and this can be improved through education, counseling and reinforcement of self-care. There were several possible factors that contributed to the low adherence rate which could benefit from further studies.

  1. UNJAMMING BEIJING

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Building a livable city may start with the development of a comfortable and efficient public transport system Commuters on Beijing’s city rail transport system received a gift from the Beijing Municipal Government on October 7,the last day of the seven-day National Day holiday. From the first working day on October 8,the price of a single unlimited length journey dropped from five yuan to two.The drop

  2. BEIJING RESTAURANTS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Mare in Beijing Mare draws its name from the Latin for "ocean," representing both the Southern European and Mediterranean influences on the cuisine of the restaurant as well as the beautiful and peaceful ambience the restaurant affords. Mare offers high-quality, specialized Spanish cuisine, served with care by the Spanish chef. "Tapas are particular dishes of Spain, and Mare promotes 30 kinds of tapas for customers to appreci-

  3. Tetanus immunization: perception of residents in a tertiary care teaching hospital in Western India

    Directory of Open Access Journals (Sweden)

    Dhande Priti P, Beri Shirish G, Patel Hardik R

    2013-04-01

    Full Text Available Background: Prevention of tetanus is far easier than its treatment where mortality is very high. Most cases of tetanus occur due to lack of proper vaccination against the disease and incomplete immunization on exposure. Residents in a tertiary care teaching hospital constitute the first contact physicians for patients. Aim: To assess the perception about Tetanus immunization among residents in a tertiary care teaching hospital of Pune city. Methodology: A pre tested questionnaire was used to assess the knowledge & recommendations about tetanus immunization among randomly selected 157 residents. Results: 73.25% residents were not aware of the number of doses of tetanus vaccine recommended for children under the age of 16 years. Around 50% residents were not aware of the recommended number of doses of tetanus vaccine for adults over the age of 16 years and during pregnancy. Nearly 60% of the residents considered the wound after every injury to be tetanus prone. 75.8% of residents thought burn injuries to be prone to the development of tetanus while 13.4% and 36.9% of the residents did not consider animal bite and human bite to be tetanus prone respectively. 99.4% residents considered tetanus toxoid administration in wound with rusted iron. The knowledge regarding tetanus immunization in relation to the wound categories depending on the immunization status of the patients was very poor amongst the residents. Conclusion: Better awareness and adherence of tetanus prophylaxis recommendations is needed in residents who are the first tier of health care providers in teaching hospitals.

  4. Quality assessment of clinical education services in teaching hospitals located in Kerman, Iran

    Science.gov (United States)

    Yazdi-Feyzabadi, Vahid; Gozashti, Mohammad Hossein; Komsari, Samane; Mohammadtaghizadeh, Sedigheh; Amiresmaili, Mohammadreza

    2015-01-01

    Introduction Clinical education is one of the most important components of the resource generation function of health systems, and it has a very important role in graduates’ competency with respect to effective, practical education. This study aimed to assess the quality of clinical services in Kerman’s teaching hospitals located in southeastern Iran. Methods This cross-sectional study was conducted in 2011 on 303 medical students at different levels of medical education at Kerman’s teaching hospitals. A modified SERVQUAL instrument was used to collect the data after its validity and reliability were checked. The data were analyzed by SPSS 18.0 using the paired t-test, Kruskal-Wallis, and post hoc tests, when appropriate. Results In all five dimensions of quality, gaps were observed between students’ perceptions and expectations as follows: Assurance (mean = −1.18), Responsiveness (−1.56), Empathy (−1.4), Reliability (−1.27), and Tangibles (−1.21). There was a significant difference between the quality perceptions and expectations of the medical students (p < 0.001). A significant difference was observed between three educational levels, including externships, internships, and assistantships regarding the dimensions of the quality gaps (p < 0.001). Conclusion The clinical services provided by teaching hospitals in the study did not meet the students’ expectations at any of the three educational levels. As we precisely assessed the dimensions and items that had the higher quality gaps, it was apparent that, for most part, clinical education officials could improve the quality by designing interventions, which would not be very difficult to do. PMID:26767094

  5. Clinical profile of hypertension at a University Teaching Hospital in Nigeria

    Directory of Open Access Journals (Sweden)

    Arthur C Onwuchekwa

    2010-07-01

    Full Text Available Arthur C Onwuchekwa, Sunday ChinenyeDepartment of Internal Medicine, University of Port Harcourt Teaching Hospital, NigeriaBackground: Hypertension in Nigeria is a widespread problem of immense social and economic importance because of its high prevalence and the severity of its complications.Aim: To define the morbidity and mortality pattern of hypertension at the University of Port Harcourt Teaching Hospital (UPTH.Method: Records of all patients admitted to the medical wards of the UPTH over a 5-year period with essential hypertension or any of its complications were retrieved from the ward and medical records and reviewed.Result: A total of 780 hypertensive patients were reviewed, constituting 28.2% of all ­medical admissions. Only 424 (15.2% had complete records and were analyzed. Record keeping was poor. There were 173 (41% males and 251 (59% females with a male to female ratio of 1:1.5. The ages ranged from 18 years to 100 years with a mean of 56.5 ± 16.2. Stroke was responsible for 169 (39.9% hypertensive complications. Heart failure occurred in 97 (22% cases while renal failure and encephalopathy accounted for 40 (9.4% and 7 (1.7% hypertensive complications respectively. There were 99 deaths out of which 51 (51.5% were due to stroke, 14 (14.12% were due to heart failure, and 12 (12.1% were due to renal failure.Conclusion: The contribution of systemic hypertension to the morbidity and mortality of adults at UPTH is quite significant.Keywords: clinical profile, hypertension, University of Port Harcourt Teaching Hospital

  6. Causes of gas gangrene seen at the University of Nigeria Teaching Hospital, Enugu, Nigeria.

    Science.gov (United States)

    Nwankwo, Okechukwu Emmanuel

    2008-04-01

    Gas gangrene (clostridial myonecrosis) is rarely seen and this rarity, coupled with its dramatic presentation and often devastating outcome, makes each case of gas gangrene a spectacular and memorable experience. This study analyses the cases managed, the causes and outcome. Gunshot wounds, compounded by late presentation with its accompanying florid infections, were seen as the causes in 14 cases of gas gangrene seen at the University of Nigeria Teaching Hospital, Enugu during the four-year study period from July 2000 to June 2004. PMID:18453489

  7. Best practice organizational effectiveness in NHS Trusts. Leeds Teaching Hospitals NHS Trust. Case study.

    Science.gov (United States)

    Zairi, M; Cooke, M; Whymark, J

    1999-01-01

    Measuring organisational effectiveness in a health-care delivery context is quite a challenging task. Although there are numerous performance assessment models, audit tools and managerial diagnostic tools, they all, however, tend to fall short in their attempts to scrutinize how health-care organizations deploy their capabilities to deliver optimum quality in service provision and what performance levels they achieved as a result of their approach. The project reported here attempted to address these issues, reflecting the experience of Leeds Teaching Hospitals, one of a series of Trusts whose approach to organizational effectiveness was closely examined.

  8. Assessment of Medical Certificate of Cause of Death at a New Teaching Hospital in Vadodara

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    Amul B. Patel, Hitesh Rathod, Himanshu Rana, Viren Patel

    2011-01-01

    Full Text Available The study was conducted to find out errors in the medical certification of cause of death during July 2011 at a new teaching hospital in Vadodara. All certificates of in-hospital deaths in medical record department, from May 2010 to June 2011, were assessed for major and minor errors. Data were analyzed with SPSS 17 version software. The results revealed that out of 40 death certificates, not a single was free from any error. Major errors occurred in 23(57.5% cases with improper sequencing (55% as most frequent. Most common minor error was the absence of time interval between the onset of disease and death (92.5%. No significant association was found between major errors and factors like age, sex, ward and underlying cause of death. This study concluded that educational intervention is necessary to increase physicians' awareness regarding importance of medical certificate of cause of death and accuracy of death certificates.

  9. Clinical audit on documentation of anticipatory "Not for Resuscitation" orders in a tertiary australian teaching hospital

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    Naveen Sulakshan Salins

    2011-01-01

    Full Text Available Aim: The purpose of this clinical audit was to determine how accurately documentation of anticipatory Not for Resuscitation (NFR orders takes place in a major metropolitan teaching hospital of Australia. Materials and Methods: Retrospective hospital-based study. Independent case reviewers using a questionnaire designed to study NFR documentation reviewed documentation of NFR in 88 case records. Results: Prognosis was documented in only 40% of cases and palliative care was offered to two-third of patients with documented NFR. There was no documentation of the cardiopulmonary resuscitation (CPR process or outcomes of CPR in most of the cases. Only in less than 50% of cases studied there was documented evidence to suggest that the reason for NFR documentation was consistent with patient′s choices. Conclusion: Good discussion, unambiguous documentation and clinical supervision of NFR order ensure dignified and quality care to the dying.

  10. Prevalence of pressure ulcers in three university teaching hospitals in Ireland.

    LENUS (Irish Health Repository)

    Gallagher, Paul

    2012-02-03

    AIM: Pressure ulceration is a significant, but preventable, cause of morbidity and resource utilisation in hospital populations. Data on pressure ulcer prevalence in Ireland are limited. This study aims to determine (i) the point-prevalence of pressure ulcers in three teaching hospitals in Ireland and (ii) risk factors for their development. METHODS: Eight teams of one doctor and one nurse visited 672 adult patients over a 2-day period in three teaching hospitals. Each patient was examined and pressure ulcers graded with the European Pressure Ulcer Advisory Panel system. Mental test score, Barthel index, type of support surface, length of stay, documentation of risk assessment and serum albumin were recorded. RESULTS: Point-prevalence of pressure ulceration was 18.5%. Seventy-seven percent of pressure ulcers were hospital-acquired, 49% grade 1, 37% grade 2, 11% grade 3 and 3% grade 4. Reduced mobility, urinary incontinence, cognitive impairment, low serum albumin and length of stay were significantly associated with pressure ulcers. Multivariate logistic regression analysis found reduced mobility (odds ratio 8.84; 95% CI 5.04-15.48, p<0.0001) and length of stay (odds ratio 1.02; 95% CI 1.01-1.02, p<0.0001) to be predictive of the presence of pressure ulcers. Age, gender and risk assessment documentation were not associated with pressure ulcers. Sixty-five percent of patients with pressure ulcers were positioned on appropriate support surfaces. DISCUSSION: Point-prevalence of pressure ulceration was 18.5%, similar to international data. Regular audit of prevalence, prevention and management strategies may raise awareness, influence resource allocation and ultimately improve patient care.

  11. Microbiological assessment of indoor air of a teaching hospital in Nigeria

    Institute of Scientific and Technical Information of China (English)

    Awosika SA; Olajubu FA; Amusa NA

    2012-01-01

    Objective:To investigate the quality of indoor air of different wards and units of Olabisi Onabanjo University Teaching Hospital, Sagamu, to ascertain their contribution to infection rate in the hospital. Methods: The microbial quality of indoor air of nine wards/units of Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria was conducted. Sedimentation technique using open Petri-dishes containing different culture media was employed and samplings were done twice daily, one in the morning shortly after cleaning and before influx of people/patients into the wards/units and the other in the evening when a lot of activities would have taken place in these wards. Isolates were identified according to standard methods. Results: Results showed that there was a statistically significant difference (χ²=6.016 7) in the bacteria population of the different sampling time whereas it was not so for fungi population (χ²= 0.285 7). Male medical ward (MMW) and male surgical general (MSG) recorded the highest bacterial and fungal growth while the operating theatre (OT) was almost free of microbial burden. The bacteria isolates were Staphylococcus aureus, Klebsiella sp., Bacillus cereus, Bacillus subtilis, Streptococcus pyogenes and Serratia marscences while the fungi isolates included Aspergillus flavus, Penicillium sp., Fusarium sp., Candida albicans and Alternaria sp. Staphylococcus aureus was the predominantly isolated bacterium while Penicillium sp. was the most isolated fungus. Conclusions: Though most of the microbial isolates were potential and or opportunistic pathogens, there was no correlation between the isolates in this study and the surveillance report of nosocomial infection during the period of study, hence the contribution of the indoor air cannot be established. From the reduction noticed in the morning samples, stringent measures such as proper disinfection and regular cleaning, restriction of patient relatives’ movement in and out of the wards

  12. Medication error detection in two major teaching hospitals: What are the types of errors?

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    Fatemeh Saghafi

    2014-01-01

    Full Text Available Background: Increasing number of reports on medication errors and relevant subsequent damages, especially in medical centers has become a growing concern for patient safety in recent decades. Patient safety and in particular, medication safety is a major concern and challenge for health care professionals around the world. Our prospective study was designed to detect prescribing, transcribing, dispensing, and administering medication errors in two major university hospitals. Materials and Methods: After choosing 20 similar hospital wards in two large teaching hospitals in the city of Isfahan, Iran, the sequence was randomly selected. Diagrams for drug distribution were drawn by the help of pharmacy directors. Direct observation technique was chosen as the method for detecting the errors. A total of 50 doses were studied in each ward to detect prescribing, transcribing and administering errors in each ward. The dispensing error was studied on 1000 doses dispensed in each hospital pharmacy. Results: A total of 8162 number of doses of medications were studied during the four stages, of which 8000 were complete data to be analyzed. 73% of prescribing orders were incomplete and did not have all six parameters (name, dosage form, dose and measuring unit, administration route, and intervals of administration. We found 15% transcribing errors. One-third of administration of medications on average was erroneous in both hospitals. Dispensing errors ranged between 1.4% and 2.2%. Conclusion: Although prescribing and administrating compromise most of the medication errors, improvements are needed in all four stages with regard to medication errors. Clear guidelines must be written and executed in both hospitals to reduce the incidence of medication errors.

  13. Simulation-Based Dysphagia Training: Teaching Interprofessional Clinical Reasoning in a Hospital Environment.

    Science.gov (United States)

    Miles, Anna; Friary, Philippa; Jackson, Bianca; Sekula, Julia; Braakhuis, Andrea

    2016-06-01

    This study evaluated hospital readiness and interprofessional clinical reasoning in speech-language pathology and dietetics students following a simulation-based teaching package. Thirty-one students participated in two half-day simulation workshops. The training included orientation to the hospital setting, part-task skill learning and immersive simulated cases. Students completed workshop evaluation forms. They filled in a 10-question survey regarding confidence, knowledge and preparedness for working in a hospital environment before and immediately after the workshops. Students completed written 15-min clinical vignettes at 1 month prior to training, immediately prior to training and immediately after training. A marking rubric was devised to evaluate the responses to the clinical vignettes within a framework of interprofessional education. The simulation workshops were well received by all students. There was a significant increase in students' self-ratings of confidence, preparedness and knowledge following the study day (p < .001). There was a significant increase in student overall scores in clinical vignettes after training with the greatest increase in clinical reasoning (p < .001). Interprofessional simulation-based training has benefits in developing hospital readiness and clinical reasoning in allied health students. PMID:26803776

  14. Questionnaire survey of working relationships between nurses and doctors in University Teaching Hospitals in Southern Nigeria

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    Adebamowo Clement A

    2006-02-01

    Full Text Available Abstract Background Smooth working relationships between nurses and doctors are necessary for efficient health care delivery. However, previous studies have shown that this is often absent with negative impact on the quality of health care delivery. In 2002, we studied factors that affect nurse-doctor working relationships in University Teaching Hospitals (UTH in Southern Nigeria in order to characterize it and identify managerial and training needs that might be used to improve it. Method Questionnaire survey of doctors and nurses working in four UTH in Southern Nigeria was done in 2002. The setting and subjects were selected by random sampling procedures. Information on factors in domains of work, union activities, personnel and hospital management were studied using closed and open-ended questionnaires. Results Nurse-doctor working relationships were statistically significantly affected by poor after-work social interaction, staff shortages, activist unionism, disregard for one's profession, and hospital management and government policies. In general, nurses had better opinion of doctors' work than doctors had about nurses' work. Conclusion Working relationships between doctors and nurses need to be improved through improved training and better working conditions, creation of better working environment, use of alternative methods of conflict resolution and balanced hospital management and government policies. This will improve the retention of staff, job satisfaction and efficiency of health care delivery in Nigeria.

  15. Diversity of Bacterial Communities on Four Frequently Used Surfaces in a Large Brazilian Teaching Hospital.

    Science.gov (United States)

    Pereira da Fonseca, Tairacan Augusto; Pessôa, Rodrigo; Felix, Alvina Clara; Sanabani, Sabri Saeed

    2016-02-01

    Frequently used hand-touch surfaces in hospital settings have been implicated as a vehicle of microbial transmission. In this study, we aimed to investigate the overall bacterial population on four frequently used surfaces using a culture-independent Illumina massively parallel sequencing approach of the 16S rRNA genes. Surface samples were collected from four sites, namely elevator buttons (EB), bank machine keyboard buttons (BMKB), restroom surfaces, and the employee biometric time clock system (EBTCS), in a large public and teaching hospital in São Paulo. Taxonomical composition revealed the abundance of Firmicutes phyla, followed by Actinobacteria and Proteobacteria, with a total of 926 bacterial families and 2832 bacterial genera. Moreover, our analysis revealed the presence of some potential pathogenic bacterial genera, including Salmonella enterica, Klebsiella pneumoniae, and Staphylococcus aureus. The presence of these pathogens in frequently used surfaces enhances the risk of exposure to any susceptible individuals. Some of the factors that may contribute to the richness of bacterial diversity on these surfaces are poor personal hygiene and ineffective routine schedules of cleaning, sanitizing, and disinfecting. Strict standards of infection control in hospitals and increased public education about hand hygiene are recommended to decrease the risk of transmission in hospitals among patients. PMID:26805866

  16. Resistance and integron characterization of Acinetobacter baumannii in a teaching hospital in Chongqing, China

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    C. Huang

    2015-11-01

    Full Text Available A total of 189 Acinetobacter baumannii isolates were collected in 2011 from a teaching hospital in Chongqing, China. Susceptibility data showed strains carrying integrons were significantly more resistant to all tested antibiotics that strains lacking integrons. Five types of gene cassettes belonging to class I integrons were identified in this study, and for the first time two types of gene cassettes belonging to class II integrons are reported. Most of the cassettes belong to a class I integron (136/144 encoding arr3, aacA4, dfrA17, aadA5, aadB, cat, blaOXA10, aadA1, aadA2, dfrA and aacC1. Isolates contained a class I gene cassette; AadA2-HP-dfrA was the prevalent strain in this hospital. A class II integron was detected in eight strains, which contained the type IV fimbriae expression regulatory gene pilR and sulfate adenylyltransferase, suggesting a possible role in multidrug resistance. The major epidemic strains from intensive care unit patients belong to international clone 2. In conclusion, the presence of integrons was significantly associated with multiple drug resistance of A. baumannii in this hospital, and class I integron isolates bearing AadA2-HP-dfrA were the prevalent strain in this hospital.

  17. An ethnographic investigation of junior doctors' capacities to practice interprofessionally in three teaching hospitals.

    Science.gov (United States)

    Milne, Jacqueline; Greenfield, David; Braithwaite, Jeffrey

    2015-01-01

    Collaborative practice among early career staff is at the bedrock of interprofessional care. This study investigated factors influencing the enactment of interprofessional practice by using the day-to-day role of six junior doctors in three teaching hospitals as a gateway to understand the various professions' interactive behaviours. The contextual framework used for the study was Strauss' theory of negotiated order. Ethnographic techniques were applied to observe the actions and interactions of participants on typical working days in their hospital environments. Field notes were created and thematic analysis was applied to the data. Three themes explored were culture, communication, and collaboration. Issues identified highlight the bounded organisational and professional cultures within which junior doctors work, and systemic problems in interprofessional interaction and communication in the wards of hospitals. There are indications that early career doctors are interprofessional isolates. The constraints of short training terms and pressure from multi-faceted demands on junior doctors can interfere with the establishment of meaningful relationships with nurses and other health professionals. The realisation of sustained interprofessional practice is, therefore, practically and structurally difficult. Enabling factors supporting the sharing of expertise are outweighed by barriers associated with professional and hospital organisational cultures, poor interprofessional communication, and the pressure of competing individual task demands in the course of daily practice. PMID:25646898

  18. Diversity of Bacterial Communities on Four Frequently Used Surfaces in a Large Brazilian Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Tairacan Augusto Pereira da Fonseca

    2016-01-01

    Full Text Available Frequently used hand-touch surfaces in hospital settings have been implicated as a vehicle of microbial transmission. In this study, we aimed to investigate the overall bacterial population on four frequently used surfaces using a culture-independent Illumina massively parallel sequencing approach of the 16S rRNA genes. Surface samples were collected from four sites, namely elevator buttons (EB, bank machine keyboard buttons (BMKB, restroom surfaces, and the employee biometric time clock system (EBTCS, in a large public and teaching hospital in São Paulo. Taxonomical composition revealed the abundance of Firmicutes phyla, followed by Actinobacteria and Proteobacteria, with a total of 926 bacterial families and 2832 bacterial genera. Moreover, our analysis revealed the presence of some potential pathogenic bacterial genera, including Salmonella enterica, Klebsiella pneumoniae, and Staphylococcus aureus. The presence of these pathogens in frequently used surfaces enhances the risk of exposure to any susceptible individuals. Some of the factors that may contribute to the richness of bacterial diversity on these surfaces are poor personal hygiene and ineffective routine schedules of cleaning, sanitizing, and disinfecting. Strict standards of infection control in hospitals and increased public education about hand hygiene are recommended to decrease the risk of transmission in hospitals among patients.

  19. 2010-2015年北京医院外科病房万古霉素的使用情况分析%Analysis on usage of vancomycin in surgical ward of Beijing Hospital during 2010- 2015

    Institute of Scientific and Technical Information of China (English)

    梁晓丽; 杜燕京; 谢婧; 李六水

    2016-01-01

    Objective To analyze the usage of vancomycin in the surgical ward of Beijing Hospital during 2010 — 2015, so as to provide references for the rational use of vancomycin. Methods All hospitalized cases used vancomycin in Beijing Hospital from January 2010 to December 2015 were screened, and the detailed information was extracted. The usage of vancomycin in different departments, drug sensitive test, clinical efficiency percentage, and rationality of usage were then analyzed. Results A total of 454 cases were screened, of which 89 cases (19.6%) were unreasonable and 432 cases (95.2%) showed effective results;The total dosage of 4 263.3 g of vancomycin was used in 3 307 d, the DDD was 2 g/d, therefore, the DUI was 0.64. Conclusion The use of vancomycin in the surgical ward of Beijing Hospital is generally rational, however, some irrational cases are also found.%目的:回顾分析北京医院外科住院病房2010—2015年万古霉素的用药情况,为临床合理使用万古霉素提供参考。方法筛选北京医院2010年1月—2015年12月使用万古霉素的外科住院患者的全部病例,提取详细病例信息,并对各科室使用情况、药敏送检情况、临床有效率及用药合理性进行统计分析。结果共筛选出病例454例,其中用药不合理89例(占19.6%),治疗有效的432例,有效率95.2%;万古霉素的总用药量4263.3 g,总用药天数为3307 d,限定日剂量(DDD)为2 g/d,药物利用指数(DUI)=0.64。结论北京医院外科病房万古霉素使用基本合理,但仍有部分病例存在使用不规范情况。

  20. The association between social capital and burnout in nurses of a trauma referral teaching hospital.

    Science.gov (United States)

    Farahbod, Farzin; Goudarzvand Chegini, Mehrdad; Kouchakinejad Eramsadati, Leila; Mohtasham-Amiri, Zahra

    2015-01-01

    Social capital is a multi-faceted phenomenon in social sciences that massively affects many social fields. It can be a helpful factor in promoting health. Among the groups with high burnout, nurses have always shown higher levels of burnout. Studies have revealed that social capital can be an important factor affecting burnout. This study aimed to determine the extent of the effect of social capital on burnout in nurses of a trauma referral teaching hospital in Rasht. This was a descriptive correlational study conducted on 214 nurses of a trauma referral teaching hospital. Maslach standard questionnaire and the social capital questionnaire devised by Boyas and colleagues were used. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and linear regression analysis to determine the extent of the effect of social capital on burnout. The study showed an inverse association between social capital and burnout. The intensity of the relationship was -0.451 (Pburnout variable showed that the regression coefficient of social capital equaled -0.34. The determination coefficient of this regression model indicated that social capital explained 20% of burnout changes. The results showed high burnout in emotional exhaustion dimension and an inverse association between social capital and burnout. Thus, attempts should be made to promote social capital dimensions among nurses. Given the inevitability of job stress in a nursing environment, and managers should plan on improving the working conditions and training techniques to deal with such stress.

  1. Obstetric outcomes of booked teenage pregnancies at University of Calabar Teaching Hospital, Nigeria

    Directory of Open Access Journals (Sweden)

    Ago BU

    2012-10-01

    Full Text Available Boniface Uji Ago, Sylvester Abeshi, Charles Njoku, Thomas Udagbor Agan, John EkabuaDepartment of Obstetrics and Gynaecology, University of Calabar Teaching Hospital, Calabar, NigeriaBackground: Teenage pregnancy is high-risk and associated with complications due to adverse physiological, anatomical, and socioeconomic factors. The purpose of this study was to determine the patterns and obstetric outcomes of booked teenage pregnancies at the University of Calabar Teaching Hospital (UCTH in Nigeria.Methods: A retrospective comparative analysis of teenage pregnancies and mature mothers at UCTH was carried out from January 2011 to December 2011. A total of 82 teenage pregnancies and 72 mature pregnancies were compared.Results: There were 145 teenage deliveries from a total of 2313 deliveries, ie, 6.3% of total deliveries. There was no statistically significant difference in the mode of delivery (cesarean section, spontaneous vaginal delivery, instrumental delivery between the groups of mothers. There was also no difference in risk of complications, including obstructed labor, retained placenta, uterine atony, pre-eclampsia/eclampsia, and antepartum hemorrhage. However, teenage mothers had more perineal lacerations (P = 0.02 and more preterm labor (P = 0.05, and delivered more low-birth-weight babies (P = 0.02.Conclusion: Supervised teenage pregnancy may not be as hazardous as previously thought.Keywords: teenage pregnancy, booked pregnancy, obstetric outcome

  2. The profile of tuberculosis infection at the Babcock University Teaching Hospital

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    Shobowale E.O

    2016-01-01

    Full Text Available Background: Tuberculosis is the leading cause of death from any single pathogen and it has consistently continued to be a major public health challenge globally. Data show that Nigeria ranks tenth among the 22 high tuberculosis burden countries. Aim: This study intends to describe the profile of tuberculosis infections in Babcock University Teaching Hospital. Methods: This was a retrospective cross sectional study of patients presenting to the Tuberculosis Laboratory of Babcock University Teaching Hospital. Results: Patients presenting to BUTH were 2.29 times more likely to have a positive AFB sputum smear result when compared to samples from Primary Health Care Centers – P = 0.05, χ 2 = 3.83, O.R = 2.29, R.R = 1.17, CI = 1.0 – 5.34. Patients presenting to BUTH were more likely to be HIV positive when compared to those from PHC’s p = 0.00, χ 2 = 24.74, df = 2. Conclusion: The burden of tuberculosis is still high in our environment and challenges in its rapid and accurate diagnosis still remain. In order to strengthen tuberculosis control, attention needs to be placed on rapid diagnosis and prompt treatment.

  3. AUDIT OF CANCELLATION OF ELECTIVE SURGERIES IN A TEACHING HOSPITAL IN SOUTH INDIA

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    Ilango

    2015-04-01

    Full Text Available BACKGROUND : Cancellation of scheduled surgical procedures is an issue of healthcare quality as well as a major cause of waste of health resources. This results in emotional trauma and inconvenience to the patients and their families. AIM : The objective of this audit was to find out the prevalence and causes of cancellation so that solutions can be made out to improve the quality of healthcare. SETTINGS AND DESIGN : It was an observational study carried out in 400 bedded Teaching hospital in South India. METH ODS AND MATERIALS : Elective surgeries scheduled in 400 bedded teaching hospital were studied from June 2014 to January 2015. On the day of surgery, the completed surgeries that were scheduled and the list of cancellations with the reason for cancellation w ere entered in separate registers, by the anaesthesiologist. STATISTICAL ANALYSIS : These data were analysed using Epi info software version 7. RESULTS : 2067 patients were scheduled for surgeries out of which 269 got cancelled resulting in 13.01% cancellati ons. The most common cause of cancellation was lack of operating time which was 43.12% of cancelled cases. CONCLUSION: Most of the reasons for cancellation were avoidable by judicious scheduling of lists and careful planning by the team involved in surgeri es.

  4. 探析军队教学医院临床教学秘书工作%Investigation on teaching secretarial job in military teaching hospital

    Institute of Scientific and Technical Information of China (English)

    江艇; 郭彦琼; 向国春

    2013-01-01

    Teaching hospital plays a central role in training excellent doctor.Clinical teaching secretaries act as the advisor,coordinator,logistics people and supervisor in hospital clinical teaching management.Their duties include helping leader form and fulfill teaching plan,collect and arrange teaching records.To better accomplish the teaching secretarial job,a clinical teaching secretary should keep improving professional quality and personal comprehensive ability,ameliorating working methods and enhancing innovative thinking in a sound managing and evaluating system.%教学医院是培养优秀医学生的重要平台.临床教学秘书在医院教学管理中担任着参谋者、协调者、保障者和监督者的角色,具体职责包括协助制定和实施教学计划、收集和管理教学档案等.在健全的管理和考核制度下,教学秘书只有不断提高业务素质和个人综合能力、改善工作方法、加强创新意识,才能更好地完成教学秘书工作.

  5. Blood transfusion trends in obstetrics at the Federal Teaching Hospital in Abakaliki, South-East Nigeria

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    Lawani OL

    2013-07-01

    Full Text Available Osaheni L Lawani,1 Chukwuemeka A Iyoke,2 Azubuike K Onyebuchi1 1Department of Obstetrics and Gynecology, Federal Teaching Hospital, Ebonyi State, Nigeria; 2Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu State, Nigeria Background: Obstetric hemorrhage has been repeatedly implicated as a leading cause of maternal mortality in Nigeria, yet there are very few studies that evaluate the practice of blood transfusion in obstetrics as a life saving measure. Objectives: The aim of this study was to evaluate the practice of obstetric blood transfusion, the mean decision-transfusion interval, and the outcome in parturients who had blood transfusions. Methods: This was a prospective descriptive study conducted at the Federal Teaching Hospital, Abakaliki, South-East Nigeria, between 1st January, 2012 and 31st December, 2012. Statistical analysis was done using SPSS version 15.0 for Windows. Results: Out of 151 parturients who received blood transfusion, 141/151 (97.4% were knowledgeable about blood transfusion, while only 10/151 (2.6% had no knowledge of it. The hospital was the source of information for 120/151 (80.8% of the participants. Blood transfusion rate was 7.04% of all parturients. The mean decision-transfusion interval was 12.0 ± 4.3 hours. All participants were transfused with either whole blood or sedimented cells. The mean number of blood units transfused was 1.77 ± 0.93 units. The indications for transfusion were: anemia, 109/151 (72.2%; shock, 13/151 (8.6%; postpartum hemorrhage, 23/151 (15.2%; antepartum hemorrhage, 6 (4%. Six (4% women died; mortality was due to renal failure in 3/6 (50% and disseminated intravascular coagulopathy in 3/6 (50%. These deaths were due to delays and difficulty in securing blood for transfusion, while those who got transfused on time were salvaged with minimal morbidity, 21/151 (14%, or with no morbidity, 130/151 (86%. Conclusion: Excessive blood loss and anemia still

  6. Antimicrobial resistance among nosocomial isolates in a teaching hospital in Goa

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    Kamat U

    2008-01-01

    Full Text Available Background: Emergence of polyantimicrobial resistant strains of hospital pathogens has presented a challenge in the provision of good quality in-patient care. Inappropriate use of antibiotics in the hospital is largely responsible for this catastrophe. Bacteriological surveillance of the cases of nosocomial infections is crucial for framing an evidence-based antimicrobial policy for a hospital. Materials and Methods: A prospective study was undertaken among 498 patients from medicine and surgery wards in a tertiary teaching hospital in Goa. The patients were followed up clinico-bacteriologically for the occurrence of nosocomial infections (NI. Antibiotic susceptibility testing was done using Kirby-Bauer disc diffusion method. Results: The overall infection rate was 33.93 ± 4.16 infections per 100 patients. Urinary tract infection was the most common NI (26.63%, followed by surgical site infection (23.67%, wound infection (23% and nosocomial pneumonia (18.34%. Ninety-seven percent of the isolates were bacterial, while the others were fungal. More than 80% of the NIs were caused by Gram-negative bacteria, predominantly Pseudomonas aeruginosa, Escherichia coli and Aceinetobacter baumanii . Almost 70% of the isolates were resistant to all the antibiotics for which susceptibility was tested; the rest were sensitive to amikacin, cefoperazone-sulbactam and other antibiotics including methicillin, co-trimoxazole, teicoplenin, vancomycin and rifampicin, either singly or in combination. The proportion of MRSA was 71.4%. Resistance to a particular antibiotic was found to be directly proportional to the antibiotic usage in the study setting. Conclusion: Surveillance of nosocomial infections with emphasis on the microbiologic surveillance and frequent antimicrobial audit are critical towards curbing the evil of polyantimicrobial resistant nosocomial infections in a hospital.

  7. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  8. Factors Associated With Waiting Time for Breast Cancer Treatment in a Teaching Hospital in Ghana.

    Science.gov (United States)

    Dedey, Florence; Wu, Lily; Ayettey, Hannah; Sanuade, Olutobi A; Akingbola, Titilola S; Hewlett, Sandra A; Tayo, Bamidele O; Cole, Helen V; de-Graft Aikins, Ama; Ogedegbe, Gbenga; Adanu, Richard

    2016-08-01

    Background Breast cancer is the leading cause of cancer-related mortality among women in Ghana. Data are limited on the predictors of poor outcomes in breast cancer patients in low-income countries; however, prolonged waiting time has been implicated. Among breast cancer patients who received treatment at Korle Bu Teaching Hospital, this study evaluated duration and factors that influenced waiting time from first presentation to start of definitive treatment. Method We conducted a hospital-based retrospective study of 205 breast cancer patients starting definitive treatment at Korle Bu Teaching Hospital between May and December 2013. We used descriptive statistics to summarize patient characteristics. Mann-Whitney U and Kruskal-Wallis tests and Spearman rank correlation were performed to examine the patients, health system, and health worker factors associated with median waiting time. Poisson regression was used to examine the determinants of waiting time. Results The mean age of the patients was 51.1 ± 11.8 years. The median waiting time was 5 weeks. The determinants of waiting time were level of education, age, income, marital status, ethnicity, disease stage, health insurance status, study sites, time interval between when biopsy was requested and when results were received and receipt of adequate information from health workers. Conclusion A prolonged waiting time to treatment occurs for breast cancer patients in Ghana, particularly for older patients, those with minimal or no education, with lower income, single patients, those with late disease, those who are insured, and who did not receive adequate information from the health workers. Time to obtain biopsy reports should be shortened. Patients and providers need education on timely treatment to improve prognosis. PMID:27091222

  9. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999–2009

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    TU Agan

    2010-08-01

    Full Text Available TU Agan1, EI Archibong1, JE Ekabua1, EI Ekanem1, S E Abeshi1, TA Edentekhe2, EE Bassey21Department of Obstetrics and Gynecology and 2Department of Anesthesia, College of Medical Sciences, University of Calabar Teaching Hospital, NigeriaBackground: Maternal mortality remains a major public health challenge, not only at the University of Calabar Teaching Hospital, but in the developing world in general.Objective: The objective of this study was to assess trends in maternal mortality in a tertiary health facility, the maternal mortality ratio, the impact of sociodemographic factors in the deaths, and common medical and social causes of these deaths at the hospital.Methodology: This was a retrospective review of obstetric service delivery records of all maternal deaths over an 11-year period (01 January 1999 to 31 December 2009. All pregnancy-related deaths of patients managed at the hospital were included in the study.Results: A total of 15,264 live births and 231 maternal deaths were recorded during the period under review, giving a maternal mortality ratio of 1513.4 per 100,000 live births. In the last two years, there was a downward trend in maternal deaths of about 69.0% from the 1999 value. Most (63.3% of the deaths were in women aged 20–34 years, 33.33% had completed at least primary education, and about 55.41% were unemployed. Eight had tertiary education. Two-thirds of the women were married. Obstetric hemorrhage was the leading cause of death (32.23%, followed by hypertensive disorders of pregnancy. Type III delay accounted for 48.48% of the deaths, followed by Type I delay (35.5%. About 69.26% of these women had no antenatal care. The majority (61.04% died within the first 48 hours of admission.Conclusion: Although there was a downward trend in maternal mortality over the study period, the extent of the reduction is deemed inadequate. The medical and social causes of maternal deaths identified in this study are preventable, especially

  10. RUPTURE OF UTERUS - A FIVE YEAR PROSPECTIVE STUDY IN A TEACHING HOSPITAL

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    Saritha

    2015-10-01

    Full Text Available OBJECTIVE : Uterine rupture is a preventable obstetric complication. The aim of the study is to know the incidence of uterine rupture, find out the predisposing factors, maternal and foetal outcome in a tertiary teaching hospital and suggest measures to decrease the incidence of rupture uterus. MATERIAL AND METHODS: All cases referred to the hospital with rupture uterus and cases delivered in the hospital with rupture of uterus between July 2010 to June 2015 were included in the study. Age, parity, gestational age, mo de of delivery, type of rupture, surgery done, and foetomaternal outcome were noted. RESULTS : The incidence of rupture uterus in the present study was 1.32 per 1,000 deliveries. Most of these patients were young with mean age of 24.23 years, 1 st and 2 nd gr avida. Previous caesarean scar and traumatic instrumental delivery with forceps were common risk factors. Maternal morbidity was high and maternal mortality was 7.89% and foetal loss was high ( 78.95%. Uterine repair with bilateral tubectomy was the common est surgery performed. CONCLUSION: Causes of rupture uterus are preventable. Proper antenatal care, early referral of patients with risk factors to centres equipped with facilities for surgical intervention and facilities for blood transfusion , c areful mon itoring of women in labour with partogram, judicious use of oxytocin will go a long way in decreasing the incidence of rupture uterus.

  11. Utilization Pattern of Antibiotics in Different Wards of Sari Imam Khomeini Teaching Hospital

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    M.A. Ebrahimzadeh, Ph.D.

    2007-01-01

    Full Text Available AbstractBackground and Purpose: Due to an increase in cases of irrational drug prescription and it's health and economic consequences, evaluation of the rational use of drugs seemed necessary. Among drug groups antibiotics are greatly significant.Materials and Methods: Utilization pattern of antibiotics in different wards of Sari Imam Khomeini teaching hospital in the first half of 2000 and 2005 were reviewed. ATC/DDD (Anatomic, Therapeutic, Chemical/ Defined Daily Dose methodology was used.Results: Data showed, use of antibiotics jumped from 95.4 DBDs (DDD per patient’s bed-days to 124 DBDs. Distribution of different class of anti-microbial, showed the highest increase in use of vancomycin and clindamycin. Use of cotrimoxazole and aminoglycosides remained fairly unchanged, howerrs consumption of Penicillin G dropped. In year 2005, ICU ward followed by gynecology, were among the University Hospital departments with the highest consumption of antibiotics. Cefazolin was the most prescribed antibiotics during this study.Conclusion: It appers that there is a need for more national drug policities and drug education program for health care professionals. Evaluation of drug distribution in hospitals seems to be necessary.Key words:

  12. Evaluation of the implementation of the knowledge management processes in Shiraz University of Medical Sciences teaching hospitals, 2014

    OpenAIRE

    Roxana Sharifian; Nasrin Shokrpour; Fahimeh Salehpour

    2015-01-01

    Introduction: Recognition and implementation of knowledge management have an important effect on improving the quality of hospital activities. According to the direct relationship with the society’s health, health and treatment departments need knowledgeable and skillful staff. Thus, this research investigated different dimensions of the knowledge management processes in teaching hospitals of Shiraz University of Medical Sciences in 2014. Method: This cross-sectional analytical st...

  13. Molecular Diagnostics for Lassa Fever at Irrua Specialist Teaching Hospital, Nigeria: Lessons Learnt from Two Years of Laboratory Operation

    OpenAIRE

    Danny A Asogun; Adomeh, Donatus I.; Jacqueline Ehimuan; Ikponmwonsa Odia; Meike Hass; Martin Gabriel; Stephan Olschläger; Beate Becker-Ziaja; Onikepe Folarin; Eric Phelan; Ehiane, Philomena E.; Ifeh, Veritas E.; Uyigue, Eghosasere A.; Oladapo, Yemisi T.; Muoebonam, Ekene B.

    2012-01-01

    BACKGROUND: Lassa fever is a viral hemorrhagic fever endemic in West Africa. However, none of the hospitals in the endemic areas of Nigeria has the capacity to perform Lassa virus diagnostics. Case identification and management solely relies on non-specific clinical criteria. The Irrua Specialist Teaching Hospital (ISTH) in the central senatorial district of Edo State struggled with this challenge for many years. METHODOLOGY/PRINCIPAL FINDINGS: A laboratory for molecular diagnosis of Lassa fe...

  14. Skin and Musculoskeletal Disorders among Nursing Staff of a Referral-Teaching Hospital in Tehran-Iran

    OpenAIRE

    ALIREZA ABDOLLAHI; SHAHNAZ ADINEH

    2015-01-01

    OROGINAL ARTICLE Occupational diseases are any chronic ailment that occurs as a result of work or occupational activity. This study was conducted to examine the frequency and risk factors of some Skin and Musculoskeletal Disorders among nurses at a referral-teaching hospital. All 197 nurses in the hospital from different working shifts were engaged in the study. All nurses filled out a questionnaire containing demographic and occupational data. In the questionnaire, they specified the followi...

  15. Study of compliance of crash carts to standards in the emergency of a tertiary care teaching hospital

    OpenAIRE

    Namrata Makkar; Nirupam Madaan

    2016-01-01

    Background: The successful management of cardiopulmonary emergencies revolves around the optimum utilization of the golden hour, so that the patient gets the best possible advantage at survival. Aim of the study was to perform gap analysis of crash carts in the emergency of a tertiary care teaching hospital by comparing the salient parameters with standards listed by Resuscitation Council UK (for equipment) and National Accreditation Board of Hospitals and health care providers (for managemen...

  16. Bacteriological Profile and Antibiotic Susceptibility Pattern of Neonatal Sepsis at a Teaching Hospital in Bayelsa State, Nigeria

    OpenAIRE

    Peterside, Oliemen; Pondei, Kemebradikumo; Felix O Akinbami

    2015-01-01

    Background: Sepsis is one of the most common causes of neonatal hospital admissions and is estimated to cause 26% of all neonatal deaths worldwide. While waiting for results of blood culture, it is necessary to initiate an empirical choice of antibiotics based on the epidemiology of causative agents and antibiotic sensitivity pattern in a locality. Objective: To determine the major causative organisms of neonatal sepsis at the Niger Delta University Teaching Hospital (NDUTH), as well as their...

  17. Accreditation of Emergency Department at a Teaching Hospital in Tehran University of Medical Sciences in 2010

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    Fereshteh Farzianpour

    2011-01-01

    Full Text Available Problem statement: Considering the importance of emergency departments in healthcare system and the high mortality rate of patients referred to these departments, it is crucial to provide quality services in emergency departments. Accreditation is a systematic process for improving quality of care and it enables managers to assess and evaluate the healthcare system. Accreditation of an organization provides an obvious commitment for improving quality of safety, quality of patient care, ensuring safety surveillance and continuous activities for reducing dangers which threaten patients and staff. Therefore, given the vital role as well as and the perpetual and indispensable service provided by the emergency departments, it is necessary to re-evaluate the manner of service provision in these departments according to the standards and criteria of accreditation, so that an observance of these criteria will lead to improvement of emergency medicine in Iran. Thus, the present study was undertaken with the purpose of accreditation of emergency department of a teaching hospital of Tehran University of Medical Sciences according to the standards of Iranian Deputy of Health and the JCI. Approach: This is a descriptive-analytic study with a cross-sectional structure. Our study population consisted of 50 individuals of the healthcare staff (physicians and nurses working in morning and evening work shifts of the emergency department in the teaching hospital. Data collection tools consisted of standard questionnaires of the Deputy of Health (9 series and questionnaires developed by authors based on the standards of the Joint Commission International (JCI regarding patient satisfaction with services provided in emergency departments. In order to determine the reliability and validity of the data collection tools, professors and experts reviewed the questionnaire of quality and patient safety in accordance with standards of quality patient safety from the

  18. How to Strengthen the Building of Teaching Staff in the Teaching Hospital%加强教学医院师资队伍建设之管见

    Institute of Scientific and Technical Information of China (English)

    史文峰; 杨文

    2001-01-01

    Teaching staff is the main body to carry out clinic in a teaching hospital. It is essentially important to build up a strong contingent of clinical teachers in order to improve bed -side teaching to cultivate qualified doctors. This paper provides understanding of how to strengthen the building of the teaching body in a teaching hospital by laying emphasis on such five aspects as selection, training, employment, supervision of and care for the teaching staff.%教师队伍是临床医院搞好教学的主体力量。这支队伍建设得如何?对于提高教学水平,培养合格临床医师有着至关重要的作用。本文就如何加强教学医院师资队伍建设的问题,着重从抓好选、训、用、待、管五个环节发表了看法。

  19. Pattern of oral cancer registered at a tertiary care teaching hospital in rural Western Maharashtra

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    Purushottam A. Giri

    2013-06-01

    Full Text Available Non-communicable diseases including cancer are emerging as major public health problems in India. Cancer usually means malignancy, has become one of the ten leading cause of death in India. The leading sites of cancer vary from country to country. Oral cancer ranks in the top three of all cancers in India, accounting for over 30% of all cancers reported in the country and its control is quickly becoming a global health priority. The present study was conducted to find out the contribution of different type of oral cancer in a tertiary care teaching hospital of western Maharashtra, India. A retrospective hospital record based study was carried out for the period of 2007-2011 in the department of Radiotherapy of Pravara Rural Hospital, Loni, Maharashtra, India. A total of 5879 patients who were diagnosed with cancer, of them 633 (10.76% patients had oral cancer. Data was collected on the basis of the patient’s record in the hospital and analyzed in the form of percentage and proportions whenever appropriate. A total of 633 oral cancer patients were screened, of which 411 (64.93% were males and 222 (35.07% were females. Among oral cancer, buccal mucosa was highest (37.12%; followed by tongue (36.80%, oropharynx (4.74% and lip and palate (3.15%. Oral cancer is one of the common malignancies in developing countries like India. It is common in males compared to females and is usually seen after middle age. [Int J Res Med Sci 2013; 1(3.000: 233-236

  20. Nurses Exposure to Workplace Violence in a Large Teaching Hospital in Iran

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    Ehsan Teymourzadeh

    2014-11-01

    Full Text Available Background Workplace violence is one of the factors which can strongly reduce job satisfaction and the quality of working life of nurses. The aim of this study was to measure nurses’ exposure to workplace violence in one of the major teaching hospitals in Tehran in 2010. Methods We surveyed the nurses in a cross-sectional design in 2010. The questionnaire was adapted from a standardized questionnaire designed collaboratively by the International Labor Office (ILO, the International Health Organization (IHO, the International Council of Nurses (ICN, and the Public Services International (PSI. Finally, in order to analyze the relationships among different variables in the study, T-test and Chi-Square test were used. Results Three hundred and one nurses responded to the questionnaire (a response rate of 73%. Over 70% of the nurses felt worried about workplace violence. The participants reported exposure to verbal abuse (64% CI: 59-70%, bullying-mobbing (29% CI: 24-34% and physical violence (12% CI: 9-16% at least once during the previous year. Relatives of hospital patients were responsible for most of the violence. Nurses working in the emergency department and outpatient clinics were more likely to report having experienced violence. Nurses were unlikely to report violence to hospital managers, and 40% of nurses were unaware of any existing policies within the hospital for reducing violence. Conclusion We observed a considerable level of nurse exposure to workplace violence. The high rate of reported workplace violence demonstrates that the existing safeguards that aim to protect the staff from abusive patients and relatives are inadequate.

  1. Study of drug utilization pattern of antihyperglycemic agents in a South Indian tertiary care teaching hospital

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    Sayed Aliul Hasan Abdi

    2012-01-01

    Full Text Available Objective: To determine the drug utilization pattern of antihyperglycemic agents (AHA in a tertiary care teaching hospital. Materials and Methods: This was a prospective observational study. All the relevant data were collected and drug utilization pattern of AHA was determined. Direct cost associated with the use of antihyperglycemic medicines was calculated and consumption of the antihyperglycemic medicines was measured as defined daily dose (DDD/100 bed-days. The adverse drug reactions (ADRs related to anti-diabetic medicines were monitored. Statistical Analysis Used: Chi square test (χ2 , mean±standard deviation. Results: During the study period, 350 patients diagnosed as diabetes mellitus (DM were admitted. Insulin was prescribed as monotherapy to 81% and to 52% patients during hospital stay and discharge, respectively. Increase in utilization of insulin was recorded in majority of the patients due to presence of co-morbid conditions or resistance to oral hypoglycemic drugs. Use of insulin at the time of discharge decreased significantly (P<0.05 by 29%. Among the oral AHA, combination of glimepiride with metformin was more prevalent during hospital stay and at the time of discharge monotherapy of metformin followed by glimepiride was more prevalent. During hospital stay, cost of AHA was found to be Rs. 95.27 ± 119.03. The total antihyperglycemic drug consumption in the medicine ward during study period was 13.42 DDD/100 bed-days. Fifty ADRs were reported and descriptions of ADRs were found to be only hypoglycemia. Conclusion: The study exhibited a significant increase in the utilization of two drug combination therapies and monotherapy of oral AHA and decrease in the utilization of insulin at the time of discharge.

  2. MORPHOLOGIC & FLOWCYTOMETRIC ANALYSIS OF ACUTE LEUKEMIAS IN A TEACHING HOSPITAL IN CHHATTISGARH

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    Rabia Parveen

    2015-10-01

    Full Text Available BACKGROUND : Immunophenotyping of leukemi a by flowcytometry offers a better classification of the hematopoietic lineage of malignant cells as compared to morphology. AIM : To determine the immunophenotypic subtypes of acute leukemia in a tertiary care teaching hospital. MATERIAL & METHODS : A one y ear study of morphologic & flowcytometric data of patients with acute leukemia. RESULTS : Total numbers of acute leukemia patients diagnosed morphologically were 45, out of which 20 patients underwent immunophenotyping by flowcytometry. Maximum patients wer e in the age group of 0 - 10 yrs followed by 11 - 20 yrs with males outnumbering female. Immunophenotypically they belonged to ALL - B cell lineage, ALL - T cell lineage, AML, biphenotypic, inconclusive. CONCLUSION : Immunophenotyping of acute leukemias by flowcyto metry, not only helps to confirm the morphologic diagnosis but also helps in assigning specific lineage to the blasts, particularly in acute lymphoid leukemia

  3. Incidence of rotavirus infection in children with gastroenteritis attending Jos university teaching hospital, Nigeria

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    Olabode Atanda O

    2011-05-01

    Full Text Available Abstract This study was conducted to determine the incidence of rotavirus infection in children with gastroenteritis attending Jos university teaching hospital, Plateau State. A total of 160 children with acute diarrhea were selected by random sampling. Stool samples were obtained and assayed for rotavirus antigens by enzyme linked immunosorbent assay technique using standard diagnostic BIOLINE Rotavirus kit. Demographic data of parents were also recorded. Rotavirus were detected in faeces of 22(13.8% children with acute diarrhea, 90.9% of positive cases of rotavirus gastroenteritis were under 2 years of age with highest prevalence in children 7-12 months of age. Males excreted rotavirus at a significant higher rate than females (P

  4. Maternal mortality in a teaching hospital in southern India. A 13-year study.

    Science.gov (United States)

    Rao, K B

    1975-10-01

    During the 13 years 1960-1972, in a teaching hospital that serves a predominantly rural and semiurban population in southern India, there were 74,384 deliveries and 1245 maternal deaths, a maternal mortality rate of 16.7 per 1000 births. Direct obstetric factors caused 854 (65.5%) of these deaths. The leading indirect or associated causes of maternal deaths were anemia, cerebrovascular accidents, and infectious hepatitis. During the past 13 years, monthly maternal mortality meetings have helped to reduce the incidence of avoidable factors in maternal deaths among patients from the city but not among those brought from the surrounding countryside. The important causes of maternal deaths in this developing country, and their prevention, are individually discussed. PMID:1080844

  5. POLYPHARMACY AND DRUG INTERACTIONS: PROFILE OF PEDIATRIC PRESCRIPTIONS OF A TEACHING HOSPITAL

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    Maria Cristina Soares Rodrigues

    2013-01-01

    Full Text Available Adverse events for drugs (AED is a public health problem worldwide, many are due to undesirable drug interactions and preventable nature. This descriptive study aimed to characterize the profile pharmacotherapy and to identify drug interactions (DIs. It was analyzed 110 prescriptions of the patients with age of one to 12 years, in a teaching hospital of Brasilia, Federal District, from October 2005 to February 2006. It found the record of 292 medicines, mainly from the class of the nervous system (37.7%, prevailing prescriptions with up to five drugs (67.3%. It found prescription drugs unapproved and unauthorized for pediatric use. We identified six potential DIs and degree of moderate severity (66.7%. The time of drug administration follows a pattern at 6 am, 12 am, 18 pm and 22 pm, disregarding possible DIs. Knowing the profile pharmacotherapy involving the pediatric patient is extremely important for the prevention of avoidable AAM, such as unwanted DIs.

  6. An audit of letters of referral to a prosthodontic department in a dental teaching hospital.

    Science.gov (United States)

    Fenlon, Michael R; Glick, Shiri; Sherriff, Martyn

    2008-09-01

    The purpose of this study was to investigate the quality and number of letters of referral for new patients received in the Prosthodontics Department of a Dental Teaching Hospital. Letters received during the month of May 2006 were included. Each letter of referral was tested against five criteria which might be expected in an appropriate letter of referral. These were information on the following: relevant dental history, relevant medical history, teeth present, diagnosis, and treatment plan. The results showed that only 8% of letters met all five criteria and 11% met none of them. Letters requesting better information were sent to referring practitioner as a result of this audit. However a re-audit in May 2007 showed that 9% of letters met all five criteria and 15% met none of them. A need has been identifiedfor better referral letters and ways of achieving this were discussed.

  7. Investigation of Seclusion in one of the Psychiatric Wards in Razi Teaching Hospital of Tabriz

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    Maryam Vahidi

    2014-12-01

    Full Text Available Seclusion is one of the methods in controlling violent behavior of inpatients in psychiatric wards. In current descriptive analytic study, data collection instrument included the seclusion list of inpatients by considering individual, social and clinical characteristics in one of the psychiatry wards In the Razi teaching hospital of Tabriz in the first six months of 2012. Among 264 admitted patients, 24 patients (9.1% had been secluded and a total of 29 isolated incidents were recorded. Most of secluded incidents occurred on weekdays (75.9%, first week of inpatient (87.7%, and during the evening shifts (48.3%. The results obtained in this study demonstrate that in 55.2% cases, the duration of isolation was two hours and the most common cause of seclusion was aggressive behaviors. Most of secluded patients (66.7% were diagnosed with mood disorders.

  8. Survey of the major sources of waste in the health care units of a teaching hospital.

    Science.gov (United States)

    Castilho, Valéria; Castro, Liliana Cristina de; Couto, Andréa Tamancoldi; Maia, Flávia de Oliveira Motta; Sasaki, Nair Yoko; Nomura, Felicía Hiromi; Lima, Antonio Fernandes Costa; Mira, Vera Lúcia; Loyolla, Paula Manzatti

    2011-12-01

    The objectives of this study were to survey the different types of waste, their causes and suggestions to eliminate them according to the opinion of the nursing and medical staff from the Clinical Medicine, Surgery, Pediatrics, Rooming-In, and Nursery Units; and estimate the cost of the major source of waste found in the referred units. This descriptive, explorative study was performed at the University of São Paulo Teaching Hospital using a quantitative approach. The study sample consisted of 189 medical and nursing professionals. Material waste (36%) was the most often reported by all professional categories, followed by physical structure waste (27%). The most reported wasted materials were medicines, dressing packs, stationary paper, and infusion devices The estimated annual cost of material waste in the studied units is about R$ 479.262,86.

  9. Ultrasound guided hydrostatic reduction of intussusception in children at Korle Bu teaching hospital: an initial experience

    International Nuclear Information System (INIS)

    Intussusceptions is the telescoping or invagination of a portion of intestine (intussusceptum) into an adjacent segment (intussuscipiens). It is one of the common causes of bowel obstruction in infants and toddlers. Sonography has now been accepted as a method for guiding hydrostatic reduction of intussusception with tap water, normal saline or Ringer’s lactate solution. This method is currently being used at Korle Bu Teaching Hospital. It is a very simple, efficient, economical and quick method of managing intussusception. The duration of the procedure ranges between two minutes and thirty minutes, with the majority being under ten minutes. A total of twenty intussusceptions were managed in eighteen patients over a nine month period. In fifteen patients (75%) the intussusception was reduced successfully. In five patients (25%), the procedure failed to reduce the intussusceptions. (author)

  10. The pattern of neurological disorders in patients admitted to El shaab teaching hospital

    International Nuclear Information System (INIS)

    This thesis was designed to study the pattern of neurological disorders of admitted patients to the neurology centre at El shaab teaching hospital in the period from january 1997 to december 1998. 402 cases were admitted. (35%) were in the age group 21-40, 30% in 41-60, 20% in 61-80, 14% in 0-20 and 1% in >81 males constituted 72% and females 28%. Cerebrovascular diseases top the list with 18.9%, followed by paraplegia's with 17.4%, peripheral neuropathies 11.7, (guillain barre was the most common). Brain space occupying lesions 10.4% (tumors and tuberculomas was the most common),movement disorders with 10% (Parkinson's disease was the most encountered), muscle disorders 6.2% (myasthenia gravis was the commonest). Ataxias 5.5%, headache and migraine was the least group of disorders

  11. Incidence and complications of traditional eye medications in Nigeria in a teaching hospital

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    Ukponmwan Catherine

    2010-01-01

    Full Text Available Purpose: The aim of this study was to determine the types and nature of traditional eye medications (TEMs, their sources, and the ocular complications that may arise from use in a teaching hospital in Nigeria. Materials and Methods: A prospective study of consecutive subjects who used TEM before presentation to the Eye Clinic of the University of Benin Teaching Hospital, Benin City, Nigeria between July 1, 2004 and June 30, 2008. P < 0.05 was considered statistically significant. Results: A total of 113 subjects were evaluated of which 64 were males (56.6%, females (43.4% were females. There was no significant difference in the number of males and females (P > 0.05. Rural dwellers were more likely to use TEM than urban dwellers (P < 0.0001. The mean age of the subjects was 47.9 ΁ 22.3 years (range, 4-90 years. The most common traditional medication was derived from plant extracts (54.9% followed by concoctions (21.2%. Complications occurred in 54.8% of the subjects. Ocular complications included corneal opacities in 13.35% of subjects, staphyloma in 9%, and corneal ulcers in 8%. Other complications were panophthalmitis, endophthalmitis, uveitis, cataract, and bullous keratopathy. Eleven subjects underwent evisceration or enucleation of the affected eye. There was no significant difference in the type of medication used and ocular complications (P = 0.956. Sources of TEM were self-medication in 38.9% of subjects, relatives in 27.4%, and traditional healers in 17.7%. Conclusion: The use of TEM is a common practice that could be harmful and lead to blindness. Proper health education of the public and traditional healers can reduce the prevalence of preventable blindness.

  12. Pneumatic reduction of intussusception in children at Korle Bu Teaching Hospital: An initial experience

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    Yaw Boateng Mensah

    2011-01-01

    Full Text Available Background: Intussusception is a common abdominal emergency in children which necessitates prompt diagnosis and management. Nonsurgical methods of managing this condition are rapidly gaining popularity with fluoroscopic-guided pneumatic reduction being one of such methods that has been used with great success in many countries. We present our initial experience with fluoroscopic-guided pneumatic reduction of intussusception at Korle Bu Teaching Hospital which is also the first time the technique has been used in Ghana. Materials and Methods: A total of 18 children were enrolled in the study between August 2007 and February 2008 at Korle Bu Teaching Hospital, Accra, Ghana. Patients were given air enema under fluoroscopic-guidance using locally assembled equipment. The intraluminal pressure was monitored with a pressure gauge and was not permitted to go above 120 mmHg. A total of three attempts of 3 min each were allowed. Results: There were 12 males and 6 females. The average age of the patients was 8.3 months (SD= 3 months. Twelve (67% of the cases were reduced successfully while 6 (33% failed to reduce. A majority of those that did not reduced had symptoms for at least 2 days. Bowel perforation occurred in three (16.7% cases. Conclusion: Pneumatic reduction of intussusception is a cost-effective and rapid method of management of intussusception. It however has limitations like high reported rate of bowel perforation and limited ability to identify lead points. The benefits however seem to outweigh these challenges, such as fluoroscopic-guided pneumatic reduction has a very high success rate. Fluoroscopic guided pneumatic reduction should be considered as one of the primary modes of reduction in Ghana and other neighbouring countries that are yet to practice it.

  13. A 3-year review of cranial nerve palsies from the University of Port Harcourt Teaching Hospital Eye Clinic, Nigeria

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    Chinyere Nnenne Pedro-Egbe

    2014-01-01

    Conclusion: This is the first study in the literature on ocular cranial nerve palsies in Southern Nigeria. Third and sixth cranial nerve palsies were the most common cases to present to the University of Port Harcourt Teaching Hospital Eye Clinic. There was a statistically significant association to systemic disorders such as hypertension and DM and majority of cases with 6 th cranial nerve palsy.

  14. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.

    LENUS (Irish Health Repository)

    Thomas, Arun Z

    2009-10-01

    To examine the magnitude of potentially avoidable iatrogenic complications of male urethral catheterization (UC) within a tertiary-care supra-regional teaching hospital, and to evaluate risk factors and subjective feeling of interns in our institution on the adequacy of training on UC.

  15. 北京天坛医院神经科护士满意度相关因素研究%Potential Factors of Job Satisfactory among Nurses in Department of Neurology in ;Beijing Tiantan Hospital

    Institute of Scientific and Technical Information of China (English)

    张华; 王忠; 王彩云; 贾金秀; 王晨

    2015-01-01

    Objective To investigate the potential factors associated to job satisfactory of nurses in department of Neurology in Beijing Tiantan Hospital, improve the job satisfactory and quality of care, and consolidate nursing team that contribute to the harmonious and stable development. Methods An advanced assessment system was used to perform the investigation of job satisfactory among 393 nurses in department of Neurology in Beijing Tiantan Hospital. Results Family/job (P Conclusion Individual and humanized working time arrangements were beneifcial for resolution of conlficts between family and work;improvement of working environment and safety equipment, scientific and reasonable evaluation of the value of nursing work to achieve rational income distribution, strengthening communication between managers and nurses, and timely improvement of management methods would improve the job satisfactory.%目的了解影响神经科护士工作满意度的因素。  方法借鉴国外成熟的测评体系对393名神经科护士满意度进行调查。  结果家庭/工作(P  结论实现人性化安排工作时间,积极落实并妥善处理工作和家庭间冲突,改善工作环境及安全设施,科学合理评估护理的工作价值,进行合理分配收入,切实完善管理机制,以提高护士工作满意度。

  16. Spatial distribution and accessibility to public sector tertiary care teaching hospitals in Karachi: A Geographic Information Systems application.

    Science.gov (United States)

    Shaikh, Masood Ali; Ali, Mir Shabbar

    2016-07-01

    Optimal utilization of specialized curative healthcare services is contingent on spatial access to tertiary-care hospitals by the targeted population. The objectives of this study were to determine the spatial distribution of public sector tertiary-care teaching hospitals in Karachi, and to use GIS and network analysis for modeling the accessibility to these hospitals for Karachi residents. Maps of three, six, and nine kilometer buffers were created around the five selected hospitals to determine which towns of Karachi are either entirely or partially covered/accessible. Most of the towns in Karachi were covered either partially or completely by the three buffers and service areas of 3,6, and 9 kilometers around the five selected hospitals. This study highlights the limitations of using publicly available data for road network, and the need for creating and making available in public domain, comprehensive road network vector dataset in conjunction with population breakdowns by administrative subdivisions. PMID:27427142

  17. A study on publicity section in high definition interactive digital TV system for hospitals in Beijing%北京地区医院高清交互数字电视宣传专区研究

    Institute of Scientific and Technical Information of China (English)

    吴峥

    2016-01-01

    Objective:To learn the current status of publicity section reserved for Beijing hospitals within high definition interactive digital TV system,and to explore strategies for enhancing both publicity and service quality of hospitals. Methods:Choose all hospitals in Beijing as the research object and analyze their content at publicity section in high definition interactive digital TV system. Results:All 43 hospitals which are currently making use of the publicity section in high definition interactive digital TV are third - grade class hospitals,72. 0% of those hospitals employ pictures to introduce themselves,41. 9% of them present 4 featured specialties or more. 55. 8% of them provide clinic information of 6 specialists,83. 7% of them provide their official WeChat account ID,and 67. 4% of those hospitals haven't uploaded any video programs. Conclusion:Current partici-pants of the publicity section in high definition interactive digital TV are limited to higher ranked hospitals,and district - affili-ated hospitals shall also make use of this platform. The function of‘Clinic information’shall be improved. Also,Hospitals shall produce more high definition video programs.%目的:了解北京地区各医院在高清交互数字电视平台开设宣传专区的现状,探索进一步提高医院宣传水平和服务质量的对策。方法:采用内容分析法,以北京地区全部医院作为研究对象,对其在高清交互数字电视平台宣传专区发布的内容进行研究。结果:通过该平台进行宣传的43家医院均为三级以上医院;72.1%的医院以图片形式介绍医院;41.9%的医院提供4个或4个以上特色专科介绍;55.8%的医院提供6位专家出诊信息;83.7%的医院提供了微信公众号 ID;67.4%的医院未提供视频节目。结论:在高清交互数字电视平台进行宣传的医院级别较高,建议区属医院利用高清交互平台进行宣传;出诊信息功能尚未发

  18. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn......’t be doing in hospitals. Design factors which should be carefully considered include: Light, as in daylight, artificial light, its color, its temperature, the level and quality of lighting and the effects of light on circadian rhythms. There is documented evidence in: users’ satisfaction, orientation, 24...

  19. Utilization of potentially inappropriate medications in elderly patients in a tertiary care teaching hospital in India

    Directory of Open Access Journals (Sweden)

    Binit N Jhaveri

    2014-01-01

    Full Text Available Aim: To evaluate the use of potentially inappropriate medicines in elderly inpatients in a tertiary care teaching hospital. Materials and Methods: Retrospective analysis was performed for cases of elderly patients admitted between January 2010 and December 2010. Data on age, gender, diagnosis, duration of hospital stay, treatment, and outcome were collected. Prescriptions were assessed for the use of potentially inappropriate medications in geriatric patients by using American Geriatric Society Beer′s criteria (2012 and PRISCUS list (2010. Results: A total of 676 geriatric patients (52.12% females were admitted in the medicine ward. The average age of geriatric patients was 72.69 years. According to Beer′s criteria, at least one inappropriate medicine was prescribed in 590 (87.3% patients. Metoclopramide (54.3%, alprazolam (9%, diazepam (8%, digoxin > 0.125 mg/day (5%, and diclofenac (3.7% were the commonly used inappropriate medications. Use of nonsteroidal anti-inflammatory drugs (NSAIDs in heart and renal failure patients was the commonly identified drug-disease interaction. According to PRISCUS list, at least one inappropriate medication was prescribed in 210 (31.06% patients. Conclusion: Use of inappropriate medicines is highly prevalent in elderly patients.

  20. A review of cleft lip and palate management: Experience of a Nigerian Teaching Hospital

    Science.gov (United States)

    Efunkoya, Akinwale Adeyemi; Omeje, Kelvin Uchenna; Amole, Ibiyinka Olushola; Osunde, Otasowie Daniel; Akpasa, Izegboya Olohitae

    2015-01-01

    Background: Cleft lip (CL) and palate (CLP) management is multidisciplinary. A cleft team was formed in a Nigerian Tertiary Hospital to address the health needs of cleft patients in the centre. Aim: This paper aims at documenting the Aminu Kano Teaching Hospital (AKTH) management protocol for orofacial clefts and also to review our experience with CLP surgeries performed at AKTH since our partnering with Smile Train. Materials and Methods: A retrospective review of all the cleft patients surgically treated from January 2006 to December 2014 under Smile Train sponsorship was undertaken. A descriptive narrative of the cleft team protocol was also given. Results: One hundred and fifty-five patients (80 males, 75 females) had surgical repairs of either the lip or palate. CL patients were 83 (53.55%), while CLP patients were 45 (29.03%) and isolated cleft palate patients were 27 (17.42%). Conclusion: The inclusion of various specialities in the cleft team is highly desirable. Poverty level amongst our patients frequently limits our management to surgical treatment sponsored by the Smile Train, despite the presence of other residual problems. PMID:26712291

  1. PATTERN OF MORBIDITY AND MORTALITY IN PRETERM NEWBORNS IN A TERTIARY CARE TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Sumit

    2015-08-01

    Full Text Available OBJECTIVE: To study the morbidity and the mortality patterns in inborn preterm newborns admitted in NICU at a tertiary care teaching hospital. DESIGN: Retrospective study. The medical records of all the inborn preterm neonates (G. age ≤36W+6 days who were admitted to the NICU were analyzed by using a pre - set proforma. SETTINGS: Neonatal Intensive Care Unit (NICU, Department of Pediatrics, Adesh Institute of Medical Science & Research Institute (AIMSR Bathinda, Punjab. The study was carried out over a period of 2 years from J anuary 2012 to December 2014. PARTICIPANTS: 80 preterm neonates who were born in AIMSR and were admitted with some illness to the NICU. OUTCOME: The patterns of the morbidity and the mortality among the preterm neonates who were admitted to the NICU. ‘Survival’ was defined as the discharge of a live neonate/ infant from the hospital. RESULTS: A total of 80 premature inborn infants were analyzed for the complications they encountered after birth while admitted in NICU. Out of 80 premature babies, 32 (40% were male and 48 (60% were female babies. Mean gestational age was and Mean birth weight was. Neonatal hyper - bilirubinemia , HMD/RDS and Neonatal sepsis were the commonest causes of morbidity. Among 80 premature babies 15(18.7% died. The highest mortality was seen in babies those weighing less than 800 grams (100%. Male mortality is 34.4% and female mortality is 8.3%.

  2. An audit of indications, complications, and justification of hysterectomies at a teaching hospital in India.

    Science.gov (United States)

    Pandey, Deeksha; Sehgal, Kriti; Saxena, Aashish; Hebbar, Shripad; Nambiar, Jayaram; Bhat, Rajeshwari G

    2014-01-01

    Objective. Aim of this audit was to analyze indications, complications, and correlation of preoperative diagnosis with final histopathology report of all hysterectomies, performed in a premier teaching hospital. Methods. Present study involved all patients who underwent hysterectomy at a premier university hospital in Southern India, in one year (from 1 January, 2012, to 31 December, 2012). Results. Most common surgical approach was abdominal (74.7%), followed by vaginal (17.8%), and laparoscopic (6.6%) hysterectomy. Most common indication for hysterectomy was symptomatic fibroid uterus (39.9%), followed by uterovaginal prolapse (16.3%). Overall complication rate was 8.5%. Around 84% had the same pathology as suspected preoperatively. Only 6 (5 with preoperative diagnosis of abnormal uterine bleeding and one with high grade premalignant cervical lesion) had no significant pathology in their hysterectomy specimen. Conclusion. Hysterectomy is used commonly to improve the quality of life; however at times it is a lifesaving procedure. As any surgical procedure is associated with a risk of complications, the indication should be carefully evaluated. With the emergence of many conservative approaches to deal with benign gynecological conditions, it is prudent to discuss available options with the patient before taking a direct decision of surgically removing her uterus.

  3. Needlestick injury among medical personnel in Accident and Emergency Department of two teaching hospitals.

    Science.gov (United States)

    Ng, Y W; Hassim, I Noor

    2007-03-01

    Needlestick injury has been recognized as one of the occupational hazards which results in transmission of bloodborne pathogens. A cross-sectional study was carried out among 136 health care workers in the Accident and Emergency Department of two teaching hospitals from August to November 2003 to determine the prevalence of cases and episodes of needlestick injury. In addition, this study also assessed the level of knowledge of blood-borne diseases and Universal Precautions, risk perception on the practice of Universal Precautions and to find out factors contributing to needlestick injury. Prevalence of needlestick injury among the health care workers in the two hospitals were found to be 31.6% (N = 43) and 52.9% (N = 87) respectively. Among different job categories, medical assistants appeared to face the highest risk of needlestick injury. Factors associated with needlestick injury included shorter tenure in one's job (p risk of needlestick injury while performing procedures on patients. Therefore, comprehensive infection control strategies should be applied to effectively reduce the risk of needlestick injury. PMID:17682562

  4. Cost awareness among doctors in an Irish university-affiliated teaching hospital

    Directory of Open Access Journals (Sweden)

    William H.C. Tiong

    2011-11-01

    Full Text Available Previous studies in USA and Canada have found that physicians and physicians in training have a limited understanding of medical care costs. In this study, we set out to survey all grades of doctors in the surgical department, emergency department, and anaesthetic department in a university-affiliated, Irish teaching hospital. Open-ended questionnaires on cost of 25 routinely used items in the hospital were sent to each department. The aims of the study were to assess the present knowledge of cost among the various grades of doctors, and to evaluate the level of professional experience on cost awareness and their confidence in their estimates. We had an overall response rate of 56.8% with 68.5% of doctors admitted to have estimated more than 90% of their responses. Ninety three percent of doctors have no confidence in their estimates on cost of listed items. We found that the lack of cost awareness was universal among doctors of all grades (P = 0.236. The doctors in our study population showed a high level of inaccuracy on their estimates of cost of routinely used items with 84% of the items overestimated. Our results were discouraging and demonstrated that considerable educational activity will be necessary if doctors are to be more cost effective in meeting the national health care budget.

  5. Medication prescribing errors in a public teaching hospital in India: A prospective study.

    Directory of Open Access Journals (Sweden)

    Pote S

    2007-03-01

    Full Text Available Background: To prevent medication errors in prescribing, one needs to know their types and relative occurrence. Such errors are a great cause of concern as they have the potential to cause patient harm. The aim of this study was to determine the nature and types of medication prescribing errors in an Indian setting.Methods: The medication errors were analyzed in a prospective observational study conducted in 3 medical wards of a public teaching hospital in India. The medication errors were analyzed by means of Micromedex Drug-Reax database.Results: Out of 312 patients, only 304 were included in the study. Of the 304 cases, 103 (34% cases had at least one error. The total number of errors found was 157. The drug-drug interactions were the most frequently (68.2% occurring type of error, which was followed by incorrect dosing interval (12% and dosing errors (9.5%. The medication classes involved most were antimicrobial agents (29.4%, cardiovascular agents (15.4%, GI agents (8.6% and CNS agents (8.2%. The moderate errors contributed maximum (61.8% to the total errors when compared to the major (25.5% and minor (12.7% errors. The results showed that the number of errors increases with age and number of medicines prescribed.Conclusion: The results point to the establishment of medication error reporting at each hospital and to share the data with other hospitals. The role of clinical pharmacist in this situation appears to be a strong intervention; and the clinical pharmacist, initially, could confine to identification of the medication errors.

  6. Occurrence of qnrA-positive clinical isolates in French teaching hospitals during 2002-2005.

    Science.gov (United States)

    Cambau, E; Lascols, C; Sougakoff, W; Bébéar, C; Bonnet, R; Cavallo, J-D; Gutmann, L; Ploy, M-C; Jarlier, V; Soussy, C-J; Robert, J

    2006-10-01

    Bacteria harbouring the novel qnrA plasmid-mediated mechanism of quinolone resistance have been described in different countries, but the frequency of their occurrence has not been investigated. In total, 1,468 clinical isolates of Enterobacteriaceae with quinolone resistance or extended-spectrum beta-lactamase (ESBL) phenotypes were collected from eight teaching hospitals in France during 2002-2005 and screened for qnrA. Overall, 28 isolates (22 Enterobacter cloacae, three Klebsiella pneumoniae, one Citrobacter freundii, one Klebsiella oxytoca and one Proteus mirabilis) were positive for qnrA, representing 1.9% of all isolates, 3.3% of ESBL-producing isolates (22% of the E. cloacae isolates) and 0% of non-ESBL-producing isolates. The prevalence of qnrA among consecutive ESBL-producing isolates in 2004 from the eight hospitals was 2.8% (18/639). Of the qnrA-positive isolates, 100% were intermediately-resistant or resistant to nalidixic acid, and 75% to ciprofloxacin. Twenty-one of the 22 qnrA-positive E. cloacae isolates were obtained from two hospitals in the Paris area, and molecular typing and plasmid content analysis showed clonal relationships for five, three and two isolates, respectively. The qnrA genetic environment was similar to that of the In36 integron. The remaining two isolates had qnrA variants (30 and 29 nucleotide differences, respectively, compared with the original sequence) and an unknown genetic environment. The ESBL gene associated with qnrA was bla(SHV-12) in most of the isolates, but bla(PER-1) and bla(SHV-2a) were found in two isolates. In France, it appears that qnrA-positive isolates are predominantly E. cloacae isolates producing SHV-12, and may be associated with the dissemination of an In36-like integron. PMID:16961639

  7. Metabolic syndrome and associated factors among outpatients of Jimma University Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Abda E

    2016-03-01

    Full Text Available Edris Abda,1 Leja Hamza,2 Fasil Tessema,3 Waqtola Cheneke4 1Department of Medicine, College of Medicine and Health Sciences, Madda Walabu University, Bale Robe, 2Department of Internal Medicine, 3Department of Epidemiology, 4Department of Medical Laboratory Sciences and Pathology, College of Health Sciences, Jimma University, Jimma, Ethiopia Background: Developing countries are now experiencing the epidemiologic transition, whereby the burden of chronic diseases, like metabolic syndrome, is increasing. However, no study had previously been conducted to show the status of metabolic syndrome among outpatients of Jimma University Teaching Hospital. Therefore, this study was designed to determine the prevalence of metabolic syndrome and associated factors among adult (≥20 years patients. Methods: A cross-sectional hospital-based study was conducted in July 2014 among adult (≥20 years patients attending Jimma University Teaching Hospital, outpatient department. All patients attending the outpatient department and were willing to participate in the study were included. Anthropometric and biochemical measurements were undertaken for all the study subjects to know the status of metabolic syndrome. Metabolic syndrome was identified using the National Cholesterol Education Program’s Adult Treatment Panel III criteria. Results: A total of 225 participants were included in the study, of whom 106 (47.1% were males and 119 (52.9% were females. A total of 59 (26% adults were found to have metabolic syndrome, which was seen more than twice as much in females, 42 (35%, as compared with males, 17 (16%, (P<0.01. The most frequent metabolic syndrome parameters were hypertension (45%, hyperglycemia (39%, decreased high-density lipoprotein (HDL (31%, central obesity (26%, and elevated triglycerides (18%. Elevated blood pressure is more common in females (44.5% than in males (34.9%. Decreased HDL-cholesterol was observed among 37% of females versus 24% males (P

  8. Potentially avoidable inpatient nights among warfarin receiving patients; an audit of a single university teaching hospital

    Directory of Open Access Journals (Sweden)

    O'Connor Mortimer B

    2009-03-01

    Full Text Available Abstract Background Warfarin is an oral anticoagulant (OAT that needs active management to ensure therapeutic range. Initial management is often carried out as an inpatient, though not requiring inpatient facilities. This mismatch results in financial costs which could be directed more efficaciously. The extent of this has previously been unknown. Here we aim to calculate the potential number of bed nights which may be saved among those being dose optimized as inpatients and examine associated factors. Methods A 6 week prospective audit of inpatients receiving OAT, at Cork University Hospital, was carried out. The study period was from 11th June 2007 to 20th July 2007. Data was collected from patient's medications prescription charts, medical record files, and computerised haematology laboratory records. The indications for OAT, the patient laboratory coagulation results and therapeutic intervals along with patient demographics were analysed. The level of potentially avoidable inpatient nights in those receiving OAT in hospital was calculated and the potential cost savings quantified. Potential avoidable bed nights were defined as patients remaining in hospital for the purpose of optimizing OAT dosage, while receiving subtherapeutic or therapeutic OAT (being titred up to therapeutic levels and co-administered covering low molecular weight heparin, and requiring no other active care. The average cost of €638 was taken as the per night hospital stay cost for a non-Intensive Care bed. Ethical approval was granted from the Ethical Committee of the Cork Teaching Hospitals, Cork, Ireland. Results A total of 158 patients were included in the audit. There was 94 men (59.4% and 64 women (40.6%. The mean age was 67.8 years, with a median age of 70 years. Atrial Fibrillation (43%, n = 70, followed by aortic valve replacement (15%, n = 23 and pulmonary emboli (11%, n = 18 were the commonest reasons for prescribing OAT. 54% had previously been prescribed

  9. Potentially avoidable inpatient nights among warfarin receiving patients; an audit of a single university teaching hospital.

    LENUS (Irish Health Repository)

    Forde, Dónall

    2009-01-01

    BACKGROUND: Warfarin is an oral anticoagulant (OAT) that needs active management to ensure therapeutic range. Initial management is often carried out as an inpatient, though not requiring inpatient facilities. This mismatch results in financial costs which could be directed more efficaciously. The extent of this has previously been unknown. Here we aim to calculate the potential number of bed nights which may be saved among those being dose optimized as inpatients and examine associated factors. METHODS: A 6 week prospective audit of inpatients receiving OAT, at Cork University Hospital, was carried out. The study period was from 11th June 2007 to 20th July 2007. Data was collected from patient\\'s medications prescription charts, medical record files, and computerised haematology laboratory records. The indications for OAT, the patient laboratory coagulation results and therapeutic intervals along with patient demographics were analysed. The level of potentially avoidable inpatient nights in those receiving OAT in hospital was calculated and the potential cost savings quantified. Potential avoidable bed nights were defined as patients remaining in hospital for the purpose of optimizing OAT dosage, while receiving subtherapeutic or therapeutic OAT (being titred up to therapeutic levels) and co-administered covering low molecular weight heparin, and requiring no other active care. The average cost of euro638 was taken as the per night hospital stay cost for a non-Intensive Care bed. Ethical approval was granted from the Ethical Committee of the Cork Teaching Hospitals, Cork, Ireland. RESULTS: A total of 158 patients were included in the audit. There was 94 men (59.4%) and 64 women (40.6%). The mean age was 67.8 years, with a median age of 70 years.Atrial Fibrillation (43%, n = 70), followed by aortic valve replacement (15%, n = 23) and pulmonary emboli (11%, n = 18) were the commonest reasons for prescribing OAT. 54% had previously been prescribed OAT prior to

  10. How do Supervising Clinicians of a University Hospital and Associated Teaching Hospitals Rate the Relevance of the Key Competencies within the CanMEDS Roles Framework in Respect to Teaching in Clinical Clerkships?

    Directory of Open Access Journals (Sweden)

    Jilg, Stefanie

    2015-08-01

    Full Text Available Background and aim: In German-speaking countries, the physicians’ roles framework of the “Canadian Medical Education Directives for Specialists” (CanMEDS is increasingly used to conceptualize postgraduate medical education. It is however unclear, whether it may also be applied to the final year of undergraduate education within clinical clerkships, called “Practical Year” (PY.Therefore, the aim of this study was to explore how clinically active physicians at a university hospital and at associated teaching hospitals judge the relevance of the seven CanMEDS roles (and their (role-defining key competencies in respect to their clinical work and as learning content for PY training. Furthermore, these physicians were asked whether the key competencies were actually taught during PY training. Methods: 124 physicians from internal medicine and surgery rated the relevance of the 28 key competencies of the CanMEDS framework using a questionnaire. For each competency, following three aspects were rated: “relevance for your personal daily work”, “importance for teaching during PY”, and “implementation into actual PY teaching”.Results: In respect to the main study objective, all questionnaires could be included into analysis. All seven CanMEDS roles were rated as relevant for personal daily work, and also as important for teaching during PY. Furthermore, all roles were stated to be taught during actual PY training.The roles “Communicator”, “Medical Expert”, and “Collaborator” were rated as significantly more important than the other roles, for all three sub-questions. No differences were found between the two disciplines internal medicine and surgery, nor between the university hospital and associated teaching hospitals.Conclusion: Participating physicians rated all key competencies of the CanMEDS model to be relevant for their personal daily work, and for teaching during PY. These findings support the suitability of the

  11. 北京地区三级医院医生职业幸福感现状及影响因素%Occupational well-being status and influence factors of doctors in third class hospitals in Beijing area

    Institute of Scientific and Technical Information of China (English)

    马妮娜; 张曼华; 朱洁; 刘婷

    2015-01-01

    Objective To understand the current status of doctors' occupational well-being in three class general hospi-tals in Beijing, and discuss its influencing factors, then may provide a reference for the promotion strategies later. Methods Combined purpose sampling and convenience sampling method were used, and semi-structured interview method was used to do the individual in-depth interviews with 30 doctors from four three class general hospitals in Beijing area, understand the status of their occupational well-being and influencing factors. Results The average of doctors' occupational well-being was (6.03±1.43) points (out of 10 points), overall the doctors' occupational well-being was lower. Doctors believed that the maln factors influenced on their occupational well-being including excessive work pressure (27 people), disproportionate pay (23 people), poor doctor-patient relationship (18 people), hospital manage-ment issues (17 people). Conclusion Doctors' occupational well-being is lower in the three class general hospital in Beijing. The maln factors influenced on doctors' occupational well-being are workload, long working hours, dispropor-tionately individuals pay and reward and doctor-patient relationship disharmony. In order to enhance the doctors' oc-cupational well-being, improving diagnosis and treatment system, optimizing hospitals resource allocation, building de-partment subculture, communication skills tralning for doctors and other channels are better ways.%目的:了解目前北京地区三级综合医院医生的职业幸福感现状,并对其影响因素进行探讨,为后期可能的提升策略提供参考。方法采用目的抽样与便利抽样相结合、半结构化访谈的方法,对北京地区4所三级综合医院中30名医生进行个人深入访谈,了解其职业幸福感现状及影响因素。结果医生的职业幸福感平均得分为(6.03±1.43)分(满分为10分),医生总体职

  12. The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

    Science.gov (United States)

    Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

    2010-01-01

    One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

  13. The Relationship of Centralization, Organizational Culture and Performance Indexes in Teaching Hospitals Affiliated to Tehran University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Amir Ashkan Nasirpour

    2010-10-01

    Full Text Available One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30. Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals tehran university of medical sciences. (with 95% confidence interval. Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no

  14. Winter Flawers in Beijing

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    IN the midst of a winter storm flowers still bloom in Beijing. In the greenhouses of Beijing Scriven Flower Co. Ltd., roses and lilies comtrast sharply with the bare fields and trees of early spring. Located 20 Km away in Xiaobailou Village, Daxing County, in suburban Beijing, the greenhouses were built in 1992 and have been expanded

  15. 2011年~2013年北京市中关村医院病房药房麻醉药品应用分析%in Beijing Zhongguancun Hospital Ward Pharmacy During 2011~2013

    Institute of Scientific and Technical Information of China (English)

    李扬; 杨明娜; 韩凤

    2014-01-01

    目的:对我院病房药房麻醉药品的临床应用情况进行统计分析,为麻醉药品的科学管理及合理应用提供参考。方法对2011~2013年我院病房药房麻醉药品的销售金额、用量、用药频度(DDDs)及DDC等进行统计和分析。结果2011~2013年我院麻醉药品的销售总金额有较大的增长,但占全部药品销售金额比例基本不变。盐酸羟考酮缓释片和芬太尼透皮贴的DDDS近三年来居于前位。结论我院麻醉药品使用相对较为合理。%ABSTACT:Objective To investigate the utilization of narcotic drugs in Beijing Zhongguancun Hospital Ward Pharmacy so as to provide reference for scientific management and rational use of narcotic drugs. Methods The narcotic drugs used in our Ward hospital during 2011~2013 were analyzed statistically in respect of consumption sum, consumption quantity and DDDs. Results The sales amount of narcotic drugs in our hospital had a larger growth in 2011~2013, but the total drug sales ratio was unchanged. Oxycodone Hydrochloride Prolonged-release Tablets and transdermal fentanyl DDDs were in the front position in the recent three years. Conclusion The utilization of narcotic drugs in our hospital is reasonable.

  16. Investigation on the satisfaction of discharged patients about public hospitals in Beijing Xicheng District%北京市西城区区属公立医院出院患者满意度调查研究

    Institute of Scientific and Technical Information of China (English)

    刘永东; 乔蓉; 焦占雅; 宋雯; 杨光; 刘贵宾

    2016-01-01

    目的:开展北京市西城区区属公立医院出院患者满意度调查研究,为主管部门提供决策依据。方法采用概率与规模等比例随机抽样方法确定样本量,采用计算机辅助电话调查方法开展调查。结果2015年度北京市西城区区属公立医院出院患者满意度得分以百分制计算为91.8分。得分较高的项目是办理入院手续、医生与护士服务态度、医生与护士技术水平等;得分较低的项目是随访、伙食、医院硬件、护工等。结论应注重医学人文建设,加强与患者的沟通与交流,重视患者随访,加强医院硬件建设,改善患者伙食,加强护工培训,以提升患者满意度水平。%Objective Investigation on the satisfaction of discharged patients about public hospitals in Beijing Xicheng District is carried out to provide decision-making basis for competent department.Method Sample size is determined by proportional random sampling method including probability and scale; computer aided telephone survey method is used to carry out investigation.Result Score of the satisfaction of discharged patients about public hospitals in Beijing Xicheng District in 2015 is 91.8 after calculated according to centesimal system. Items of higher scores include admission process, the attitude of doctors and nurses, doctors and nurses’ technical level; items of lower scores include follow-up, food, hardware of the hospitals, nursing workers, etc.Conclusion Attention shall be paid to construction of medical humanities, enhance communication with the patients, follow-up, enhance construction of the hospital’s hardware, improve food provided to the patients, enhance training of nursing workers and the satisfaction of patients.

  17. 我院2014年门诊中西药用药分析%Analysis of the Drug Using in Outpatient Service of Beijing Second Hospital in 2014

    Institute of Scientific and Technical Information of China (English)

    储杰

    2015-01-01

    目的:分析我院2014年用药情况。方法采用我院计算机管理系统对2014年门诊中、西药用药品种、销售金额、用药数量等情况进行统计分析。结论我院中、西药常用药为心血管疾病药物、内分泌系统药物、呼吸系统药物、神经系统药物。用药基本合理。%Objective To analyze the using of drugs in The Second Hospital of Beijing in 2014.Methods Utilizing the computer management system in our hospital to statistically analyze the drug varieties, sales volume, drug count etc. in outpatient service.Conclusion Drugs for cardiovascular disease,endocrine system, respiratory system and nervous system are popular in traditional Chinese medicine and chemical medicine. And the drugs are taken reasonable.

  18. Compliance With Guideline Statements for Urethral Catheterization in an Iranian Teaching Hospital

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    Negar Taleschian-Tabrizi

    2015-12-01

    Full Text Available Background It is believed that healthcare staff play an important role in minimizing complications related to urethral catheterization. The purpose of this study was to determine whether or not healthcare staff complied with the standards for urethral catheterization. Methods This study was conducted in Imam Reza teaching hospital, Tabriz, Iran, from July to September 2013. A total of 109 catheterized patients were selected randomly from surgical and medical wards and intensive care units (ICUs. A questionnaire was completed by healthcare staff for each patient to assess quality of care provided for catheter insertion, while catheter in situ, draining and changing catheter bags. Items of the questionnaire were obtained from guidelines for the prevention of infection. Data analysis was performed with SPSS 16. Results The mean age of the patients was 50.54 ± 22.13. Of the 109 patients, 56.88% were admitted to ICUs. The mean duration of catheter use was 15.86 days. Among the 25 patients who had a urinalysis test documented in their hospital records, 11 were positive for urinary tract infection (UTI. The lowest rate of hand-washing was reported before bag drainage (49.52%. The closed drainage catheter system was not available at all. Among the cases who had a daily genital area cleansing, in 27.63% cases, the patients or their family members performed the washing. In 66.35% of cases, multiple-use lubricant gel was applied; single-use gel was not available. The rate of documentation for bag change was 79%. Conclusion The majority of the guideline statements was adhered to; however, some essential issues, such as hand hygiene were neglected. And some patients were catheterized routinely without proper indication. Limiting catheter use to mandatory situations and encouraging compliance with guidelines are recommended.

  19. COST-EFFECTIVENESS ANALYSIS OF ANTI-DIABETIC THERAPY IN A UNIVERSITY TEACHING HOSPITAL

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    Giwa Abdulganiyu

    2014-03-01

    Full Text Available Purpose: To conduct cost-effectiveness analysis of anti-diabetic therapy in a University Teaching Hospital in 2010. Methods: A retrospective review of selected case-notes was conducted. World Health Organization Defined Daily Dose Method of evaluating drug use and probability method for potential effectiveness of antidiabetic therapeutic options from literature analysis was employed in determining cost-effectiveness of each anti-diabetic therapeutic option identified from anti-diabetic drug utilization studies. Sample Size, n=1200. Subjects’ case-notes were selected by systematic random sampling (Sampling Interval = 1. Results: Glibenclamide (N1.76/unit of effectiveness which was more cost-effective than chlopropamide (N2.97/unit of effectiveness in the management of moderate hyperglycemia in non-obese Type II Diabetes Mellitus was more frequently prescribed (81.5%. Glibenclamide + Metformin (N7.63/unit of effectiveness which was more frequently prescribed (92.5% was not necessarily more cost-effective than Chlopropamide + Metformin (N9.76/unit of effectiveness in the management of moderate hyperglycemia in obese Type II Diabetes- Mellitus. Biphasic Isophane Insulin (N12.65/unit of effectiveness which was more cost-effective than soluble insulin + insulin zinc (N30.37/unit of effectiveness in the management of serve hyperglycemia in non-obese Type II Diabetes Mellitus was less frequently prescribed (42.3%. Biphasic Isophane Insulin + Metformin (N15.91/unit of effectiveness which was more cost-effective than soluble insulin + insulin zinc + metformin (N34.45/ unit of effectiveness in the management of severe hyperglycemia in obese Type II Diabetes Mellitus patients was less frequently prescribed (25%. Conclusions: Prescription of lees cost-effective anti-diabetic drugs was rampant in Hospitals.

  20. A profile of cardiovascular diseases in a teaching hospital in Kerala

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    Celine TM, Jimmy Antony

    2014-03-01

    Full Text Available Background and objective: cardiovascular diseases are increased in each year in India. Cardiovascular diseases more are occurred in the economically productive age group. This will affect their family and also the nation. Aim of the study is to find out the different types of heart diseases and the case fatality rate of cardiovascular disease from 1st April 2005 to 31st March 2010 in a teaching hospital. Materials and Methods: The retrospective study conducted on hospitalized patients admitted with cardiovascular diseases from 1st April 2005 to 31st March 2010. Medical records department follows the guide lines of International Classification of Diseases (ICD-10 coding for entering the data, from that data were collected. Results: Of 10427 cases, 6324 (60.65% were males and 4103(39.35% females. Cardiovascular disease was more among males than females. It was more occurred in ≥60 years. Most of them were occurred due to cerebrovascular disease (33.7%. Ischemic heart disease was more among males than females. Total number of deaths due to cardiovascular disease was 797. Of them 525(65.87% were males and 272(34.13% females. Case fatality due to cardiovascular diseases was 7.64%. Case fatality among males (8.3% were more than females (6.63% (P=0.00. Conclusion: This study mentioned that most of the cases and deaths were occurred in 60 and above years. Second leading age group is 25-59 years. Accident in economically productive people was high. It will affect their family and also the nation. Hence it can be reduced by conducting health awareness programme.

  1. Pain perception among parturients at a University Teaching Hospital, South-Western Nigeria

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    Olusola Peter Aduloju

    2013-01-01

    Full Text Available Introduction: Labour pain is a universal experience. Relief of labour pains and companionship in labour are important aspects of quality of care in labour. Objectives: To evaluate perception of labour pains among parturients, their knowledge and awareness of pain relief during labour, the types of obstetric analgesia available and the outcome of their labour at the Ekiti State University Teaching Hospital, Ado-Ekiti. Materials and Methods: A cross-sectional study using questionnaire administered to pregnant women between 37 and 42 weeks gestational age in labour ward of the hospital. Results: The study revealed that 75.2% of the parturients experienced severe labour pains and 35.3% of them received analgesia in labour with Pentazocine injection being the only analgesic used. Only 18.3% had maximum relief of their pains. Parturients with increasing parity, higher social class and educational attainment and who had antenatal education on labour pains were associated with severe perception of labour pains with P values of 0.03, 0.03, 0.02 and 0.01, respectively. Parturients who were given Pentazocine injection for pains and had relief in labour had more spontaneous vaginal deliveries, P = 0.030 and better outcome for their babies, P = 0.028. Majority of the women reported that the practice of companionship and back rubbing in labour helped them to cope better with the labour process. Conclusion: Most women desire relief of pains of labour but the practice is still suboptimal in this centre. Efforts should be made towards developing the practice of obstetric analgesia and companionship in labour in this environment.

  2. Medicine utilization review at a university teaching hospital in New Delhi

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    M Aqil

    2012-01-01

    Full Text Available Objective: A prospective medicine usage evaluation based on prescription monitoring was conducted in the medicine OPD of our university teaching hospital to know prescribing trends of different categories of medicines. Materials and Methods: A total of 600 patients were included in the study comprising of 339 (56.5% males and 261 (43.5% females. The data were recorded within the OPD by a registered pharmacist on a medicine usage evaluation form, approved by The University Institutional Review Board (IRB. Results: A total of 2365 medicines were prescribed to 600 patients during the 3 months study period. The mean number of medicines per prescription were found to be 3.94. Medicines were most frequently prescribed as solid dosage forms (85.62%, especially tablets (70.82%, and liquid formulations (14.12%. Oral route (96.17% was the most preferred mode of administration, followed by topical (2.11% and parenteral (1.60% routes. Combination therapy (94.33% was more prevalent than monotherapy (5.66%. An overwhelming tendency for prescribing medicines by brand names (99% was observed by the physicians. The most frequently prescribed class of medicines were antimicrobials > analgesics > cardiovascular > gastrointestinal agents. The most prescribed individual medicines among various therapeutic classes included isoniazid (antimicrobial, amlodipine (cardiovascular, metformin (hypoglycemic, cetirizine (antiallergic, rabeprazole (GI medicine, atorvastatin (hypolipidemic, dextromethorphan (respiratory medicine, alprazolam (sedative-hypnotic, paracetamol (analgesic. Conclusions: There is a considerable scope of improvement in the existing prescribing practice, especially prescribing by generic names, needs to be encouraged and a hospital formulary has to be developed for the purpose. The number of medicines to be included per prescription should be judged rationally and polypharmacy ought to be curbed. Use of antimicrobial also needs to be rationalized as over

  3. Pattern and presentation of acute abdomen in a Nigerian teaching hospital

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    John Owoade Agboola

    2014-01-01

    Full Text Available Background: Abdominal pain of sudden onset is the hallmark of most non-traumatic emergency surgical presentations. This presents a scenario of urgency to the young surgeon who has to determine which of a myriad of disease conditions the patient is presenting with. Such a physician has to rely on experience and a sound knowledge of the local aetiological spectrum in making a clinical diagnosis. Objective: To determine the epidemiology and aetiological spectrum of diseases presenting as acute abdomen in the adult population at the hospital surgical emergency unit. Patients and Methods: Two hundred and seventy-six patients presenting at the University of Ilorin Teaching Hospital emergency unit and managed by the general surgeons between 1 st of May 2009 and 30 th of April 2010 were recruited and followed-up throughout the period of admission. The biodata and clinical information inclusive of diagnosis, investigations, treatment modality and outcome were entered in a structured questioner. Standardised treatment was given to all patients and difficulties encountered in their management were also noted. The data collected was evaluated using SPSS16. Results: Acute abdomen constituted 9.6% of total surgical emergency admissions with patients aged 16-45 years constituting 78.3%. The commonest cause of acute abdomen was appendicitis (30.3% followed by intestinal obstruction (27.9%, perforated typhoid ileitis 14.9% and peptic ulcer disease (7.6%, respectively. Conclusion: The result from the study is similar to what has been reported in other tropical settings with inflammatory lesions being the major problem. There is also a rising incidence of post-operative adhesions and gradual decline in incidence of obstructed hernia.

  4. Anxiety and depression among adult patients with facial injury in a Nigerian Teaching Hospital

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    Nwashindi A

    2014-03-01

    Full Text Available Background: Trauma to the face often causes varying degrees of cosmetic blemish for the patients. This can affect the psychological and social constitutions of such patients. Aim: The study investigated the pattern of post trauma anxiety and depression disturbance among patients in the maxillofacial unit of the University of Uyo Teaching Hospital, Nigeria. Methods: A 12-month prospective study of post trauma psychological disorders among patients who had accidental facial trauma is presented. The study was conducted on 121 patients (males and females attending the outpatient clinic. The Hospital Anxiety and Depression Scale (HADS, a self-assessment questionnaire was used for the study. Result: A total of 121 patients were studied. There were 75 males and 46 females, giving a male to female ratio of 1.6:1. The age range varied between 18 and 77 years and the mean age was 38.36+14.86 years. Eighty- five (70% of the patients showed no features of depression. Twenty-four (20% had probable depression. Eighty-six (71% patients scored 7 points or less on the anxiety subscale of the HADS, denoting absence of anxiety, while 25 (21% scored more than 11 points which connotes probable anxiety. More females had probable anxiety and depression profiles than males, and this relationship was statistically significant (p = 0.003. Probable depression and anxiety were higher among the singles and the employed, showing that depression and anxiety were significantly influenced by employment status (P = 0.001. Conclusion: Facial trauma produces psychological complaints with female gender, marital status, and employment being the risk factors.

  5. Maternal mortality and morbidity of unsafe abortion in a university teaching hospital of Karachi, Pakistan

    International Nuclear Information System (INIS)

    Objective: To study the mortality and morbidity of unsafe abortion in a University Teaching Hospital. Methods: A cross-sectional, descriptive study was conducted in Department of Obstetrics and Gynaecology, Unit III, Dow Medical College and Civil Hospital Karachi from January 2005 to December 2009. Data regarding the socio demographic characteristics, reasons and methods of abortion, nature of provider, complications and treatment were collected for 43 women, who were admitted with complications of unsafe abortion, and an analysis was done. Results: The frequency of unsafe abortion was 1.35% and the case fatality rate was 34.9%. Most of the women belonged to a very poor socioeconomic group (22/43; 51.2%) and were illiterate (27/43; 62.8%). Unsafe abortion followed an induced abortion in 29 women and other miscarriages in 14 women. The majority of women who had an induced abortion were married (19/29, 65.5%). A completed family was the main reason for induced abortion (14/29; 48.2%) followed by being unmarried (8/29, 27.5%) and domestic violence in 5/29 cases (17.2%). Instruments were the commonest method used for unsafe abortion (26/43;68.4%).The most frequent complication was septicaemia (34; 79%) followed by uterine perforation with or without bowel perforation (13, 30.2%) and haemorrhage (9; 20.9%). Majority of induced abortions were performed by untrained providers (22/26; 84.6%) compared to only 3/14 cases (21.4%) of other miscarriages (p=0.0001). Conclusion: The high maternal mortality and morbidity of unsafe abortion in our study highlights the need for improving contraceptive and safe abortion services in Pakistan. (author)

  6. Bacteriological features of infectious spondylodiscitis at Mohammed V Military Teaching Hospital of Rabat

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    A Zohoun

    2012-12-01

    Full Text Available To review the bacteriological features of infectious spondylodiscitis and provide recommendations for the initial therapy which remains empirical in our context. Retrospective study including patients diagnosed with spondylodiscitis over a period of 4 years (2006-2009 at the Rabat Military Teaching Hospital. During the study period, we analysed 30 cases: the mean age was 49.9 years and 21 cases (70% were male. The patients were predominantly hospitalized in neurosurgery department (15/30 followed by rheumatology department (10/30. The site of infection was lumbar in 21 cases (21/30, dorsal in 7 cases (7/30. 26 cultures were positive of which 19 (19/26 were monomicrobial. Tuberculosis (TB was implicated in 10 cases (10/30 including 4 cases in association with common organisms (Propionibacterium acnes, Staphylococcus aureus, Staphylococcus epidermidis, Corynebacterium species. Brucella melitensis was isolated in 1 case. Infections caused by pyogenic bacteria were isolated in 15 cases of which 12 (12/15 revealed simple organisms including Gram-positive cocci in 9 cases (9/12 with 3 cases of S. aureus and Gram-negative bacilli in 3 cases (3/12 with 2 cases of P. aeruginosa. Blood cultures carried out for 16 patients were positive in 7 cases. The anatomopathologic exams carried out for 20 patients found in 6 cases epithelioid granulomata and giants cells with caseous necrosis in total concordance with TB culture. TB is the most frequent cause of spondylodiscitis in Morocco. Our study found the same frequency for non-specific and specific germs. Empirical treatment must take into account S. aureus and M. tuberculosis.

  7. Prevalence of nasal carriage and diversity of Staphylococcus aureus among inpatients and hospital staff at Korle Bu Teaching Hospital, Ghana

    DEFF Research Database (Denmark)

    Egyir, Beverly; Guardabassi, Luca; Nielsen, Søren Saxmose;

    2013-01-01

    There is a paucity of data on Staphylococcus aureus epidemiology in Africa. Prevalence of nasal carriage and genetic diversity of S. aureus were determined among hospital staff (HS) and inpatients (IP) at the largest hospital in Ghana. In total, 632 nasal swabs were obtained from 452 IP and 180 HS...... and ST72–SCCmec V). Altogether, these data indicate a high diversity of S. aureus, low levels of MRSA carriage, and a higher chance of nasal carriage of multidrug-resistant S. aureus among IP compared with HS in this hospital....... in the Child Health Department (CHD) and Surgical Department (SD). S. aureus carriage prevalences were 13.9% in IP and 23.3% in HS. The chance of being a carrier was higher in HS (P = 0.005) and IP staying ≤7 days in hospital (P = 0.007). Resistance to penicillin (93%), tetracycline (28%) and fusidic acid (12...

  8. Abdominal surgical site infections: incidence and risk factors at an Iranian teaching hospital

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    Sabouri Kashani Ahmad

    2005-02-01

    Full Text Available Abstract Background Abdominal surgical site infections are among the most common complications of inpatient admissions and have serious consequences for outcomes and costs. Different risk factors may be involved, including age, sex, nutrition and immunity, prophylactic antibiotics, operation type and duration, type of shaving, and secondary infections. This study aimed to determine the risk factors affecting abdominal surgical site infections and their incidence at Imam Khomeini, a major referral teaching hospital in Iran. Methods Patients (n = 802 who had undergone abdominal surgery were studied and the relationships among variables were analyzed by Student's t and Chi-square tests. The subjects were followed for 30 days and by a 20-item questionnaire. Data were collected through pre- and post-operative examinations and telephone follow-ups. Results Of the 802 patients, 139 suffered from SSI (17.4%. In 40.8% of the cases, the wound was dirty infected. The average age for the patients was 46.7 years. The operations were elective in 75.7% of the cases and 24.7% were urgent. The average duration of the operation was 2.24 hours, the average duration of pre-operative hospital stay 4.31 days and the average length of (pre- and post-operation hospital stay 11.2 days. Three quarters of the cases were shaved 12 hours before the operation. The increased operation time, increased bed stay, electivity of the operation, septicity of the wound, type of incision, the administration of prophylactic antibiotic, type of operation, background disease, and the increased time lapse between shaving and operation all significantly associated with SSI with a p-value less than 0.001. Conclusion In view of the high rate of SSI reported here (17.4% compared with the 14% quoted in literature, this study suggests that by reducing the average operation time to less than 2 hours, the average preoperative stay to 4 days and the overall stay to less than 11 days, and

  9. Surveillance of device-associated infections at a teaching hospital in rural Gujarat - India

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    Singh S

    2010-01-01

    Full Text Available Purpose: Surveillance of hospital-acquired infection (HAI, particularly device-associated infection (DAI, helps in determining the infection rates, risk factors, and in planning the preventive strategies to ensure a quality healthcare in any hospital. The present study was carried out to know the prevalence of DAI in a tertiary care teaching hospital of rural Gujarat. Materials and Methods: A prospective, site-specific surveillance of three common DAIs that is catheter-associated urinary tract infection (CA-UTI, IV-catheter-related bloodstream infection (IV-CRBSI, and ventilator-associated pneumonia (VAP was carried out between July 2007 and April 2008, in different wards/ICUs. A surveillance plan, with guidelines and responsibilities of nurses, clinicians and microbiologist was prepared. Infection surveillance form for each patient suspected to have DAI was filled. The most representative clinical sample, depending on the type of suspected DAI, was collected using standard aseptic techniques and processed for aerobes and facultative anaerobes. All the isolates were identified and antimicrobial sensitivity testing performed as per CLSI guidelines. An accurate record of total device days for each of the indwelling devices under surveillance was also maintained. Data, collected in the prescribed formats, were analysed on monthly basis; and then, compiled at the end of the study. Descriptive analysis of the data was done and DAI rate was expressed as number of DAI per 1000 device days. Results: The overall infection rate for CA-UTI, IV-CRBSI, and VAP were found to be 0.6, 0.48, and 21.92 per 1000 device days, respectively. The organisms isolated were Staphylococcus aureus, CONS, Enterococci, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Escherichia coli. Conclusions: Duration of indwelling devices was found to be the major risk-factor for acquiring DAIs. Low DAI rate might have been due to use of antibiotics, often prophylactic. Active

  10. [Emergency of vancomycin-resistant Enterococcus infections in a teaching hospital in Chile].

    Science.gov (United States)

    Fica, Alberto; Jemenao, María Irene; Bilbao, Paola; Ruiz, Gloria; Sakurada, Andrea; Pérez de Arce, Edith; Zúñiga, Isabel; Gompertz, Macarena

    2007-12-01

    An active surveillance of vancomycin-resistant enterococci (VRE) intestinal colonization in selected group of patients has been developed in Chile since year 2000. Nevertheless, no reports of clinical cases have been published. Aim. To describe main clinical and microbiological features of patients infected by VRE in a tertiary-level teaching Hospital. Patients and methods. Intestinal and clinical samples positive to VRE were provided by laboratory, and a retrospective analysis of potential risk factors, clinical features, treatment and outcomes was performed. Study encompassed years 2001 to 2006. Main results. 23 cases of infections were identified, all cases occurring during 2005 and 2006. Incidence rate was 0.07 and 0.09 cases per 1000 occupied bed-days, respectively. The mean age was 62.0 +/- 17 years. A significant proportion of patients had cancer (39.1%), recent surgical procedures (54.1%), were on dialysis (26.1%), or were using steroids (26.1%). Most patients had received 2 or more antimicrobial (87%), almost a third represented transfers from other hospitals and an additional 22% readmissions before 30 days of latest discharge. Patients were mainly hospitalized in the ICU (60.9%) but nearly 30% were associated exclusively to nephrological or onco-hematological wards. Clinical manifestations included bacteremia (30.4%), surgical site infections or abscesses (26.1%), urinary tract infections (26.1%) and others. . Three patients (13%) did not have symptoms. After identification was possible, all isolates were identified as E. faecium (82.6% of total), the rest as Enterococcus sp. Most strains showed intermediate susceptibility to vancomycin (66.7%). For 14 strains studied both with vancomycin and teicoplanin, , phenotype Van B was predominant (85.7%), followed by VanA (7.1%) and VanB/VanD type (7.1%). No molecular studies were performed. Fifteen patients (65.4%) received a surgical and/or medical treatment. A favorable response was observed in 80% of these

  11. 北京市急性ST段抬高心肌梗死患者转诊现况调查%Analysis on inter-hospital transfer in patients with acute myocardial infarction in Beijing

    Institute of Scientific and Technical Information of China (English)

    宋莉; 颜红兵; 杨进刚; 孙艺红; 李超; 胡大一

    2010-01-01

    Objective To examine the present situation of inter-hospital transfer and its impact on early reperfusion therapies and short-term outcomes in patients with acute ST-elevation myocardial infarction (STEMI) in Beijing. Methods This cross-sectional and multicenter survey was conducted between 1 January and 31 December, 2006. A total of 789 STEMI patients admitted within 24 h of symptom onset to 19 hospitals capable of performing primary percutaneous coronary intervention ( PCI) in Beijing were divided into transfer group and non-transfer group. Data were collected by structured interviews and medical records review. Results A total of 236 STEMI patients (29.9% ) experienced inter-hospital transfer. Of these, 76. 7% were transferred from primary and secondary hospitals to tertiary hospitals, 22. 9% were transferred from tertiary hospitals to tertiary hospitals, 67.4% were transferred from non-primary PCI centers to primary PCI centers, 32. 6% were transferred from primary PCI centers to primary PCI centers. The difference of primary PCI rate( 62. 7% vs. 66.4%, P=0. 328) and door to balloon time (median, 132 min vs. 135 min, P = 0.473) were similar between 2 groups. The symptom onset to balloon time was significantly longer in transfer group than in non-transfer group ( median, 397 min vs. 246 min, P < 0. 001 ) . The in-hospital mortality was similar between 2 groups(4. 7% vs. 5. 8% ,P =0. 609). Conclusions The present situation of inter-hospital transfer is complicated for STEMI patients in Beijing. Inter-hospital transfer prolonged symptom onset to balloon time but did not influence primary PCI rate and door to balloon time as well as the short-term outcomes. Regional STEMI networks need to be instituted to improve therapies for STEMI patients.%目的 了解北京市急性ST段抬高心肌梗死(STEMI)患者的转诊现况以及对再灌注治疗和近期预后的影响.方法 入选2006年1月1日至12月31日期间就诊于北京市19所具备急诊经皮冠状动

  12. Teaching Effectiveness and Student’s Learning Acquisition in Selected Major Courses in the International Tourism and Hospitality Management Program

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    Merlita C. Medallon

    2014-02-01

    Full Text Available Assessment in the classroom is done to determine the effectiveness of the lesson delivery and the extent of learning acquired by the students. The study identified the determinants of teaching effectiveness and learning acquisition of students enrolled in selected major courses in the International Hospitality Management Program. Utilizing a descriptive-evaluative design, data were collected from 210 students enrolled in courses of the International Tourism and Hospitality Management Program. Findings show that the level of interest of the students is a great consideration in increasing their level of learning acquisition. The significant determinants of teaching effectiveness are number of absences and the level of interest of the students. The significant determinant of learning acquisition is the level of interest of the students.

  13. 2006 Beijing International Symposium of Diagnosis Theory and New Technical Development of Cerebral Palsy is Held in Beijing

    Institute of Scientific and Technical Information of China (English)

    WFAS secretariat

    2006-01-01

    @@ "2006 Beijing International Symposim of Diagnosis Theory and New Technical Development of Cerebral Palsy", sponsored by World Federation of Acupuncture-Moxibustion Societies (WFAS), undertaken by Sino-JapanFriendship Hospital under Ministry of Health, assisted by Expert Committee of Pediatric Neurosurgery, Newsroom of China Neurosurgery magazine, and Xi'an Encephalopathy Hospital of Traditional Chinese Medicine, is held on Oct. 28,2006, in Beijing.

  14. Enteric Opportunistic Parasitic Infections among HIV-Seropositive Patients at Tertiary Care Teaching Hospital

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    Sangeeta D Patel

    2015-09-01

    Full Text Available Background: Enteric opportunistic parasitic infections are the major source of diarrheal disease in developing countries mainly in Human Immunodeficiency virus (HIV infected patients. Objective: The study was to detect enteric parasites causing diarrhea and their association with immune status in HIV-seropositive patients. Methods: The present study was conducted in tertiary care teaching Hospital, Baroda between January 2006 to January 2007 involving 100 Human Immunodeficiency virus (HIV positive patients. Stool was examined for enteric parasites by microscopy with special staining methods. Results: A total of 100 HIV sero-positive patients with and without diarrhea were included in the study. Of the 100 patients, the protozoan parasitic infection was found in 28% (28/100. Out of 100 patients, 50 had diarrhea in which parasitic infection was 24 (48% and 4 (4/50 protozoal parasites positive cases did not have diarrhea. A significant difference (p<0.05 was observed in the level of infection of intestinal protozoan between the HIV seropositive with diarrhea and HIV-seropositive without diarrhea. Conclusion Enteric opportunistic parasitic infections were detected in 28% among HIV-seropositive patients. Early detection of enteric parasitic infections will help in the management and to improve the quality of life for HIV-infected individuals. [Natl J Med Res 2015; 5(3.000: 190-193

  15. Multidrug Resistance of Acinetobacter Baumannii in Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria

    Science.gov (United States)

    Odewale, G.; Adefioye, O. J.; Ojo, J.; Adewumi, F. A.; Olowe, O. A.

    2016-01-01

    Acinetobacter baumannii is a ubiquitous pathogen that has emerged as a major cause of healthcare-associated infections at Ladoke Akintola University Teaching Hospital. Isolates were assayed according to standard protocol. The isolates were subjected to molecular techniques to detect blaOXA, blaTEM, blaCTX-M, and blaSHV genes in strains of the A. baumannii isolates. The prevalence of A. baumannii was 8.5% and was most prevalent among patients in the age group 51–60 (36%); the male patients (63.6%) were more infected than their female counterparts. Patients (72.7%) in the intensive care unit (ICU) were most infected with this organism. The isolates showed 100% resistance to both amikacin and ciprofloxacin and 90.9% to both ceftriaxone and ceftazidime, while resistance to the other antibiotics used in this study were: piperacillin (81.8%), imipenem (72.7%), gentamycin (72.2%), and meropenem (63.6%). None of the isolates was, however, resistant to colistin. PCR results showed that blaOXA, blaTEM, and blaCTX-M genes were positive in some isolates, while blaSHV was not detected in any of the isolates. This study has revealed that the strains of A. baumannii isolated are multiple drug resistant. Regular monitoring, judicious prescription, and early detection of resistance to these antibiotics are, therefore, necessary to check further dissemination of the organism. PMID:27766173

  16. Vancomycin Utilization Evaluation in a teaching hospital: A case- series study in Iran.

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    Fanak Fahimi

    2015-10-01

    Full Text Available Background: Increasing antimicrobial resistance is now a critical point of human being in the world. Especially wide spectrum antibiotics resistance germs like vancomycin-resistant enterococci (VRE should be dealt as soon as possible as an emergency conflict. Our study tries to reveal the amount of irrational use of vancomycin in a teaching hospital in Iran.Methods: We elected the whole inpatients that received vancomycin between February 2007 and May 2008.Results: Forty four out of those 45 patients had inappropriate indication and dosing regimen of vancomycin (97.7%. The most use of vancomycin was recorded in hematology – oncology ward and then Intensive Care Unit (ICU. Culture responses were negative despite great clinical evidence of infection.Conclusion: Vancomycin irrational use was high compared to other countries and it could be concerned as a major health problem by health policy makers and physicians to deal. However more detailed researches are needed to reveal the other aspects of this problem. Implementation of antibiotic protocols and standard treatment guidelines are recommended.

  17. Film reject analysis and image quality in diagnostic Radiology Department of a Teaching hospital in Ghana

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    J. Owusu-Banahene

    2014-10-01

    Full Text Available Patients usually undergo repeated X-ray examinations after their initial X-ray radiographs are rejected due to poor image quality. This subjects the patients to an excess radiation exposure and extra cost and necessitates the need to investigate the causes of reject. The use of reject analysis as part of the overall quality assurance programs in clinical radiography and radiology services is vital in the evaluation of image quality of a well-established practice. It is shown that, in spite of good quality control maintained by the Radiology Department of a Teaching hospital in Ghana, reject analysis performed on a number of radiographic films developed indicated 14.1% reject rate against 85.9% accepted films. The highest reject rate was 57.1 ± 0.7% which occurs in cervical spine and the lowest was7.7 ± 0.5% for lumbar spine. The major factors contributing to film rejection were found to be over exposure and patient positioning in cervical spine examinations. The most frequent examination was chest X-ray which accounts for about 42.2% of the total examinations. The results show low reject rates by considering the factors for radiographic rejection analysis in relation to both equipment functionality and film development in the facility.

  18. Characteristics of smokers and their knowledge about smoking at a teaching hospital in Karachi

    International Nuclear Information System (INIS)

    Objective: To study the characteristics of smokers and their knowledge about smoking, among Family Practice Patients, at a teaching hospital in Karachi, Pakistan. Main outcome measures: Age at starting smoking, duration and number of cigarettes smoked, started smoking under influence of friends, colleagues, family members or self motivation, number of friends and colleagues who smoked, whether smoking is unhealthy, and actual chance of harm to an individual due to smoking is very rare or not. Results: One hundred patients who visited Family Practice Center were interviewed. Sixty one percent were young married men, well educated and either student, in private service, self employed or unemployed. Eighty-four (84%) smokers started smoking between 16-25 years of age, and smoked 6-20 cigarettes daily for two to twenty five years. Sixty-nine (69%) of them started smoking under the influence of friends and had 3-5 friends and colleagues who smoked. 91% of smokers believed that smoking is unhealthy and were aware that it causes lung cancer and heart disease. Majority of them (69%) believed that the actual harm of smoking to an individual is not very rare. Conclusion: We have documented the characteristics of smokers and their knowledge about smoking among Family Practice patients. Majority of the respondents started smoking at a young age under the influence of friends though they were aware of its harmful effects. Though the sample size is small but it does give an indication about the responsible factors to plan interventional preventive strategies. (author)

  19. Drug use in primary open angle glaucoma: A prospective study at a tertiary care teaching hospital

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    Arvind Kumar Yadav

    2013-01-01

    Full Text Available Objective: To study drug use pattern in patients of primary open angle glaucoma (POAG and to analyze the cost of different anti-glaucoma medications. Materials and Methods: This prospective study was carried in the glaucoma clinic of a tertiary care teaching hospital over a period of 9 months. The data collected for patients with POAG included the patient′s demographic details and the drugs prescribed. Data were analyzed for drug use pattern and cost drugs used. Results: In a total 180 prescriptions (297 drugs analyzed, most drugs (83.83% were prescribed by topical route as eye drops. β blockers (93.88% were found to be the most frequently prescribed for POAG. Timolol (82.22% was the most frequently prescribed drug and timolol with acetazolamide (17.22% was the most commonly prescribed drug combination. Fixed dose combinations constituted 26.66% of prescriptions. β blockers were found to be cheaper than other anti-glaucoma drugs while prostaglandins analogs were the costliest. Instructions about the route, frequency and duration of treatment were present in all prescriptions. However, instructions regarding instillation of eye drops were missing in all prescriptions.

  20. Radiation Protection in Radiology Departments of Ahvaz University of Medical Sciences Teaching Hospitals, Ahvaz, Iran, 2015

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    Fouladi Dehaghi

    2015-07-01

    Full Text Available Background Application of ionizing radiation in many fields especially in medicine is growing, and can cause adverse health effects. Objectives The current study aimed to evaluate the radiation protection principles in radiology departments, based on national standards. Materials and Methods The current study was conducted in all radiology departments of the teaching hospitals in Ahvaz, Iran, and their radiation protection status was investigated using Audit technique. For this purpose Audit checklist was prepared and essential information gathered by observation, interview with radiology department managers, and documentary surveying. At the end, standard situations were classified in three levels: poor (˂ 50%, medium (50 - 75%,s and good (75 - 100%. Results The mean of radiation protection in the studied radiology departments was 70.53%. The highest and lowest levels of radiation protection were in quality control and suitable ventilation, respectively. Radiation protection was evaluated as medium in 71.4% and good in 28.6% of the studied radiology departments. Conclusions The state of observed radiation protection principles was relatively in the weak level in the studied radiology departments especially in facilities such as ventilation system, radiography entrance, and darkroom situation. More important reason was usage changing of sections as radiology billet from related organizations.

  1. Normal Conjunctival Flora as seen in Adult Patients at Kigali University Teaching Hospital

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    Saiba Eugène Semanyenzi

    2013-06-01

    Full Text Available The aim of this study was to assess the pattern of normal ocular bacterial flora isolated from patients attending the Department of ophthalmology at the Kigali University Teaching Hospital and to evaluate their in vitro susceptibility to common antimicrobial agents. From June to October 2011, collection of specimen was performed by rotating a sterile cotton swab on the lower conjunctival sac from the temporal to the medial fornix. Gram stain and culture was performed and antibiotic sensitivity determined in case of bacterial growth. Of the 120 collected samples, 74 (61.6% showed bacterial growth and all were gram positive. 48.6% were Staphylococcus aureus , while 51.4% were Staphylococcus epidermidis . There was high sensitivity of Staphylococcus aureus to chloramphenicol (100%, clindamycine (92%, oxacilline (86.7%, ciprofloxacine (76.7% and norfloxacine (71.9%. However, there was a high resistance of Staphylococcus aureus to penicilline G (11.1% and tetracycline (52.8%. Staphylococcus epidermidis was highly sensitive to chloramphenicol (71.9% and oxacilline (71.1% while it was resistant to erythromycine (28.6%, norfloxacine (35.3% and penicilline G (40.6%. In this study, all of the isolated pathogens were revealed to be gram-positive bacteria. Chloramphenicol, clindamycine and oxacilline showed good activity against normal flora of the ocular surface and should be used in prevention of post-operative end ophtalmitis.

  2. Population Structure of Candida albicans from Three Teaching Hospitals in Ghana.

    Science.gov (United States)

    Adjapong, Gloria; Hale, Marie; Garrill, Ashley

    2016-02-01

    Previous studies on Candida species in a clinical setting in Ghana have shown a prevalence of Candida albicans. Despite this, very little is known about the various strain types and their population genetic structure. In this study three microsatellite loci, CAI, CAIII and CAVI, were used to investigate the population genetic structure of C. albicans from clinical isolates in Ghana. In all, 240 clinically unrelated C. albicans isolates were recovered from patients reporting at three teaching hospitals. All the isolates were heterozygous for at least one of the three loci, except for one isolate, which was homozygous for all three loci. Sixty-seven unique alleles and 240 different genotypes were generated by the three polymorphic microsatellite loci, resulting in a very high discriminatory potential of approximately 0.98. There was no significant difference in allele frequencies from the small number of anatomical sites sampled, regardless of the host conditions although high genotypic diversities were observed among the isolates. There was evidence for clonal reproduction, including over-expression of observed heterozygotes across the populations. The populations deviated significantly from Hardy-Weinberg equilibrium and pair-wise genotypic linkage disequilibria comparisons across the three loci were significant, also suggesting a clonal population. The overall Wright FIS for the three loci was negative, and the overall FST value was not significantly different from zero for the three loci analyzed, indicating a clonal and homogeneous population across the three sampling locations from Ghana.

  3. Drug-induced diseases (DIDs: An experience of a tertiary care teaching hospital from India

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    Vishal R Tandon

    2015-01-01

    Full Text Available Background & objectives: Drug-induced diseases (DIDs are well known but least studied. Data on DIDs from India are not available. Hence, this retrospective cross-sectional study was undertaken using suspected adverse drug reaction (ADR data collected form Pharmacovigilance Programme of India (PvPI to evaluate profile of DIDs over two years, in a tertiary care teaching hospital from north India. Methods: The suspected ADRs in the form of DID were evaluated for drug and disease related variables and were classified in terms of causality. Results: DID rate was 38.80 per cent. Mean duration of developing DIDs was 26.05 ± 9.6 days; 25.16 per cent had more than one co-morbid condition. Geriatric population (53.99% accounted for maximum DIDs followed by adult (37.79% and paediatric (8.21%. Maximum events were probable (93.98% followed by possible (6.04%. All DIDs required intervention. Gastritis (7.43%, diarrhoea (5.92%, anaemia (4.79%, hypotension (2.77%, hepatic dysfunction (2.69%, hypertension (1.51%, myalgia (1.05%, and renal dysfunction (1.01% were some of the DIDs. Anti-tubercular treatment (ATT, anti- retroviral treatment (ART, ceftriaxone injection, steroids, non-steroidal anti-inflammatory drugs, antimicrobials and anticancer drugs were found as commonly offending drugs. Interpretation & conclusions: Our findings show that DIDs are a significant health problem in our country, which need more attention.

  4. Pharmaceutical interventions in medications prescribed for administration via enteral tubes in a teaching hospital

    Science.gov (United States)

    Ferreira, Carolina Justus Buhrer; Plodek, Caroline Koga; Soares, Franciny Kossemba; de Andrade, Rayza Assis; Teleginski, Fernanda; da Rocha, Maria Dagmar

    2016-01-01

    Abstract Objective: to analyze the impact of guidelines regarding errors in medications prescribed for administration through enteral tubes. Method: quantitative study, in three phases, undertaken in internal medicine, neurology and an intensive care unit in a general teaching hospital. In Phase 1, the following was undertaken: a protocol for dilution and unit-dose repackaging and administration for 294 medications via enteral tubes; a decision flowchart; operational-standard procedures for dilution and unit-dose repackaging of oral pharmaceutical forms and for administration of medications through enteral tubes. In phase 2, errors in 872 medications prescribed through enteral tubes, in 293 prescriptions for patients receiving inpatient treatment between March and June, were investigated. This was followed by training of the teams in relation to the guidelines established. In Phase 3, pharmaceutical errors and interventions in 945 medications prescribed through enteral tubes, in 292 prescriptions of patients receiving inpatient treatment between August and September, were investigated prospectively. The data collected, in a structured questionnaire, were compiled in the Microsoft Office Excel(r) program, and frequencies were calculated. Results: 786 errors were observed, 63.9% (502) in Phase 2, and 36.1% (284) in Phase 3. In Phase 3, a reduction was ascertained in the frequency of prescription of medications delivered via enteral tubes, medications which were contraindicated, and those for which information was not available. Conclusion: guidelines and pharmaceutical interventions were determined in the prevention of errors involving medications delivered through enteral tubes. PMID:27276019

  5. A pharmacovigilance study on patients of bronchial asthma in a teaching hospital

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    A N Jamali

    2010-01-01

    Full Text Available Objective : The present study was conducted to monitor adverse drug reactions in patients of bronchial asthma in outpatient department and inpatient department of a university teaching hospital in South Delhi. Materials and Methods : About 200 patients irrespective of age and sex with established asthma were interviewed during the time period of January 2006 to April 2006 using structured questionnaire. Naranjo′s adverse drug reaction probability scale was used to assess the adverse drug reactions. Results : A total of 15 adverse drug reactions were reported in 13 out of 200 asthmatic patients. Among the 13 patients reported with adverse drug reactions, 5 (38.5% were male and 8 (61.5% patients were female. Maximum percentage of ADRs (2 in 15 prescriptions, 13.3% observed with montelukast, followed by beclomethasone (1 in 12 prescriptions, 8.3%, salbutamol (6 in 109 prescriptions, 5.5%, and ipratropium (3 in 63 prescriptions, 4.8%. Conclusions : Montelukast was found to be associated with greater percentage of adverse drug reactions as compared to other antiasthamatics. The above findings are constrained by a small sample size and need to be corroborated by conducting long-term studies using a larger sample size.

  6. Evaluation of prescribing indicators and pattern among dermatological outpatients in a teaching hospital of central Nepal

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    Manohar Pradhan

    2016-08-01

    Full Text Available Background: Evaluation of prescribing indicators by proper analysis of prescriptions under the guidelines of World Health Organization enables us to detect some of the common problems of prescribing.Methodology: This study was conducted on randomly selected 325 prescriptions of dermatological outpatients of teaching hospital of College of Medical Sciences Bharatpur (Nepal with an objective to detect the problems of prescribing as well as to delineate the pattern of medicines prescribing.Results: Total number of medicines prescribed on these prescriptions was 743. The average number of medicines per encounter was 2.28. Antihistamines, antifungals, corticosteroids and antibiotics were four most frequently prescribed therapeutic classes. One systemic as well as one topical medicine belonging to same therapeutic class was prescribed on about one-third of totally analyzed prescriptions. Cetrizine was the most common individually prescribed medicine and fluconazole was the most commonly prescribed antifungal. Medicines prescribed by their generic name were 15.07% and those prescribed from national essential medicines list were 23.42%.Conclusion: This study reveals polypharmacy, inclination of prescribers for branded medicines and prescribing out of national formulary as problems. Educational and managerial interventions are required to rationalize the prescribing practice.JCMS Nepal. 2016;12(2:44-9.

  7. Intestinal parasitosis: data analysis 2006-2011 in a teaching hospital of Ancona, Italy.

    Science.gov (United States)

    Silvestri, Carmela; Greganti, Gianfranco; Arzeni, Daniela; Morciano, Angela; Castelli, Pamela; Barchiesi, Francesco; Cirioni, Oscar; Giacometti, Andrea

    2013-03-01

    Intestinal parasites are a serious problem in developing countries, but should not be underestimated in industrialised countries either. Between January 2006 and December 2011, stool specimens and the scotch tests of 5323 Italian and non Italian patients (adults and children) attending the laboratory of our Infectious Diseases Clinic in a teaching Hospital at Ancona were analyzed specifically for intestinal parasites. The present study shows that, over a six-year period, of a total of 5323 patients 305 harboured at least one species of parasite (5.7%). Among the pathogenic protozoa Giardia lamblia was the most common, the overall prevalence of giardiasis being 1.8 % (99/5323). Helminths were found in 0.9% of the patients (48/5323). In particular, Hymenolepis nana, Strongyloides stercoralis and Trichuris trichiura were most commonly recovered in non-Italian children, suggesting that certain intestinal parasites are restricted to endemic areas in the tropics. Eighteen of the 305 infected patients had more than one parasite in their stools. Our study demonstrates that intestinal parasites must be considered even in industrialised areas and stool examination should be supported by epidemiological data and clinical features.

  8. Pharmaceutical interventions in medications prescribed for administration via enteral tubes in a teaching hospital

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    Carolina Justus Buhrer Ferreira Neto

    2016-01-01

    Full Text Available Abstract Objective: to analyze the impact of guidelines regarding errors in medications prescribed for administration through enteral tubes. Method: quantitative study, in three phases, undertaken in internal medicine, neurology and an intensive care unit in a general teaching hospital. In Phase 1, the following was undertaken: a protocol for dilution and unit-dose repackaging and administration for 294 medications via enteral tubes; a decision flowchart; operational-standard procedures for dilution and unit-dose repackaging of oral pharmaceutical forms and for administration of medications through enteral tubes. In phase 2, errors in 872 medications prescribed through enteral tubes, in 293 prescriptions for patients receiving inpatient treatment between March and June, were investigated. This was followed by training of the teams in relation to the guidelines established. In Phase 3, pharmaceutical errors and interventions in 945 medications prescribed through enteral tubes, in 292 prescriptions of patients receiving inpatient treatment between August and September, were investigated prospectively. The data collected, in a structured questionnaire, were compiled in the Microsoft Office Excel(r program, and frequencies were calculated. Results: 786 errors were observed, 63.9% (502 in Phase 2, and 36.1% (284 in Phase 3. In Phase 3, a reduction was ascertained in the frequency of prescription of medications delivered via enteral tubes, medications which were contraindicated, and those for which information was not available. Conclusion: guidelines and pharmaceutical interventions were determined in the prevention of errors involving medications delivered through enteral tubes.

  9. Nurse recruitment and nursing talents' demand in tertiary hospitals in Beijing%北京市三级医院护士招聘及人才需求情况的调查

    Institute of Scientific and Technical Information of China (English)

    王艳; 孙宏玉; 陈华; 杨圆圆; 陆悦; 耿笑微

    2013-01-01

    目的 了解北京市三级医院护士招聘及对护理人才的需求情况.方法 采用自设护士招聘及人才需求问卷对北京市53家三级医院护理部主任进行调查.结果 各医院近3年招聘的护士学历以大专为主,占64.30%,本科学历护士已经达到20.36%;各医院招聘的本科、专科护士有医院正式编制的不足30.00%.各医院未来5年计划招聘护士数量逐年增多,同时呈现专科生逐年减少、本科生及研究生逐年增加的趋势.各医院计划招聘男护士的数量逐年递增,约占总计划招聘人数的7.00%~8.00%.有76.09%的调查对象认为目前护理本科毕业生处于供不应求状态.调查对象认为本科护士需要具有足够的护理学专业知识和人文社会学知识,具有团队协作能力、沟通交流能力、护理技术操作能力及解决问题能力.结论 北京市三级医院对护理人才的需求逐年增加,高学历护理人才供不应求,各高等护理院校应采取措施培养更多高质量护理人才以适应市场需求.%Objective To investigate the current situation of nurse recruitment and the nursing talents' demand in tertiary hospitals in Beijing.Method The directors of nursing department in 53 tertiary hospitals in Beijing were investigated with a self-designed questionnaire on nurse recruitment and nursing talents demand.Results Of the new nurses recruited in the last three years,64.30% had associate degree.The proportion of the nurses with bachelor degree has reached 20.36%,but only 30% of them have regular staff status.The demand of nurses with bachelor and master degree in the next five years increases year by year.Moreover,the demand of male nurses increases,which accounted for 7.00%~8.00% of the total numbers.There were 76.09% of directors thought that the supply of nurses with bachelor degree fell short of demand.The most important qualities of the undergraduate nursing personnel were adequate

  10. Monitoramento epidemiológico da tuberculose em um hospital geral universitário Epidemiological monitoring of tuberculosis in a general teaching hospital

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    Berenice das Dores Gonçalves

    2010-06-01

    Full Text Available OBJETIVO: Descrever o monitoramento epidemiológico da exposição à tuberculose realizado em ambiente hospitalar e analisar o perfil da doença em um hospital geral universitário. MÉTODOS: Estudo descritivo e retrospectivo dos casos diagnosticados de tuberculose no período entre 2000 e 2006, com a determinação de indicadores de morbidade e mortalidade, que foram comparados a população geral de pacientes atendidos no hospital e com o total de funcionários do hospital que desenvolveram tuberculose ativa. RESULTADOS: Foram atendidos 763 pacientes com tuberculose ativa (média, 109 pacientes/ano, sendo 481 (63,1% do sexo masculino. A faixa etária mais atingida foi a de 30 a 59 anos. As formas clínicas pulmonares e extrapulmonares exclusivas foram predominantes. Entretanto, entre os pacientes internados, as formas pulmonares associadas às extrapulmonares e as formas pulmonares não bacilíferas exclusivas foram mais frequentes. A presença de comorbidades foi mais prevalente entre os pacientes internados e entre os que evoluíram para óbito. Apenas 52,8% dos casos atendidos no hospital foram notificados. Os indicadores hospitalares gerais demonstraram maior tempo de internação hospitalar e mortalidade entre os pacientes com tuberculose. CONCLUSÕES: A incidência e prevalência indicam um alto risco de exposição à tuberculose no hospital no período estudado. Os indicadores propostos apresentam um potencial de padronização dos procedimentos de monitoramento da tuberculose hospitalar, e o perfil epidemiológico aqui descrito poderá contribuir para um melhor entendimento da situação da doença no país.OBJECTIVE: To describe the epidemiological monitoring of exposure to tuberculosis in a hospital environment and to analyze the profile of the disease in a general teaching hospital. METHODS: A descriptive and retrospectivestudy of tuberculosis cases diagnosed between 2000 and 2006, with the determination of indicators of morbidity

  11. Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sci

    OpenAIRE

    FARZAD MAHMOUDIAN; SEYED ZIAEDDIN TABEI; PARISA NABEIEI; NEDA MOADAB; MEHRNAZ MARDANI; ZAHRA HOUSHMAND SARVESTANI; ZAHRA GHASEMI

    2013-01-01

    Introduction: Professional ethics is a very important issue for managers who are role models for students and staff. It can also be very effective in organizational activities. The main objective of this research is to describe the result of managers’ self assessment in Shiraz teaching hospitals. Methods: The present research is a cross-sectional study. The statistical society of this research includes all senior, middle and executive managers of Nemazi, Faghihi and Chamran ...

  12. Seroprevalence of Transfusion Transmissible Infections Among Voluntary Blood Donors at a Tertiary Care Teaching Hospital in Rural Area of India

    OpenAIRE

    Giri, Purushottam A; Jayant D Deshpande; Deepak B Phalke; Karle, Laximan B.

    2012-01-01

    Background: Blood transfusion is a life-saving measure in various medical and surgical emergencies. Transfusion medicine, apart from being important for the medical treatment of each patient, also has great public health importance. Objectives: The present study was conducted to estimate the prevalence of transfusion transmitted infections in voluntary blood donors at a rural tertiary care teaching hospital in western Maharashtra, India. Materials and Methods: All voluntary donors reporting t...

  13. A MARKET OPPORTUNITY STUDY FOR THE DEVELOPMENT OF A NEW SPORT HORSE SERVICE AT THE MSU VETERINARY TEACHING HOSPITAL

    OpenAIRE

    Larsen, Eric R.; Lloyd, James W.

    2002-01-01

    The potential need for several new services within the Veterinary Teaching Hospital (VTH) is unknown. However, based on focus groups and practitioner surveys conducted over the last several years, potential new services were identified: overnight emergency, behavior medicine, equine sports medicine, dentistry, oncology and exotic animal medicine. Michigan State University's College of Veterinary Medicine (MSU-CVM) has recently expanded its equine research, diagnostic and therapy capabilities ...

  14. “Fear, Shame and Embarrassment”: The Stigma Factor in Post Abortion Care at Komfo Anokye Teaching Hospital, Kumasi, Ghana

    OpenAIRE

    Eva Tagoe-Darko

    2013-01-01

    Using qualitative data on post abortion care services at the Komfo Anokye Teaching Hospital in Kumasi, Ghana, the paper explored evidence of social stigma as a factor in post abortion care. Results from 6 focus group discussions, 10 narratives and observations identified three areas of stigma. The Patients (perspective and experience), the Providers (the medical environment and setting) and the Community (family, relations and peers). Evidence from the focus group discussions, narratives and ...

  15. Integration of Services for Victims of Child Sexual Abuse at the University Teaching Hospital One-Stop Centre

    OpenAIRE

    Elwyn Chomba; Laura Murray; Michele Kautzman; Alan Haworth; Mwaba Kasese-Bota; Chipepo Kankasa; Kaunda Mwansa; Mia Amaya; Don Thea; Katherine Semrau

    2010-01-01

    Objective. To improve care of sexually abused children by establishment of a “One Stop Centre” at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prev...

  16. A STUDY OF PRESCRIPTION PATTERN OF ANTIMICROBIAL USAGE IN EAR, NOSE AND THROAT INFECTIONS OF A RURAL TEACHING HOSPITAL

    OpenAIRE

    Guru Prasad; Kulkarni; Rajasekhar; Rajesh; Raghavendra,; Vinodraj; Advaitha; Nikhilesh

    2014-01-01

    Infections of the ear, nose and throat (E.N.T) are common clinical problems occurring in the general population. Prescription pattern study of ENT infections was conducted in ENT OPD of a rural teaching hospital with the objective of evaluating prescribing pattern of drugs and to study the rationality of the antimicrobial therapy. The study showed that in the 768 prescriptions, the AMAs (Antimicrobial agents) were indicated therapeutically in 79.68%, prophylactically in 9.16% ...

  17. Current Microbial Isolates from Wound Swabs, Their Culture and Sensitivity Pattern at the Niger Delta University Teaching Hospital, Okolobiri, Nigeria

    OpenAIRE

    Pondei, Kemebradikumo; Fente, Beleudanyo G.; Oladapo, Oluwatoyosi

    2013-01-01

    Background: Wound infections continue to be problematic in clinical practice where empiric treatment of infections is routine. Objectives: A retrospective cross-sectional study to determine the current causative organisms of wound infections and their antibiotic susceptibility patterns in the Niger Delta University Teaching Hospital (NDUTH), Okolobiri, Bayelsa State of Nigeria. Methods: Records of wound swabs collected from 101 patients with high suspicion of wound infection were analysed. Sm...

  18. Socioeconomic factors affecting patients′ utilization of primary care services at a Tertiary Teaching Hospital in Riyadh, Saudi Arabia

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    Abdulaziz M Alsubaie

    2016-01-01

    Full Text Available Background: Primary care services utilization is dependent on socioeconomic factors. It is proven that variation in socioeconomic factors result in discrepancies in the use of such services. Admittedly, research is limited on the socioeconomic factors affecting the utilization of primary care services in Saudi Arabia. Objectives: The aim of this research was to study the effect of the main socioeconomic factors affecting patients′ utilization of primary care services at a tertiary teaching hospital, Riyadh, Saudi Arabia. Materials and Methods: A cross-sectional study was conducted from January to February 2014 in a primary care clinic of a tertiary teaching hospital in Riyadh city; subjects selected using a random consecutive sampling technique. A self-administered questionnaire in Arabic was given to the participants to collect the data which comprised sociodemographic data, utilization measures, and health needs. The data were analyzed using SPSS version 21. Results: A total of 358 subjects participated in the study. The main factors that best determine the utilization of primary health care clinic in a tertiary teaching hospital were the possession of a health insurance (P = 0.046, odds ratio [OR] = 8.333, and bad self-health-perception (P < 0.014, OR: 2.088. Chronic illness was also associated with higher utilization (OR = 2.003. Conclusion: Our results reveal that chronic health problems, self-health-perception, and health insurance are the most significant socioeconomic factors affecting the utilization of primary care services.

  19. Molecular typing of methicillin-resistant and methicillin-susceptible Staphylococcus aureus isolates from Shiraz teaching hospitals by PCR-RFLP of coagulase gene

    OpenAIRE

    Hossein Khoshkharam-Roodmajani; Jamal Sarvari; Abdollah Bazargani; Mohammad Reza Kandekar-Ghahraman; Ali Nazari-Alam; Mohammad Motamedifar

    2014-01-01

    Background and objectives To investigate coagulase gene polymorphism of MRSA and MSSA isolates from Shiraz teaching hospitals from 2011 to 2012. Materials and Methods A total of 302 isolates of Staphylococcus aureus were collected from clinical specimens in three major teaching hospitals and confirmed on the basis of morphological characteristics and biochemical tests. The isolates were subjected to molecular typing on the basis of coagulase enzyme gene polymorphism by PCR-RFLP. Results There...

  20. Prescribing practice and evaluation of appropriateness of enteral nutrition in a university teaching hospital

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    Zhu XP

    2013-02-01

    Full Text Available Xiu-Ping Zhu,1 Ling-Ling Zhu,2 Quan Zhou11Department of Pharmacy, 2Cadre Department, Division of Nursing, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People’s Republic of ChinaBackground: A retrospective utilization study was performed to evaluate utilization patterns for enteral nutrition in a university teaching hospital.Methods: Enteral nutrition was divided into three types according to the nitrogen source, ie, total protein type [Nutrison Fibre®, Fresubin Energy Fibre®, Fresubin®, Supportan® (a special immunonutrition for cancer patients or patients with increased demands for omega-3 fatty acids, Fresubin Diabetes® (a diabetes-specific formula, Ensure®]; short peptide type (Peptison®; and amino acid type (Vivonex®. A pharmacoeconomic analysis was done based on defined daily dose methodology.Results: Among hospitalized patients taking enteral nutrition, 34.8% received enteral nutrition alone, 30% concomitantly received parenteral nutrition, and 35.2% received enteral nutrition after parenteral nutrition. Combined use of the different formulas was observed in almost all hospitalized patients receiving enteral nutrition. In total, 61.5% of patients received triple therapy with Nutrison Fibre, Fresubin Diabetes, and Supportan. Number of defined daily doses (total dose consumed/defined daily dose, also called DDDs of formulas in descending order were as follows: Nutrison Fibre, Fresubin Energy Fibre, Fresubin Diabetes > Supportan > Peptison, Ensure > Vivonex, Fresubin. The ratio of the cumulative DDDs for the three types of enteral nutrition was 35:2.8:1 (total protein type to short peptide type to amino acid type. Off-label use of Fresubin Diabetes was also observed, with most of this formula being prescribed for patients with stress hyperglycemia. Only 2.1% of cancer patients received Supportan. There were 35 cases of near misses in dispensing look-alike or sound-alike enteral

  1. Medicare. Concerns with Physicians at Teaching Hospitals (PATH) Audits. Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives.

    Science.gov (United States)

    General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

    This report evaluates the Department of Health and Human Services PATH (Physicians at Teaching Hospitals) initiative involving audits of Medicare billing processes and procedures. The PATH audits resulted from concerns that medical records did not adequately document the direct involvement of teaching physicians in services provided by resident…

  2. The Experience of Implementing the Board of Trustees’ Policy in Teaching Hospitals in Iran: An Example of Health System Decentralization

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    Leila Doshmangir

    2015-04-01

    Full Text Available Background In 2004, the health system in Iran initiated an organizational reform aiming to increase the autonomy of teaching hospitals and make them more decentralized. The policy led to the formation of a board of trustees in each hospital and significant modifications in hospitals’ financing. Since the reform aimed to improve its predecessor policy (implementation of hospital autonomy began in 1995, it expected to increase user satisfaction, as well as enhance effectiveness and efficiency of healthcare services in targeted hospitals. However, such expectations were never realized. In this research, we explored the perceptions and views of expert stakeholders as to why the board of trustees’ policy did not achieve its perceived objectives. Methods We conducted 47 semi-structured face-to-face interviews and two focus group discussions (involving 8 and 10 participants, respectively with experts at high, middle, and low levels of Iran’s health system, using purposive and snowball sampling. We also collected a comprehensive set of relevant documents. Interviews were transcribed verbatim and analyzed thematically, following a mixed inductive-deductive approach. Results Three main themes emerged from the analysis. The implementation approach (including the processes, views about the policy and the links between the policy components, using research evidence about the policy (local and global, and policy context (health system structure, health insurers capacity, hospitals’ organization and capacity and actors’ interrelationships affected the policy outcomes. Overall, the implementation of hospital decentralization policies in Iran did not seem to achieve their intended targets as a result of assumed failure to take full consideration of the above factors in policy implementation into account. Conclusion The implementation of the board of trustees’ policy did not achieve its desired goals in teaching hospitals in Iran. Similar

  3. Performance Evaluation a Teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model

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    Fereshteh Farzianpour

    2011-01-01

    Full Text Available Problem statement: Today, organizations are willing to achieve quality as a source of competitive advantage. Therefore, their performance evaluation and quality improvement is essential. One of the international models in this field is Baldrige health care model. Approach: The study aimed to evaluate Performance Evaluation a teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model. Performance was evaluated by two types Baldrige questionnaire (i.e., process and result criteria. Six process criteria (Leadership; Strategic Planning; Focus on Patients, Other Customers and Markets; Measurement, Analysis and Knowledge Management; Workforce Focus; and Process Management with 12 sub-criteria, were evaluated based on four factors of Approach, Deployment, Learning and Integration. Results criteria with six subcriteria were evaluated based on four factors of performance level, rate and breath of performance improvement, comparative and benchmark data and relevance of evaluation result scales. Results: The teaching hospital obtained 145/21 scores (26/40 percent out of a total of 550 points in process criteria and 90/37 scores (20/08 percent out of a total of 450 points in result criteria. Studied hospital obtained the highest score in Measurement, Analysis and Knowledge Management 28/1 scores (31/22 percent. In Sum, the hospital obtained 235/58 scores (23/55 percent out of 1000 points. Conclusion: Scores obtained by hospital showed the first level of excellence. The outcome of this study clearly indicates that Baldrige model criteria act as a powerful tool to analyze the quality performance of the hospitals. The researchers attempted to create a common language and a roadmap in order to follow the path of excellence in health care organizations in Iran.

  4. PRESCRIBING PRACTICES OF NON TEACHING GENERAL PRACTITIONERS OF PRIVATE CLINICS AND PHYSICIANS OF A TERTIARY CARE TEACHING HOSPITAL: A COMPARATIVE CROSS SECTIONAL STUDY

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    Sudar Codi R, Samiya Khan, Manimekalai K

    2015-01-01

    Full Text Available Background: Doctor’s prescription provides vivid information and instruction to the patient. In spite of the WHO programs, irrational prescribing is still a common practice. Aim: To evaluate and compare the prescribing pattern of private practitioners and physicians of a tertiary care teaching hospital in a semi urban area and detect their rationality. Materials & methods: 150 prescriptions, each prescribed by private practitioners and physicians of a tertiary care hospital were collected over a period of two months and evaluated. Information regarding the drugs used, drugs from the essential drug list, the use of injections, fixed dose combinations, drug prescribed by generic names were observed. Results: The average number of drugs per prescription prescribed by the private practitioners was 2.47 compared to 1.58 by the physicians of a tertiary care hospital. 82% of prescriptions of private practitioners had one injection prescribed in the prescription compared to 12% by physicians of a tertiary care hospital. 30 unnecessary drugs, 46 unnecessary injections and 8 irrational fixed dose combinations were prescribed by the private practitioners, whereas only 6 unnecessary drugs and 2 unnecessary injections were prescribed by the physicians of a tertiary care hospital respectively. There was no irrational fixed dose combination prescribed by them. The private practitioners prescribed 12 (3.2% drugs by generic names, whereas the physicians of a tertiary care hospital prescribed 72 (30.3% drugs by generic names. (P<0.000. 36 (9.7% drugs prescribed by the private practitioners were not included in the essential drug list and only 2 (0.8% drugs prescribed by the physicians of a tertiary care hospital were not included in the essential drug list. Conclusion: Private practitioners prescribe more irrational prescriptions on comparison with the physicians of a tertiary care teaching hospital. This may be due to the promotional pharmaceutical incentives

  5. Application analysis on antidepressant drugs of 22 hospitals in Beijing from 2010 to 2014%2010-2014年北京地区22家医院抗抑郁药物应用研究

    Institute of Scientific and Technical Information of China (English)

    陈瑞玲; 赵志刚; 王雅杰

    2016-01-01

    Objective:To investigate the status and the development tendency of clinical application of antidepressants in Beijing area, and provide evidence for rational usage of antidepressants. Methods: Using the analytical method of the deifned daily dose (DDD) recommended by WHO, consumption sum, DDDs and deifned daily cost (DDC) of antidepressants in 22 hospitals in Beijing area from 2010 to 2014 were analyzed retrospectively.Results:Within 5 years, 19 kinds of antidepressants were used. DDDs and consumption sum of antidepressants showed increased trend year by year in 22 hospital of Beijing. Average annual growth rates of consumption sum and DDDs were 14.79%and 16.47%respectively. DDC remained unchanged. Selective serotonin reuptake inhibitors (SSRIs), selective serotonin and norepinephrine reuptake inhibitors (sSNRIs) used predominantly. The consumption sum of SSRIs and sSNRIs accounted for over 60%–70%and 20%among the total consumption sum of antidepressant drugs respectively. The top 3 drugs in DDDs were paroxetine, lfupentixol and melitracen compound tablets, citalopram or escitalopram. Conclusion:Antidepressant drugs played an increasingly important role in clinical treatment. New types of antidepressants, such as SSRIs and sSNRIs, have already become the ifrst-line antidepressants in clinic practice.%目的:了解北京地区抗抑郁药物使用情况,为临床合理用药提供参考。方法:采用回顾性分析方法,以WHO推荐的限定日剂量(DDD)作为药物利用研究评价单位,对2010–2014年北京地区22家医院抗抑郁药物的销售金额、DDDs以及DDC进行统计分析。结果:2010–2014年,北京地区22家医院共使用了19种抗抑郁药物;抗抑郁药物的用药金额和DDDs均呈增长趋势;用药金额和DDDs年均增幅分别为14.79%和16.47%;各品种各年度的DDC保持不变。SSRIs和sSNRIs分别占用药金额的60%~70%和20%。DDDs排序前3位是帕罗西汀、氟哌噻吨/美利曲辛复

  6. Prevalence rates of infection in intensive care units of a tertiary teaching hospital

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    Toufen Junior Carlos

    2003-01-01

    Full Text Available OBJECTIVE: To determine the prevalence rates of infections among intensive care unit patients, the predominant infecting organisms, and their resistance patterns. To identify the related factors for intensive care unit-acquired infection and mortality rates. DESIGN: A 1-day point-prevalence study. SETTING:A total of 19 intensive care units at the Hospital das Clínicas - University of São Paulo, School of Medicine (HC-FMUSP, a teaching and tertiary hospital, were eligible to participate in the study. PATIENTS: All patients over 16 years old occupying an intensive care unit bed over a 24-hour period. The 19 intensive care unit s provided 126 patient case reports. MAIN OUTCOME MEASURES: Rates of infection, antimicrobial use, microbiological isolates resistance patterns, potential related factors for intensive care unit-acquired infection, and death rates. RESULTS: A total of 126 patients were studied. Eighty-seven patients (69% received antimicrobials on the day of study, 72 (57% for treatment, and 15 (12% for prophylaxis. Community-acquired infection occurred in 15 patients (20.8%, non- intensive care unit nosocomial infection in 24 (33.3%, and intensive care unit-acquired infection in 22 patients (30.6%. Eleven patients (15.3% had no defined type. The most frequently reported infections were respiratory (58.5%. The most frequently isolated bacteria were Enterobacteriaceae (33.8%, Pseudomonas aeruginosa (26.4%, and Staphylococcus aureus (16.9%; [100% resistant to methicillin]. Multivariate regression analysis revealed 3 risk factors for intensive care unit-acquired infection: age > 60 years (p = 0.007, use of a nasogastric tube (p = 0.017, and postoperative status (p = 0.017. At the end of 4 weeks, overall mortality was 28.8%. Patients with infection had a mortality rate of 34.7%. There was no difference between mortality rates for infected and noninfected patients (p=0.088. CONCLUSION: The rate of nosocomial infection is high in intensive care

  7. Triple-Negative Breast Cancer in Ghanaian Women: The Korle Bu Teaching Hospital Experience.

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    Der, Edmund M; Gyasi, Richard K; Tettey, Yao; Edusei, Lawrence; Bayor, Marcel T; Jiagge, Evelyn; Gyakobo, Mawuli; Merajver, Sofia D; Newman, Lisa A

    2015-01-01

    Breast cancers that have negative or extremely low expression of estrogen receptor and progesterone receptor and non-amplification of human epidermal growth factor receptor-2 (HER2)/neu are termed triple-negative breast cancer (TNBC). The majority of TNBC tumors belong to the biologically aggressive basal subtype, and they cannot be managed with targeted endocrine or anti-HER2/neu agents. In western, high resource environments, risk factors for TNBC include younger age at diagnosis and hereditary susceptibility. Women of African ancestry in the United States and in continental Africa have higher frequencies of TNBC, prompting speculation that this risk may have an inherited basis and may at least partially explain breast cancer survival disparities related to racial/ethnic identity. Efforts to document and confirm the breast cancer burden of continental Africa have been hampered by the limited availability of registry and immunohistochemistry resources. Our goal was to evaluate the breast cancers diagnosed in one of the largest health care facilities in western Africa, and to compare the frequencies as well as risk factors for TNBC versus non-TNBC in this large referral tertiary hospital. The Korle Bu Teaching Hospital is affiliated with the University of Ghana and is located in Accra, the capital of Ghana. We conducted an institutional, Department of Pathology-based review of the breast cancer cases seen at this facility for the 2010 calendar year, and for which histopathologic specimens were available. The overall study population of 223 breast cancer cases had a median age of 52.4 years, and most had palpable tumors larger than 5 cm in diameter. More than half were TNBC (130; 58.3%). We observed similar age-specific frequencies, distribution of stage at diagnosis and tumor grade among cases of TNBC compared to cases of non-TNBC. Ghanaian breast cancer patients tend to have an advanced stage distribution and relatively younger age at diagnosis compared to

  8. [Evolution of neonatal mortality at the Blida University Teaching Hospital (Algeria) between 1999 and 2006].

    Science.gov (United States)

    Bezzaoucha, A; El Kebboub, A; Aliche, A

    2010-02-01

    Within the framework of the active information system set up by the department of epidemiology on hospital mortality at the Blida (Algeria) University Teaching Hospital (CHU), a study was carried out to assess the importance and evolution of neonatal mortality recorded at the CHU in the last eight years (1999-2006) as well as the causes of neonatal death. The International Classification of Diseases (ICD-9) was used to encode the nature of the causal disease. Using the software EpiInfo™ in its sixth version performed data entry, monitoring and analysis. On the whole, 2,167 neonatal deaths were recorded at the CHU during the study period, representing a proportional mortality of 25.4%. Early neonatal mortality (0-6 days) accounted for 83.4% of all neonatal mortality. Nearly two thirds of early neonatal deaths occurred in the first three days of life. The monthly evolution of the number of early neonatal deaths revealed a significant rising trend during the study period (P < 0.05) without identification of seasonal effect. The sex ratio was practically the same for early and late neonatal mortality, respectively 1.4 and 1.5. Prematurity accounted for 42.1% of the deaths in early neonatal deaths, followed by respiratory distress syndrome and infection, respectively 17.0 and 14.4%. Infections, with a relative frequency of 36.2%, represented the most common cause for the late neonatal mortality. The rate of early neonatal mortality during the study period, when this one took for denominator the number of newborns admitted in neonatology to express the mortality of service, was 15.6%. Throughout the study period, the rate of early neonatal mortality, without counting the deaths among transferred newborms, could be estimated at 19.2 per 1,000 live births, while the overall neonatal mortality rate could be estimated at 22.3 per 1,000 live births. No significant temporal tendency was pointed out. The CHU of Blida is not characterized by a lower risk of neonatal mortality

  9. A study of the problems between basic insurance organizations and teaching hospitals of Shiraz University of Medical Sciences as viewed by the staff of income hospitals and representative of the insurer’s organization in 2013

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    Maryam Najibi

    2015-07-01

    Full Text Available Introduction: In Iran health insurance is a significant tool in healthcare costs, financing health care and equal access to health services for people. Problems between hospitals and insurance organizations impose extra cost to the patient, leading to financial losses they will infringe upon the rights of patients. This study aimed to determine the issues between hospitals and basic insurance organizations and proposed practical solutions to solve problems in Shiraz University of Medical Sciences. Method:This research was a qualitative study (content analysis, which was conducted in 2013. The research population consisted of teaching hospitals of Shiraz University of Medical Sciences; Purposeful sampling was used and continued until data saturation. The representative of the insurers and staff of income hospitals were asked questions using a semi-structured interview. In this study, we used NVIVO for data analysis. Results: The results of this study showed that the most common problems between basic insurance organizations and teaching hospitals include the lack of prompt payment of hospital bills and imposing deduction on the hospitals. Conclusion: Based on the results of this study, it seems that cooperation between hospitals and insurance organizations could be improved by timely payment of hospital bills and codifying appropriate rules and regulations by basic insurance organizations and, on the other hand, with timely completion of bills and training of hospital staff by the hospital authorities.

  10. Class Design and Teaching Practice for Comprehensive Japanese--Taking the Practice of Japanese Teaching at the Beijing Center for Japanese Studies for Example%基础日语教学设计与实施--以北京日本学研究中心日语教育实习为例

    Institute of Scientific and Technical Information of China (English)

    朱桂荣

    2013-01-01

    Based on the practice of Japanese teaching conducted by Japanese major graduate students from the Beijing Center for Japanese Studies, this paper introduces the class design and teaching practices for Comprehensive Japanese by describing an example of actual teaching experience. It probes into the class design and teaching strategy by combining the observed class teaching with educational philosophy and educational theory. The paper aims to provide a reference for teachers to conduct teaching reforms in specific contexts.%本文以北京日本学研究中心日语教育专业硕士研究生日语教育实习为例,介绍基础日语100分钟课堂教学的设计与实施案例,探讨将教学理念、教学理论与实际课堂教学相结合的教学设计策略,旨在为日语教师在具体情境中进行日语教学设计提供参考。

  11. 1999 Beijing Music Festival

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    THE Beijing Music Festival has been a labour of love for conductor Yu Long since he began the event in 1998. For Beijing, the ancient capital of China, to have its own music festival on the international level, has been the long cherished wish of Yu Long, chief organizer of the Beijing Music Festival. In recent years he settled in Hong Kong and worked as the conductor of many excellent philharmonic orchestras from

  12. INTERCONTINENTAL FINANCIAL STREET BEIJING

    Institute of Scientific and Technical Information of China (English)

    ZHANGCHUNYUE; FENGJIAYUN

    2005-01-01

    InterContinental Financial Street Beijing opened its doors on May 1st, 2005, just days before the world's business leaders flooded into town for the Fortune Global Forum.The first international luxury hotel in the Chinese capital's new and rapidly growing Financial Street business center, the InterContinental Financial Street Beijing is the flagship property of FnterContinental Hotels and Resorts on the Chinese mainland, and as such a pioneer in Beijing's future,

  13. Epidemiology of Hospital-Acquired Infections and Related Anti-Microbial Resistance Patterns in a Tertiary-Care Teaching Hospital in Zahedan, Southeast Iran

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    Tabatabaei

    2015-10-01

    Full Text Available Background Healthcare-acquired infections (HAIs that patients develop during the course of healthcare treatment are important causes of morbidity and mortality worldwide. Objectives The aim of this study was to determine the epidemiology of HAIs in a tertiary-care teaching hospital in Zahedan, southeast Iran. Patients and Methods This was a cross-sectional study of patients admitted to Ali-Ibn-Abitalib Hospital, a tertiary-care teaching center, from March 2013 through March 2014. All patients admitted during this study period were examined by head nurses on a daily basis for detecting four types of HAIs: surgical site infection, urinary tract infection, pneumonia, and bloodstream infection. All the identified HAIs were registered into the Iranian National Nosocomial Infections Surveillance System Software. Pathogens were identified using standard microbiological methods, and antimicrobial susceptibility was determined by disk diffusion tests according to the Clinical and Laboratory Standards Institute guidelines. Descriptive statistics were used for data analysis. Results A total of 16,140 patients were admitted to the hospital during the study period, including 162 found to have HAIs (approximately 1%. The majority (79.6% of the HAIs were reported from the intensive care units (n = 129, followed by the medical wards (10.5%, n = 17 and obstetrics/gynecology ward (7.4%, n = 12. The most common site of infection was the respiratory tract (67.9% followed by the urinary tract (13.6%. Among the pathogens isolated, Acinetobacter and Enterobacter were the most common (17.6% followed by Escherichia coli (11%. Overall, multidrug resistance was observed in 95% of the isolates. Conclusions The HAI prevalence found in this study was lower than HAI rates reported in some other studies from Iran. The isolates showed high resistance to common antibiotics. Guidelines for improving HAI surveillance and stringent measures to reduce the prevalence of multidrug

  14. ANTIHYPERTENSIVE MEDICATION PRESCRIBING PATTERNS IN A UNIVERSITY TEACHING HOSPITAL IN SOUTH DELHI

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    Fowad Khurshid et al.

    2012-07-01

    Full Text Available Study objective: To investigate the use of antihypertensive drugs in hypertensive patients and to identify whether such pattern of prescription is appropriate in accordance with international guidelines for management of hypertension. Methods: This was a prospective analysis. A prescription based survey among patients with established hypertension was conducted at the Medicine Out-Patient Department of University Teaching Hospital in South Delhi, India. Data were collected from patients’ medical records as well as patients’ interviews.Results: A total of 192 hypertensive patients fulfilled the criteria for inclusion in the study analysis. Combination therapy was used more commonly than monotherapy (54.6% vs 45.4. Among the monotherapy category, the various classes of drugs used were as follows: beta- blockers (28.8%, diuretics (24.1%, calcium channel blockers (21.8%, ACE inhibitors (18.4%, angiotensin II receptor blockers (5.7% and α 1- blocker (1.1%. With respect to overall utilization pattern, diuretics (42.2% were the most frequently prescribed class, beta- blockers (41.2% ranked second followed by calcium channel blockers (39.1%, ACE inhibitors (26.0%, angiotensin II receptor blockers (23.4% and α 1- blocker (9.4%. As for individual medicines, amlodipine (35.4% was the most commonly prescribed antihypertensive drug followed by atenolol (17.8%, ramipril (17.2 % and furosemide (13.0 %. Among the combination therapies, 2- drug treatment was preferred for 75% of the hypertensive patients with CCB and β-blocker being the most frequent drug combination (22.4%.Conclusion: The general pattern of antihypertensive utilization seems to be in accordance with the international guidelines for management of hypertension.

  15. Work-Related Musculoskeletal Disorders among Health Workers in a Nigerian Teaching Hospital

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    Chidozie Emmanuel Mbada

    2012-10-01

    Full Text Available AIMS: Studies comparing the occurrence and characteristics of work – related musculoskeletal disorders (WMSDs across various occupational groups in the health sector from Sub-Sahara Africa are sparse. This study investigated the prevalence and pattern of WMSDs among health workers in Obafemi Awolowo University Teaching Hospitals complex, Ile-Ife, Nigeria. METHODS: An adapted questionnaire from the Nordic musculoskeletal questionnaire was used as the survey instrument. Data were collected on demographics, lifetime, 12-months and point prevalence, and pattern and consequence of WMSDs. A response rate of 91% was obtained in this study. RESULTS: Sixty eight point seven percent of the respondents have experienced WMSDs in their occupational lives with a higher percentage among males than females (39.6 vs.29.1%. The 12-months period and point prevalence rate of WMSDs was 64.4% and 48.2% respectively. WMSDs reported mostly for low back (50% followed by the shoulder (27.5% and knees (18.1%. Nurses (30.4% had the highest rate of WMSDs among the health workers. Most nurses with complaints (53.4% took a sick leave as a result of WMSDs, followed by doctors (32% and support staff (25%. CONCLUSIONS: WMSDs are common among health workers from Nigeria with the low back being injured most often. The rate of WMSDs and consequent sick leave is higher among nurses than other health workers. Preventive programmes on musculoskeletal disorders among health workers are recommended in order to reduce the rate of WMSDs among them and to promote efficiency in patient care. [TAF Prev Med Bull 2012; 11(5.000: 583-588

  16. EVALUATION OF DRUG USE AMONG DIABETIC HYPERTENSIVE PATIENTS IN A TEACHING HOSPITAL

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    Eze Uchenna IH

    2010-12-01

    Full Text Available The major approach to patients? health problems is the use of drugs particularly in the co morbid states. In this study we intend to evaluate the prescribing pattern, determine the nature and extent of irrational drug use and assess rate of medication adherence and reasons for non adherence among patients attending an outpatient clinic of Olabisi Onabanjo University Teaching Hospital (OOUTH Sagamu, Ogun State, Nigeria. A two fold study was done using 100 case notes belonging to diabetic hypertensive patients of whom 67 patients were available for oral interview on medication adherence. Data on sex, age, groups of medicines prescribed, number of prescriptions and number of medicines occurring per prescription were obtained, World Health Organization (WHO prescribing indicators were calculated and occurrence of irrational prescribing was detected. Analysis was done using Microsoft Excel 2000. Female to male ratio was 1:0.59 and average age + SD of the patients was 63+10 years. Anti diabetics were the most prescribed medicines 1152(31.8% followed by anti-hypertensives 865(23.9%. Average no of drugs per prescription was 4.7; Percentage of drugs prescribed as generics 40.1%; Percentage of antibiotics and injections per prescription were 9.4% and 2.1% respectively. Extravagant prescribing occurred in 92.7% of the cases. Forty nine (73.1% were adherent. Cost (63.2% and forgetfulness915.7% were reasons for non adherence. Prescribing in this group of patients is sub-optimal, however majority claimed to be adherent. Interventions are needed for health care providers and the patients alike.

  17. Profile of Cancer Cases at a Tertiary Care Level Teaching Hospital in Rural Western Maharashtra, India

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    Jayant D Deshpande , Kailash K Singh , Deepak B Phalke

    2012-01-01

    Full Text Available Background: Cancer is one of the major public health problems worldwide. Prevalence and pattern of cancer is known to vary from region to region. Epidemiological information on cancer including the pattern is an important basis for determining the priorities for cancer control in any population group. Objective: Present work is an attempt to study magnitude, profile and some epidemiological aspects in relation to cancer cases at a tertiary care level teaching hospital in rural area. Method: All records were studied and analyzed. A total of 1106 patients were treated during the period studied. A proforma was used to collect data such as age, sex, place of residence, type of cancers and treatment given. The data collected were entered into MS-Excel sheets and analysis was carried out. The information obtained was tabulated analyzed using the software GraphPad Instat demo version. Results: A total of 1106 cancer patients were treated during the January 2010 to December 2010. Among these, 626(56.60 were females and 480(43.39 were females. In males, the common cancers were oral cavity cancers, lung cancers and GIT cancers. The most common cancers among females were the cervical carcinomas, which constituted 32.10% of the total number of cancers cases followed by cancers of breast. Almost 2/3rd of cases occurred in the age group of 41 to 70 years. Maximum frequency was observed in 51–60 year age group in both sexes. Maximum numbers (74.59% of the cases were from rural area. The main methods of cancer treatment were surgery, chemotherapy and radiotherapy, used alone or in combination. Conclusion: Tobacco and alcohol related cancers predominated in males. In females, cervical cancer predominated over breast cancer. Human behavior is a major determinant in the successful control of cancer. Understanding cancer magnitude, risk and trends will be of help in cancer control.

  18. Worldwide Lineages of Clinical Pneumococci in a Japanese Teaching Hospital Identified by DiversiLab System.

    Science.gov (United States)

    Kashiwaya, Kiyoshi; Saga, Tomoo; Ishii, Yoshikazu; Sakata, Ryuji; Iwata, Morihiro; Yoshizawa, Sadako; Chang, Bin; Ohnishi, Makoto; Tateda, Kazuhiro

    2016-06-01

    Pneumococcal Molecular Epidemiology Network (PMEN) clones are representatives of worldwide-spreading pathogens. DiversiLab system, a repetitive PCR system, has been proposed as a less labor-and time-intensive genotyping platform alternative to conventional methods. However, the utility and analysis parameters of DiversiLab for identifying worldwide lineages was not established. To evaluate and optimize the performance of DiversiLab for identifying worldwide pneumococcal lineages, we examined 245 consecutive isolates of clinical Streptococcus pneumoniae from all age-group patients at a teaching hospital in Japan. The capsular swelling reaction of all isolates yielded 24 different serotypes. Intensive visual observation (VO) of DiversiLab band pattern difference divided all isolates into 73 clusters. Multilocus sequence typing (MLST) of representative 73 isolates from each VO cluster yielded 51 different STs. Among them, PMEN-related lineages accounted for 63% (46/73). Although the serotype of PMEN-related isolates was identical to that of the original PMEN clone in 70% (32/46), CC156-related PMEN lineages, namely Greece(6B)-22 and Colombia(23F)-26, harbored various capsular types discordant to the original PMEN clones. Regarding automated analysis, genotyping by extended Jaccard (XJ) with a 75% similarity index cutoff (SIC) showed the highest correlation with serotyping (adjusted Rand's coefficient, 0.528). Elevating the SIC for XJ to 85% increased the discriminatory power sufficient for distinguishing two major PMEN-related isolates of Taiwan(19F)-14 and Netherlands(3)-31. These results demonstrated a potential utility of DiversiLab for identifying worldwide lineage of pneumococcus. An optimized parameters of automated analysis should be useful especially for comparison for reference strains by "identification" function of DiversiLab. PMID:27107736

  19. Prevalence of hepatitis B virus infection among blood donors at the Tamale Teaching Hospital, Ghana (2009

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    Dongdem Julius

    2012-02-01

    Full Text Available Abstract Background Despite education and availability of drugs and vaccines, hepatitis B virus (HBV is still the most common severe liver infection in the world accounting for >1 million annual deaths worldwide. Transfusion of infected blood, unprotected sex and mother to child transmission are 3 key transmission routes of HBV in Ghana. There is high incidence of blood demanding health situations in northern Ghana resulting from anemia, accidents, malnutrition, etc. The higher the demand, the higher the possibility of transmitting HBV through infected blood. The aim of the investigation was to estimate the prevalence of HBV in blood donors which will provide justification for interventions that will help minimize or eliminate HBV infection in Ghana. Findings We investigated the prevalence of HBV infection among blood donors at Tamale Teaching Hospital. The Wondfo HBsAg test kit was used to determine the concentration of HBsAg in 6,462 (576 voluntary and 5,878 replacement donors as being ≥1 ng/ml. 10.79% of voluntary donors and 11.59% of replacement donors were HBsAg+. The 20-29 year group of voluntary donors was >2 times more likely to be HBsAg + than 40-60. Also the 20-29 year category of replacement donors was >4 times as likely to be HBsAg + than 50-69. Conclusions Risk of infection was age, sex and donor type dependent. The 20-29 year category had the highest prevalence of HBsAg + cases, mostly males residing within the metropolis.

  20. Evaluation of Nutritional Status in a Teaching Hospital Neonatal Intensive Care Unit

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    Mohammadreza Rafati

    2015-02-01

    Full Text Available Background:Extrauterine growth restriction remains a common and serious problem in newborns especially who are small, immature, and critically ill. Very low birth weight infants (VLBW had 97% and 40% growth failure at 36 weeks and 18-22 months post-conceptual age respectively. The postnatal development of premature infants is critically dependent on an adequate nutritional intake that mimics a similar gestational stage. Deficient protein or amino acid administration over an extended period may cause significant growth delay or morbidity in VLBW infants. The purpose of this study was to evaluate current nutritional status in the neonatal intensive care unit in a teaching hospital.Methods:During this prospective observational study, the nutritional status of 100 consecutive critically ill neonates were evaluated by anthropometric and biochemical parameters in a tertiary neonatal intensive care unit. Their demographic characteristics (weight, height and head circumference, energy source (dextrose and lipid and protein were recorded in the first, 5th, 10th, 15th and 20th days of admission and blood samples were obtained to measure serum albumin and prealbumin. The amount of calorie and protein were calculated for all of preterm and term neonates and compared to standard means separately. Results: The calorie and amino acids did not meet in the majority of the preterm and term neonates and mean daily parenteral calorie intake was 30% or lower than daily requirements based on neonates’ weight. Mortality rate was significantly higher in neonates with lower serum albumin and severity of malnutrition but not with serum prealbumin concentration. Conclusion: Infants were studied did not receive their whole of daily calorie and protein requirements and it is recommended early and enough administration of calorie source (dextrose, lipids and amino acids. Prealbumin was a more benefit biochemical parameter than albumin to evaluate short term nutrition

  1. Hypertensive disorders in pregnancy among pregnant women in a Nigerian Teaching Hospital

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    Swati Singh

    2014-01-01

    Full Text Available Background: Hypertensive disorders in pregnancy (HDP represent a group of conditions associated with high blood pressure during pregnancy. It is an important cause of feto-maternal morbidity and mortality, particularly in developing countries. The aims of the study were to find the prevalence of hypertensive disorders and its associated risk factors among women attending the antenatal clinic of Usmanu Danfodiyo University Teaching Hospital,(UDUTH Sokoto. Materials and Methods: A longitudinal study of 216 consecutively recruited women that were less than 20 weeks pregnant at booking was carried out. Blood pressure was measured for each woman at booking and at subsequent visits. Urinalysis was done at booking and whenever blood pressure was elevated. Patients were followed-up to delivery and 6 weeks postpartum. Data entry and analysis was done using Statistical Analysis System (SAS statistical package. Results: The prevalence of HDP in the study was 17% while preeclampsia was 6%. Previous history of preeclampsia (P < 0.001; Relative risk (RR 4.2; conficence interval (CI 2.144-6.812, multiple gestation (P < 0.03; RR 3.8; CI 1.037-6.235, gestational diabetes (P < 0.02; RR 4.8; CI 1.910-6.751 and obesity (P < 0.002; RR 2.7; CI 1.373-5.511 were the significant risk factors in the development of HDP among the study population. Conclusion: The prevalence of HDP in the study group is high. Therefore, paying attention to the risk factors will ensure early detection and prevention of the progression of the disease and its sequelae.

  2. Indications and Risk Factors for Complications of Lower Third Molar Surgery in a Nigerian Teaching Hospital

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    Osunde, OD; Saheeb, BD; Bassey, GO

    2014-01-01

    Background: The surgical extraction of impacted third molars is a common oral surgical procedure, and it is often associated with complications such as sensory nerve damage, dry socket, pain, swelling, trismus, infection and hemorrhage. Aim: The aim of this study was to determine the surgical indications and risk factors for complications of third molar surgery at a Nigerian teaching hospital. Materials and Methods: Medical records of patients referred to the Oral Surgery Clinic of our institution for surgical extraction of their impacted mandibular third molars from January 2008 to December 2010 were retrospectively examined. Information on patients’ demography, types of impaction, operative parameters and complications were obtained and analyzed using Statistical Package for Social Sciences (SPSS Version 13), Chicago, IL, USA. A P pericoronitis (154/330 [46.7%]) was the most common indication for extraction. The complications were delayed healing (19/330 [5.8%]), alveolar, osteitis (9/330 [2.7%]) and injury to alveolar nerve (2/330 [0.6%]). Cigarette smoking (P < 0.001), Oral contraceptives use (P = 0.01), age of the patient (P = 0.03) and the surgeon's experience (P = 0.04) were found to be significantly associated with the development of alveolar osteitis; nerves injuries were significantly associated with the raising of a lingual flap (P < 0.001) and the technique of surgery (P ≤ 0.001). Conclusion: The age of the patient, cigarette smoking and oral contraceptive use at the time of surgery are some of the factors affecting outcome in third molar surgery. PMID:25506490

  3. Evaluation of Nutritional Status in a Teaching Hospital Neonatal Intensive Care Unit

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    Mohammadreza Rafati

    2015-02-01

    Full Text Available Background: Extrauterine growth restriction remains a common and serious problem in newborns especially who are small, immature, and critically ill. Very low birth weight infants (VLBW had 97% and 40% growth failure at 36 weeks and 18-22 months post-conceptual age respectively. The postnatal development of premature infants is critically dependent on an adequate nutritional intake that mimics a similar gestational stage. Deficient protein or amino acid administration over an extended period may cause significant growth delay or morbidity in VLBW infants. The purpose of this study was to evaluate current nutritional status in the neonatal intensive care unit in a teaching hospital. Methods: During this prospective observational study, the nutritional status of 100 consecutive critically ill neonates were evaluated by anthropometric and biochemical parameters in a tertiary neonatal intensive care unit. Their demographic characteristics (weight, height and head circumference, energy source (dextrose and lipid and protein were recorded in the first, 5th, 10th, 15th and 20th days of admission and blood samples were obtained to measure serum albumin and prealbumin. The amount of calorie and protein were calculated for all of preterm and term neonates and compared to standard means separately. Results: The calorie and amino acids did not meet in the majority of the preterm and term neonates and mean daily parenteral calorie intake was 30% or lower than daily requirements based on neonates’ weight. Mortality rate was significantly higher in neonates with lower serum albumin and severity of malnutrition but not with serum prealbumin concentration. Conclusion: Infants were studied did not receive their whole of daily calorie and protein requirements and it is recommended early and enough administration of calorie source (dextrose, lipids and amino acids. Prealbumin was a more benefit biochemical parameter than albumin to evaluate short term nutrition

  4. Clinical profile of newly presenting diabetic patients at the University of Uyo Teaching Hospital, Nigeria

    International Nuclear Information System (INIS)

    Diabetes Mellitus is emerging as a major health challenge with the incidence and prevalence of the disease on the increase. It also contributes to overall morbidity and mortality with complications like cardiovascular disease, neuropathy, nephropathy, retinopathy and lower extremity amputation. There are few local studies on the clinical characteristics of the disease in our wet up and this study therefore set out to characterize the clinical profile of newly presenting diabetic patients in a health facility in Nigeria. It is a cross sectional, descriptive study carried out at the diabetes clinic of the University of Uyo Teaching Hospital between January 2007 and September 2008. Data obtained included age, sex, anthropometric indices, symptomatology, co-morbidities, complications and treatment of diabetes. Data was analyzed using SPSS version 10. A total of two hundred and seventy patients were studied (120 males, 150 females). About 89.2% were Type 2 DM patients and majority of the study subjects were overweight. Diabetic neuropathy was the commonest complication present in 38.8% of the subjects. Polyuria was the commonest symptom and hypertension the commonest comorbidity. Majority of the subjects were on oral hypolgycaemic agents for the management of their disease with the sulphonyureas and biguanides being the most common medication that was taken by them. A few of the patients were also taking herbal medication for treatment of their disease. Majority of the patients presenting in our facility have Type 2 diabetes, were hypertensive and overweight. Hypertension was the commonest co-morbidity and diabetic neuropathy the commonest complication. Adequate health education, subsidies on medications and proper funding of the health sector is necessary to stem the tide of the burden attributable to the disease. (author)

  5. Adherence to preventive medications in asthmatic children at a tertiary care teaching hospital in Malaysia

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    Md Redzuan A

    2014-02-01

    Full Text Available Adyani Md Redzuan, Meng Soon Lee, Noraida Mohamed Shah Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Purpose: Asthma affects an estimated 300 million people worldwide. Poor adherence to prescribed preventive medications, especially among children with asthma, leads to increased mortality and morbidity. The purpose of this study was to assess the adherence and persistence levels of asthmatic children at the Universiti Kebangsaan Malaysia Medical Center (UKMMC, a tertiary care teaching hospital, and to determine the factors that influence adherence to prescribed preventive medications. Patients and methods: Participants were asthmatic patients aged 18 years and younger with at least one prescription for a preventive medication refilled between January and December 2011. Refill records from the pharmacy dispensing database were used to determine the medication possession ratio (MPR and continuous measure of gaps (CMG, measures of adherence and persistence levels, respectively. Results: The sample consisted of 218 children with asthma from the General and Respiratory pediatric clinics at UKMMC. The overall adherence level was 38% (n=83; MPR ≥80%, and the persistence level was 27.5% (n=60; CMG ≤20%. We found a significant association between the adherence and persistence levels (r=0.483, P<0.01. The presence of comorbidities significantly predicted the adherence (odds ratio [OR] =16.21, 95% confidence interval [CI]: 7.76–33.84, P<0.01 and persistence level (OR=2.63, 95% CI: 0.13–52.79, P<0.01. Other factors, including age, sex, ethnicity, duration of asthma diagnosis, and number of prescribed preventive medications did not significantly affect adherence or persistence (P>0.05. Conclusion: In conclusion, the adherence level among children with asthma at UKMMC was low. The presence of comorbidities was found to influence adherence towards preventive medications in asthmatic children. Keywords: asthma, persistence

  6. Health seeking behavior of physicians at the Jos University Teaching Hospital

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    P A Agaba

    2011-01-01

    Full Text Available Background: Physicians who have the task of caring for the sick also need to be cared for when they take ill. Healthseeking habits of physicians have been found to be poor in most developed countries. Utilization of health services by physicians in developing countries is not known. We sought to describe the health seeking habits of physicians in Nigeria. Materials and Methods: A cross-sectional survey was carried out among physicians at the Jos University Teaching Hospital, a tertiary referral health facility in North-central Nigeria. A pre-tested questionnaire was administered to physicians to get information on their self-reported health seeking habits. Results: Self prescription was practiced by 98.6% of the physicians, with antimalarials being the most prescribed drugs (62.5%. Only 46.9% consulted another physician when they take ill, although 78.2% felt they needed a family physician. Many (23.8% of respondents treated their family members when last sick. The major factors considered by the respondents in choosing the physician they consulted were the specialty of the physician consulted (42.2%; the physician being in the same unit with them (38.5%, and friendship (15.6%. Four (3.7% of the respondents would not consider any particular factor for choosing a physician if they have to. Conclusion: This study showed that a large proportion of physicians self-medicate and a few have family physicians. Guidelines need to be instituted to regulate self-prescribing among physicians in Nigeria. The role of family physicians in primary care needs to be emphasized.

  7. Analysis of Drug Procurement in Beijing Tiantan Hospital from 2007 to 2009%北京天坛医院2007年至2009年药品采购情况分析

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    陈慧英; 王莉文; 巩红

    2011-01-01

    Objective To investigate the drug procurement in our hospital from 2007 to 2009 to provide the basis for drug procurement management.Methods The amounts of drug procurement were analyzed by drug classification, route of administration and price range.Results The average annual growth rate of drug procurement in our hospital was relatively lower level as compared with the sample hospital in Beijing.Large amounts of drug procurement category were the digestive system and metabolism drugs, blood and hemopoietic system drugs,cardiovascular drugs, anti-infective drugs and nervous system drugs.The most frequently used drugs were oral dosage forms and injections.Most of procured drugs were in the unit price range of 10.00-99.99 Yuan.Conclusion Hospital should ensure patients' s medication safety, at the same time, the drug procurement and management work should be further strengthened.%目的 分析北京天坛医院药品采购情况,为药品采购管理提供依据.方法 分别根据药品分类、给药途径、价格区间对2007年至2009年药品采购金额进行分析.结果 药品采购金额的年增长率和北京市样本医院相比处在较低水平.采购金额较大的药品类别分别是消化系统及代谢药、血液和造血系统药物、心血管系统药物、全身用抗感染药物、神经系统药物,且主要为口服剂型和注射剂.购入药品价格在10.00~99.99元之间的数量最大.结论 医院在保证患者用药安全的同时,还应加强药品的采购与管理工作.

  8. 北京实施医保总额预付制对三级医院的影响研究%The Impact of Global Budget in Tertiary Hospitals in Beijing

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    刘忆; 邓春霞

    2015-01-01

    Objective:To analyze the impact of implementation of global budget in tertiary hospitals in Beijing and provide suggestions for further policy improvement.Method:Qualitative interview, questionnaire survey and Social Security Bureau Information Network were referred for statistical and theoretically analysis. Result:The growth of medical and drug costs in the 4 tertiary hospitals have been under controlled, and the structure of drug costs in patients with medical insurance has changed.Conclusion: The clinical service of the 4 tertiary hospitals has a certain degree of change with reduced excessive medical treatment mainly.The control on expenses has also been controlled in a certain degree.Meanwhile, health insurance administration departments should fully take the advise of management of the hospital and medical insurance to develop a more rational global budget.%目的:分析北京实施医保总额预付制对三级医院的影响,并提出相应建议。方法:通过定性访谈、问卷调查、北京市人力资源和社会保障局信息网等收集资料,以住院病人为例,进行统计分析和理论分析。结果:北京4家三级医院的住院医疗费用增长和药品费用增长得到控制,医保患者的药品费用结构发生变化。结论:实施医保总额预付制试点医院的临床服务行为有一定程度改变,这些变化以减少过度医疗为主,控制费用增长的作用已经初显,同时,医保管理部门要充分听取医院院长和医保管理部分负责人意见,制定更加合理的医保额度。

  9. An Audit of Medical Autopsy: Experience at the University of Uyo Teaching Hospital (UUTH, Niger Delta Region, Nigeria

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    Ekpo Memfin Dan

    2011-01-01

    Full Text Available Background: Autopsy is an essential auditing tool in clinical practice. ObjectiveS: The study set out to review all autopsies that were performed over a four-year period in order to determine the rate, indications, as well as the age and sex distribution of dead bodies, which autopsies were performed on them in the Hospital. Setting and Design: This was a retrospective study that was undertaken at the department of Pathology of the University of Uyo Teaching Hospital (UUTH, Uyo, Nigeria between January 2007 and December 2010. Materials and Methods: All the cases of death that underwent pathological autopsies in the UUTH were reviewed. The autopsy records, clinical case notes, gross and histopathological specimens as well as slides were retrieved and examined. Results: A total of 1679 dead bodies were received at the mortuary of the institution studied during the 4-year period. Autopsies were performed in 78 cases giving a request rate of 4.7%. Coroner′s autopsy was commonly performed, and this accounted for 60 (76.9% cases, while the remaining 18 (23.1% were clinical autopsies. Autopsies were commonly performed on male bodies more than females (M: F = 2.6:1.0 with the majority having died at their second decade of life. It was observed that the majority (57.7% of the request for autopsies were from peripheral centers outside the teaching hospital, while the remaining 42.3% cases were drawn from various clinical departments in the teaching hospital. Road traffic accident was the leading indication for coroner′s autopsy (51.7%, while gastroenteritis and chronic liver disease were the two most common indications for clinical autopsy, 27.8% and 22.2% respectively. The concordance rate between clinical diagnosis and autopsy diagnosis was found to be 72.2% (13/18 cases. Conclusion: The rate of request for Autopsy at the University of Uyo Teaching Hospital during the period of this study was low, similar to other previous reports.

  10. Adverse incidents resulting in exposure to body fluids at a UK dental teaching hospital over a 6-year period

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    Hughes A

    2012-10-01

    Full Text Available A Hughes,1 L Davies,1 R Hale,1 JE Gallagher21Kings College Hospital NHS Foundation Trust, 2King's College London Dental Institute, London, United KingdomBackground: The safety and protection of patients and health care workers is of paramount importance in dentistry, and this includes students in training who provide clinical care. Given the nature of dental care, adverse incidents can and do occur, exposing health care workers to body fluids and putting them at risk of infection, including contracting a blood-borne virus. The aim of this research was to analyze trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital from 2005 to 2010.Methods: Descriptive analysis of trends in the volume, rate, nature, management, and outcome of adverse incidents reported at one dental teaching hospital over a six-year period was undertaken in relation to the level of outpatient and day surgery activity.Results: In total, 287 incidents were reported over a six-year period, which amounted to 0.039% of outpatient or day surgery appointments. Nearly three quarters of all the incidents (n = 208, 72% took place during treatment or whilst clearing away after the appointment. The most frequent incidents were associated with administration of local anesthetic (n = 63, 22%, followed by burs used in dental hand pieces (n = 51, 18%.Conclusion: This research confirms that adverse incidents are a feature of dental hospitals and reports the common sources. The importance of accurate and consistent reporting of data to ensure that these issues are monitored to inform action and reduce risks to staff, students, and patients are highlighted.Keywords: risk management, blood-borne virus, dental hospital, body fluids exposure, adverse event reporting

  11. Potential drug-drug interactions in a Brazilian teaching hospital: age-related differences?

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    Daniela Oliveira Melo

    2016-07-01

    Full Text Available This study proposes to measure frequency and to characterize the profile of potential drug interactions (pDDI in a general medicine ward of a teaching hospital. Data about identification and clinical status of patients were extracted from medical records between March to August 2006. The occurrence of pDDI was analyzed using the database monographs Micromedex® DrugReax® System. From 5,336 prescriptions with two or more drugs, 3,097 (58.0% contained pDDI. The frequency of major and well document pDDI was 26.5%. Among 647 patients, 432 (66.8% were exposed to at least one pDDI and 283 (43.7% to major pDDI. The multivariate analysis identified that factors related to higher rates of major pDDI were the same age (p< 0.0001, length of stay (p< 0.0001, prevalence of hypertension [OR=3.42 (p< 0.0001] and diabetes mellitus [OR=2.1 (p< 0.0001], cardiovascular diseases (p< 0.0001 and the number of prescribed drugs (Spearman’s correlation=0.640622, p< 0.0001. Between major pDDI, the main risk was hemorrhage (50.3%, the most frequent major pDDI involved combination of anticoagulants and antiplatelet drugs. Among moderate pDDI, 3,866 (90.8% involved medicines for the treatment of chronic non-communicable diseases, mainly hypertension. In HU-USP, the profile of pDDI was similar among adults and elderly (the most frequent pDDI and major pDDI were same, the difference was only the frequency in either group. The efforts of the clinical pharmacists should be directed to elderly patients with cardiovascular compromise, mainly in use of anticoagulants and antiplatelet drugs. Furthermore, hospital managers should increase the integration between levels of health care to promote safety patient after discharge.Keywords: Drug interactions. Aged. Internal Medicine. Hospitals, University. RESUMOInterações medicamentosas potenciais em um hospital escolar brasileiro: diferenças relacionadas à idade?O estudo tem por objetivo descrever o perfil de intera

  12. Knowledge attitude and practice (kap) of chronic kidneys disease among medical officers of teaching hospitals of lahore

    International Nuclear Information System (INIS)

    This study was conducted to determine the knowledge, attitude and practice (KAP) about kidney diseases among medical officers working in different hospitals of Lahore.Doctors working on the medical floors of different tertiary care teaching hospitals (Mayo Hospital (MH), Sir Ganga Ram Hospital (SGRH), Service Institute of Medical Sciences (SIMS), Fatima Memoral Hospitals (FMH), Lahore General Hospitals (LGH), Shalamar Hospital (SH), Jinnah hospital (JH)) of Lahore were included in the study. Each doctor was given a questionnaire comprising of 28 questions. Each participant was given 10-15 minutes for completing the questionnaire at the spot. Categorization of doctors according to the KAP score was done as poor (70%).Results: One hundred eighty five doctors participated in the study who fulfilled the criteria. In this study majority 134 (62.6%) of the doctors were not taught about nephrology during their graduation which was statistically significant. Most of the doctors either had some knowledge or didn't know about procedures done in nephrology. Majority of the doctors 208(97.2%) know that nephrology deals with medical diseases of the kidney which was statistically significant. Most of the doctors 138(64.5) feel that nephrology services are insufficient in their hospital. More than 90% doctors want that kidney diseases should be taught during MBBS curriculum and separate nephrology department should be established which was statistically significant. Most of the doctors don't know the management of hyperkalemia very well. About 90% of the doctors know that there are five stages of CKD. Majority of the doctors know that ACE inhibitors are used in hypertension and diabetic nephropathy. They also know that urine complete examination help in early detection of diabetic nephropathy which was statistically significant.Conclusion:Most of the doctors have poor to average knowledge and practice about kidney diseases. Most of the doctors think that nephrology services are

  13. Evaluation of Randomly Selected Completed Medical Records Sheets in Teaching Hospitals of Jahrom University of Medical Sciences, 2009

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    Mohammad Parsa Mahjob

    2011-06-01

    Full Text Available Background and objective: Medical record documentation, often use to protect the patients legal rights, also providing information for medical researchers, general studies, education of health care staff and qualitative surveys is used. There is a need to control the amount of data entered in the medical record sheets of patients, considering the completion of these sheets is often carried out after completion of service delivery to the patients. Therefore, in this study the prevalence of completeness of medical history, operation reports, and physician order sheets by different documentaries in Jahrom teaching hospitals during year 2009 was analyzed. Methods and Materials: In this descriptive / retrospective study, the 400 medical record sheets of the patients from two teaching hospitals affiliated to Jahrom medical university was randomly selected. The tool of data collection was a checklist based on the content of medical history sheet, operation report and physician order sheets. The data were analyzed by SPSS (Version10 software and Microsoft Office Excel 2003. Results: Average of personal (Demography data entered in medical history, physician order and operation report sheets which is done by department's secretaries were 32.9, 35.8 and 40.18 percent. Average of clinical data entered by physician in medical history sheet is 38 percent. Surgical data entered by the surgeon in operation report sheet was 94.77 percent. Average of data entered by operation room's nurse in operation report sheet was 36.78 percent; Average of physician order data in physician order sheet entered by physician was 99.3 percent. Conclusion: According to this study, the rate of completed record papers reviewed by documentary in Jahrom teaching hospitals were not desirable and in some cases were very weak and incomplete. This deficiency was due to different reason such as medical record documentaries negligence, lack of adequate education for documentaries, High work

  14. 北京市综合医院急诊科医疗资源调查%Investigation on medical resource distribution of emergency department among general hospitals in Beijing

    Institute of Scientific and Technical Information of China (English)

    李建国; 杨铁城; 于东明; 任添华

    2011-01-01

    为了解奥运会后北京市综合医院急诊科医疗资源情况,对北京市21家综合医院的中青年医师75人发放调查问卷,内容涉及医院规模、急诊科组织规模、急诊科工作统计、医疗资源配置、组织形式、面临的困难及对于自身发展的态度.调查显示,目前,北京市大部分综合医院急诊科医护人员处于满负荷工作状态,急诊科就诊患者"拥堵"现象明显,辅助科室的协同合作需加强.如何进一步优化"后奥运"时代北京综合医院急诊医疗资源的有效配置,有效解决急诊"拥堵"现象,稳定急诊队伍,成为医政管理部门当前的主要任务.%Objective To better understand its current medical resources distribution in emergency department (ED) among those general hospitals in Beijing after the Olympic Games.Methods A survey was given 75 young emergency physicians who represented 21 general hospitals,asking them to complete the survey containing following parameters - hospital size, size of their respective emergency departments, work load, distribution of medical resources, organizational chart,current challenges, as well as their respective perspectives. Results The result of survey indicated that currently the emergency physicians worked on full load and the area was still overcrowded with patients. Conclusion Rational configuration of medical resources in emergency department should be realized by medical administration as primary task because it helps in stabilizing and increasing team efforts and resolving patients overcrowded. Collaboration with other pertinent departments also needs to be strengthened.

  15. Hirschsprung′s disease: 8 years experience in a Nigerian teaching hospital

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    Nasir A

    2007-01-01

    Full Text Available Background: Hirschsprung′s disease (HD is a common cause of intestinal obstruction in children. Despite increased understanding of the disease and several techniques of treatment, significant complications continued to be associated with its management. Objective: To study the outcome of management of HD in the University Teaching Hospital, Ilorin, Nigeria. Materials and Methods: The clinical records of all children managed for HD between January 1998 and December 2005 were retrospectively reviewed. Demographic data, modes of presentation, methods of diagnosis, age at colostomy formation, age and type of definitive operations were noted from patients′ records. Complications associated with colostomy, pre- and postoperative complications, final outcome and duration of follow-up were also noted. Results: Twenty-one patients (20 males, one female managed for HD were reviewed. Eight (38% were diagnosed in the neonatal period, the mean age at diagnosis being 22 months. Fourteen patients had completed the three stages of the operation, one is awaiting colostomy closure and two patients are waiting for definitive operations. Out of the 15 patients who had definitive surgery, nine had Swenson′s pull-through operations while six had Duhamel operations. At presentation, six patients had enterocolitis, one of whom had spontaneous colonic perforation, two patients had sepsis. Colostomy-related complications recorded included sixteen patients with dermatitis, nine with colostomy prolapse, one patient with colostomy diarrhea and one with enterocolitis and sepsis. Following definitive surgery, three patients had wound infection, one partial intestinal obstruction, one postDuhamel hemorrhage and two enterocolitis. Complications after colostomy closure included two wound infections and one severe enterocolitis. There were five deaths (23.8%-two from sepsis, two from enterocolitis and one from an adverse drug reaction. One of the children who had

  16. Intestinal parasitosis and shigellosis among diarrheal patients in Gondar teaching hospital, northwest Ethiopia

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    Huruy Kahsay

    2011-10-01

    Full Text Available Abstract Background Diarrheal diseases are the major causes of morbidity and mortality in developing world. Understanding the etiologic agents of diarrheal diseases and their association with socio-demographic characteristics of patients would help to design better preventive measures. Thus, this study was aimed to determine the prevalence of intestinal parasites and enteropathogenic bacteria in diarrheic patients. Methods A cross-sectional study involving 384 consecutive diarrheal patients who visited Gondar teaching hospital, Gondar, Ethiopia from October 2006 to March 2007 was conducted. Stool specimens were collected and examined for intestinal parasites and enteropathogenic bacteria following standard parasitological and microbiological procedures. Results Intestinal parasites were diagnosed in 36.5% of the patients. The most frequently encountered protozoan parasite was Entamoeba histolytica/dispar (7.3% followed by Giardia lamblia (5.0%, Cryptosporidium parvum (1.8% and Isospora belli (1.3%. The dominant helminthic parasite identified was Ascaris lumbricoides (5.5% followed by Strongyloides stercoralis and Schistosoma mansoni (3.1% each, hookworm infection (1.8%, and Hymenolepis species (1.3%. Multiple infections of intestinal parasites were also observed in 6.3% of the patients. Among the enteropathogenic bacteria Shigella and Salmonella species were isolated from 15.6% and 1.6%, respectively, of the patients. Escherichia coli O57:H7 was not found in any of the stool samples tested. Eighty eight percent and 83.3% of the Shigella and Salmonella isolates were resistant to one or more commonly used antibiotics, respectively. Intestinal parasitosis was higher in patients who live in rural area, in patients who were washing their hands after visiting toilet either irregularly with soap and without soap or not at all, in patients who used well and spring water for household consumption, and in patients who had nausea (P P Conclusions The high

  17. Delivery of pharmaceutical services at ward level in a teaching hospital.

    Science.gov (United States)

    Schellack, N; Martins, V; Botha, N; Meyer, J C

    2009-03-01

    Poor management of pharmaceuticals could lead to wastage of financial resources and poor services in the public sector. The main aim of the study was to investigate the quality of pharmaceutical services at ward level in a teaching hospital. The design of the study was descriptive. Three data collection instruments were designed and pilot-tested prior to the actual data collection. Two structured questionnaires were used to interview the sister-in-charge of each ward and the stock and drug controller at the pharmacy. A checklist for the management of pharmaceuticals was completed for each ward. Descriptive statistics were used to describe and summarise the data. Sisters-in-charge of 30 wards and the stock and drug controller at the pharmacy participated in the study. The relationship with the pharmacy was perceived to be average by 54% (n = 30) of the sisters-in-charge of the wards. Communication with the pharmacy was mainly by telephone and 57% of the sisters-in-charge mentioned that they experienced difficulties in conveying messages to the pharmacy. Ten of the wards received regular ward visits by a pharmacist. Expiry dates were checked by all wards but at different intervals. The majority of the wards (90%) used patient cards, which refer to prescription charts, for stock control and ordering from the pharmacy. Fridge temperatures were checked and charted on a daily basis by 30% of the wards. Written standard operating procedures (SOPs) were used by the pharmacy for issuing ward stock. Although 83% of the wards indicated that they used SOPs, evidence of written SOPs was not available. The results indicated that the management of pharmaceutical services at ward level could be improved. Implementation of appropriate communication systems will enhance cooperation between the pharmacy and the wards. A uniform ward stock control system, either by computer or stock cards, should be introduced. Regular ward visits by a pharmacist to oversee ward stock management are

  18. Incidence and Related Factors Associated with Postpreparation Pain after Intracanal Procedures in a Dental Teaching Hospital

    Institute of Scientific and Technical Information of China (English)

    Yue Cheng; Gary Shun-Pan Cheung; Zhuan Bian; Bin Peng

    2008-01-01

    目的:了解根管预备后疼痛发生率,并对一些可能与疼痛发生有关的因素进行分析.方法:选取2001年7月至2002年2月间武汉大学口腔医院牙体牙髓科完成的非一次法根管治疗纪录表,将相关信息输入计算机后作Chi-square test和logistic回归分析.结果:根管预备后疼痛发生率为11.5%.单因素分析和logistic回归发现身体状况、年龄、牙位于上颌或下颌、术前有无叩痛及牙髓活力为影响疼痛发生率的主要因素.结论:根管预备术后疼痛发生率较低;根管预备术后疼痛发生率受多种因素影响.%Objective:To investigate the incidence of postpreparation pain during root canal therapy(RCT)in a dental teaching hospital and to evaluate the factors affecting the pain experience.Methods:A total of 3512 cases were collected at RCT appointments on demographics,presenting symptoms,treatment procedures and periradicular status.Root canals were conventional instrumented and then medicated.The presence and severity of postpreparation pain after a subsequent endodontic treatment was recorded.The data of postpreparation pain cases were statistically analyzed using the Chi-square test and a multiple logistic regression model.Results:The incidence of postpreparation pain was 11.5%.Analyses of all potential factom revealed that patient age,health status,tooth location,pre-operative percussion pain and pulp status were the factors to significantly influence postpreparation pain experience.Conclusion:The prevalence of postpreparation pain Was low and significantly influenced by multiple factors.

  19. Van der Woude syndrome: A review of 11 cases seen at the Lagos University Teaching Hospital

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    Olutayo James

    2014-01-01

    Full Text Available Background: Van der Woude syndrome (VWS, an autosomal dominant condition associated with clefts of the lip and/or palate and lower lip pits and is caused by mutations in interferon regulatory factor six gene. It is reported to be the most common syndromic cleft world-wide. Non-penetrance for the lip pit phenotype is found in at least 10% of affected individuals and those without the pits are phenocopies for non-syndromic clefting. The aim of this study is to present the phenotypic characteristic of VWS seen at the Lagos University Teaching Hospital (LUTH cleft clinic. Materials and Methods: A review of cases of patients with VWS that attended the cleft lip and palate clinic at the LUTH Idi-Araba, Lagos, from January 2007 to December 2012 was conducted. Data analyses included sex of affected patients, types of cleft, presence of lower lip pits and history of lower lip pits/cleft in the family. Results: A total of 11 cases were seen during the period (male = 4; female = 7. Age at presentation ranged between 1 week and 12 years, with majority (n = 10 less than 2 years of age. Bilateral cleft lip and palate (BCLP was seen in six patients, isolated soft palatal cleft (n = 3 and unilateral cleft lip and alveolus (n = 1 and cleft of hard and soft palate (n = 1. Bilateral lower lips were presented in 10 out of the 11 cases. The mother of the only patient without lip pits presented with bilateral lower lip pits. No family history of cleft/lip pits was elicited in 10 other cases. Conclusion: Most of the cases of VWS presented with BCLP and lower lip pits. Non-penetrance for the lip pits was seen in one out of 11 cases. Our study emphasizes the need to screen family members in all cleft cases, especially clinically diagnosed non-syndromic cases who may be VWS with no lip pits. Future studies are required to investigate the genetic causes of this syndrome in our population.

  20. Outpatients’ experiences of quality service delivery at a teaching hospital in Gauteng

    Directory of Open Access Journals (Sweden)

    Odette Newman

    2008-01-01

    Full Text Available Quality service delivery to the consumer of health is a legal reality as it is emphasised in the White Paper on the Transformation of Public Service delivery (South Africa, 1997. The guiding philosophy adopted within this framework is that of Batho Pele, which means placing the consumer at the centre of healthcare service delivery. Increasing attention has been paid to hospital processes from a quality perspective. By analogy, outpatient departments can be viewed as industrial plants where technological know-how is transferred to patients through service delivery, which is a cornerstone of a hospital’s business. Outpatients, as consumers of healthcare, draw conclusions about the quality of service delivery based on their experiences of such services. In this vein, an outpatient’s experience of a particular service is an indicator of his/her level of satisfaction with the quality of that service. No South African study can be found in the literature on out-patients’ experiences of quality service delivery. This study’s purpose is to explore and describe outpatients’ experiences of the quality of service delivery at a teaching hospital in Gauteng. A qualitative, explorative, descriptive study that was contextual in nature was conducted to achieve this aim. Focus group interviews were conducted with outpatients who met the selection criteria. Open coding was used to analyse the contents from the transcripts and field notes typed verbatim. Strategies for trustworthiness, namely co-coding, prolonged engagement, triangulation and adequate referencing, were employed to ensure the credibility of the study and research findings. The results reflect themes that were reduced into two main categories, namely positive and negative experiences. The positive experiences reflect outpatients’ experience of their relationship with medical staff and their satisfaction with the quality of medical care. Negative experiences relate predominantly to a lack

  1. Analysis of Financial Information Quality in Public Hospitals Based on the Perspective of Hospital Governance in Beijing%治理视角下北方某市公立医院财务信息质量分析

    Institute of Scientific and Technical Information of China (English)

    洪学智; 赵西卜; 修永新; 俞明; 戴力辉

    2015-01-01

    Objective: With the view of the hospital governance, this paper analyzed the situation of public hospitals'financial information quality and the influence related factors in one city.Methods:By investigating the certified public accountants, who engaged in auditing work in the hospital, collecting the data that the hospital website announced, we do the an empirical research Results: The information quality of assets and liabilities, earning and cost accounting in hospital looks well;however, the information quality of investment, profit and loss, financial analy-sis was relatively weak.In addition, the occupation level of hospital directors and the internal control level were positively correlated with the quality of financial information.Conclusion:Since the new hospital accounting system was put into effect, the needs of"accountability"could be better met by the financial information of hospital;nevertheless, the needs of "decision usefulness"could worse meet.By means of strengthening of occupation level of directors and reinforcing the construction of internal control, it would be beneficial to improve the quality of financial infor-mation, and to improve the ecological environment of public hospital governance.%目的:基于医院治理视角,调查北方某市公立医院财务信息质量现状及影响因素。方法:对承担医院审计工作的注册会计师进行问卷调查,结合医院网站公布数据,进行实证分析。结果:医院资产负债、收入、成本账户信息质量较好,对外投资、损益类账户,财务分析质量相对较弱;院长的职业化水平,内部控制状况与财务信息质量呈显著正相关。结论:新医院会计制度实施后,医院的财务信息能较好地满足“受托责任”需求;但“决策有用”相对较差;强化院长的职业化水平,加强内部控制制度建设,有利于提高财务信息质量,改善公立医院法人治理的生态环境。

  2. [Burnout in healthcare workers of a university teaching hospital in Rome, Italy: a cross-sectional study].

    Science.gov (United States)

    Agostinelli, Alessandro; La Torre, Giuseppe; Bevilacqua, Francesca; Chiaradia, Giacomina; Specchia, Maria Lucia; Ricciardi, Walter

    2008-01-01

    A cross-sectional study was performed to assess the frequency of burnout in healthcare workers of a university teaching hospital in Rome (Italy), by means of the Maslach Burnout Inventory. In total 142 healthcare workers participated in the study. Average levels of emotional exhaustion and depersonalization were observed in the study population. Working in emergency care services was found to be correlated with lower levels of personal accomplishment with respect to working in other services. Monitoring burnout in social service and healthcare workers is an effective tool for identifying critical situations in the workplace. PMID:18379605

  3. [Evaluation of nursing care systematization through the phases of nursing process performance and registration in a teaching hospital].

    Science.gov (United States)

    Reppetto, Maria Angela; de Souza, Mariana Fernandes

    2005-01-01

    This descriptive study was carried out in a teaching hospital at São Paulo city and had as objective to identify the phases performance and registration of nursing care systematization and the most frequent nursing diagnoses. Data were collected retrospectively from 135 patients records of three units: Cardiology, Adult Infectious Diseases and Neurosurgery, from January to July, 2002. The phases: history, nursing diagnoses, prescription, evolution and assessment were performed and registered in the three units, however, it was verified systematization gaps performance related to nursing diagnoses registered without the realization of nursing history and nursing prescriptions without evolution. The most frequent nursing diagnosis in the three units was risk for infection.

  4. Outbreak of NDM-1-producing Klebsiella pneumoniae causing neonatal infection in a teaching hospital in mainland China.

    Science.gov (United States)

    Zhang, XiaoYu; Li, XianPing; Wang, Min; Yue, HeJia; Li, PengLing; Liu, YaPing; Cao, Wei; Yao, DongMei; Liu, Li; Zhou, XiaoLan; Zheng, Rong; Bo, Tao

    2015-07-01

    The emergence and spread of bacteria carrying the bla(NDM-1) gene has become a worldwide concern. Here, we report eight cases of Klebsiella pneumoniae with bla(NDM-1) in the neonatal ward of a teaching hospital in mainland China. Multilocus sequence typing showed that seven isolates were clonally related and confirmed them as sequence type 17 (ST17). One isolate belonged to ST433. These findings suggest continuous spread of bla(NDM-1) in mainland China and emphasize the need for intensive surveillance and precautions. PMID:25941224

  5. Molecular characterization of resistance, virulence and clonality in vancomycin-resistant Enterococcus faecium and Enterococcus faecalis: A hospital-based study in Beijing, China.

    Science.gov (United States)

    Yang, Jing-xian; Li, Tong; Ning, Yong-zhong; Shao, Dong-hua; Liu, Jing; Wang, Shu-qin; Liang, Guo-wei

    2015-07-01

    The incidence of vancomycin-resistant enterococcus (VRE) in China is increasing, the molecular epidemiology of VRE in China is only partly known. This study was conducted to assess the molecular characterization of resistance, virulence and clonality of 69 vancomycin-resistant Enterococcus faecium (VREfm) and seven vancomycin-resistant Enterococcus faecalis (VREfs) isolates obtained from a Chinese hospital between July 2011 and July 2013. The glycopeptide resistance genes (VanA and VanB) were screened by multiplex PCR. The presence of five putative virulence genes (esp, gelE, asa1, hyl and cylA) were evaluated by another multiplex PCR. Multilocus sequence typing (MLST) scheme was used to assess the clonality. All 76 VRE isolates exhibited VanA phenotype and harbored VanA gene. Esp was the only gene detected both in VREfm and VREfs strains, accounting for 89.9% and 42.9%, respectively. The hyl gene was merely positive in 27.5% of VREfm strains. MLST analysis demonstrated three STs (ST6, ST4 and ST470) in VREfs and twelve STs (ST78, ST571, ST17, ST564, ST389, ST18, ST547, ST341, ST414, ST343, ST262 and ST203) in VREfm, which were all designated as CC17 by eBURST algorithm. An outbreak of VREfm belonging to ST571 was found to happen within the neurology ward in this hospital. To our knowledge, this is the first report of ST6 (CC2) VREfs strains in China and the first outbreak report of VREfm strains belonging to ST571 around the world. Our data could offer important information for understanding the molecular features of VRE in China.

  6. 北京22家医院1165例用药错误分析%Analysis of 1165 cases of medication errors in 22 hospitals in Beijing

    Institute of Scientific and Technical Information of China (English)

    李晓玲; 闫素英; 王育琴; 张青霞; 王雅葳; 沈江华; 刘琛

    2013-01-01

    Objective To understand the current status of medication errors (ME) report in Beijing area and improve the ME monitor and report system.Methods ME cases which were reported by pharmacy departments of 22 hospitals in Beijing in 2012 were collected and analyzed.Analysis projects included category,classification,and triggering factor of ME and the number and proportion of persons who triggered or detected ME.Category A is potential error.Category B,C,and D are mild ME which did not harm patients.Category E,F,G,H,and I are severe ME which cause harm to patients even death.Results One thousand one hundred and sixty-five cases of ME were totally reported by 22 hospitals in Beijing.Proportion of ME of category A,B,C,D,E,and F were respectively 5.9% (69 cases),71.9% (837 cases),19.3% (225 cases),2.2% (26 cases),0.5% (6 cases),and 0.2% (2 cases).ME of category G,H,and I have not been reported.In 1165 reports of ME,1220 errors of classification were noted.Therein,the error of kinds of medications was the highest proportion which reached 27.2% (332 errors).The errors of administration route,dosage,and time respectively accounted for 12.0% (147 errors),14.3% (175 errors),and 7.1% (86 errors).The content of unreasonable drug use was contained in the errors of kinds of medications,administration route and time.In 1165 reports of ME,1183 triggering factors were noted.The top three factors were sound alike,prescribing errors,and look alike,whose proportions were 19.1% (226 errors),14.0% (166 errors),and 8.3% (98 errors),respectively.In terms of the persons that triggered ME,the proportions of doctors,pharmacists,nurses,and patients or families were respectively 66.0%,30.6%,1.1%,and 2.3%.In terms of the persons who detected ME,doctors,pharmacists,nurses,and patients or family members respectively accounted for 1.4%,88.8%,4.6%,and 5.2%.Concluions The report system of ME in Beijing had tended to be mature gradually.The operation model could

  7. CLINICO - HAEMATOLOGICAL PROFILE AND OUTCOME OF CEREBRAL MALARIA IN A TEACHING HOSPITAL OF SOUTH EAST RAJASTHAN

    OpenAIRE

    Gautam Lal; Rajendra Kumar

    2015-01-01

    AIM: Evaluation of Clinico - hematological profile and outcome of cerebral malaria in semi urban hospital situated in endemic area. MATERIAL AND METHODS : A cross - sectional hospital - based study was conducted from August to November, 2014 at Department of Paediatrics SRG Zanana Hospital, Jhalawar Rajasthan. Every child, except who was previously abnormal neurologically, of the age of six month to 12 years, presented with a history of fever in...

  8. Educational needs assessment of managers working in teaching and private hospitals

    OpenAIRE

    VAHID KESHTKAR; NAHID HATAM; EHSANOLAH NIIKAEIN

    2013-01-01

    Introduction: Hospital managers, as one of the most important health care workers, are the subject of continuous education. In some countries around the world, health management education is an important part of health reforms. The aim of present research is to perform evidence-based studies based on assessing hospital managers’ needs. Therefore, it should be considered that educational need assessment regarding hospital managers is essential in today’s health care managemen...

  9. Spectrum of Microbial Diseases and Resistance Patterns at a Private Teaching Hospital in Kenya: Implications for Clinical Practice.

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    Daniel Maina

    Full Text Available Accurate local prevalence of microbial diseases and microbial resistance data are vital for optimal treatment of patients. However, there are few reports of these data from developing countries, especially from sub-Saharan Africa. The status of Aga Khan University Hospital Nairobi as an internationally accredited hospital and a laboratory with an electronic medical record system has made it possible to analyze local prevalence and antimicrobial susceptibility data and compare it with other published data.We have analyzed the spectrum of microbial agents and resistance patterns seen at a 300 bed tertiary private teaching hospital in Kenya using microbial identity and susceptibility data captured in hospital and laboratory electronic records between 2010 and 2014.For blood isolates, we used culture collection within the first three days of hospitalization as a surrogate for community onset, and within that group, Escherichia coli was the most common, followed by Staphylococcus aureus. In contrast, Candida spp. and Klebsiella pneumoniae were the most common hospital onset causes of bloodstream infection. Antimicrobial resistance rates for the most commonly isolated Gram negative organisms was higher than many recent reports from Europe and North America. In contrast, Gram positive resistance rates were quite low, with 94% of S. aureus being susceptible to oxacillin and only rare isolates of vancomycin-resistant enterococci.The current report demonstrates high rates of antimicrobial resistance in Gram negative organisms, even in outpatients with urinary tract infections. On the other hand, rates of resistance in Gram positive organisms, notably S. aureus, are remarkably low. A better understanding of the reasons for these trends may contribute to ongoing efforts to combat antimicrobial resistance globally.

  10. Comatose and noncomatose adult diabetic ketoacidosis patients at the University Teaching Hospital, Zambia: Clinical profiles, risk factors, and mortality outcomes

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    Mwanja Kakusa

    2016-01-01

    Full Text Available Background: Diabetic ketoacidosis (DKA is one of the commonly encountered diabetes mellitus emergencies. Aim: This study aimed at describing the clinical profiles and hospitalization outcomes of DKA patients at the University Teaching Hospital (UTH in Lusaka, Zambia and to investigate the role of coma on mortality outcome. Materials and Methods: This was a cross-sectional analytical study of hospitalized DKA patients at UTH. The data collected included clinical presentation, precipitating factors, laboratory profiles, complications, and hospitalization outcomes. Primary outcome measured was all-cause in-hospital mortality. Results: The median age was 40 years. Treatment noncompliance was the single highest identified risk factor for development of DKA, followed by new detection of diabetes, then infections. Comatose patients were significantly younger, had lower baseline blood pressure readings, and higher baseline respiratory rates compared to noncomatose patients. In addition, comatose patients had higher baseline admission random blood glucose readings. Their baseline sodium and chloride levels were also higher. The prevalences of hypokalemia, hypernatremia, and hyperchloremia were also higher among comatose patients compared to noncomatose patients. Development of aspiration during admission with DKA, pneumonia at baseline, development of renal failure, and altered mental status were associated with an increased risk of mortality. Development of renal failure was independently predictive of mortality. Conclusion: The mortality rate from DKA hospitalizations is high at UTH. Treatment noncompliance is the single highest identifiable precipitant of DKA. Aspiration, development of renal failure, altered sensorium, and pneumonia at baseline are associated with an increased risk of mortality. Development of renal failure during admission is predictive of mortality.

  11. Profile of Under-Five Malnourished Children Admitted in a Tertiary Care Teaching Hospital in Pune, India

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    Dhrubajyoti J Debnath

    2014-01-01

    Full Text Available Background: Malnutrition is a major public health problem in a developing country like India. Keeping this in mind a study was carried out to find the proportion of under-five children suffering from malnutrition among the under-five hospitalized children and to study co-morbid illnesses and epidemiological factors associated with malnutrition. Methods: This was a hospital-based cross sectional study carried out in the pediatric ward of a tertiary care teaching hospital in Pune, India. All under-five children suffering from malnutrition were studied over a period of 1 month. Results: Total number of under five children diagnosed as malnourished were 47 (39.83%. Moderate and severe/very severe malnutrition was statistically significantly higher in a girl child. The proportion of moderate and severe/very severe malnutrition was higher in low birth weight babies, children who were incompletely immunized for age. Faulty infant feeding practice was observed in 28 (59.6% children. Some of the co-morbid illnesses contributing to morbidity in the malnourished child were acute diarrheal diseases, acute respiratory infection, anemia, and septicemia. Conclusion: A large proportion of hospitalized children were malnourished. Girl child suffered from moderate to severe forms of malnutrition as compared to male child and this was the only statistically significant association. This may be due to neglect of girl child.

  12. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals and Graduate Medical Education.

    Science.gov (United States)

    Tess, Anjala; Vidyarthi, Arpana; Yang, Julius; Myers, Jennifer S

    2015-09-01

    Integrating the quality and safety mission of teaching hospitals and graduate medical education (GME) is a necessary step to provide the next generation of physicians with the knowledge, skills, and attitudes they need to participate in health system improvement. Although many teaching hospital and health system leaders have made substantial efforts to improve the quality of patient care, few have fully included residents and fellows, who deliver a large portion of that care, in their efforts. Despite expectations related to the engagement of these trainees in health care quality improvement and patient safety outlined by the Accreditation Council for Graduate Medical Education in the Clinical Learning Environment Review program, a structure for approaching this integration has not been described.In this article, the authors present a framework that they hope will assist teaching hospitals in integrating residents and fellows into their quality and safety efforts and in fostering a positive clinical learning environment for education and patient care. The authors define the six essential elements of this framework-organizational culture, teaching hospital-GME alignment, infrastructure, curricular resources, faculty development, and interprofessional collaboration. They then describe the organizational characteristics required for each element and offer concrete strategies to achieve integration. This framework is meant to be a starting point for the development of robust national models of infrastructure, alignment, and collaboration between GME and health care quality and safety leaders at teaching hospitals. PMID:26039138

  13. Investigate the pathogen flora and drug susceptibility of vulvovaginal candidiasis in 8 hospitals of Beijing%北京8家医院外阴阴道假丝酵母菌病致病菌种分析

    Institute of Scientific and Technical Information of China (English)

    刘朝晖; 廖秦平

    2011-01-01

    目的 了解北京8家医院外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)的致病微生物情况及对抗真菌药物的耐药情况.方法 选择2009年12月北京地区8家医院妇产科门诊的VVC患者250例,进行阴道分泌物真菌培养及药敏试验.结果 221例患者真菌培养阳性,阳性率88.4%;其中6例患者标本培养出2株真菌,227株真菌中,白色假丝酵母菌211株(93.0%),光滑假丝酵母菌14株(6.2%),克柔假丝酵母菌2株(0.9%).药物敏感试验显示敏感性分别为:克霉唑99.1%,氟康唑97.4%,咪康唑72.2%,伊曲康唑50.2%,制霉菌素21.6%,特比萘酚18.9%.结论 白色假丝酵母菌仍为WC的主要致病菌,其次是光滑假丝酵母菌和克柔假丝酵母菌,克霉唑和氟康唑对VVC患者有较高的敏感性.%Objective To investigate the pathogen flora and drug susceptibility of vulvovaginal candidiasis (VVC) in 8 hospitals of Beijing. Methods In Dec 2009, fungal culture and tests for drug susceptibility of vaginal secretion from 250 VVC patients which were from 8 hospitals in Beijing were performed. Results The positive rate of fungal culture is 88.4%(221/250). Among positive culture, 211 cases (93.0%) are of Candida albicans, 14 cases are of C. glabrata (6.2%), 2 cases are of C. knsei (0.9%). The drug sensitive test shows that 99.1% of these patients were sensitive to clotrimazole,97.4% were sensitive to fluconazole, 72.2% were sensitive to miconazole, 50.2% were sensitive to itroconazole, 21.6% were sensitive to nystatin, 18.9% were sensitive to terbinafine. Conclusion Candida albicans, C. glabrata and C. krsei are the chief pathogens of VVC. VVC patients are high sensitive to clotrimazole and fluconazole.

  14. Investigation of humanistic caring ability in nurses from emergency department in tertiary comprehensive hospitals in Beijing%急诊护士人文关怀能力现状调查

    Institute of Scientific and Technical Information of China (English)

    刘爱辉; 周文华; 田丽源; 吴丽萍

    2016-01-01

    目的:调查医院急诊护士人文关怀能力现状,分析不同背景条件下的急诊护士人文关怀能力的差异性,为培养急诊护士关怀能力提供依据。方法:采用便利抽样法,对北京3家三级甲等医院250名急诊护士关怀能力进行问卷调查。结果:调查对象关怀能力总评分及认知维度、勇气维度、耐心维度评分,均低于国际常模最低标准。不同职称急诊护士关怀能力不同,主管护师高于护士和护师(P20年组,分别高于其他工龄组(P40岁组高于其他年龄组(P<0.05)。结论:北京3家三级甲等综合医院急诊护士人文关怀能力低于国际常模。高年资、高职称的急诊护士人文关怀能力较强。%Objective: To describe the status of humanistic caring ability of nurses in the Emergency Department, analyze the differences of the humanistic care ability in emergency nurses under different background, and provide the evidence for the training of nursing care ability. Methods: A convenience sampling method was used to investigate the humanistic caring ability of 250 nurses in 3 tertiary hospitals in Beijing. Results: The scores of the caring ability of the investigated nurses were lower than those of the norm, and the scores of cognitive dimension, courage and patience were also lower than the norm. The care ability of nurses with different titles was different. The scores of nurses in charge were higher than the ordinary nurses, and the difference was statistically signiifcant (P<0.05). The care ability of nurses in different working time groups was different. The scores of those who service more than 20 years were higher than lower working time groups, the difference was statistically significant (P<0.05). Different age groups score different. The care ability of nurses in more than 40 years old group was higher than that in other groups, and the difference was also statistically signiifcant (P<0.05). Conclusion: The

  15. Educational needs assessment of managers working in teaching and private hospitals

    Directory of Open Access Journals (Sweden)

    VAHID KESHTKAR

    2013-07-01

    Full Text Available Introduction: Hospital managers, as one of the most important health care workers, are the subject of continuous education. In some countries around the world, health management education is an important part of health reforms. The aim of present research is to perform evidence-based studies based on assessing hospital managers’ needs. Therefore, it should be considered that educational need assessment regarding hospital managers is essential in today’s health care management. Methods: A total of 26 hospital managers were surveyed using a data gathering form (questionnaire including 59 open questions designed in order to obtain data in 3 different areas. These included managers’ insight towards job duties and the capabilities required to fulfill their duty along with educational needs determined by managers. The next step involved presenting standard description of job duties to hospitals managers and asking them to document their educational needs regarding capabilities required to fulfill their duties. The standard description of job duties originated from ISO 9001 certified hospitals. For each manager, a score ranging from 0 to 19 was attained. For each correct matched statement, a positive point was considered and in the case of unmatched statements, managers received no points. Results: Out of 26 participating managers, only 20 did state the educational needs of hospitals managers. In describing job duties of hospital managers, the mean scores regarding hospital managers of public sector was 10.27 while it was 8 with private hospital managers. Conclusion: The findings of our study indicate that hospital managers as the leaders of the most sophisticated health care facilities delivering expensive complicated services need proper training regarding job competency. Therefore, it seems that continuous need assessment in this area should be carried out.

  16. Admission of foreign citizens to the general teaching hospital of bologna, northeastern Italy: An epidemiological and clinical survey

    Directory of Open Access Journals (Sweden)

    Sergio Sabbatani

    2006-04-01

    Full Text Available BACKGROUND: The emergency regarding recent immigration waves into Italy makes continued healthcare monitoring of these populations necessary. METHODS: Through a survey of hospital admissions carried out during the last five years at the S. Orsola-Malpighi General Hospital of Bologna (Italy, all causes of admission of these subjects were evaluated, together with their correlates. Subsequently, we focused on admissions due to infectious diseases. All available data regarding foreign citizens admitted as inpatients or in Day-Hospital settings of our teaching hospital from January 1, 1999, to March 31, 2004, were assessed. Diagnosis-related group (DRG features, and single discharge diagnoses, were also evaluated, and a further assessment of infectious diseases was subsequently made. RESULTS: Within a comprehensive pool of 339,051 hospitalized patients, foreign citizen discharges numbered 7,312 (2.15%, including 2,542 males (34.8% and 4,769 females (65.2%. Males had a mean age of 36.8±14.7 years, while females were aged 30.8±12.2 years. In the assessment of the areas of origin, 34.6% of hospitalizations were attributed to patients coming from Eastern Europe, 15.3% from Northern Africa, 7.3% (comprehensively from Western Europe and United States, 6.9% from the Indian subcontinent, 5.9% from sub-Saharan Africa, 5.7% from Latin America, 4.1% from China, 2.5% from the Philippines, and 1.1% from the Middle East. Among women, most hospitalizations (58.8% were due to obstetrical-gynecological procedures or diseases, including assistance with delivery (27.1%, and pregnancy complications (18.7%, followed by psycho-social disturbances (5.9%, malignancies (5.1%, gastrointestinal diseases (4.7%, and voluntary pregnancy interruption (4.4%. Among men, the most frequent causes of admissions were related to trauma (15.9%, followed by gastroenteric disorders (12%, heart-vascular diseases (8.9%, psycho-social disorders (8.4%, respiratory (7.1%, kidney (6.1%, liver

  17. Comparison of prescribing and adherence patterns of anti-osteoporotic medications post-admission for fragility type fracture in an urban teaching hospital and a rural teaching hospital in Ireland between 2005 and 2008.

    LENUS (Irish Health Repository)

    McGowan, B

    2013-03-13

    INTRODUCTION: Poor adherence reduces the potential benefits of osteoporosis therapy, lowering gains in bone mineral density resulting in increased risk of fractures. AIM: To compare prescribing and adherence patterns of anti-osteoporotic medications in patients admitted to an urban teaching hospital in Ireland with a fragility type fracture to patients admitted to a rural hospital in the North Western region. METHODOLOGY: We identified all patients >55 years admitted to Sligo General Hospital between 2005 and 2008 with a fragility fracture (N = 744) using the hospital in-patient enquiry system (HIPE). The medical card number of those patients eligible for the primary care reimbursement services scheme (PCRS) facilitated the linkage of the HSE-PCRS scheme database to the HIPE database which enabled a study to identify persistence rates of patients prescribed osteoporosis therapy after discharge. The results were compared to the findings of a similar study carried out in St. James\\'s Hospital, Dublin. RESULTS: The 12 months post-fracture prescribing increased from 11.0 % (95 % CI 9.6, 12.4) in 2005 to 47 % (95 % CI 43.6, 50.3) in 2008 in the urban setting and from 25 % (95 % CI 21.5, 28.9) to 39 % (95 % CI 34.5, 42.7) in the rural setting. Adherence levels to osteoporosis medications at 12 months post-initiation of therapy was <50 % in both study groups. Patients on less frequent dosing regimes were better adherers. CONCLUSION: The proportion of patients being discharged on anti-osteoporosis medications post-fragility fracture increased between 2005 and 2008 in both patient groups. Sub-optimal adherence levels to osteoporosis medications continue to be a major concern.

  18. HVAC system design for Beijing Chao-Yang Hospital%北京朝阳医院暖通空调系统设计

    Institute of Scientific and Technical Information of China (English)

    赵文成

    2013-01-01

    Combined with state-of-the-art medical processes, allocates ventilation and air conditioning systems rationally and determines the positive and negative pressure of different rooms, the pressure gradient of clean rooms and the air flow direction, providing a reliable guarantee against cross-infection within the hospital. The project constructs the first domestic clean respiratory intensive care unit (RICU), the chemical poisoning emergency treatment center and the emergency center with A, B. C three zones admissions and treatment mechanism. Expounds their ventilation and air conditioning design.%结合先进的医疗流程,合理配置了通风空调系统,明确设计了房间的正负压、净化房间的压力梯度及气流流向,为防止医院内交叉感染提供了可靠的保证.该工程设计建成了国内首个净化的RICU和化学中毒紧急救治中心,急救中心分成A,B,C三区接诊及救治,详细介绍了这些场所的通风空调设计.

  19. Audit of antibiotic prescribing in two governmental teaching hospitals in Indonesia.

    NARCIS (Netherlands)

    Hadi, U.; Duerink, D.O.; Lestari, E.S.; Nagelkerke, N.J.; Keuter, M.; Veld, D Huis In't; Suwandojo, E.; Rahardjo, E.; Broek, P. van den; Gyssens, I.C.J.

    2008-01-01

    This article estimates the magnitude and quality of antibiotic prescribing in Indonesian hospitals and aims to identify demographic, socio-economic, disease-related and healthcare-related determinants of use. An audit on antibiotic use of patients hospitalized for 5 days or more was conducted in two

  20. The Grand Hotel Beijing by the Forbidden City An Interview with Wang Fuhe,general manager of the Grand Hotel Beijing

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    THE Grand Hotel Beijing, co-funded by the Beijing Tourism Group and Dr. Fok Ying Tung, vice chairman of the CPPCC National Committee and patriotic HK entrepreneur, opened in September 1990. The same year it was awarded the American Academy of Hospitality Sciences five-star diamond prize, and designated one of the Leading Hotels of the World.

  1. Tasting Beijing ,Approaching Olympic Games

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Sponsored by Beijing Tour Administration, co-organized by Singapore Conference and Exhibition Administration Service Co., Ltd. and Beijing Relation Exhibition Co., Ltd., "2007 Beijing International Tour Expo" was held in Beijing in June. Commissioner Du Jiang gave a presentation with the opening ceremmony, and pointed out that with the theme of "Tasting Beijing, Approaching Olympic Games", the expo was a platform of promoting the communication and cooperation between the Chinese and foreign tourism industries.

  2. How I teach evidence-based epidural information in a hospital and keep my job.

    Science.gov (United States)

    Tumblin, Ann

    2007-01-01

    A childbirth educator reveals her dilemma in teaching evidence-based practice in today's high-tech birth climate. She focuses on strategies to use when sharing epidural information with expectant parents. PMID:18769516

  3. 北京市某区级医院护理人力资源分析与思考%Analysis and Reflection of Nursing Human Resources in a District Hospital in Beijing

    Institute of Scientific and Technical Information of China (English)

    管惠娟

    2012-01-01

    目的 了解北京市某区级医院护理人力资源现状,分析存在问题的原因,探讨切实可行的护理人力资源建设策略.方法 基于该医院人力资源管理系统,收集截至2011年底护理岗位工作人员信息并进行分析.结果 护理人员总数666人,在编护士与合同制护士之比约为2∶3;护士年龄以30岁以下为主,占61.86%;学历以本科和大专为主,占64.27%;职称以初级为主,占76.88%.结论 该医院护理人员队伍初具规模,高学历护理人员比例较小,人员素质尚待提高;合同制护士流动性较大;人员结构有待调整,需加强岗位针对性培训;稳定人员队伍,完善人员结构.%Objectives To understand the current status of nursing human resources in a district hospital in Beijing and to analyze reasons of the problems, then to explore practical development policy of nursing human resource. Methods Based on the human resource management system, collected and analyzed the information of staffs in nursing post by the end of 2011. Results In a total of 666 nursing staffs, the ratio of enrolled nurses and contract nurses was 2:3 approximately; the nurses aged under 30 accounted for 61. 86%; the nurses having a bachelor or college degree accounted for 64. 27% ; the nurses who had a primary title accounted for 76. 88%. Conclusions The hospital has a primary nursing team and a small proportion of highly educated nursing staffs. The personnel quality needs to be improved yet. The contract nurses have a large liquidity and the structure of staffs needs to be adjusted. The job-specific training also needs to be strengthened.

  4. Periodontal health knowledge of nonmedical professionals and their oral hygiene behavior in a teaching hospital in Nigeria

    Directory of Open Access Journals (Sweden)

    Kehinde Adesola Umeizudike

    2015-01-01

    Full Text Available Background: The awareness of periodontal diseases is generally poor among Nigerians. Working within the hospital environment should give an edge to nonmedical professionals, who could help to promote periodontal health awareness in countries with an inadequate number of dental health professionals. This study aimed to determine the awareness, knowledge of periodontal diseases and oral hygiene behavior of nonmedical professionals within a hospital setting. Materials and Methods: A cross-sectional descriptive study was conducted on 302 nonmedical professionals in a teaching hospital in Nigeria. Pretested, self-administered, semi-structured questionnaires were utilized for data collection on sociodemography, number of years of work experience in the hospital, work cadre, awareness and knowledge of periodontal diseases, oral self-care and dental attendance pattern. Results: The awareness of periodontal disease was relatively high (60.2% in the nonmedical professionals. However, only 29.8% had adequate knowledge of periodontal diseases. Their knowledge was significantly associated with male gender (P = 0.042, higher education (P = 0.006 and nonYoruba ethnicity (P = 0.015. Their duration of work within the hospital premises did not significantly affect their periodontal health knowledge. Less than half (42.7% practiced twice or more daily brushing while only 11.9% used interdental floss for interproximal plaque removal. Their dental attendance pattern was mostly (83.5% problem-oriented rather than preventive. Conclusion: The nonmedical professionals had fairly high awareness but inadequate periodontal health knowledge and oral hygiene practices. These findings may make their role as oral health promoters a questionable one, unless, this is addressed urgently.

  5. Molecular diagnostics for lassa fever at Irrua specialist teaching hospital, Nigeria: lessons learnt from two years of laboratory operation.

    Directory of Open Access Journals (Sweden)

    Danny A Asogun

    Full Text Available BACKGROUND: Lassa fever is a viral hemorrhagic fever endemic in West Africa. However, none of the hospitals in the endemic areas of Nigeria has the capacity to perform Lassa virus diagnostics. Case identification and management solely relies on non-specific clinical criteria. The Irrua Specialist Teaching Hospital (ISTH in the central senatorial district of Edo State struggled with this challenge for many years. METHODOLOGY/PRINCIPAL FINDINGS: A laboratory for molecular diagnosis of Lassa fever, complying with basic standards of diagnostic PCR facilities, was established at ISTH in 2008. During 2009 through 2010, samples of 1,650 suspected cases were processed, of which 198 (12% tested positive by Lassa virus RT-PCR. No remarkable demographic differences were observed between PCR-positive and negative patients. The case fatality rate for Lassa fever was 31%. Nearly two thirds of confirmed cases attended the emergency departments of ISTH. The time window for therapeutic intervention was extremely short, as 50% of the fatal cases died within 2 days of hospitalization--often before ribavirin treatment could be commenced. Fatal Lassa fever cases were older (p = 0.005, had lower body temperature (p<0.0001, and had higher creatinine (p<0.0001 and blood urea levels (p<0.0001 than survivors. Lassa fever incidence in the hospital followed a seasonal pattern with a peak between November and March. Lassa virus sequences obtained from the patients originating from Edo State formed--within lineage II--a separate clade that could be further subdivided into three clusters. CONCLUSIONS/SIGNIFICANCE: Lassa fever case management was improved at a tertiary health institution in Nigeria through establishment of a laboratory for routine diagnostics of Lassa virus. Data collected in two years of operation demonstrate that Lassa fever is a serious public health problem in Edo State and reveal new insights into the disease in hospitalized patients.

  6. Monitoring of Adverse Drug Reactions Associated with Antihypertensive Medicines at a University Teaching Hospital in New Delhi

    Directory of Open Access Journals (Sweden)

    Fowad Khurshid

    2012-09-01

    Full Text Available Aim To monitor the adverse drug reactions (ADRs caused by antihypertensive medicines prescribed in a university teaching hospital.Methods:he present work was an open, non-comparative, observational study conducted on hypertensive patients attending the Medicine OPD of Majeedia Hospital, Jamia Hamdard, New Delhi, India by conducting patient interviews and recording the data on ADR monitoring form as recommended by Central Drugs Standard Control Organization (CDSCO, Government of India.Results:A total of 21 adverse drug reactions were observed in 192 hypertensive patients. Incidence of adverse drug reactions was found to be higher in patients more than 40 years in age, and females experienced more ADRs (n = 14, 7.29 % than males, 7 (3.64 %. Combination therapy was associated with more number of adverse drug reactions (66.7 % as against monotherapy (33.3 %. Calcium channel blockers were found to be the most frequently associated drugs with adverse drug reactions (n = 7, followed by diuretics (n = 5, and beta- blockers (n = 4. Among individual drugs, amlodipine was found to be the commonest drug associated with adverse drug reactions (n = 7, followed by torasemide (n = 3. Adverse drug reactions associated with central nervous system were found to be the most frequent (42.8 % followed by musculo-skeletal complaints (23.8 % and gastro-intestinal disorders (14.3 %. Conclusions:The present pharmacovigilance study represents the adverse drug reaction profile of the antihypertensive medicines prescribed in our university teaching hospital. The above findings would be useful for physicians in rational prescribing. Calcium channel blockers were found to be the most frequently associated drugs with adverse drug reactions.

  7. An evaluation of knowledge, attitude, and practice of adverse drug reaction reporting in a tertiary care teaching hospital of Sikkim

    Directory of Open Access Journals (Sweden)

    Supratim Datta

    2015-01-01

    Full Text Available Aim: Spontaneous voluntary adverse drug reaction (ADR reporting is paramount to the success of the Pharmacovigilance Programme of India. There has however been minimal and sporadic voluntary reporting of ADR's at the ADR Monitoring Centre (AMC Gangtok, Sikkim. Knowledge, perception, attitude, and awareness of health professionals are determinants of reporting practices. This questionnaire study aims at evaluating these indicators in the teaching hospital attached to the Medical Institute and find out methods to improve existing reporting practices. Materials and Methods: This is a cross-sectional questionnaire-based observational study carried out in the Medical, Surgical and Pathology Departments of the Teaching Hospital, Gangtok, Sikkim over a period of 2 months. The questionnaires were filled by the respondents and returned back to us within the next 24 h. Data obtained from filled questionnaires were thereby analyzed. Results: The overall correct response rate to the knowledge-based questions was 56.3%. While 97% of respondents were of the view that ADR reporting was necessary, 35% of the respondents felt that the difficulty in deciding the causality of an ADR discouraged them from reporting. 79% of the respondents were not aware of the presence of an AMC affiliated to the hospital, and 87% of the respondents admitted that they were not sending filled ADR forms to the AMC. Conclusions: The study indicates that the respondents have an average knowledge and positive attitude toward ADR reporting and pharmacovigilance. There is however a lack of awareness and poor ADR reporting practices. Efforts are required to enhance awareness and attitude toward pharmacovigilance and ADR reporting.

  8. Beijing International Sculpture Park

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Inauguration of the 2002 Beijing International Urban Sculptural Art Exhibition also saw the opening of the Beijing International Sculpture Park on Yuquan Road, Beijing. The park houses 140 statues.This exhibition is aimed at promoting exchanges and cooperation among sculptors across the world, integrating urban sculpture into everyday life, and encouraging innovation in this sector. It is expected to bring inspiration to Beijing as regards new concepts in urban construction, through exchanges with other nations. This exhibition constitutes interaction between the public and art, and dialogue between China and the world.The works on display are Beijing’s latest attraction, and add a touch of modernity to this ancient city. Some are to be placed in sports stadiums during the 2008 Olympics.

  9. Oral health knowledge and practices of dentists practicing in a teaching hospital in Nigeria

    Directory of Open Access Journals (Sweden)

    Akinlolu Tolulope Jegede

    2016-01-01

    Conclusion: A large number of dentists practicing in the tertiary hospital had good oral health practices and good oral health knowledge. However, the proportion of dentists with good caries prevention practices was low.

  10. Developing the Beijing CVD

    Institute of Scientific and Technical Information of China (English)

    LU JINGXIAN

    2006-01-01

    @@ Slowly but surely, the high-end villa property in Beijing is gaining new momentum. Limited amounts of new properties, rising prices and increasing demand will be the trend in the villa market in 2006, real estate experts predict. Among them, the exclusive Central Villa District(CVD), a top-tier villa area along the Wenyu River in northeast Beijing, has emerged as a hot spot of the market.

  11. Medication errors in the adult emergency unit of a tertiary care teaching hospital in Addis Ababa

    OpenAIRE

    Gediwon Negash; Yonathan Kebede; Segewkal Hawaze

    2013-01-01

    Background: The emergency unit is a high risk environment for inappropriate medication use due to stressors and time sensitive nature of the service. Objective: To assess incidence and type of Medication Errors in Tikur Anbesa Specialized Hospital. Materials and Methods: A prospective cross-sectional study was conducted on the interventions by prescribing physicians and attending nurses for patients seen at the emergency unit of Tikur Anbesa Specialized Hospital from May 2-20, 2011. Data ...

  12. Development of a Cost-Effective Database Software for Psychiatric Research: A Study From Tertiary Care Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Sabu Karakkamandapam

    2010-10-01

    Full Text Available Background: Technological progression made drastic changes in health care. Still there is a growing concern about proper utilization of health information within hospitals for various research activities. Huge volumes of such health information in majority of hospitals are redundant due to lack of appropriate and cost-effective technological tools for retrieving relevant health information for research purpose. Objective: To develop a cost-effective and user-friendly computerized medical record database for psychiatry using available technology with the department. Methodology: Study performed at a tertiary care teaching hospital in Udupi district of South India. Various datasets from psychiatry medical records were utilized for the design and creation of database. A computerized database called PsyCase was developed with the help of technology available within the department. A 4612 patient’s data were entered into the PsyCase and subjected to various analyses. Results: Applications of PsyCase in various epidemiological studies were explored through performing numerous analyses with actual data. PsyCase was found effective in supporting psychiatric research as well as routine clinical and administrative activities. Conclusion: This study emphasizes need of appropriate use of technology available within a healthcare system to facilitate medical research in psychiatry and role of health information professional in such initiatives. Healthcare organization must focus on collective utilization of resources within the system to improve the utilization of health information for medical research.

  13. Survey of professional ethics observance degree among managers and staff of teaching hospitals of Shiraz University of Medical Sci

    Directory of Open Access Journals (Sweden)

    FARZAD MAHMOUDIAN

    2013-01-01

    Full Text Available Introduction: Professional ethics is a very important issue for managers who are role models for students and staff. It can also be very effective in organizational activities. The main objective of this research is to describe the result of managers’ self assessment in Shiraz teaching hospitals. Methods: The present research is a cross-sectional study. The statistical society of this research includes all senior, middle and executive managers of Nemazi, Faghihi and Chamran hospitals. Regarding the small volume of statistical society and advice of a statistical counselor, the census method was used. The data were gathered using questionnaires. Results: The result of this research showed that there was a significant association between managerial ethics and education levels but there wasn’t a significant association between average score of managerial ethics and the field of study, sex and age. Also the mean for managerial ethics was the highest in Faghihi hospital. Discussion: According to research findings and positive association between managerial ethics and education levels, observance of professional ethics is essential. So we can train managers to observe professional ethics more in their organizations in order to improve organizational efficacy.

  14. 2007年至2009年北京市居民急性心肌梗死住院病死率及其分布特征的研究%In-hospital case-fatality rate and its distribution among patients with acute myocardial infarction in Beijing during 2007 -2009

    Institute of Scientific and Technical Information of China (English)

    张秀英; 郭默宁; 万浩; 刘静; 赵冬; 王薇; 谢学勤; 韦再华; 王淼; 孙佳艺; 齐玥; 刘军

    2012-01-01

    Objective;To assess the recent in-hospital case-fatality rate of acute myocardial infarction (AMI)and its distribution in Beijing. Methods:Data for patients hospitalized for AMI during Jan. 1, 2007 to Dec. 31, 2009, coded as 121 or 122 (ICD-10) in the primary discharge diagnosis field, were extracted from Beijing Hospital Discharge Information System,which is conducted by Beijing Public Health Information Center. The in-hospital case-fatality rate of AMI is defined as the percentage of people diagnosed as having AMI who die during hospitalization. Results;Totally 35 335 patients aged 25 years or more among the permanent residences were identified in Beijing. The age was (65. 5 ± 12.9) years ( mean ± standard deviation) and 68. 2% were men. The average in-hospital case-fatality rate for AMI during 2007 - 2009 was 10. 0% ,and the rate was higher in women than that in men( 14. 3% vs. 7. 9% , P <0.001) , higher in secondary hospitals than that in tertiary hospitals( 11.4% vs. 9. 0% ,P <0. 001), and higher in hospitals of traditional Chinese medicine than that in hospitals of western medicine( 17.5% vs. 9. 5% ,P <0. 001). Patients with ST-elevation myocardial infarction had higher in-hospital case-fatality rate than those with non-ST-elevation myocardial infarction (9. 4% vs.8.4% , P < 0. 001), and patients who did not have percutaneous coronary intervention ( PCI) during hospitali-zation had significantly higher in-hospital case-fatality rate than those had PCI( 14.4% vs. 1. 9% ,P <0. 001). The age-standardized in-hospital case-fatality rate was 10. 7% ,9. 8% and 9. 4% in 2007,2008 and 2009,respectively. Compared with the rate in 2007, the rate declined by 12. 1% in 2009,and the declines were also noticed in both men and women. For men, in-hospital case-fatality rate declined by 11. 1% , from 9.9% in 2007 to 8. 8% in 2009. For women,in-hospital case-fatality rate declined by 10. 7% ,from 12. 2% in 2007 to 10. 9% in 2009. Conclusion;The recent in-hospital case

  15. Extent of poly-pharmacy, occurrence and associated factors of drug-drug interaction and potential adverse drug reactions in Gondar Teaching Referral Hospital, North West Ethiopia

    OpenAIRE

    Endalkachew Admassie; Tesfahun Melese; Woldeselassie Mequanent; Wubshet Hailu; B Akshaya Srikanth

    2013-01-01

    The aim of this study was to assess the extent of poly-pharmacy, occurrence, and associated factors for the occurrence of drug–drug interaction (DDI) and potential adverse drug reaction (ADR) in Gondar University Teaching Referral Hospital. Institutional-based retrospective cross-sectional study. This study was conducted on prescriptions of both in and out-patients for a period of 3 months at Gondar University Hospital. Both bivariate analysis and multivariate logistic regression were used to...

  16. The prevalence of depression and anxiety in gastrointestinal out-patients of tertiary general hospitals in Beijing%消化科门诊患者抑郁和焦虑障碍的现况调查

    Institute of Scientific and Technical Information of China (English)

    姜荣环; 于欣; 马弘; 何燕玲; 魏镜; 白文佩; 刘梅颜

    2009-01-01

    Objective To explore the prevalence and physician's recognition of depression and anxiety disorder in gastrointestinal out-patients of three tertiary general hospitals in Beijing. Methods A hospital-based cross-sectional survey was conducted in the gastrointestinal out-patient departments of three tertiary general hospitals in Beijing from May to June 2007. Total 517 subjects were recruited consecutively within a one month period. All the subjects were screened with Hospital Anxiety Depression Scale (HADS). The subjects with HADS score of 8 and over were interviewed and diagnosed by psychiatrists using Mini International Neuropsychiatric Interview (MINI). The physicians made the diagnosis and management without knowing the results of MINI and HADS score. Results Among the 517 cases, 301 had a HADS score of 8 and above and 244 were interviewed by psychiatrists; the response rate was 81.1%. The prevalence according to Diagnostic and Statistical Manual of Mental Disorders Fourth edition of depressive disorders and anxiety disorders in gastrointestinal outpatients were 15.3%, depressive disorders were 12. 0%, anxiety disorders were 6. 4%, depression combined anxiety disorder was 3. 0%. The prevalence of depression, anxiety, depression combined anxiety were not different between genders (x2 = 0. 874, x2 = 1.797,x2 =0.518, P >0.05) and among different age group ( 18-34, 35-54, ≥55 years old) (x2 = 1. 084,2 = 2. 735, 2 = 0. 350, P 0. 05 ). Gastritis and gastrointestinal dysfunction were the major diagnoses in patients with depression and/or anxiety disorders, the rates were 30. 6% and 26. 4% respectively. The rate of identification of depression and anxiety disorder by physicians was 2. 8%. Conclusion Gastrointestinal out-patients have a high prevalence of depression and anxiety disorder and the rate of identification by physicians was very low.%目的 了解北京地区综合医院消化科门诊患者抑郁障碍和焦虑障碍的患病率和诊疗状况.方法

  17. Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012

    Directory of Open Access Journals (Sweden)

    Obiechina NJ

    2013-07-01

    Full Text Available NJ Obiechina, VE Okolie, ZC Okechukwu, CF Oguejiofor, OI Udegbunam, LSA Nwajiaku, C Ogbuokiri, R Egeonu Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria Background: Maternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. Objectives: This study was conducted to assess NAUTH'S progress in achieving a 75% reduction in the maternal mortality ratio (MMR and to identify the major causes of maternal mortality. Materials and methods: This was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria. Results: During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%, hemorrhage (22%, and sepsis (12%. The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98% and within the first 48 hours of admission (76%. Conclusion: MMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to

  18. Reducing red cell transfusion by audit, education and a new guideline in a large teaching hospital.

    Science.gov (United States)

    Garrioch, M; Sandbach, J; Pirie, E; Morrison, A; Todd, A; Green, R

    2004-02-01

    Safety concerns combined with the greatly increased costs and difficulties of maintaining the blood supply are major considerations for transfusion services. Previous local surveys demonstrated that hospital blood use at our hospital could be improved. Excessive cross-matching, unnecessary transfusion and high return rates of unused blood were commonplace. Transfusion practice was audited over a 3-month period. An education package with guidelines for transfusion was delivered to all clinician groups within the hospital, over the following 9 months. The audit was repeated exactly 1 year later at the same time period. During the second audit, inpatient hospital numbers increased by 1.02% (from n = 7262 to n = 7336) but no differences in length of stay, cardiovascular morbidity or mortality were demonstrated. Twenty percent (n = 254, 2002; n = 316, 2001) fewer patients received blood, and the number of red cell packs used reduced by 19% (from n = 1093 to n = 880). Total number of patients transfused reduced from 4.4% to 3.5% which, as an absolute difference, is a reduction of 0.9% (CI 0.3-1.5, P = 0.006). The audit, guideline and education package had a major impact on red cell use within the hospital with no adverse effects. Blood use can be improved by the implementation of a suitable education package and guideline. If it is possible to replicate the results of this education programme nationwide, the effect on blood use, with subsequent savings and enhanced patient safety could be significant.

  19. Molecular Diagnostics for Lassa Fever at Irrua Specialist Teaching Hospital, Nigeria: Lessons Learnt from Two Years of Laboratory Operation

    Science.gov (United States)

    Hass, Meike; Gabriel, Martin; Ölschläger, Stephan; Becker-Ziaja, Beate; Folarin, Onikepe; Phelan, Eric; Ehiane, Philomena E.; Ifeh, Veritas E.; Uyigue, Eghosasere A.; Oladapo, Yemisi T.; Muoebonam, Ekene B.; Osunde, Osagie; Dongo, Andrew; Okokhere, Peter O.; Okogbenin, Sylvanus A.; Momoh, Mojeed; Alikah, Sylvester O.; Akhuemokhan, Odigie C.; Imomeh, Peter; Odike, Maxy A. C.; Gire, Stephen; Andersen, Kristian; Sabeti, Pardis C.; Happi, Christian T.; Akpede, George O.; Günther, Stephan

    2012-01-01

    Background Lassa fever is a viral hemorrhagic fever endemic in West Africa. However, none of the hospitals in the endemic areas of Nigeria has the capacity to perform Lassa virus diagnostics. Case identification and management solely relies on non-specific clinical criteria. The Irrua Specialist Teaching Hospital (ISTH) in the central senatorial district of Edo State struggled with this challenge for many years. Methodology/Principal Findings A laboratory for molecular diagnosis of Lassa fever, complying with basic standards of diagnostic PCR facilities, was established at ISTH in 2008. During 2009 through 2010, samples of 1,650 suspected cases were processed, of which 198 (12%) tested positive by Lassa virus RT-PCR. No remarkable demographic differences were observed between PCR-positive and negative patients. The case fatality rate for Lassa fever was 31%. Nearly two thirds of confirmed cases attended the emergency departments of ISTH. The time window for therapeutic intervention was extremely short, as 50% of the fatal cases died within 2 days of hospitalization—often before ribavirin treatment could be commenced. Fatal Lassa fever cases were older (p = 0.005), had lower body temperature (p<0.0001), and had higher creatinine (p<0.0001) and blood urea levels (p<0.0001) than survivors. Lassa fever incidence in the hospital followed a seasonal pattern with a peak between November and March. Lassa virus sequences obtained from the patients originating from Edo State formed—within lineage II—a separate clade that could be further subdivided into three clusters. Conclusions/Significance Lassa fever case management was improved at a tertiary health institution in Nigeria through establishment of a laboratory for routine diagnostics of Lassa virus. Data collected in two years of operation demonstrate that Lassa fever is a serious public health problem in Edo State and reveal new insights into the disease in hospitalized patients. PMID:23029594

  20. Teaching Human Values in Pharmacy Education: Case Studies from the Classroom and the Hospital.

    Science.gov (United States)

    Poirier, Suzanne

    1991-01-01

    It is proposed that literature can contribute to the teaching of human values in pharmaceutical education. Two texts illustrating pertinent issues are examined, and the process and relevance of literature instruction in humanistic education are discussed. Where, when, and why to integrate literature into the pharmacy curriculum are also addressed.…

  1. Investigation of nurses′ job satisfaction from a level three class A stomatology hospital in Beijing%北京市某三级甲等口腔医院护士工作满意度调查分析

    Institute of Scientific and Technical Information of China (English)

    鲁诚; 侯淑肖; 胡建伟; 李秀娥; 杨旭

    2016-01-01

    目的:调查某三级甲等医院口腔专科护士工作满意度水平并探讨其影响因素。方法采用问卷调查法,对北京市某三级甲等口腔医院的791名护士的工作满意度进行调查,并对其影响因素进行分析。结果回收有效问卷656份,有效回收率为82.9%。656名研究对象工作满意度总均分为(3.24±0.92)分,处于中上水平;不满意的方面包括福利待遇、家庭与工作的平衡及专业发展机会。年龄、工龄和本院工作年限与满意度呈负相关(P<0.01)。单因素分析显示不同工作场所、学历、职称及离职意愿的护士工作满意度差异有统计学意义(P<0.05);多元回归分析结果显示,离职意愿和年龄可能是护士工作满意度的影响因素。结论口腔专科护士工作满意度整体水平较高,降低护士离职意愿、提高福利待遇和创造专业发展机会可能是提高满意度的有效途径。%Objective To investigate the job satisfaction of nurses from one level three class A stomatology hospital and explore its influencing factors. Methods A questionnaire-based survey was used to examine job satisfaction of 791 nurses from the stomatology hospital in Beijing and analyze its influencing factors. Results A total of 656 effective questionnaire were collected with effective collective rate 82. 9%. The total average score of job satisfaction was (3. 24 ± 0. 92), which was at or above intermediate-level; dissatisfaction dimensions contained extrinsic rewards, family/work balance and professional opportunities. The correlation analysis showed job satisfaction was negatively correlated with age, working years and years serving in this hospital (P<0. 01). Single-factor analysis showed nurses working in different department, with different levels of formal educations, professional titles and turnover intention varied significantly in job satisfaction (P<0. 05); multiple regression analysis showed that turnover

  2. [Antibacterial activity of antiseptics used at Military Teaching Hospital Mohamed V of Rabat].

    Science.gov (United States)

    Essayagh, Touria; Elameri, Abdouelouhab; Zohoun, Alban; Miloudi, Mouhcine; Elhamzaoui, Sakina

    2010-01-01

    Antiseptics have a major role against the infections and their prevention. The good management of antiseptics allows the reduction of antibiotics use and thus the emergence of resistant bacterial strains. The evaluation of the antibacterial activity of three antiseptics (povidone iodine [PVPI], iodized alcohol and alcohol 70 degrees) used at HMIMV and taken from pharmacy was based on AFNOR method NF T 72-150. The analysis of their chemical properties were done by standardized methods (manganimetry, Bunsen's method, test to determine sodium thiosulfate levels [or sodium thiosulfate test] and Guy Lussac alcoholmeter). Our results were compared with those obtained in another two university hospitals of Rabat: Hospital of Speciality and Ibn Sina. The frequencies of resistant bacterial strains were respectively 4.6%, 30.7% and 15.4% to PVPI, alcohol iodized and alcohol 70 degrees . Our results have shown that the PVPI is the best antiseptic in our hospital.

  3. Phase 1 implementation of nutrition screening in a Dublin acute teaching hospital

    LENUS (Irish Health Repository)

    2014-01-01

    Nutrition Screening Week results from 2010 and 2011 indicated that one in three to four patients admitted to Irish Hospitals are at risk of disease-related malnutrition, 74-75% of whom are at high risk1. Nutrition screening tools are used to screen for malnutrition risk. One such tool, the Malnutrition Universal Screening Tool (MUST)2 is a practical, easy to use tool that often takes ≤5 minutes to complete. MUST has been validated across care settings and across patient populations, and has been recommended for use in Irish Hospitals by the Department of Health and Children as part of standard care3. The National Institute for Health and Clinical Excellence in the UK has demonstrated significant financial savings associated with the use of routine nutrition screening, in part due to reduced length of hospital stay4. The Irish Society for Clinical Nutrition and Metabolism (IrSPEN) has also demonstrated this5

  4. Investigation of depression status of nurses in a Level of first-class Grade 2 hospital in Beijing%北京某二级甲等综合医院护士抑郁状况调查

    Institute of Scientific and Technical Information of China (English)

    刘国英; 杨艳秋; 韩金红

    2010-01-01

    目的 探讨综合干预措施对护士抑郁状况的影响.方法 以整群方式于2008年对北京某二级甲等综合医院护士采用抑郁自评量表(SDS)进行调查,对结果进行分析,并与2004年调查结果进行比较.结果 2008年护士抑郁发生率较2004年下降0.2%,急诊科、重症监护病房、内科病房的护士经过综合干预后SDS评分明显下降,与2004年比较,差异有统计学意义(P<0.05).外科病房、儿科的护士抑郁发生率与2004年比较,差异无统计学意义(P>0.05).结论 护士抑郁状况经过护理管理者的综合干预后有所好转,但呈现出动态变化,需要护理管理者及各级领导给予高度持续关注.%Objective To explore the influence of comprehensive intervention on depression status of nurses. Methods A cluster sampling survey was taken in nurses of a Level of first-class Grade 2 hospital in Beijing. Self-rating depression scale ( SDS ) was used to survey the nurses in the year of 2004 and 2008. Results The rate of nurse depression declined 0.2% in 2008 compared with in 2004. The SDS score of nurses decreased obviously in Emergency Department, ICU and Medical Ward after comprehensive intervention, and there was a significant difference compared with the year of 2004 ( P < 0.05 ). The rate of depression increased in surgical and pediatric nurses, and there was no significant difference compared with the year of 2004 ( P > 0. 05). Conclusions The nurses depression status was improved after comprehensive intervention of nursing administers. However there was a dynamic change. Nursing administers and society should pay more attention to nurses depression status.

  5. Bacteriospermia and Sperm Quality in Infertile Male Patient at University of Benin Teaching Hospital, Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Ibadin, O. K.

    2008-01-01

    Full Text Available Male Urogenital tract infection plays an important role in men infertility. Asymptomtic bacteriospermia has been regarded as of the contributing factor to male infertility. In this study, 87 semen samples of infertile men attending the Human Reproduction Research Programme and Invitrofertilization unit (HRRP/IVF of University Benin Teaching Hospital were evaluated Bacteriologically using standard Bacterial culture method. Standard semen analysis was performed according to WHO guidelines. Among the total cases, 36 (41.4% showed at least one pathogen. Staphylococcus aureus (16.1%, Staphylococcus Saprophyticus (9.1%, Escherichia Coli (6.9% Proteus mirabilis (3.4% Klebsiella spp (2.3% Pseudomonas aerouginosa (1.1% and Proteus vulgaris (2.3%. There was a significant relation between bacteriospermia and the rate of number of total motility and morphologically abnormal sperms (p 0.05. It seems that leukocytopermia is not a good maker to predict bacteriospermia.

  6. 42 CFR 415.162 - Determining payment for physician services furnished to beneficiaries in teaching hospitals.

    Science.gov (United States)

    2010-10-01

    ... paid by Medicare must be determined on the basis of the health insurance ratio(s) used in the... scientific research). (i) No personal financial gain, either direct or indirect, from benefits of the fund... depreciation expense is not allowed with respect to equipment or facilities donated to the hospital by a...

  7. A comparative study of collimation in bedside chest radiography for preterm infants in two teaching hospitals

    Directory of Open Access Journals (Sweden)

    J. Stollfuss

    2015-01-01

    Conclusion: In our study, the only identifiable factor influencing the collimation of portable chest radiographs in preterm infants was the radiographer’s dedication and awareness. There were no apparent differences between the hospitals investigated. Exposure of non-thoracic structures was relatively frequent and mainly involved the proximal humeri.

  8. The billing process at a teaching hospital specialized in cardiology and pulmonology

    Directory of Open Access Journals (Sweden)

    Gabriela Favaro Faria Guerrer

    2014-09-01

    Full Text Available The objective of this exploratory study was to describe and map out the billing process in a public tertiary-level university hospital specialized in cardiology and pulmonology. In the period between May and June of 2012, we identified and documented the steps in the process validated by the professionals involved in the hospital bill audit service. We found that during billing pre-analysis, auditors make corrections to justify the billing of procedures and to avoid unwarranted billing and loss of revenue. Mapping out the process allowed us to propose strategies to minimize the time for presenting bills to payment sources. By bringing visibility to this process, which is fundamental for the economic-financial balance of the studied hospital, we bring such knowledge to the public domain. Thus, it is accessible to other health organizations that wish to increment their revenue and reduce divergences between patient charts and the patient’s hospital bill. doi: 10.5216/ree.v16i3.23487.

  9. Medication errors in the adult emergency unit of a tertiary care teaching hospital in Addis Ababa

    Directory of Open Access Journals (Sweden)

    Gediwon Negash

    2013-01-01

    Conclusion: Incidence and types of medication errors committed in Tikur Anbesa Specialized Hospital Adult Emergency Unit were substantiated; moreover, necessary information on factors within the healthcare delivery system that predispose healthcare professionals to commit errors have been pointed, which should be addressed by healthcare professionals through multidisciplinary efforts and involvement of decision makers at national level.

  10. 78 FR 32663 - Medicare Program; Notification of Closure of Teaching Hospitals and Opportunity To Apply for...

    Science.gov (United States)

    2013-05-31

    ... for consideration of the direct graduate medical education (GME) and indirect medical education (IME... and Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, the ``Affordable Care Act... residency slots after a hospital that trained residents in an approved medical residency program...

  11. Medical Device-Associated Candida Infections in a Rural Tertiary Care Teaching Hospital of India

    Directory of Open Access Journals (Sweden)

    Sachin C. Deorukhkar

    2016-01-01

    Full Text Available Health care associated infections (HCAIs add incrementally to the morbidity, mortality, and cost expected of the patient’s underlying diseases alone. Approximately, about half all cases of HCAIs are associated with medical devices. As Candida medical device-associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of continuous surveillance of these infections to initiate preventive and corrective measures. The present study was conducted at a rural tertiary care hospital of India with an aim to evaluate the rate of medical device-associated Candida infections. Three commonly encountered medical device-associated infections (MDAI, catheter-associated urinary tract infection (CA-UTI, intravascular catheter-related blood stream infections (CR-BSI, and ventilator-associated pneumonia (VAP, were targeted. The overall rate of MDAI in our hospital was 2.1 per 1000 device days. The rate of Candida related CA-UTI and CR-BSI was noted as 1.0 and 0.3, respectively. Untiring efforts taken by team members of Hospital Acquired Infection Control Committee along with maintenance of meticulous hygiene of the hospital and wards may explain the low MDAI rates in our institute. The present surveillance helped us for systematic generation of institutional data regarding MDAI with special reference to role of Candida spp.

  12. Pattern of Suicide: A Review of Autopsies Conducted at Moi Teaching and Referral Hospital in Eldoret Kenya

    Directory of Open Access Journals (Sweden)

    B. N. Macharia

    2015-06-01

    Full Text Available Problem statement. Suicide is one of the ten leading causes of death in the world, accounting for more than 400,000 deaths annually. The pattern of suicide and the incidence of suicide vary from country to country. Cultural, religious and social values play some role in suicide. Currently, there is no data regarding the incidence of suicide in Kenya. Setting. Moi Teaching and Referral Hospital Mortuary. Study population. A seven-year retrospective study of all the autopsies performed at the Moi Teaching and Referral Hospital was analysed and the cases that were definitely determined as suicides were further studied. Objective. To characterize the pattern of suicide cases through autopsies conducted at MTRH mortuary between the years 2005 to 2012. Methodology. Retrospective descriptive cross-sectional study. Suicide cases were identified from the MTRH autopsy record books. From these record books, the autopsy number was used to retrieve the pathologists autopsy report. Data regarding age, gender and methods of suicide was retrieved and entered into a data collection form. Data analysis: Data collected was analysed using Stata version 10. Results. There were 213 autopsies performed. Majority were male 180(85%. The subjects had a median age of 29(IQR: 23–37 years. Organophosphate poisoning was the most preferred method followed by hanging. Organophosphate poisoning accounted for 195(91.54% and hanging for 17(7.98% of the subjects. Conclusion. The preferred methods of suicide were poisoning and hanging. The study may have missed some cases where the relatives could have declined for the postmortem procedure and hence the body released without postmortem examinations.

  13. Laboratory surveillance of influenza-like illness in seven teaching hospitals, South Korea: 2011-2012 season.

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    Ji Yun Noh

    Full Text Available BACKGROUND: A well-constructed and properly operating influenza surveillance scheme is essential for public health. This study was conducted to evaluate the distribution of respiratory viruses in patients with influenza-like illness (ILI through the first teaching hospital-based surveillance scheme for ILI in South Korea. METHODS: Respiratory specimens were obtained from adult patients (≥18 years who visited the emergency department (ED with ILI from week 40, 2011 to week 22, 2012. Multiplex PCR was performed to detect respiratory viruses: influenza virus, adenovirus, coronavirus, respiratory syncytial virus, rhinovirus, human metapneumovirus, parainfluenza virus, bocavirus, and enterovirus. RESULTS: Among 1,983 patients who visited the ED with ILI, 811 (40.9% were male. The median age of patients was 43 years. Influenza vaccination rate was 21.7% (430/1,983 during the 2011-2012 season. At least one comorbidity was found in 18% of patients. The positive rate of respiratory viruses was 52.1% (1,033/1,983 and the total number of detected viruses was 1,100. Influenza A virus was the dominant agent (677, 61.5% in all age groups. The prevalence of human metapneumovirus was higher in patients more than 50 years old, while adenovirus was detected only in younger adults. In 58 (5.6% cases, two or more respiratory viruses were detected. The co-incidence case was identified more frequently in patients with hematologic malignancy or organ transplantation recipients, however it was not related to clinical outcomes. CONCLUSION: This study is valuable as the first extensive laboratory surveillance of the epidemiology of respiratory viruses in ILI patients through a teaching hospital-based influenza surveillance system in South Korea.

  14. Clinico-epidemiological profile of tobacco users attending a tobacco cessation clinic in a teaching hospital in Bangalore city

    Directory of Open Access Journals (Sweden)

    George D′Souza

    2012-01-01

    Full Text Available Background: Tobacco-attributable mortality in India is estimated to be at least 10%. Tobacco cessation is more likely to avert millions of deaths before 2050 than prevention of tobacco use initiation. Objective: To describe the clinico-epidemiological profile of attendees of a tobacco cessation clinic in a teaching hospital in Bangalore city. Materials and Methods: A descriptive study of 189 attendees seen over 2 years in the Tobacco Cessation Clinic of a tertiary-care teaching hospital in Bangalore, with information on socio demographic characteristics, tobacco-use details, nicotine dependence, family/medical history, past quit attempts, baseline stage-of-change, and treatment initiated. Results: Only 5% were ′walk-in′ patients; 98% of attendees were smokers; 97% were males. The mean (±SD age of attendees was 48.0 (±14.0 years. Most participants were married (88%, and predominantly urban (69%. About 62% had completed at least 8 years of schooling. Two-thirds of smokers reported high levels of nicotine dependence (Fagerström score >5/10. About 43% of patients had attempted quitting earlier. Four-fifths (79% of tobacco-users reported a family member using tobacco. Commonly documented comorbidities included: Chronic respiratory disease (44%, hypertension (23%, diabetes (12%, tuberculosis (9%, myocardial infarction (2%, stroke (1%, sexual dysfunction (1% and cancer (0.5%. About 52% reported concomitant alcohol use. At baseline, patients′ motivational stage was: Precontemplation (14%, contemplation (48%, preparation/action (37% and maintenance (1%. Treatment modalities started were: Counseling alone (41%, nicotine replacement therapy alone (NRT (34%, medication alone (13%, and NRT+medication (12%. Conclusions: This is the first study of the baseline profile of patients attending a tobacco cessation clinic located within a chest medicine department in India. Important determinants of outcome have been captured for follow-up and prospective

  15. Antibiotic use and cost in a teaching hospital in İstanbul

    Directory of Open Access Journals (Sweden)

    Özgür Dağlı

    2011-12-01

    Full Text Available Objectives: The aims of this study were to determine the usage patterns and the cost of antibiotics, along with theevaluation of the effects of infectious diseases (ID specialists on appropriate antimicrobial use in hospitalized patients.Materials and methods: A one-day, cross-sectional study was conducted in a major tertiary hospital and data on theuse of antibiotics were collected by using a standard form. The appropriateness of the antibiotic usage was evaluatedusing the Council for Appropriate and Rational Antibiotic Therapy (CARAT criteria; and the consumption and daily costof antibiotics were determined.Results: On the study day, antibiotics were prescribed in 199 (35.6% of 553 hospitalized patients, in 109 (32.9% onthe surgical and 90 patients (40.5% on the medical wards. The total empirical antibiotic use was more frequent (49.7%than prophylactic (29.1% and culture-based therapy (21.2%. In 44 patients (22.1% the antibiotics were used inappropriately;any of these antibiotics needed the approval of ID specialist. The inappropriate usage was more common inprophylactic therapy (46.5% than empirical (16.1% and specific antibiotic administration (2.3%. ID consultation rateswere significantly higher in the appropriate antibiotic administrations (69.6% than in the inappropriate group [(6.8%,p<0.0001, odds ratio (OR 10.2, confidence intervals (CI =3.0–3.7]. The total one-day cost of antibiotic therapy in ourhospital was US $3350.6, and the total daily cost for hospital infection was $2137.1. The mean daily cost per patientwas $2.1 for prophylaxis, $10.7 for community-acquired infections and $54.7 for hospital infections (p<0.001, OR 9.8,CI 4.7–20.7.Conclusion: This study showed that antibiotic prescription rates are high, surgical prophylaxis is still a major problemin our hospital, ID approval is effective for appropriate use of antibiotics, and the antibiotic cost of hospital infections isan important part of extra costs. J Microbiol Infect

  16. Spectrum of diseases in a medical ward of a teaching hospital in a developing country

    Directory of Open Access Journals (Sweden)

    BR Pokharel

    2012-09-01

    Full Text Available Communicable and respiratory tract diseases especially chronic obstructive pulmonary diseases are the main reasons of admission in medical ward of low and middle income countries. This is different from the developed countries where non communicable diseases are the main reasons of hospital admission. In developing countries the data of hospital admission are still lacking. Therefore this study will help us to assess the common patterns of diseases admitted in a medical ward, the average length of hospital stay etc. The record of 1040 hospitalized patients in medical ward was analyzed for the period of six months from Jan 2010 to Jun 2010. Patient’s medical records were retrieved and data analysis was done to obtain age, sex, common diagnosis, the affected system and the duration of the hospital stay. The data was analyzed by using SPSSV 16. After reviewing the data the most common age of patients being admitted were between 46-65 years (31.5% followed by more than 65 years (25% between 26-45 years (21.28% and less than 25 years (21.28%. Among the admitted patients females were more than the males except in neurolog ward. The most effected system was respiratory (31.73 %,and the most common diagnosis was Chronic obstructive pulmonary diseases (23.17%. The next common system involved was gastroenterology including liver (18.64% ,genitourinary (12.01%, cardiovascular ( 11.34%, neurology (9.23%, endocrine (4.80% hematology (2.30%. The cause for hospital admission by infection in different system was (30.08% The average duration of hospital stay of the patients was less than 7 days. The respiratory diseases and the infectious disease are the most common disease in Nepal. The communicable diseases still hold a greater position, while non communicable diseases are main reasons for admission to the medical wards in developed countries. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 7-11 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6831

  17. Coproduction of KPC-2 and IMP-10 in Carbapenem-Resistant Serratia marcescens Isolates from an Outbreak in a Brazilian Teaching Hospital.

    Science.gov (United States)

    Silva, Kesia Esther; Cayô, Rodrigo; Carvalhaes, Cecilia Godoy; Patussi Correia Sacchi, Flávia; Rodrigues-Costa, Fernanda; Ramos da Silva, Ana Carolina; Croda, Julio; Gales, Ana Cristina; Simionatto, Simone

    2015-07-01

    We describe an outbreak caused by KPC-2- and IMP-10-producing Serratia marcescens isolates in a Brazilian teaching hospital. Tigecycline was the only active antimicrobial agent tested. The blaIMP-10 gene was located in a new class 1 integron, named In990, carried by a nonconjugative plasmid, in contrast to blaKPC-2. PMID:25878341

  18. Coproduction of KPC-2 and IMP-10 in Carbapenem-Resistant Serratia marcescens Isolates from an Outbreak in a Brazilian Teaching Hospital.

    Science.gov (United States)

    Silva, Kesia Esther; Cayô, Rodrigo; Carvalhaes, Cecilia Godoy; Patussi Correia Sacchi, Flávia; Rodrigues-Costa, Fernanda; Ramos da Silva, Ana Carolina; Croda, Julio; Gales, Ana Cristina; Simionatto, Simone

    2015-07-01

    We describe an outbreak caused by KPC-2- and IMP-10-producing Serratia marcescens isolates in a Brazilian teaching hospital. Tigecycline was the only active antimicrobial agent tested. The blaIMP-10 gene was located in a new class 1 integron, named In990, carried by a nonconjugative plasmid, in contrast to blaKPC-2.

  19. Development Zones Flourish in Beijing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ Based on the Beijing Municipal Government's plans for developing the city and neighboring suburbs,and after more than 10 years in development,the Beijing Development Zones have taken shape,each with their own characteristics.

  20. Park Plaza Beijing Science Park

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Christmas Eve Dinner Buffet at Park Plaza Beijing Science Park Celebrate Christmas with family and friends on December 24 at Park Plaza Beijing Science Park. Enjoy a beautifully presented dinner buffet

  1. Frequency of risk factors of cerebral infarction in stroke patients. a study of 100 cases in naseer teaching hospital, peshawar

    International Nuclear Information System (INIS)

    To study the risk factors of cerebral infarction in stroke patients. It is a descriptive hospital based study conducted at the Department of Medicine, Naseer Teaching Hospital, Peshawar from January 2005 to December 2005. One hundred patients of stroke with cerebral infarction confirmed on C.T. scan brain and more than twenty years of age were included. Risk factors for cerebral infarction were defined in terms of hypertension, diabetes mellitus, ischemic heart disease, smoking, dyslipidaemia, TIAs (transient ischemic attacks), carotid artery stenosis and family history of stroke. Data of 100 cases with cerebral infarction was recorded. Most of the patients had more than one risk factors for cerebral infarction. hypertension was commonest risk factor (55%), smoking (30%), ischemic heart disease (34%), diabetes mellitus) (26%), hyperlipedaemia (30%), atrial fibrillation (25%), carotid artery stenosis (27%), obesity (15%) and family history of stroke (12%). 39% of patients had physical inactivity. Males were slightly predominant than females (51% vs 49%) and mean age was 50 years. females were rather older with mean age of 53 years. Cerebral infarction accounts for 80% to 85% of cases of stroke, which is a common neurological disorder. It increases a burden of disability and misery for patients and their families. Most of the risk factors of cerebral infarction are modifiable, its prevention should be the main cause of concern for the community. (author)

  2. A study of occupational health and safety measures in the Laundry Department of a private tertiary care teaching hospital, Bengaluru

    Directory of Open Access Journals (Sweden)

    M. Shashi Kumar

    2014-01-01

    Full Text Available Introduction: The Laundry Department plays an important role in preventing the spread of infection and continuously supplying clean linen to various departments in any hospital. Objectives of the Study: To identify existing practices and occupational safety and health (OSH measures in the Laundry Department and to assess the use of personal protective equipments (PPEs among health care workers. Materials and Methods: A cross-sectional study was carried out in a private tertiary care teaching hospital. An observation checklist was developed, which was partially based on occupational hazard checklist of OSHA for Laundry Department. This was field tested and validated for applicability for this study. Results: The potential biological hazards are infections through exposure to aerosols, spills and splashes during various activities, fungal infection due to wet clothes and environment and infections through fomites. The potential physical hazards are injuries due to slips and falls, exposure to heat, humidity, dust, noise, and vibration. The potential chemical hazards are contact dermatitis and allergic asthma due to exposure to detergents, phenyl solution, bleaching powder, and soap oil solution. The potential ergonomic hazards are musculoskeletal diseases and repetitive stress injuries at the shoulder, elbow, and small joints of the hands. PPEs were not used consistently in most areas of the department.

  3. Evaluation of Antimicrobial Susceptibility Patterns of Enterococci Isolated from Patients in Tehran University of Medical Sciences Teaching Hospitals

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    Jabalameli Fereshteh

    2009-10-01

    Full Text Available This study investigated the antibacterial resistance among enterococci isolated in Tehran hospitals. A total of 277 Enterococcus faecalis, 123 Enterococcus faecium and 13 isolates of other enterococcal strains were collected from 1 March 2002 to 15 April 2004 from three teaching hospitals of Tehran University of Medical Sciences. The minimum inhibitory concentrations (MIC of tested antibiotics were determined by agar dilution method. Susceptible and resistant isolates were defined according to the species-related MIC breakpoints of the Clinical and Laboratory Standards Institute (CLSI guidelines. Sixty- three percent of isolates were resistant to rifampicin (MIC90 64 µg/ml, 44% to ciprofloxacin (MIC90 16≤ µg/ml, 43% to erythromycin (MIC90 512 µg/ml, 32% to cefazolin (MIC90 256≤ µg/ml, 25% to penicillin (MIC90 32 µg/ml, 21% to ampicillin (MIC90 128≤ µg/ml, 8% to vancomycin (MIC90 ≤ 8 µg/ml, and 8% to teicoplanin (MIC90 16≤ µg/ml. All of the vancomycin-resistant strains carried the vanA phenotype and genotype. High level resistance to gentamicin and streptomycin were found in 52% and 83% of the isolates, respectively. The results indicated that a significant percentage of isolates are resistance to different antibiotics, pointing out the need for control strategies to avoid dissemination of resistant isolates and for continuous surveillance for the detection of emerging resistance traits.

  4. Kaposi Sarcoma among HIV Infected Patients in Lagos University Teaching Hospital, Nigeria: A 14-Year Retrospective Clinicopathological Study

    Directory of Open Access Journals (Sweden)

    Olakanmi Akinde

    2016-01-01

    Full Text Available Background. Despite the increased incidence of Kaposi sarcoma (KS resulting from the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS pandemic, there is still significant underreporting of KS in this environment. Objectives. This study was aimed at determining the incidence and clinicopathologic patterns of KS among HIV infected patients in Lagos University Teaching Hospital (LUTH, Nigeria, over a 14-year period: January 2000 to December 2013. Methodology. The materials for this study included patients’ hospital clinical files, duplicate copies of histopathologic reports, and tissue blocks and corresponding archival slides in the Anatomic and Molecular Pathology Department and the HIV/AIDS unit of the Department of Haematology. Results. Within the study period, 182 cases of KS were diagnosed, accounting for 1.2% of all patients managed for HIV/AIDS and 2.99% of solid malignant tumours. The male-to-female ratio and modal age group were 1 : 1.3 and 5th decade, respectively. Most cases (90% had purely mucocutaneous involvement with the lower limb being the commonest site (65.8%. The majority of lesions were plaques (65.8%. Vascular formation was the predominant histologic type seen (43.5%. Conclusion. KS in Lagos followed the same epidemiologic trend as other centers in Nigeria, with an increasing incidence in this era of HIV/AIDS.

  5. Kaposi Sarcoma among HIV Infected Patients in Lagos University Teaching Hospital, Nigeria: A 14-Year Retrospective Clinicopathological Study

    Science.gov (United States)

    Akinde, Olakanmi; Adeyemo, Titilope; Omoseebi, Oladipo; Ikeri, Nzechukwu; Okonkwo, Ikechukwu; Afolayan, Olatunji

    2016-01-01

    Background. Despite the increased incidence of Kaposi sarcoma (KS) resulting from the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) pandemic, there is still significant underreporting of KS in this environment. Objectives. This study was aimed at determining the incidence and clinicopathologic patterns of KS among HIV infected patients in Lagos University Teaching Hospital (LUTH), Nigeria, over a 14-year period: January 2000 to December 2013. Methodology. The materials for this study included patients' hospital clinical files, duplicate copies of histopathologic reports, and tissue blocks and corresponding archival slides in the Anatomic and Molecular Pathology Department and the HIV/AIDS unit of the Department of Haematology. Results. Within the study period, 182 cases of KS were diagnosed, accounting for 1.2% of all patients managed for HIV/AIDS and 2.99% of solid malignant tumours. The male-to-female ratio and modal age group were 1 : 1.3 and 5th decade, respectively. Most cases (90%) had purely mucocutaneous involvement with the lower limb being the commonest site (65.8%). The majority of lesions were plaques (65.8%). Vascular formation was the predominant histologic type seen (43.5%). Conclusion. KS in Lagos followed the same epidemiologic trend as other centers in Nigeria, with an increasing incidence in this era of HIV/AIDS. PMID:27034839

  6. Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital.

    Science.gov (United States)

    Nippak, Pria Md; Veracion, Julius Isidro; Muia, Maria; Ikeda-Douglas, Candace J; Isaac, Winston W

    2016-06-01

    This report is a description of a balanced scorecard design and evaluation process conducted for the health information management department at an urban non-teaching hospital in Canada. The creation of the health information management balanced scorecard involved planning, development, implementation, and evaluation of the indicators within the balanced scorecard by the health information management department and required 6 months to complete. Following the evaluation, the majority of members of the health information management department agreed that the balanced scorecard is a useful tool in reporting key performance indicators. These findings support the success of the balanced scorecard development within this setting and will help the department to better align with the hospital's corporate strategy that is linked to the provision of efficient management through the evaluation of key performance indicators. Thus, it appears that the planning and selection process used to determine the key indicators within the study can aid in the development of a balanced scorecard for a health information management department. In addition, it is important to include the health information management department staff in all stages of the balanced scorecard development, implementation, and evaluation phases. PMID:24948412

  7. Designing and evaluating a balanced scorecard for a health information management department in a Canadian urban non-teaching hospital.

    Science.gov (United States)

    Nippak, Pria Md; Veracion, Julius Isidro; Muia, Maria; Ikeda-Douglas, Candace J; Isaac, Winston W

    2016-06-01

    This report is a description of a balanced scorecard design and evaluation process conducted for the health information management department at an urban non-teaching hospital in Canada. The creation of the health information management balanced scorecard involved planning, development, implementation, and evaluation of the indicators within the balanced scorecard by the health information management department and required 6 months to complete. Following the evaluation, the majority of members of the health information management department agreed that the balanced scorecard is a useful tool in reporting key performance indicators. These findings support the success of the balanced scorecard development within this setting and will help the department to better align with the hospital's corporate strategy that is linked to the provision of efficient management through the evaluation of key performance indicators. Thus, it appears that the planning and selection process used to determine the key indicators within the study can aid in the development of a balanced scorecard for a health information management department. In addition, it is important to include the health information management department staff in all stages of the balanced scorecard development, implementation, and evaluation phases.

  8. Perception and attitude of theatre staff to preoperative HIV testing at the University of Port Harcourt Teaching Hospital

    Institute of Scientific and Technical Information of China (English)

    Odigie JO; Siminialayi IM

    2010-01-01

    Objective:To elucidate the awareness and approach to pre-operative human immunodeficiency virus (HIV) testing and emphasis on the attendant components of HIV testing.Methods:The study was conducted at the theatres of the University of Port Harcourt Teaching Hospital among 123 nursing, anaesthetic, and operating staff. A descriptive cross sectional design was adopted with stratified sampling. The study instrument was a structured, self administered pro forma.Results: All respondents were all aware of HIV infection and all had transmission through infected blood and tissues (100.0%). 88.6% had infection through needle stick injuries, 62.6% through vertical transmission, and 98.4% through blood transfusion. Sixty three percent of respondents correctly knew what preoperative testing was, while 58.5% were aware of the preoperative testing policy of the hospital. All respondents favoured the policy of preoperative testing. Attitudinal values to seropositive patients were not very different as 72.4% of respondents claimed they treated every patient as high risk, and all respondents used personal protective equipment.Conclusions: Routine HIV testing now represents a conventional means providing patients with knowledge of their HIV status. Such testing should be accompanied by informed consent, counselling, confidentiality, protection, and access to treatment.

  9. A STUDY OF PRESCRIPTION WRITING PRACTICES OF DOCTORS IN GERIATRIC AGE GROUP PATIENTS IN A TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Sudheer

    2015-01-01

    Full Text Available CONTEXT: Prescription order is an important transaction between the physician and the patient. Irrational prescribing is found throughout the world but because of scarcity of funds and resources, assumes increasing importance in the developing countries. AIM: To f ind out the elements of prescription writing in the geriatric age group patients in a tertiary care hospital. SETTINGS AND DESIGN: Teaching hospital, Tirupati, Andhra Pradesh. The subjects were selected using Systematic Random Sampling design. METHODS AND MATERIAL: The study was carried out during January - March 2011 among 140 patients ( B oth outpatient and inpatient of the medical units. STATISTICAL ANALYSIS USED: The prescriptions were analyzed using MS Excel and Epiinfo 3.3.4 version software and appropri ate statistical tests of significance tests applied. RESULTS: In all cases, prescription was written in lower writing case with a short signature. Although superscription and transcription was satisfactory, the inscription dose, route and duration were men tioned only in 56.4%, 32.1% and 26.4% cases respectively while subscription was satisfactory in 26.4% only. The prescription was written for inappropriate duration, dose and frequency in 69.3%, 45.0% and 4.3% cases respectively. CONCLUSIONS: The prescripti on writing does not conform to the stipulated guidelines in majority of cases.

  10. A Study to Identify, Assess & Analyze the Incidence of Poisoning Cases in a Tertiary Care Teaching Hospital at Davangere, Karnataka

    Directory of Open Access Journals (Sweden)

    Baishnab S

    2016-06-01

    Full Text Available Poison is any substance that causes harmful effect when administered either accidently or intentionally. In India, as agriculture is the main occupation, pesticides are used to a greater extent and the poisoning with such products is far more common. The objective was to identify and assess the incidence of accidental or intentional poisoning and also to assess the relation between socio economic factors and poisoning. This prospective cohort study was conducted in the departments of medicine, paediatric, emergency and ICU of a tertiary care teaching hospital for a period of 6 months. A total number of 150 cases were collected and categorized into different classes based on type of poisoning agents. In that organophosphate accounts more 31.3% (n=47, followed by snake bite 20% (n= 30. Male predominance were seen 58.7% (n=88, while comparing to female 41.3% (n= 62. Based on economic study, low socio economic peoples were more prone to poisoning i.e., 54.7% (n= 82. Rural people were far front in poisoning54.7% (n= 82 than urban and sub- urban. The literature status showed that 78.7% (n=118 was literate. Poisoning incidence are more in married subjects i.e., 50.7% (n=76. While considering occupation, farmers were most 30.7% (n= 46. The study highlighted the lacunae of poisoning information services in hospitals. Clinical pharmacist’s involvement can improve the identification of poison and toxicity rating.

  11. Skin and Musculoskeletal Disorders among Nursing Staff of a Referral-Teaching Hospital in Tehran-Iran

    Directory of Open Access Journals (Sweden)

    ALIREZA ABDOLLAHI

    2015-11-01

    Full Text Available OROGINAL ARTICLE Occupational diseases are any chronic ailment that occurs as a result of work or occupational activity. This study was conducted to examine the frequency and risk factors of some Skin and Musculoskeletal Disorders among nurses at a referral-teaching hospital. All 197 nurses in the hospital from different working shifts were engaged in the study. All nurses filled out a questionnaire containing demographic and occupational data. In the questionnaire, they specified the following: sex, age, job experience, any history of respiratory, skeletal and muscular diseases over the past year, chemicals and physical conditions they have been exposed to, history of allergy. Thirty nine nurses had skin diseases. Those who did not regularly wear gloves were further susceptible to skin diseases. 68 nurses in this study had musculoskeletal, respiratory and allergic diseases. The skin and respiratory diseases had nothing to do with gender, but skeletal, muscular and allergic diseases were more in women. In 93% of the cases, skin diseases left lesions in the elbows, wrists, palms and fingers. In our study, it was demonstrated that 39 nurses had skin diseases. 68 nurses in this study had skeletal, muscular, respiratory and allergic diseases. Out of 93 percent of the cases, skin diseases were characterized by the appearance of lesions. The incidence of Skin and Musculoskeletal Disorders had no meaningful relationship with age, height, employment and matrimonial status of the nurses, but it did have with the number of working shifts and beds under their supervision.

  12. Beijing Museum of Traditional Opera

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    THE 100th museum to open in Beijing, the Beijing Museum of Traditional Opera is located inside the Beijing Huguang Guildhall Chamber of Cultural Prosperity and Ancestral Hall of the Local Worthy.The museum’s various exhibits have distinctively artistic

  13. The ecology of medical care in Beijing.

    Directory of Open Access Journals (Sweden)

    Shuang Shao

    Full Text Available BACKGROUND: We presented the pattern of health care consumption, and the utilization of available resources by describing the ecology of medical care in Beijing on a monthly basis and by describing the socio-demographic characteristics associated with receipt care in different settings. METHODS: A cohort of 6,592 adults, 15 years of age and older were sampled to estimate the number of urban-resident adults per 1,000 who visited a medical facility at least once in a month, by the method of three-stage stratified and cluster random sampling. Separate logistic regression analyses assessed the association between those receiving care in different types of setting and their socio-demographic characteristics. RESULTS: On average per 1,000 adults, 295 had at least one symptom, 217 considered seeking medical care, 173 consulted a physician, 129 visited western medical practitioners, 127 visited a hospital-based outpatient clinic, 78 visited traditional Chinese medical practitioners, 43 visited a primary care physician, 35 received care in an emergency department, 15 were hospitalized. Health care seeking behaviors varied with socio-demographic characteristics, such as gender, age, ethnicity, resident census register, marital status, education, income, and health insurance status. In term of primary care, the gate-keeping and referral roles of Community Health Centers have not yet been fully established in Beijing. CONCLUSIONS: This study represents a first attempt to map the medical care ecology of Beijing urban population and provides timely baseline information for health care reform in China.

  14. Utilization of Chinese patent medicines for respiratory system in Beijing Hospital during 2008 -2010%2008-2010年北京医院呼吸系统用中成药用药研究

    Institute of Scientific and Technical Information of China (English)

    张碧华; 高素强; 金鹏飞

    2012-01-01

    目的:对近3年北京医院(以下简称我院)呼吸系统用中成药的临床用药情况进行研究,了解该类中成药的用药特点和变化趋势,以期为临床合理用药提供参考.方法:对我院2008-2010年呼吸系统用中成药的销售金额及构成比、用药频度(defined daily dose system,DDDs)和科室用药分布情况进行统计分析.结果:我院呼吸系统用中成药的销售金额呈现逐年上升趋势,各类药的销售金额及构成比相对固定,其中止咳平喘剂和解表剂分列第一和第二位,在临床各科室的用药集中度相对较低.结论:中成药在呼吸系统疾病的防治中有着重要的地位.医院所选择的用药品种应基本能够满足临床需求,同时也需兼顾患者的经济承受能力,注重合理用药,以保障临床用药的安全、有效和经济.%Objective; To investigate the clinical utilization status of Chinese patent medicines for respiratory system in Beijing Hospital during recent three years and the use characteristics and development tendency, so as to provide references for rational drug use. Methods: The Chinese patent medicines for respiratory system between 2008 and 2010 were statistically analyzed in respects of consumption sum and drug categories, defined daily dose system (DDDs) and use characteristics in different departments. Results: The consumption sum of Chinese patent medicines for respiratory system increased year by year during 2008 -2010. The consumption sum and constituent ratio for various drugs were relatively fixed, antitussive and antiasthmatic drugs and diaphoretic drugs were the first leading two places, and the concentration ratio of drug use was lower in clinical departments. Conclusion; Traditional Chinese medicines play an important role in the therapy of respiratory system diseases. The use of Chinese patent medicines in hospital should meet the requirements of clinical treatments, and also needs to consider the affording ability of

  15. [Safe surgery checklist: analysis of the safety and communication of teams from a teaching hospital].

    Science.gov (United States)

    Pancieri, Ana Paula; Santos, Bruna Pegorer; de Avila, Marla Andréia Garcia; Braga, Eliana Mara

    2013-03-01

    This study aimed to apply the WHO surgical safety checklist in the surgical specialties of a university hospital and to evaluate the opinion of the team regarding the influence of its application on the safety of the surgical process and on the interpersonal communication of the team. It is a descriptive, analytical qualitative field study conducted in the surgical center of a university hospital Data were collected by applying the checklist in a total of 30 surgeries. The researcher conducted its application in three phases, and then members of the surgical team were invited to voluntarily participate in the study, signifying their agreement to participate by signing an informed consent form and answering guiding questions. Bardin's Content Analysis Method was used to organize and analyze the data. The subjects did not notice any changes in their interpersonal communication when using the checklist; however, they gave suggestions and reported that its use provided greater safety to the procedure. PMID:23781726

  16. A retrospective study of snake bite envenomation in a tertiary care teaching hospital in Southern India

    Directory of Open Access Journals (Sweden)

    Arul Murugan

    2015-09-01

    Results: A Total of 82 cases were studied in our hospital. Out of these 82 Poisonous bites, 42 (51.22% cases were viper bites, 20 (24.39% cases were unidentified poisonous bites, 16 (19.51% cases were Krait, and 4 (4.88% cases were Cobra. Coagulopathy, cellulitis, wound infection, renal failure and respiratory paralysis were the common complications. Average dose of ASV administered range from 8.57 (+/- 0.98 to 20.78 (+/- 4.18 Vials. An increase in mortality, ASV dose and complications were directly proportional to the Bite to ASV Administration time. Conclusions: Delay in hospitalization is associated with poor prognosis and increased mortality rate due to complications. There is an emergent need of awareness among the community for avoidance of traditional form of treatment and delay in early medical interventions. [Int J Res Med Sci 2015; 3(9.000: 2419-2424

  17. Assessment of service delays and impact on bed utilisation in a major teaching hospital.

    LENUS (Irish Health Repository)

    Conway, R

    2010-12-14

    BACKGROUND: Increasing economic pressures coupled with an expanding and ageing population and a hostile economic climate have led to growing interest in the optimisation of bed usage within hospitals. There are many causes for delay in a patient\\'s discharge. METHODS: This prospective observational study assessed consecutive patients admitted and discharged from hospital within a 52-day period for waiting times in the provision of requested diagnostic tests and services. RESULTS: Seventy patients were included in the study. There were median delays of 2 and 3 days for an MRI and colonoscopy, a delay of 3 days for a Holter monitor report, and 9 days for an occupational therapy referral. The median wait for consults was 1 day across all three services. CONCLUSIONS: Significant remediable delays exist during the course of many acute medical admissions. Addressing these factors will enable the provision of a faster and more cost-efficient service.

  18. Radiology Image Management in a Teaching Hospital Network Scenario: Initial Experience

    OpenAIRE

    Indrajit, IK; Souza, JD; Singh, Rajvir; Shekar, Anjanish

    2003-01-01

    INHS Asvini has the distinction of emerging as the first Armed Forces Hospital with networked radiology images, sourced principally from a recently installed Digital Substraction Angiography (DSA) machine (Siemens Polystar Top 1000 MA). In recent times, newer imaging machines offer digital images that are in DICOM format. DICOM denotes ‘Digital Imaging and Communications in Medicine”. Image management at INHS Asvini, involves transfer of DSA images in DICOM format, their conversion into Joint...

  19. STUDY OF ELDERLY SUICIDE IN A RURAL TEACHING HOSPITAL IN SOUTH INDIA

    OpenAIRE

    Venkatarathnamma; Mohan; Yashwanth; Anil Kumar, *; Gautham

    2014-01-01

    OBJECTIVE: To study prevalence , risk factors associated with suicide in the elderly and the outcome to treatment. MATERIALS AND METHOD: This was a prospective study conducted at rural medical college Hospital. 980 cases of suicidal attempt were admitted to intensive care unit and medical wards , starting from 1 - 1 - 2010 to 1 - 1 - 2012 (25 months). The data was analyzed for age , sex , type of suicide attempted ,...

  20. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP

    OpenAIRE

    Afroz Abidi; Surabhi Gupta; Saurabh Kansal; Ramgopal

    2012-01-01

    Background: In India, a proper reporting of medication errors in the hospital is not available. Drugs worth crores of rupee are consumed every year but a substantial part of these drugs are irrationally prescribed. In order to promote rational drug usage standard policies on use of drugs must be set, and this can be done only after the current prescription practices have been audited. The prescriptions were analyzed based on the objectives of the study in order to promote rational use of drug...

  1. Study Of Maternal And Fetal Outcome In Twin Gestation At Tertiary Care Teaching Hospital

    OpenAIRE

    Bangal, Vidyadhar B; Patel, Shrutiben M; Khairnar, Devendra N

    2012-01-01

    Twin gestation is considered as high risk pregnancy due to associated high maternal morbidity and perinatal mortality in comparison with singleton pregnancies .Overall, the rate of twin gestation is on rise due to inadvertent use of ovulation induction drugs in assisted reproductive techniques. This observational study was carried out to find the maternal and perinatal outcome in 100 cases of twin gestation delivered at tertiary care referral hospital over a period of fifteen months. It was o...

  2. Comparing the Perspectives of Managers and Employees of Teaching Hospitals About Job Motivation

    OpenAIRE

    Mohebbifar, Rafat; Kiaei, Mohammad Zakaria; Khosravizadeh, Omid; Mohseni, Mohammad

    2014-01-01

    Recognition of career motivators and understanding of managers and employees in prioritizing them, in order to plan incentives for this understanding, can play an important role in increasing productivity and creating harmony between the goals of the organization and staff. This study was done to survey the importance of career motivating factors from perspective of employees and managers in educational hospitals of Iran. In this study 269 from a total of 1843 employees of educational hospita...

  3. Uterine Fibroid Embolization for Symptomatic Fibroids: Study at a Teaching Hospital in Kenya

    OpenAIRE

    John Kiprop Mutai; Sudhir Vinayak; William Stones; Nigel Hacking; Charles Mariara

    2015-01-01

    Objective: Characterization of magnetic (MRI) features in women undergoing uterine fibroid embolization (UFE) and identification of clinical correlates in an African population. Materials and Methods: Patients with symptomatic fibroids who are selected to undergo UFE at the hospital formed the study population. The baseline MRI features, baseline symptom score, short-term imaging outcome, and mid-term symptom scores were analyzed for interval changes. Assessment of potential associations betw...

  4. Clinical pharmacist evaluation of medication inappropriateness in the emergency department of a teaching hospital in Malta

    OpenAIRE

    West LM; Cordina M; Cunningham S

    2012-01-01

    Appropriate prescribing remains an important priority in all medical areas of practice. Objective The objective of this study was to apply a Medication Appropriateness Index (MAI) to identify issues of inappropriate prescribing amongst patients admitted from the Emergency Department (ED). Methods This study was carried out at Malta's general hospital on 125 patients following a two-week pilot period on 10 patients. Patients aged 18 years and over and on medication therapy were included. Medic...

  5. Causes of cancellations on the day of surgery at a Tertiary Teaching Hospital

    OpenAIRE

    Kaddoum, Roland; Fadlallah, Racha; Hitti, Eveline; El-Jardali, Fadi; El Eid, Ghada

    2016-01-01

    Background Cancellation of elective scheduled operations on the day of surgery leads to an inefficient use of operating room (OR) time and a waste of resources. It also causes inconvenience for patients and families. Moreover, day of surgery (DOS) cancellation creates logistic and financial burden associated with extended hospital stay and repetitions of pre-operative preparations as well as opportunity costs of lost time and missed income. The objective of this study is to establish the rate...

  6. THE STUDY OF PREVALENCE AND CLINICAL PROFILE OF VALVULAR HEART DISEASES IN A TEACHING HOSPITAL

    OpenAIRE

    Radha Krishnan; Srinivas

    2015-01-01

    Valvular heart disease is still a common causes of mortality and morbidity in India and rheumatic heart disease is still far more frequent. AIMS AND OBJECTIVES: To study the prevalence and clinical profile of rheumatic and non - rheumatic valvular heart dise ase in patients attending to Government General Hospital, Kakinada. MATERIALS AND METHODS: 100 Adult patients with valvular abnormalities attending to the Medicine and Cardiol...

  7. Assessment of biomedical waste management practices in a tertiary care teaching hospital in Ludhiana

    OpenAIRE

    Savan Sara Mathew; A I Benjamin; Paramita Sengupta

    2011-01-01

    Biomedical waste (BMW) is waste generated during diagnosis, treatment or immunization of human beings or animals, or in research activities pertaining thereto, or in the production and testing of biologicals, and is contaminated with human fluids.1 Though 75-80% of wastes generated from hospitals are non-infectious, 20-25% is hazardous.2 It is a potential health hazard to health workers, public, flora and fauna of the area.3 The Government of India has given sp...

  8. Bedside practice of blood transfusion in a large teaching hospital in Uganda: An observational study

    Directory of Open Access Journals (Sweden)

    de Graaf J

    2009-01-01

    Full Text Available Background: Adverse transfusion reactions can cause morbidity and death to patients who receive a blood transfusion. Blood transfusion practice in Mulago Hospital, Kampala, Uganda is analyzed to see if and when these practices play a role in the morbidity and mortality of patients. Materials and Methods: An observational study on three wards of Mulago Hospital. Physicians, paramedics, nurses, medical students and nurse students were observed using two questionnaires. For comparison, a limited observational study was performed in the University Medical Centre Groningen (UMCG in Groningen, The Netherlands. Results: In Mulago Hospital guidelines for blood transfusion practice were not easily available. Medical staff members work on individual professional levels. Students perform poorly due to inconsistency in their supervision. Documentation of blood transfusion in patient files is scarce. There is no immediate bedside observation, so transfusion reactions and obstructions in the blood transfusion flow are not observed. Conclusion: The poor blood transfusion practice is likely to play a role in the morbidity and mortality of patients who receive a blood transfusion. There is a need for a blood transfusion policy and current practical guidelines.

  9. Beijing-Entertainment City

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    With 3,000 years of history and over 18 million people,Beijing is a city that has moved with the times.Behind the brand new malls,futuristic buildings and vibrant nightlife,one can still feel the pulse of China’s ancient culture.Here are a few options to discover Beijing’s rich and vibrant entertainment scene. Traditional Beijing Peking Opera is the most famous of all Chinese opera and certainly the quintessential traditional Chinese culture.It combines music,vocal per-

  10. Lawmakers Gather in Beijing

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Deputies to the National People’s Congress, China’s top legislature, applaud while listening to a government work report delivered by Premier Wen Jiabao at the opening of their annual session in Beijing on March 5. The session, which is scheduled to conclude on March 13, outlines China’s development program for 2009 and approves the state budget to support the country’s counter-crisis measures. The National Committee of the Chinese People’s Political Consultative Conference, the top advisory body, also opened its annual session in Beijing on March 3.

  11. Investigation of adenovirus infection in hospitalized children with diarrhea during 2010 in Beijing, China%2010年北京住院腹泻患儿腺病毒感染的研究

    Institute of Scientific and Technical Information of China (English)

    刘立颍; 钱渊; 张又; 贾立平; 董慧瑾; 邓洁

    2012-01-01

    with expected 301 bp and identified as adenovirus by sequencing,and the overall positive rate was 14.6%.Out of 289 CAD samples,43 were positive (positive rate was 14.9% ).Of them,20 were identified as enteric adenovirus infection ( adenovirus type 41,Ad41 ).Thirty-three out of 230 HAD samples were positive (positive rate was 14.3% ).Of them,13 were characterized as enteric adenovirus infection (one was Ad40 and others were Ad41 ).Ad41 in this study could be divided into two genotypes by phylogenetic tree analysis.Non-enteric adenoviruses were identified in 43 specimens ( 43/76,56.6% ) including 5 of serotype 1,8 of serotype 2,15 of serotype 3,10 of serotype 7,1 of serotype 12,and 4 of serotype 31.In this study,the positive rate of adenovirus between CAD children and HAD children did not differ ( x2 =0.03,P > 0.05 ),while the positive rate of enteric adenovirus was high in CAD children.Conclusion Adenovirus infection was the main cause of diarrhea in hospitalized children.In this study,the positive rate of adenovirus was similar between children with CAD and with HAD. Enteric adenovirus ( adenovirus group F) was the most common adenovirus serotype detected in 2010 in Beijing,and Ad41 was the dominant type.

  12. 北京地区56家社区医院2011年1~9月抗菌药物使用分析%Analysis of Antibacterial Drug Use in 56 Community Hospitals in Beijing Area during Jan.-Apr.2011

    Institute of Scientific and Technical Information of China (English)

    李振知; 赵志刚

    2012-01-01

    Objective To study the antibiotic application in community hospitalsin Beijing area to promote the rational use of antimicrobial agents. Methods Ex-warehouse statistical data of 56 community hospitals in Beijing from January to September 2011 was collected and analyzed,including drug name,specifications,preparation , quantity, amount of medication, dosage and frequency of medication. Results Antimicrobial accounted for a large proportion of amount of drugs in community hospitals,the use of antibacterial drugs concentrating on second or third generation cephalosporins and quinolones. Conclusion Community hospital is an important medical institution with regards to the use of antibacterial drugs,thus it's very necessary to strengthen the management of reasonable application and promote the rational use of antibiotics in community hospitals.%目的 分析北京地区社区医院抗菌药物应用情况,促进抗菌药物合理使用.方法 对北京地区56家社区医院2011年1 ~9月的出库数据进行分析,包括药品名称、规格、剂型、数量、用药金额及用药频度.结果 社区医院抗菌药物金额所占全部用药比例较大,抗菌药物使用品种以二、三代头孢菌素类及喹诺酮类为主.结论 社区医院是抗菌药物使用的重要医疗机构,加强社区医院抗菌药物合理应用管理,宣传抗菌药物的合理使用非常必要.

  13. Smoking behaviour predicts tobacco control attitudes in a high smoking prevalence hospital: A cross-sectional study in a Portuguese teaching hospital prior to the national smoking ban

    Directory of Open Access Journals (Sweden)

    Aguiar Pedro

    2011-09-01

    Full Text Available Abstract Background Several studies have investigated attitudes to and compliance with smoking bans, but few have been conducted in healthcare settings and none in such a setting in Portugal. Portugal is of particular interest because the current ban is not in line with World Health Organization recommendations for a "100% smoke-free" policy. In November 2007, a Portuguese teaching-hospital surveyed smoking behaviour and tobacco control (TC attitudes before the national ban came into force in January 2008. Methods Questionnaire-based cross-sectional study, including all eligible staff. Sample: 52.9% of the 1, 112 staff; mean age 38.3 ± 9.9 years; 65.9% females. Smoking behaviour and TC attitudes and beliefs were the main outcomes. Bivariable analyses were conducted using chi-squared and MacNemar tests to compare categorical variables and Mann-Whitney tests to compare medians. Multilogistic regression (MLR was performed to identify factors associated with smoking status and TC attitudes. Results Smoking prevalence was 40.5% (95% CI: 33.6-47.4 in males, 23.5% (95% CI: 19.2-27.8 in females (p Conclusions Smoking prevalence was high, especially among the lower socio-economic groups. The findings showed a very high level of support for smoking bans, despite the pro-smoking environment. Most staff reported passive behaviour, despite high SHS exposure. This and the high smoking prevalence may contribute to low compliance with the ban and low participation on smoking cessation activities. Smoking behaviour had greater influence in TC attitudes than health professionals' education. Our study is the first in Portugal to identify potential predictors of non-compliance with the partial smoking ban, further emphasising the need for a 100% smoke-free policy, effective enforcement and public health education to ensure compliance and promote social norm change.

  14. Impact of a hospital-wide multifaceted programme for reducing carbapenem-resistant Enterobacteriaceae infections in a large teaching hospital in northern Italy.

    Science.gov (United States)

    Viale, P; Tumietto, F; Giannella, M; Bartoletti, M; Tedeschi, S; Ambretti, S; Cristini, F; Gibertoni, C; Venturi, S; Cavalli, M; De Palma, A; Puggioli, M C; Mosci, D; Callea, E; Masina, R; Moro, M L; Lewis, R E

    2015-03-01

    We performed a quasi-experimental study of a multifaceted infection control programme for reducing carbapenem-resistant Enterobacteriaceae (CRE) transmission and bloodstream infections (BSIs) in a 1420-bed university-affiliated teaching hospital during 2010-2014, with 30 months of follow-up. The programme consisted of the following: (a) rectal swab cultures were performed in all patients admitted to high-risk units (intensive-care units, transplantation, and haematology) to screen for CRE carriage, or for any room-mates of CRE-positive patients in other units; (b) cohorting of carriers, managed with strict contact precautions; (c) intensification of education, cleaning and hand-washing programmes; and (d) promotion of an antibiotic stewardship programme carbapenem-sparing regimen. The 30-month incidence rates of CRE-positive rectal cultures and BSIs were analysed with Poisson regression. Following the intervention, the incidence rate of CRE BSI (risk reduction 0.96, 95% CI 0.92-0.99, p 0.03) and CRE colonization (risk reduction 0.96, 95% CI 0.95-0.97, p accounting for changes in monthly census and percentage of externally acquired cases (positive at ≤72 h), the average institutional monthly rate of compliance with CRE screening procedures was the only independent variable associated with a declining monthly incidence of CRE colonization (p 0.002). The monthly incidence of CRE carriage was predictive of BSI (p 0.01). Targeted screening and cohorting of CRE carriers and infections, combined with cleaning, education, and antimicrobial stewardship measures, significantly decreased the institutional incidence of CRE BSI and colonization, despite endemically high CRE carriage rates in the region.

  15. Impact of a hospital-wide multifaceted programme for reducing carbapenem-resistant Enterobacteriaceae infections in a large teaching hospital in northern Italy.

    Science.gov (United States)

    Viale, P; Tumietto, F; Giannella, M; Bartoletti, M; Tedeschi, S; Ambretti, S; Cristini, F; Gibertoni, C; Venturi, S; Cavalli, M; De Palma, A; Puggioli, M C; Mosci, D; Callea, E; Masina, R; Moro, M L; Lewis, R E

    2015-03-01

    We performed a quasi-experimental study of a multifaceted infection control programme for reducing carbapenem-resistant Enterobacteriaceae (CRE) transmission and bloodstream infections (BSIs) in a 1420-bed university-affiliated teaching hospital during 2010-2014, with 30 months of follow-up. The programme consisted of the following: (a) rectal swab cultures were performed in all patients admitted to high-risk units (intensive-care units, transplantation, and haematology) to screen for CRE carriage, or for any room-mates of CRE-positive patients in other units; (b) cohorting of carriers, managed with strict contact precautions; (c) intensification of education, cleaning and hand-washing programmes; and (d) promotion of an antibiotic stewardship programme carbapenem-sparing regimen. The 30-month incidence rates of CRE-positive rectal cultures and BSIs were analysed with Poisson regression. Following the intervention, the incidence rate of CRE BSI (risk reduction 0.96, 95% CI 0.92-0.99, p 0.03) and CRE colonization (risk reduction 0.96, 95% CI 0.95-0.97, p accounting for changes in monthly census and percentage of externally acquired cases (positive at ≤72 h), the average institutional monthly rate of compliance with CRE screening procedures was the only independent variable associated with a declining monthly incidence of CRE colonization (p 0.002). The monthly incidence of CRE carriage was predictive of BSI (p 0.01). Targeted screening and cohorting of CRE carriers and infections, combined with cleaning, education, and antimicrobial stewardship measures, significantly decreased the institutional incidence of CRE BSI and colonization, despite endemically high CRE carriage rates in the region. PMID:25658534

  16. Investigating the Relationship between Organizational Social Capital and Service Quality in Teaching Hospitals

    Directory of Open Access Journals (Sweden)

    Fereshteh Farzianpour

    2011-01-01

    Full Text Available Problem statement: In modern age, the service quality and sensitivity towards better qualified service are among the priorities of the global community. Quality is defined as the customer’s desire and the customer’s perceptions and expectations constitute the key factor determining quality. The issue of quality is particularly important in healthcare service. Nowadays, alongside the human, financial and economic capitals, a new form of capital entitled social capital is being utilized. Social capital may influence the service quality. Facilitating science and improving team work and organizational commitment would probably translate into better quality of products and social capital encompasses all these issues. Approach: This is a cross-sectional, descriptive-analytic study conducted in educational hospitals of Tabriz, Iran in 2010. The target community consists of workers working in educational hospitals of Tabriz and patients referring to these hospitals. A total of 320 workers and 320 patients were selected for the study. Our data collection tool consisted of two questionnaires which were distributed among the participants after their validity and reliability were established. Once the questionnaires were completed, the statistical coefficients relating to the types of variables (t-test, Pearson correlation coefficient and analysis of variance were calculated and analyzed using SPSS software version 16. Results: Our findings indicate that there is a significant, positive relationship between organizational social capital and the service quality from the patients’ point of view, with the correlation between the two variables on a strong level (r = 0.6, pConclusion: The existence of a significant relationship between the dimensions of social capital and service quality highlights the importance of social capital of workers in the organization.

  17. What are the key conditions associated with lower limb amputations in a major Australian teaching hospital?

    Directory of Open Access Journals (Sweden)

    Lazzarini Peter A

    2012-05-01

    Full Text Available Abstract Background Lower extremity amputation results in significant global morbidity and mortality. Australia appears to have a paucity of studies investigating lower extremity amputation. The primary aim of this retrospective study was to investigate key conditions associated with lower extremity amputations in an Australian population. Secondary objectives were to determine the influence of age and sex on lower extremity amputations, and the reliability of hospital coded amputations. Methods Lower extremity amputation cases performed at the Princess Alexandra Hospital (Brisbane, Australia between July 2006 and June 2007 were identified through the relevant hospital discharge dataset (n = 197. All eligible clinical records were interrogated for age, sex, key condition associated with amputation, amputation site, first ever amputation status and the accuracy of the original hospital coding. Exclusion criteria included records unavailable for audit and cases where the key condition was unable to be determined. Chi-squared, t-tests, ANOVA and post hoc tests were used to determine differences between groups. Kappa statistics were used to measure reliability between coded and audited amputations. A minimum significance level of p  Results One hundred and eighty-six cases were eligible and audited. Overall 69% were male, 56% were first amputations, 54% were major amputations, and mean age was 62 ± 16 years. Key conditions associated included type 2 diabetes (53%, peripheral arterial disease (non-diabetes (18%, trauma (8%, type 1 diabetes (7% and malignant tumours (5%. Differences in ages at amputation were associated with trauma 36 ± 10 years, type 1 diabetes 52 ± 12 years and type 2 diabetes 67 ± 10 years (p  Conclusions This study, the first in over 20 years to report on all levels of lower extremity amputations in Australia, found that people undergoing amputation are more likely to be older, male and have

  18. "The City of the Hospital": On Teaching Medical Students to Write.

    Science.gov (United States)

    Hellerstein, David J

    2015-12-01

    "The City of the Hospital" is a creative nonfiction writing workshop for medical students, which the author has conducted annually since 2002. Part of the required preclinical Narrative Medicine curriculum at the Columbia University College of Physicians and Surgeons, this six-week intensive workshop includes close readings of literary works and in-class assignments that are then edited by fellow class members and rewritten for final submission. Over the years, students have produced a wide range of compelling essays and stories, and they describe the class as having an effect that lasts throughout their further medical training. This special section includes selected works from class members. PMID:26179365

  19. Case series of naturally acquired Plasmodium knowlesi infection in a tertiary teaching hospital.

    Science.gov (United States)

    Azira, N M S; Zairi, N Z; Amry, A R; Zeehaida, M

    2012-09-01

    Plasmodium knowlesi is a simian malaria parasite and is recently recognized as the fifth malaria parasite infecting humans. Manifestation of the infection may resemble other infection particularly dengue fever leading to inappropriate management and delay in treatment. We reported three cases of naturally acquired P. knowlesi in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. Clinical manifestations were quite similar in those cases. Microscopically, the diagnosis might be challenging. These cases were confirmed by polymerase chain reaction method which serves as a gold standard. PMID:23018503

  20. Management of limb fractures in a teaching hospital: comparison between Wenchuan and Yushu earthquakes

    Institute of Scientific and Technical Information of China (English)

    MIN Li; TU Chong-qi; LIU Lei; ZHANG Wen-li; YI Min; SONG Yue-ming; HUANG Fu-guo; YANG Tian-fu; PEI Fu-xing

    2013-01-01

    Objective:To comparatively analyze the medical records of patients with limb fractures as well as rescue strategy in Wenchuan and Yushu earthquakes so as to provide references for post-earthquake rescue.Methods:We retrospectively investigated 944 patients sustaining limb fractures,including 891 in Wenchuan earthquake and 53 in Yushu earthquake,who were admitted to West China Hospital (WCH) of Sichuan University.Results:In Wenchuan earthquake,WCH met its three peaks of limb fracture patients influx,on post-earthquake day (PED) 2,8 and 14 respectively.Between PED 3-14,585 patients were transferred from WCH to other hospitals outside the Sichuan Province.In Yushu earthquake,the maximum influx of limb fracture patients happened on PED 3,and no one was shifted to other hospitals.Both in Wenchuan and Yushu earthquakes,most limb fractures were caused by blunt strike and crash/burying.In Wenchuan earthquake,there were 396 (396/942,42.0%) open limb fractures,including 28 Gustilo Ⅰ,201 Gustilo Ⅱ and 167 Gustilo Ⅲ injuries.But in Yushu earthquake,the incidence of open limb fracture was much lower (6/61,9.8%).The percent of patients with acute complications in Wenchuan earthquake (167/891,18.7%) was much higher than that in Yushu earthquake (5/53,3.8%).In Wenchuan earthquake rescue,1 018 surgeries were done,composed of debridement in 376,internal fixation in 283,external fixation in 119,and vacuum sealing drainage in 117,etc.While among the 64 surgeries in Yushu earthquake rescue,the internal fixation for limb fracture was mostly adopted.All patients received proper treatment and survived except one who died due to multiple organs failure in Wenchuan earthquake.Conclusion:Provision of suitable and sufficient medical care in a catastrophe can only be achieved by construction of sophisticated national disaster medical system,prediction of the injury types and number of injuries,and confirmation of participating hospitals' exact role.Based on the valuable rescue

  1. Exploration on Teaching Management in General Hospital%综合医院教学管理工作的探讨

    Institute of Scientific and Technical Information of China (English)

    白琳茹

    2014-01-01

    临床实习教育是临床医学专业人才培养的重要教学阶段,其水平的高低、质量的好坏直接影响医学教育质量和医学人才的培养质量,而临床教学医院的管理方法是指导临床实习教育的重要部分。本文探讨规范实习生教学管理,提高临床教学质量的措施和途径。从健全教学管理机制、规范教学管理程序和改革教学方法,调动教学双方的积极性两方面,就临床教学医院如何保障和提高实习教学质量进行了初步的探索和实践。%Clinical practicum is an important teaching stage of training professional personnel and its quality will exert direct impact on the quality of medical education as well as medical personnel. The management of clinical teaching in hospital plays a key role in guiding clinical practicum. This article explored how to standardize the practicum teaching management and improve the quality of clinical teaching. The author conducted a preliminary exploration and practice of that how clinical teaching hospitals protect and improve the teaching quality from the perspectives of the teaching management system improvement, standardizing management procedures and teaching methods reform as well as mobilizing enthusiasm of both teachers and students.

  2. Life in Beijing Prison

    Institute of Scientific and Technical Information of China (English)

    LIU XIAOLIN; ZHAO JINGJING

    2007-01-01

    @@ The Beijing Prison, located in the suburbs about one hour's drive from downtown, has opened to the public. People over 18 years old can now apply for a one-day visit to get a peep into the inmates' living cells, parlors and psychological counseling centers of the nearly 1,600 male convicts sentenced to more than 15 years behind bars.

  3. Beijing Time Travel

    Institute of Scientific and Technical Information of China (English)

    ROBERT; T.TUOHEY

    2010-01-01

    Daily travel within Beijing need not be anymore troublesome than going about any major metropolis.Simply,certain basic facts need to be kept in mind,and ordinary precautions taken.Essentially,it’s the same situation as midtown Manhattan or downtown Tokyo,except everyone’s speaking Chinese.

  4. Beijing Time Travel

    Institute of Scientific and Technical Information of China (English)

    ROBERT T.TUOHEY

    2010-01-01

    @@ Dally travel within Beijing need not be anymore troublesome than going about any major metropolis.Simply,certain basic facts need to be kept in mind,and ordinary precautions taken.Essentially,it's the same situation as midtown Manhattan or downtown Tokyo,except everyone's speaking Chinese.

  5. Catch Hilton Beijing

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Ready to spice up Beijing's nightlife? Come on to Zeta Bars, Hilton! If sneak previews are anything to go by, it's clear that The Third Ring will consistently perform to sellout crowds keen to catch a glimpse of the stunningly redesigned restaurants and bars that line the tri-level

  6. Exploring the New Beijing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ Eating Ghost Street This street is home to more than 150 storefronts,over 100 of which offer a variety of different foods.In all of Beijing this may be the only street that has such a large number of restaurants.

  7. Beijing in Pictures

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    With a history of more than 3,000 years, Beijing is famousfor its architectural styles, and is regarded as the city with themost diversified construction in China. Its ancient charm can beseen in its unique imperial palaces, courtyards and hutongs. The

  8. Beijing Shengji Art School

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    IN 1996 Beijing Shengji ArtSchool came into being, anart cradle morket that lies inBeijing’s West Mountains withbeautiful scenery and peaksrising one higher than theother. The specializedboarding middle schooloccupies 30.000 squaremeters, the buildings 12,000square meters. The complexhouses Chinese national andfolk dance, drama (film andtelevision) performance andother specialties, and now hasover 300 students in theschool.

  9. Beijing Development Zones

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ Beijing Badaling Development Area The Development Area is planned to cover an area of 6.56 km2.Currently,more than 300 enterprises have located in the area.Their investments add up to about RMB 1 billion.Major business trades include machine building,mineral ore processing,medicine,electronic parts,foodstuff processing,and warehousing transportation.

  10. 2008 Beijing Auto Show

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>Automakers wage war over Chinese market Athletes from around the world will contend for gold this August during the Beijing Olympic Games, but before the sports gala begins, automakers are already locked in an intense competition of their own to see which will catch the most Chinese buyers.

  11. Audit of perinatal mortality at SSMCHRC-(Rural teaching hospital a retrospective study

    Directory of Open Access Journals (Sweden)

    M.S. Kokila

    2013-04-01

    Full Text Available Objective: To estimate magnitude, determinants of perinatal mortality and suggest remedial measures for its reduction. Background: Perinatal mortality is mirror reflection of maternal and child health and socioeconomic environment of community. It is influenced by various medicosocial preventable causes. It can be reduced by improving maternal and child health services and by health education. Methods: A retrospective hospital based study of perinatal deaths among 2333 deliveries was conducted from June 2008 to June 2010 in our hospital. Fetomaternal factors like maternal age, religion, residence, parity, mode of delivery, booking status, antenatal complications, baby’s sex, birth weight, congenital anomalies, neonatal complications influencing perinatal mortality rate were tabulated and analyzed. Cause of perinatal death was assessed. Results: perinatal mortality rate was 127.4/1000 total births. Maternal factors like age more than 35 years, muslim religion, inadequate antenatal care, primiparity, grand multiparity, induced deliveries and neonatal factors like low birth weight, prematurity were associated with increased perinatal mortality. The leading cause of stillbirth was antepartum hemorrhage and prematurity for neonatal mortality. Conclusion: Apart from clinical causes high perinatal mortality was due to poverty, illiteracy, lack of health awareness, inadequate antenatal care and delayed referral. Health education, identification of high risk mothers, timely referral, advanced life support of preterm neonates should significantly help to reduce perinatal deaths.

  12. Bed blockers: A study on the elderly patients in a teaching hospital in India

    Directory of Open Access Journals (Sweden)

    Praveen Kumar N

    2010-07-01

    Full Text Available A cross-sectional study of in-patients over the age of 60 years was conducted at district McGann Hospital, Shimoga on patients who were classified as bed blockers. Level of dependency and cognitive function of these patients were assessed using Barthel scale and Abbreviated mental test (AMT respectively. Median age of the study population was 67 years; majority of them were men. Most of them were admitted in the medical ward and the median time to be labeled as bed blocker was 32 days. These bed blockers were a weak group of patients with an average 3.1 pathology per case. Majority of them suffered from neurological disorders and cardiovascular disease. High level of dependence was noted with a mean Barthel score of 29.68 (Range 0 -100. Low levels of cognitive function was also noted among these patients with a mean AMT of 4.76 (Range 0 -10.These findings demonstrate that the bed blockers in McGann hospital suffer not only from genuine health problems but also have a high dependency level in activities of daily living which hamper their discharge to the community. Community based rehabilitation using an intersectoral approach may help at least the less dependent to return home.

  13. STUDY OF CLINICAL AND HISTOPATHOLOGICAL PRESENTATION OF OVARIAN MASSES IN TEACHING HOSPITAL

    Directory of Open Access Journals (Sweden)

    Shobha

    2016-02-01

    Full Text Available OBJECTIVE To study the clinical and histopathological presentation of ovarian masses. METHOD Hospital based retrospective study done on 200 patients in the Department of Gynaecology, Gandhi Hospital, Secunderabad, who are clinically and sonologically diagnosed to have ovarian masses during the period of January 2014 to September 2015. RESULTS The prevalence of ovarian masses in our study was 0.6%. Among the 200 cases, 60.5% were neoplastic and 39.5% were non-neoplastic. Among neoplasms 90% were benign, 8.26% malignant and 1.65% borderline. Serous cystadenoma was the commonest benign tumor (55% followed by Mucinous (27.5% and Dermoid (15.5%. Most common malignant ovarian tumor was Serous cystadenocarcinoma (60%. CONCLUSION Ovarian neoplasms have twice the incidence of non-neoplasms. Maximum incidence of malignancy is in between 40-49 years of age group. Non-specific abdominal symptoms should be given more importance, as it may be the only clue to the underlying malignancy. So effective clinical, biochemical and radiological diagnosis helps in early intervention to increase the survival rates in malignancy. Sixty million people are affected with glaucoma worldwide and more than 20 million have PACG. Of these more than 5 million with PACG are blind, which is twice more than POAG. Early detection and timely treatment with Nd:YAG laser iridotomy and associated complications determine visual outcome.

  14. The use of Amniotic membrane in the treatment of Burns in Children a clinical trial at the university Teaching Hospital, Lusaka

    CERN Document Server

    Katebe, K R

    1995-01-01

    This is a clinical trial which was carried out at the University Teaching Hospital, Lusaka from the 1st of July to the 31st December, 1994. It involved treatment of burns in forty children using gamma irradiated amniotic membrane produced at the hospital. The results showed that it is feasible to produce Gamma irradiated biological dressings from amniotic membrane at this hospital. The amniotic membrane was easy to apply on burns and the treatment was acceptable to the majority of parents with burnt children. The use of amniotic membrane was non inflammatory to the wounds in all forty patients (100%), reduced wound infection in thirty three patients (82.5%), increased the rate of wound healing in thirty nine patients (97.5%), and resulted in good quality wound healing in thirty one patients (77.5%). Therefore, the treatment offers a good alternative in the treatment of burns in children at the hospital

  15. A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland.

    LENUS (Irish Health Repository)

    Bartels, C

    2012-01-06

    BACKGROUND: The adverse effects of smoking are well documented and it is crucial that this modifiable risk factor is addressed routinely. Professional advice can be effective at reducing smoking amongst patients, yet it is not clear if all hospital in-patient smokers receive advice to quit. AIMS: To explore smoking prevalence amongst hospital in-patients and smoking cessation advice given by health professionals in a large university teaching hospital. METHODS: Interviews were carried out over 2 weeks in February 2011 with all eligible in-patients in Beaumont Hospital. RESULTS: Of the 205 patients who completed the survey, 61% stated they had been asked about smoking by a healthcare professional in the past year. Only 44% of current\\/recent smokers stated they had received smoking cessation advice from a health professional within the same timeframe. CONCLUSIONS: Interventions to increase rates of healthcare professional-provided smoking cessation advice are urgently needed.

  16. A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool.

    Science.gov (United States)

    Aldeyab, M A; Kearney, M P; McElnay, J C; Magee, F A; Conlon, G; MacIntyre, J; McCullagh, B; Ferguson, C; Friel, A; Gormley, C; McElroy, S; Boyce, T; McCorry, A; Muller, A; Goossens, H; Scott, M G

    2012-09-01

    The objective of this research was to assess current patterns of hospital antibiotic prescribing in Northern Ireland and to determine targets for improving the quality of antibiotic prescribing. A point prevalence survey was conducted in four acute teaching hospitals. The most commonly used antibiotics were combinations of penicillins including β-lactamase inhibitors (33·6%), metronidazole (9·1%), and macrolides (8·1%). The indication for treatment was recorded in 84·3% of the prescribing episodes. A small fraction (3·9%) of the surgical prophylactic antibiotic prescriptions was for >24 h. The results showed that overall 52·4% of the prescribed antibiotics were in compliance with the hospital antibiotic guidelines. The findings identified the following indicators as targets for quality improvement: indication recorded in patient notes, the duration of surgical prophylaxis and compliance with hospital antibiotic guidelines. The results strongly suggest that antibiotic use could be improved by taking steps to address the identified targets for quality improvement.

  17. "Working and Learning Alternation" Nursing Teaching Mode in Hospital%护理"工学交替"教学模式在医院的实践

    Institute of Scientific and Technical Information of China (English)

    邱艳华

    2012-01-01

    Objective: To explore practical effects of reformed nursing teaching mode "working and learning alternation" performed by hospital and school together. Method: On the foundation of meeting the requirement of major courses, corresponding class featured in hospital and clinical practice teaching, which centered on nursing practice teaching and guided by employment, were administered to students by hospital. Result: Nursing teaching mode "working and learning mode" could effectively help students accumulate clinical work experience, enhance personal communication skills, fully improve comprehensive quality of students and also the scores of nursing licensed exam. Conclusion: Nursing teaching mode "working and learning alternation" demonstrates remarkable advantages in improving students' comprehensive quality, master and application of the knowledge compared with traditional teaching mode of school.%目的:探讨学校与医院联合进行"工学交替"护理教学模式改革的实践效果.方法:医院以护理实践教学为中心,以就业为导向,在满足学校本专业课程的基础上,对学生进行具有医院特色的课堂教学及临床实践教学.结果:"工学交替"的护理教学模式有效促进了学生实际工作经验的积累,增强了学生的人际沟通技巧,全面提高了学生的综合素质,学生护理执业考试成绩大幅提高.结论:"工学交替"的护理教学模式相较于学校传统教学模式在学生的综合素质提高、知识的掌握及运用上都有明显优势.

  18. CLINICO - HAEMATOLOGICAL PROFILE AND OUTCOME OF CEREBRAL MALARIA IN A TEACHING HOSPITAL OF SOUTH EAST RAJASTHAN

    Directory of Open Access Journals (Sweden)

    Gautam Lal

    2015-05-01

    Full Text Available AIM: Evaluation of Clinico - hematological profile and outcome of cerebral malaria in semi urban hospital situated in endemic area. MATERIAL AND METHODS : A cross - sectional hospital - based study was conducted from August to November, 2014 at Department of Paediatrics SRG Zanana Hospital, Jhalawar Rajasthan. Every child, except who was previously abnormal neurologically, of the age of six month to 12 years, presented with a history of fever in the last 7 days, with o r without convulsion, and/or impaired consciousness, screened for malaria by peripheral blood smear examination and rapid diagnostic test for malaria parasite. On the basis of this screening examination, these children were classified definite cerebral mal aria where the peripheral smear was positive and probable cerebral malaria where the peripheral smear was negative. If the patients presented with fever, convulsion, and/or impaired level of consciousness, they were treated with Artesunate intravenously em pirically. Patients were followed - up regularly till they regained consciousness and when, they were able to swallow, treated with oral Artisunate and single dose of Sulphadoxine and Pyrimethamine combination is also given. RESULTS: Of the3332 admissions, 8 69 (26.08% were admitted for fever. Out of these 869 febrile patients 352 patients were having other obvious clinical diagnosis for fever. In remaining 517(59.49% cases were suspected to be suffering from malaria, but all of these children who were admit ted with the diagnosis of fever, were screened for malaria and 74(08.51%were found to be positive for malaria parasite either by peripheral blood smear or rapid diagnostic test or both. Cerebral malaria developed in 37 patients. Most cases were of age gro up of 2 - 5 years, 14children had definite cerebral malaria and 9 were labelled as suspected to have probable cerebral malaria. Neurological symptoms of altered sensorium, convulsion and abnormal behaviour ranged from 35

  19. Profile of thoracic injury at College of Medical Sciences Teaching Hospital

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    D Chapagain

    2014-01-01

    Full Text Available Objectives: Thoracic injury is a challenge to the thoracic surgeon practicing in developing countries. This prospective study was conducted to see the mode of injury, injury types and overall outcome of thoracic injury in our settings. Materials and methods: This prospective study was conducted in 100 thoracic injury patients between December 2011 to June 2012. The demographic features, type of the trauma, radiological assessment, associated organ injuries, management of the injury, surgical interventions, morbidity, mortality, length of hospital stay were analysed. Results: In this study the ages ranged from 7 to 84 years. There were 73 (73% males and 27 (27% females. The majority of patients (83% were injured during the evening and night time. The majority of patients 92(92% sustained blunt chest injuries. The mechanism of injury was not significantly associated with length of hospital stay (P > 0.05 and mortality (P > 0.05.Road traffic accident was the most common cause of injuries affecting 68(68% of patients followed by fall injury of 19(19%. Rib fractures, haemothorax, pneumothorax and lung contusion were the most common type of injuries accounting for 83.0%, 57%,34% and 33% respectively. Associated extra-thoracic injuries were noted in 64.0% of patients. 45(45% of the cases of haemothorax, pneumotharax and haemopneumothorax were treated by tube thoracotomy. Four patients (04% had undergone thoracotomy. There were 09(09% patients of flail chest and treated conservatively. Fourty six patients (46% were admitted in the ICU. Eleven (11% patients were treated with ventilator support. Seventeen (17% patients had complication. The overall length of hospital stay ranged from 0 to 25 days. Conclusion: Road traffic accidents and fall from height are the major public health problems. Preventive measures at reducing road traffic accidents and timely management with closed tube thoracotomy are the main factors to be considered in the thoracic

  20. Knowledge and Performance about Nursing Ethic Codes from Nurses' and Patients' Perspective in Tabriz Teaching Hospitals, Iran

    Directory of Open Access Journals (Sweden)

    Sara Moghaddam

    2013-08-01

    Full Text Available Introduction: Nursing profession requires knowledge of ethics to guide performance. The nature of this profession necessitates ethical care more than routine care. Today, worldwide definition of professional ethic code has been done based on human and ethical issues in the communication between nurse and patient. To improve all dimensions of nursing, we need to respect ethic codes. The aim of this study is to assess knowledge and performance about nursing ethic codes from nurses' and patients' perspective.Methods: A cross-sectional comparative study Conducted upon 345 nurses and 500 inpatients in six teaching hospitals of Tabriz, 2012. To investigate nurses' knowledge and performance, data were collected by using structured questionnaires. Statistical analysis was done using descriptive and analytic statistics, independent t-test and ANOVA and Pearson correlation coefficient, in SPSS13.Results: Most of the nurses were female, married, educated at BS degree and 86.4% of them were aware of Ethic codes also 91.9% of nurses and 41.8% of patients represented nurses respect ethic codes. Nurses' and patients' perspective about ethic codes differed significantly. Significant relationship was found between nurses' knowledge of ethic codes and job satisfaction and complaint of ethical performance. Conclusion: According to the results, consideration to teaching ethic codes in nursing curriculum for student and continuous education for staff is proposed, on the other hand recognizing failures of the health system, optimizing nursing care, attempt to inform patients about Nursing ethic codes, promote patient rights and achieve patient satisfaction can minimize the differences between the two perspectives.

  1. Perinatal outcome of twin pregnancies delivered in a teaching hospital Resultado perinatal de gestações gemelares com parto em hospital universitário

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    Renata Almeida de Assunção

    2010-01-01

    Full Text Available OBJECTIVE: This study aimed to evaluate the perinatal outcome of twin pregnancies delivered in a tertiary teaching hospital according to chorionicity. METHODS: A retrospective study involving 289 twin pregnancies delivered from January 2003 to December 2006 was carried out. Maternal and perinatal data were obtained from hospital charts and delivery logs. Chorionicity was determined by ultrasonography or histopathological study. RESULTS: Incidence of twin gestations was 3.4% and 96.4% were spontaneously conceived. 60.5% were dichorionic (DC, 30.8% of monochorionic diamniotic (MCDA, 6.6% monochorionic monoamniotic (MCMA and for 2.1% chorionicity was unknown. The mean gestation age at delivery was respectively 35.4, 33.6, 32.9 for DC, MCDA and MCMA. The mean birth weight was 2.171, 1.832 and 1.760 g respectively for DC, MC and MCMA. The proportion of fetuses delivered with less than 34 weeks in DC was of 21.7%, while in MCDA it was of 39.3% and in MCMA of 42.1%. Birth weight below the 10th centile occurred in 15.7% for DC, 22.5% for MCDA and 26.3% in MCMA. Congenital anomalies were observed in 21.3% in monochorionic and in 7.4% in the dichorionic. Lenght of hospital stay was shorter for DC when compared to MCDA and MCMA twins (13.1, 17.3 and 23.3 days, respectively. The proportion of twin pregnancies with both babies discharged alive were 85.7% in DC and 61.1% in MC. CONCLUSION: The rate of preterm deliveries and low birth weight is higher in monochorionic pregnancies when compared to dichorionic twins. However, when adjusted for complications such as fetal abnormalities and twin-twin transfusion syndrome, double survival rates were similar in the two groups.OBJETIVO: Avaliar o resultado perinatal nas gestações gemelares com partos em hospital universitário segundo a corionicidade. MÉTODOS: Estudo retrospectivo de 289 gestações gemelares com partos no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, no per

  2. 北京口腔医院技工中心11年修复体加工情况的统计分析%Analysis of prosthesis production in dental laboratory of Beijing Stomatology Hospital

    Institute of Scientific and Technical Information of China (English)

    李靖桓; 黄文静; 陶涛; 王子涵; 郑东翔

    2014-01-01

    Objective To analyze the different types of prosthesis production and to obtain information of the trend for clinical application of the prosthesis over time. Methods The production data of prosthesis in Beijing Stomatology Hospital from 2002 to 2012 were collected and 299,953 pieces of prostheses were included in the study. The major types of prosthesis, including crown and bridge fixed prostheses, implant fixed prostheses, removable partial dentures and complete denture,were numbered and analyzed for the tread of prosthesis production over the past eleven years. Results The constituent ratio of removable dentures declined and the fixed restorations became the main type of restoration year by year. Complete denture and wiring framework removable partial dentures showed slow decrease. All types of casting frame dentures exhibited a growth. Precious metal fixed partial dentures increased fast and implant fixed prostheses showed steady growth trend. All-ceramic fixed restorations also showed accelerated growth. The pecious metal crown prostheses became the main type of full crown restorations, while the cobalt-chromium crown restorations production continued to slow down. Conclusion Fixed restorations dominated and removable partial dentures reduced year by year. The precious metal, ceramic, dental implants demand growth was most obvious, predicting the future development of restoration.%目的:客观评估不同种类修复体的应用情况,为临床应用、资源优化配置和科研课题选择等提供参考信息。方法收集首都医科大学附属北京口腔医院技工中心2002~2012年的工作月报和制作数据,以299953件修复体为研究对象,统计冠桥固定修复体、种植固定修复体、可摘局部义齿、全口义齿等主要修复体类别的数量,分析发展趋势。结果活动类修复体构成比呈逐年下降趋势,固定类修复体逐年成为主要修复类型。全口义齿与胶连活动义齿缓慢减少,4种铸造

  3. Radiology Image Management in a Teaching Hospital Network Scenario: Initial Experience.

    Science.gov (United States)

    Indrajit, I K; Souza, J D; Singh, Rajvir; Shekar, Anjanish

    2003-07-01

    INHS Asvini has the distinction of emerging as the first Armed Forces Hospital with networked radiology images, sourced principally from a recently installed Digital Substraction Angiography (DSA) machine (Siemens Polystar Top 1000 MA). In recent times, newer imaging machines offer digital images that are in DICOM format. DICOM denotes 'Digital Imaging and Communications in Medicine". Image management at INHS Asvini, involves transfer of DSA images in DICOM format, their conversion into Joint Photographic Experts Group (JPG) format and subsequent transmission of JPG images through a robust networking system that connects all departments/OPD/Wards, facilitating direct access of images to a variety of specialists and specialities. Clearly, this encouraging outcome is a small but useful step heralding the concept of 'anytime anywhere' images, and has the scalable expansibility of including CT and MRI images in future. PMID:27407523

  4. Imported Malaria over Fifteen Years in an Inner City Teaching Hospital of Washington DC.

    Science.gov (United States)

    Yeruva, Sri Lakshmi Hyndavi; Sinha, Archana; Sarraf-Yazdy, Mariam; Gajjala, Jhansi

    2016-06-01

    As endemic malaria is not commonly seen in the United States, most of the cases diagnosed and reported are associated with travel to and from the endemic places of malaria. As the number of imported cases of malaria has been increasing since 1973, it is important to look into these cases to study the morbidity and mortality associated with this disease in the United States. In this study, we would like to share our experience in diagnosing and treating these patients at our institution. We did a retrospective chart review of 37 cases with a documented history of imported malaria from 1998 to 2012. Among them, 16 patients had complicated malaria during that study period, with a mean length of hospital stay of 3.5 days. Most common place of travel was Africa, and chemoprophylaxis was taken by only 11% of patients. Travel history plays a critical role in suspecting the diagnosis and in initiating prompt treatment. PMID:27417079

  5. Using lean methodology to teach quality improvement to internal medicine residents at a safety net hospital.

    Science.gov (United States)

    Weigel, Charlene; Suen, Winnie; Gupte, Gouri

    2013-01-01

    The overall objective of this initiative was to develop a quality improvement (QI) curriculum using Lean methodology for internal medicine residents at Boston Medical Center, a safety net academic hospital. A total of 90 residents and 8 School of Public Health students participated in a series of four, 60- to 90-minute interactive and hands-on QI sessions. Seventeen QI project plans were created and conducted over a 4-month period. The curriculum facilitated internal medicine residents' learning about QI and development of positive attitudes toward QI (assessed using pre- and post-attitude surveys) and exposed them to an interprofessional team structure that duplicates future working relationships. This QI curriculum can be an educational model of how health care trainees can work collaboratively to improve health care quality.

  6. Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

    LENUS (Irish Health Repository)

    McHugh, S M

    2012-02-01

    BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a \\'patient information leaflet\\' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

  7. Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

    LENUS (Irish Health Repository)

    McHugh, S M

    2011-02-06

    BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a \\'patient information leaflet\\' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

  8. Interest of including trauma photography in the picture archiving and communication system of a teaching hospital.

    Science.gov (United States)

    Bronsard, N; Chignon Sicard, B; Amoretti, N; Rottier, H; Ertz, P; de Peretti, F

    2015-05-01

    Digital imaging is a daily practice in traumatology. Such photographs should remain confidential. However, there is a need for objectivity concerning the circumstances and clinical follow-up for trauma patients. This paper describes how to conserve these photographs within the picture archiving and communication system (PACS) safely as regards identity and confidentiality. A computer converts the photographs into DICOM files. The DICOM image is associated to a reconciliation layer, validated by the physician in charge, and then included in the hospital PACS. This improves transmission from one medical team to another, both initially and after the accident if an expert medical opinion is required. The literature has demonstrated the value of photographs in modern medicine, but the technical and legal challenges are many. They enhance the computerized medical records. Identification, confidentiality and integration in the PACS are obstacles that we have now overcome.

  9. Cost of providing inpatient burn care in a tertiary, teaching, hospital of North India.

    Science.gov (United States)

    Ahuja, Rajeev B; Goswami, Prasenjit

    2013-06-01

    There is an extreme paucity of studies examining cost of burn care in the developing world when over 85% of burns take place in low and middle income countries. Modern burn care is perceived as an expensive, resource intensive endeavour, requiring specialized equipment, personnel and facilities to provide optimum care. If 'burn burden' of low and middle income countries (LMICs) is to be tackled deftly then besides prevention and education we need to have burn centres where 'reasonable' burn care can be delivered in face of resource constraints. This manuscript calculates the cost of providing inpatient burn management at a large, high volume, tertiary burn care facility of North India by estimating all cost drivers. In this one year study (1st February to 31st January 2012), in a 50 bedded burn unit, demographic parameters like age, gender, burn aetiology, % TBSA burns, duration of hospital stay and mortality were recorded for all patients. Cost drivers included in estimation were all medications and consumables, dressing material, investigations, blood products, dietary costs, and salaries of all personnel. Capital costs, utility costs and maintenance expenditure were excluded. The burn unit is constrained to provide conservative management, by and large, and is serviced by a large team of doctors and nurses. Entire treatment cost is borne by the hospital for all patients. 797 patients (208 60% BSA burns. 258/797 patients died (32.37%). Of these deaths 16, 68 and 174 patients were from 0 to 30%, 31 to 60% and >60% BSA groups, respectively. The mean length of hospitalization for all admissions was 7.86 days (ranging from 1 to 62 days) and for survivors it was 8.9 days. There were 299 operations carried out in the dedicated burns theatre. The total expenditure for the study period was Indian Rupees (Rs) 46,488,067 or US$ 845,237. At 1 US$=Rs 55 it makes the cost per patient to be US$ 1060.5. Almost 70% of cost of burn management resulted from salaries, followed by

  10. Seroprevalence of human immunodeficiency virus among voluntary counseling and testing clients at the University of Gondar Teaching Hospital, Northwest Ethiopia

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    Sinku Y

    2016-08-01

    Full Text Available Yohannes Sinku,1,2 Takele Gezahegn,1 Yalewayiker Gashaw,1 Meseret Workineh,1 Tekalign Deressa1 1School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, 2Diagnostic Laboratory Case Team, University of Gondar Teaching Hospital, Gondar, Ethiopia Background: The epidemiology of human immunodeficiency virus (HIV infection in Ethiopia varies with regions, study population, and time. Thus, timely information on HIV epidemiology is critical for the combat of the epidemic. In this study, we aim to update HIV prevalence and risk factors among voluntary counseling and testing (VCT clients at the University of Gondar Teaching Hospital, Northwest Ethiopia.Methods: A total of 2,120 VCT clients’ records from September 2007 to August 2010 were analyzed retrospectively. Bivariate logistic regression analysis was used to identify significant predictors. Odds ratio (OR and 95% confidence intervals (CIs were calculated. Statistical significance was set at P-value <0.05.Results: Of 2,120 VCT clients, 363 (17.1% were seropositive for HIV. A higher rate of HIV positivity was observed among female clients (20.4% than that in male clients (14.0% (OR 1.58, 95% CI 1.26–1.98, P=0.00. Widowed (95% CI 10.42–34.92, P=0.00, married (95% CI 3.42–5.94, P=0.00, divorced (95% CI 2.79–5.32, P=0.00, and illiterate (95% CI 2.33–5.47, P=0.00 clients were associated with HIV infection with the odds ratios of 19.07, 4.51, 3.85, and 3.57, respectively. Clients within the age category of 35–49 years (OR 5.03, 95% CI 3.56–7.12, P=0.00 and above the age of 50 years (OR 4.99, 95% CI 2.67–9.34, P=0.00 were more likely to be infected with HIV.Conclusion: HIV is still the major concern of public health in the Gondar area as evidenced by our data. Being female, widowed, married, illiterate, and older age were the identified risk factors for HIV infection. Thus, consideration of these factors in future intervention and

  11. Five-year review of copper T intrauterine device use at the University of Calabar Teaching Hospital, Calabar

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    Iklaki CU

    2015-10-01

    Full Text Available Christopher U Iklaki, Anthony U Agbakwuru, Atim E Udo, Sylvester E Abeshi Department of Obstetrics and Gynaecology, University of Calabar, Calabar, Nigeria Background: The intrauterine devices (IUDs are widely used contraceptive methods all over the world today. They are effective and recommended for use up to 10 years. They are not without side effects, which often prompt the users to request for removal. Objective: To determine the utilization rate of copper T intrauterine contraceptive device (IUCD, side effects, and request for removal at the University of Calabar Teaching Hospital, Calabar. Methods: The data on usage of the various forms of temporary contraception provided by the Family Planning Clinic of this center from January 1, 2006 to December 31, 2010 were collated. The records of usage of IUCD during same period were carefully studied. Results: During this period, a total of 10,880 users were provided with various forms of contraceptives. Copper T IUD was the commonest form of contraception used at the University of Calabar Teaching Hospital Family Planning Unit over the period under review (2006–2010 with a rate of 4,069 (37.40%. There was a yearly higher request for IUCD over other forms of contraceptives over the period. Of a total of 4,069 users of the copper T IUD method over the period, 1,410 (34.65% belonged to the age group of 25–29 years. Eleven (4.61% of the users requested for its removal due to abnormal vaginal bleeding, while five (2.08% removed theirs due to abnormal vaginal discharge. The major reason for removal was the desire for pregnancy that accounted for 165 (70.26%, while one (0.51% was removed due to dysmenorrhea. Conclusion: The copper T380A was very effective, safe with fewer side effects, and easily available in this study. The request for removal is also low in our environment. Keywords: copper T380A, contraception, request for removal

  12. Common causes of morbidity and mortality amongst diabetic admissions at the university of Benin teaching hospital, Benin city, Nigeria

    International Nuclear Information System (INIS)

    Diabetes mellitus is associated with significant morbidity and mortality worldwide and Nigeria is no exception. To determine the morbidity and mortality in patients admitted with Diabetes Mellitus in a tertiary teaching hospital of Nigeria, through retrospective analysis of admission and death records. Admission and death certificate records from the medical wards of the University of Benin Teaching Hospital, Benin City, Nigeria, were retrospectively analysed from 1, August 2003 to 31, July 2004. Data included age, gender, total numbers of admissions and those due to Diabetes Mellitus, the indications for admissions, presenting symptoms and method of diagnoses in diabetic patients, mortality rates and causes of death. Data obtained were analysed using chi square. Out of 1567 medical admissions, 852(54.4%) were males and 715(45.6%) females. Diabetes was detected in 145(9.3%) patients [81(55.9%) males, 64(44.1%) females]. The mean age of diabetic patients was 53.6+16.1 years (range 18 - 94 years). Poor glycaemic control (29%) and diabetic foot syndrome (23.4%) were the most common reasons for admission in diabetic cases. The overall mortality rate among medical admissions was 21.8%, with diabetes accounting for 6.7% deaths. Within the cohort of diabetic cases, mortality was 15.9%, with significantly higher mortality in those aged > 65 years (p < 0.05). The most common causes of death in diabetic cases were Cerebrovascular disease and complications associated with the foot syndrome, accounting for 26.1% and 21.7% of deaths respectively; the least common causes of death in diabetic patients were Malaria, Hepatic Encephalopathy, and Carcinoma of the Cervix, accounting for 4.4% of deaths. Cerebrovascular disease was the most frequent cause of mortality among admitted diabetic patients with diabetic foot syndrome (a preventable complication) as the second most frequent cause of mortality. Increased screening for diabetes mellitus morbidities in the clinic and community

  13. Breast cancer risk factor knowledge among nurses in teaching hospitals of Karachi, Pakistan: a cross-sectional study

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    Hatcher Juanita

    2006-09-01

    Full Text Available Abstract Background Breast cancer is the most common cancer among women in both the developed and the developing world. The incidence of breast cancer in Karachi, Pakistan is 69.1 per 100,000 with breast cancer presentation in stages III and IV being common (≥ 50%. The most pragmatic solution to early detection lies in breast cancer education of women. Nurses constitute a special group having characteristics most suited for disseminating breast cancer information to the women. We assessed the level of knowledge of breast cancer risk factors among registered female nurses in teaching hospitals of Karachi. We also identified whether selected factors among nurses were associated with their knowledge of breast cancer risk factors, so that relevant measures to improve knowledge of nurses could be implemented. Methods A cross-sectional survey was conducted in seven teaching hospitals of Karachi using stratified random sampling with proportional allocation. A total of 609 registered female nurses were interviewed using a structured questionnaire adapted from the Stager's Comprehensive Breast Cancer Knowledge Test. Knowledge of breast cancer risk factors was categorized into good, fair and poor categories. Ordinal regression was used to identify factors associated with risk knowledge among nurses. Results Thirty five percent of nurses had good knowledge of risk factors. Graduates from private nursing schools (aOR = 4.23, 95% CI: 2.93, 6.10, nurses who had cared for breast cancer patients (aOR = 1.41, 95% CI: 1.00, 1.99, those having received a breast examination themselves (aOR = 1.56, 95% CI: 1.08, 2.26 or those who ever examined a patient's breast (aOR = 1.87, 95% CI: 1.34, 2.61 were more likely to have good knowledge. Conclusion A relatively small proportion of the nursing population had good level of knowledge of the breast cancer risk factors. This knowledge is associated with nursing school status, professional breast cancer exposure and self

  14. FACTORS INFLUENCING WAITING TIME IN OUTPATIENT PHARMACY OF LAGOS UNIVERSITY TEACHING HOSPITAL

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    Ndukwe Henry C.

    2011-10-01

    Full Text Available Time, money and expertise are resources that are indispensable to productivity, performance, efficiency, success and growth of any health institution. This research was aimed at identifying and measuring some of the factors influencing patient waiting time in an outpatient pharmacy. The study employed the use of time monitoring card and time study analysis to volunteered participants. A situation analysis conducted revealed an average of 167 minutes of waiting time. The dispensing time averaged 17.65 minutes, and 67.97% of total waiting time by the patient was due to delay components. The major delay components included patient queues for billing of prescription sheets, payment to the cashier and subsequent time wait before drugs are dispensed. The total waiting time for the dispensing process averaged 55.11 minutes. Generally, there were undue delays caused by the dispensing procedure with a 32.03% lag of processing components and operations in the pharmacy. Factors indentified to influence the outpatient waiting time included, queuing and queuing characteristics-type and integrity of queue, adherence to hospital visits and medication for special disease programs, dispensing time, average waiting time (service time plus queuing time, nature of illness or disease presentation, admission status of patient(s, accrued time from other health services provided to the patient prior to services provided by the pharmacist, incentives for providing efficient services, management structures and operational procedures of outpatient hospital pharmacy, implementation of legal rights on waiting time, inadequate treatment or dispensing facilities, technological innovations of automation and computerization , service efficiency and internal operational factors.

  15. SEROPREVALENCE OF TRANSFUSION TRANSMITTED INFECTIONS IN A TEACHING HOSPITAL BLOOD BANK

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    Shariff

    2014-02-01

    Full Text Available BACKGROUND: Blood transfusion is a life - saving procedure. However , the recipient has the potential risk of acquiring transfusion - transmissible infections (TTI , important infectious agents being Human Immunodeficiency Virus (HIV , Hepatitis B & C viruses , and Treponema pallidum. AIM: This study was undertaken to know the prev alence of TTI in our hospital blood bank and hence evaluate the safety of the blood units . MATERIAL AND METHOD: The present study was conducted at the Blood Bank of our Medical College Hospital. Data was collected retrospectively for a 4.5 - year period from January 2008 to June 2012. Donor data including demographic details and results of the screening tests were recorded. RESULTS: In the 4.5 - year period , there were 7128 donors – both voluntary and replacement donors. The donors were in the age group 18 to 5 0 years. Out of the 116 donors tested positive for any test , there were 5 female donors and the 111 male donors. The donors who tested positive formed 1.6% of the total number of donors. The maximum number of donors were positive for HBsAg (n=47 , followed by positivity for HCV (n=45. The seroprevalence of HBsAg , HCV , HIV and Syphilis was 0.66% , 0.63% , 0.25% and 0.1% respectively. There was no case with smear positive for malaria parasite. CONCLUSION: The seroprevalence of TTI is minimal in our set up. The risk can be kept to a minimum by proper donor selection and testing of the collected units

  16. Comparing the perspectives of managers and employees of teaching hospitals about job motivation.

    Science.gov (United States)

    Mohebbifar, Rafat; Zakaria Kiaei, Mohammad; Khosravizadeh, Omid; Mohseni, Mohammad

    2014-11-01

    Recognition of career motivators and understanding of managers and employees in prioritizing them, in order to plan incentives for this understanding, can play an important role in increasing productivity and creating harmony between the goals of the organization and staff. This study was done to survey the importance of career motivating factors from perspective of employees and managers in educational hospitals of Iran. In this study 269 from a total of 1843 employees of educational hospitals in Qazvin province of Iran were selected through Quota-Random sampling and studied along with all 49 Managers. Lawrence Lindale questionnaire with 10 factors where used in order to determine motivational priorities. The results indicated that among the 10 studied motivational factors, from employees' viewpoint; "Good wages", "Good Working Conditions" and "Job Security" have the greatest roles in motivating employees. In the context of perspective agreement amongst employees and managers, the results showed 20 percent agreement. In this study, results of "Independent T" test showed a significant difference in comparison, between prioritizing employees' view and prediction of managers in the factors of "Job Security" (p = 0/031) and "Interesting Work" (p = 0/001). With respect to increase disagreement in the views of managers and employees as compared to previous studies, Managers need to pay more attention to cognition of motivational factors and make their viewpoints closer to actual motivational need of their employees. Attention to this fact can be a great help to the growth and productivity of the organization, making the organizational and individual goals closer and also keeping managers safe from execution of constant and undue motivational patterns. PMID:25363113

  17. Extra pulmonary tuberculosis in a tertiary teaching hospital:A five years review

    Institute of Scientific and Technical Information of China (English)

    Siti Suraiya Md Noor; Zaidah Abdul Rahman; Sarimah Abdullah; Zakuan Zainy Deris; Che Wan Aminuddin

    2009-01-01

    Objective:To investigate the prevalence,clinical and bacteriological features and outcome of extrapulmonary tuberculosis in patients attending a tertiary care hospital at Kota Bharu,Kelantan.Methods:All culture posi-tive tuberculosis cases recorded in Hospital Universiti Sains Malaysia at Kota Bharu during five years period from 2003-2007 were included in the study.Mycobacterium detected in samples originating from sites other than lungs was considered as a case of extrapulmonary tuberculosis.Age,site of infection,bacteriological find-ings and outcomes were analyzed.Results:Out of 437 tuberculosis cases recorded from 2002-2006,59 cases had culture positive extrapulmonary tuberculosis.Their mean age was 37 years and 44% were between the ages of 20-40 years.About 63% were negative for acid-fast bacilli by Z-N stain.Of the 59,97% was Mycobacteri-um tuberculosisc (M.tuberculosis)while two (3%)were atypical Mycobacterium Runyon Group-IV.Only 3 (5%)were isoniazid resistant.Extrapulmonary sites involved were lymph nodes 19 (31%),central nervous system 12 (20%),pleural 11(19%)spine 8 (14%),renal 3 (5.1%)and others 6 (10.2%).In this se-ries,11(18%)were positive for HIV.There was no significant association between extrapulmonary tuberculo-sis and HIV status.The outcome of CNS tuberculosis was the poorest with a mortality rate of 25%.Conclu-sion:M.tuberculosis is the predominant organism in extrapulmonary tuberculosis and culture is the most effec-tive method for its diagnosis.

  18. THE STUDY OF PREVALENCE AND CLINICAL PROFILE OF VALVULAR HEART DISEASES IN A TEACHING HOSPITAL

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    Radha Krishnan

    2015-04-01

    Full Text Available Valvular heart disease is still a common causes of mortality and morbidity in India and rheumatic heart disease is still far more frequent. AIMS AND OBJECTIVES: To study the prevalence and clinical profile of rheumatic and non - rheumatic valvular heart dise ase in patients attending to Government General Hospital, Kakinada. MATERIALS AND METHODS: 100 Adult patients with valvular abnormalities attending to the Medicine and Cardiology Units of Government General Hospital, Kakinada from Nov 2011 - May 2013 were studied. C linical history including various symptoms, past history of rheumatic fever, followed by systemic examination was done. A detailed cardiovascular examination with relevant investigations and evaluation was done. OBSERVATIONS AND RESULTS: The most common cause of acquired valvular heart disease is Rheumatic Heart Disease. Mitral valve involvement is the most common valve involvement with Mitral regurgitation as the most common valvular lesion. Mitral stenosis is the most common valvular lesion amon g rheumatic valvular heart disease. The most common complaint is breathlessness and the most common complication is Congestive heart failure. Multi valvular lesion is the most common valve involvement in patients presenting with congestive heart failure an d infective endocarditis. Patients having atrial fibrillation are noted to have mitral stenosis more commonly. Mitral stenosis is the valve abnormality commonly noted in patients presenting with haemoptysis, respiratory tract infection and chorea. Left sid ed hemiplegia is common in patients with acquired valvular heart disease. CONCLUSIONS: Though the incidencen of rheumatic valvular disease is decreased in modern era, still continuing in our country. The analysis of the present study gives us insight into the various types of presentation of acquired valvular heart disease and to increase awareness besides early detection of valvular diseases clinically. It also helps in planning of

  19. Manejo não-farmacológico de pacientes hospitalizados com insuficiência cardíaca em hospital universitário Non-pharmacological management of patients hospitalized with heart failure at a teaching hospital

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    Eneida R. Rabelo

    2006-09-01

    Full Text Available OBJETIVO: Descrever o manejo não-farmacológico de pacientes internados com insuficiência cardíaca (IC em um hospital universitário. MÉTODOS: Estudo de coorte longitudinal de pacientes com IC diagnosticados pelo escore de Boston. Durante as 72 horas iniciais de internação, enfermeiras da clínica de IC realizaram entrevistas padronizadas e revisões de prontuários. RESULTADOS: Foram avaliadas 283 internações de 239 pacientes (idade = 64 ± 15 anos, aproximadamente 50% sexo masculino e 37% de etiologia isquêmica. O padrão de prescrição dos diferentes cuidados não-farmacológicos foi restrição de sal em 97%, controle de diurese em 85%, balanço hídrico em 75%, controle de peso em 61% e restrição hídrica em apenas 25% das internações. Embora os cuidados referidos estivessem nas prescrições, freqüentemente não eram realizados pela equipe responsável (p OBJECTIVE: To describe non-pharmacological management of patients admitted with heart failure (HF in a teaching hospital. METHODS: A cohort longitudinal study of patients diagnosed with HF according to the Boston score. Within the first 72 hours of admission, the nursing staff of the HF clinic conducted structured interviews and medical chart reviews. RESULTS: Two hundred and eighty-three admissions of 239 patients (age = 64 ± 15 years were evaluated; approximately 50% of the patients were male and 37% had heart failure of ischemic etiology Non-pharmacological measures included salt restriction in 97%, urine output monitoring in 85%, fluid balance in 75%, weight monitoring in 61%, and fluid restriction in only 25% of the patients. However, they were often not carried out by the team in charge (p < 0.01 for all comparisons. Irregular use of prescribed drugs in the week prior to admission was 22% and 21% in non-readmitted and readmitted patients, respectively (p = 1.00. Readmitted patients (n = 38 had severe systolic dysfunction, more previous hospitalizations, and longer

  20. Secular trends of low birthweight and macrosomia and related maternal factors in Beijing, China: a longitudinal trend analysis

    OpenAIRE

    Shan, Xiaoyi; Chen, Fangfang; Wang, Wenpeng; Zhao, Juan; Teng, Yue; Wu, Minghui; Teng, Honghong; Zhang, Xue; Qi, Hong; Liu, Xiaohong; Tan, Chunying; Mi, Jie

    2014-01-01

    Background Information tracking changes of birthweight is scarce in China. To examine trends of low birthweight (birthweight < 2500 g) and macrosomia (birthweight ≥ 4000 g) and potential risk factors in Beijing, hospital records from two major obstetrics and gynecology hospitals in urban districts in Beijing were analyzed. Methods Hospital records from 1996 to 2010 were retrieved. Information of prenatal examination and birth outcomes was entered into a structured database. Live births were u...

  1. Beijing International Fashion Brand Promotion Week Opened

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Under the support of China National Garment Association,Beijing Municipal Bureau of Industrial Development, France Advanced Fashion Institute, Fashion Beijing Expo Organizing Committee and Beijing Fashion Textile Industry Association organized 2006 Autumn & Winter Beijing International Fashion Brand Promotion Week in Beijing Asia Hotel from September 20 to 23.

  2. Assessment of Stress and Depression among Geriatric Inpatients at a Tertiary Care Teaching Hospital in Rural Area

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    Jayant D Deshpande

    2014-04-01

    Full Text Available AIM: Elderly people are at risk of mental health problems. Recognizing these problems is even a greater issue in a rural community where mental health resources may be lacking or inadequate. The purpose of this study was to assess stress and depression levels among patients above 60 years attending a tertiary care teaching hospital in in rural India. METHOD: A cross sectional study was conducted at a tertiary care hospital in rural India. Patients aged 60 years and above seeking help at the various in-patient departments of Medical College and those who agree with written inform consent were included in study. General health questionnaire (GHQ-12 used for assessment of stress. Geriatric Depression Scale (GDS-30 was used as screening instruments to detect depression among the elderly. RESULT: A total of 229 elderly participated in the study out of which 138 (60.26% were males and 91 (39.73% were females. The mean age of the subjects was 67.68 +/- 6.61 years. The prevalence of mild depression was 25.32% and severe depression was 8.7%. There was no significant difference in the prevalence of depression for different gender. Factors like lack of family support, chronic morbidity, lack of economic support, dependence on others for day to day activities and neoplastic conditions were significantly associated with depression. Depression according to marital status was found to be significantly higher in the elderly who were widowed. CONCLUSION: Physical morbidity, lack of family support, lack of economic support, dependence on others for day to day activities and neoplastic conditions seem to be associated with increased depressive symptoms in elderly population over 60 years of age [TAF Prev Med Bull 2014; 13(2.000: 125-132

  3. Prescribing practices of topical corticosteroids in the outpatient dermatology department of a rural tertiary care teaching hospital

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    Suvarna S Rathod

    2013-01-01

    Full Text Available Background: Inappropriate or excessive use of topical corticosteroids can lead to cutaneous and systemic adverse effects which occur more commonly with the use of very potent steroids. Monitoring and analysis of the prescription practices of topical steroids can help to achieve rational prescription of these drugs. Aim: The present study was carried out to study and analyze the pattern of prescribing topical corticosteroids among outpatients attending the dermatology clinic in a rural tertiary care and teaching hospital, Ambajogai, Maharashtra. Materials and Methods: A cross-sectional descriptive study was conducted for a duration of two months from August 2011 to September 2011, and 500 prescriptions were randomly collected from the dermatology pharmacy and analyzed. Results: About 66% of the prescriptions contained four to five drugs per prescription. Topical steroids were given in 28.4% of all the prescriptions. In almost all the prescriptions, strength, quantity of the steroid to be used, frequency, site, and duration of application was not mentioned. The chief complaints and diagnoses were not mentioned in about 85% of the prescriptions for topical corticosteroids. About 94.36% of the prescriptions contained very potent steroids. Conclusion: Inadequate prescribing information is a clear characteristic of the dermatological prescriptions containing topical corticosteroids. Doctors should be educated about the importance of giving patients sufficient information regarding the use of steroids. There is a need to revise hospital formulary where low-potency steroids can also be included along with potent ones so that the latter can be avoided in conditions where they are unnecessary.

  4. In vitro ciprofloxacin resistance patterns of gram positive bacteria isolated from clinical specimens in a teaching hospital in Saudi Arabia

    International Nuclear Information System (INIS)

    Over the last few decades the ever-increasing level of bacterial resistance to antimicrobials has been a cause of worldwide concern. Fluoroquinolones, particularly ciprofloxacin has been used indiscriminately for both gram-positive and gram-negative bacterial infections. The increased use of ciprofloxacin has led to a progressive loss of bacterial susceptibility to this antibiotic. Therefore it is necessary to have update knowledge of resistance pattern of bacteria to this antibiotic so that alternate appropriate antibiotics can be used for ciprofloxacin-resistant bacterial infections. Objective: To evaluate the trends of ciprofloxacin resistance pattern in commonly isolated gram positive bacteria over time in a Saudi Arabian teaching hospital. Methods: A retrospective analysis was carried out for ciprofloxacin susceptibility patterns of 5534 isolates of gram-positive bacteria isolated from clinical specimens submitted to microbiology laboratories at King Fahd Hospital of the University (KFHU), Al-Khobar, Saudi Arabia during the period from January 2002 to August 2005. Results: Increase in ciprofloxacin resistance rates with some fluctuations, among these isolates, were observed. For Staphylococcus aureus, it varied from 4.62, 1.83, 7.01 and 3.98%, methicillin resistant Staphylococcus aureus (MRSA) 97.92, 97.75, 87.01 and 88.26%, Streptococcus pyogenes 5.35, 4.47, 14.44 and 3.53% during the years 2002, 2003, 2004 and 2005 respectively. Cirprofloxacin resistance during the years 2002, 2004 and 2005 for other isolates was as follows: Streptococcus pneumoniae, 30.23, 23.02 and 26.47%; enterococcus group D, 43.05, 20.68 and 57.03% and non-enterococcus group D, 62.96, 76.92 and 87.50% respectively. Conclusion: Ciprofloxacin resistance in gram positive bacterial clinical isolates particularly Staphylococcus aureus, methicillin resistant Staphylococcus aureus (MRSA) enterococcus group D, and non-enterococcus group D, has greatly increased and ciprofloxacin no more remains

  5. Clinical and Microbiological Characteristics of Heteroresistant and Vancomycin-Intermediate Staphylococcus aureus from Bloodstream Infections in a Brazilian Teaching Hospital

    Science.gov (United States)

    da Costa, Thaina Miranda; Morgado, Priscylla Guimarães Migueres; Cavalcante, Fernanda Sampaio; Damasco, Andreia Paredes; Nouér, Simone Aranha; dos Santos, Kátia Regina Netto

    2016-01-01

    This study analyzed clinical and microbiological characteristics of heteroresistant (hVISA) and vancomycin-intermediate Staphylococcus aureus (VISA) from bloodstream infections (BSI) in a Brazilian teaching hospital, between 2011 and 2013. Minimum inhibitory concentrations (MIC) of antimicrobials were determined by broth microdilution method and SCCmec was detected by PCR. Isolates with a vancomycin MIC ≥ 2mg/L were cultured on BHI agar with 3, 4 or 6 mg/L (BHIa3, BHIa4 or BHIa6) of vancomycin and BHIa4 with casein (BHIa4ca). Macromethod Etest® and Etest® Glicopeptides Resistance Detection were also used. VISA and hVISA isolates were confirmed by the population analysis profile then typed by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing. Medical data from the patients were obtained from their medical records. Among 110 consecutive isolates, 31 (28%) were MRSA and carried the SCCmec type II (15 isolates) or IV (16 isolates). Vancomycin MIC50 and MIC90 were 1 and 2 mg/L, respectively. MRSA isolates had increased non-susceptibility to daptomycin (p = 0.0003). Six (5%) isolates were VISA, four of which were MRSA, three SCCmec type II/USA100/ST5 and one type IV/USA800/ST3192. One MRSA SCCmec II isolate grew on agar BHIa3, BHIa4 and BHIa4ca, and it was confirmed as hVISA. Among the six VISA isolates, five (83%) grew on BHIa3 and three (50%) on BHI4ca. Four of the six VISA isolates and the one hVISA isolate were from patients who had undergone dialysis. Thus, a possible dissemination of the SCCmec II/USA100/ST5 lineage may have occurred in the hospital comprising the VISA, hVISA and daptomycin non-susceptible S. aureus Brazilian isolates from health care associated bloodstream infections. PMID:27575698

  6. STUDY ON KAP OF OCULAR COMPLICATIONS DUE TO DIABETES AMONG TYPE II DIABETICS VISITING A TERTIARY TEACHING HOSPITAL

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    Jacob Koshy

    2012-03-01

    Full Text Available Introduction: Diabetes mellitus is a major public health problem worldwide. Diabetic patients are at risk of developing blindness from diabetic retinopathy. While occurrence of diabetic retinopathy cannot be prevented, its complications can be minimized. This requires awareness of the sight-threatening potential of diabetes and the need for regular eye examinations. Aim: To study the knowledge of ocular complications of diabetes, among type II diabetics visiting a tertiary level hospital. Settings and Design: This was a prospective study in a tertiary care teaching hospital. Methods and Material: This was a questionnaire based study on 350 type II diabetics. All patients were interviewed by the same investigator. Statistical analysis used: The data was analysed using chi square test. Results: With increase in the duration of illness, the awareness about diabetic retinopathy is more. Even though the awareness of the disease increased with increasing duration of the disease, 51.4% of the diabetics did not know how diabetes can affect the eye, 49.7% of diabetics did not know if diabetic retinopathy can be treated and 67.4% had not heard of any treatment modality for diabetic retinopathy. This shows that lack of knowledge about the disease was significant. Conclusions: Prevention of non-communicable disease through increased awareness needs to be the thrust of the effort in resource poor contexts, where the treatment can be prohibitively costly. These measures would help to bring about more awareness and understanding about the disease among the patients and therefore prevent sight-threatening complications by timely intervention and management.

  7. Dental anxiety among children of age between 5 to 10 years visiting a teaching dental hospital Islamabad, Pakistan

    International Nuclear Information System (INIS)

    Background: The assessment of dental anxiety among children will aid in dealing with management issues related to dental treatment. There is no study available from Pakistan on dental anxiety in children. The aim of this study was to assess the prevalence of dental anxiety in children attending a teaching dental hospital in Islamabad, Pakistan. Method: A cross-sectional study was conducted on 252 children aged between 5-10 years attending a dental clinic in a dental hospital in Islamabad, Pakistan. Dental anxiety was assessed by using the Faces Version of the Modified Child Dental Anxiety Scale. This scale uses faces as pictograms to indicate the levels of dental anxiety making it easier for children to answer the questionnaire. Results: A total of 252 children were observed for assessment of dental anxiety having mean age of 7.88±1.55 years with 123 (48.8 percentage) males and 129 (51.2 percentage) females. Out of these children 150 (59.5 percentage) had previously visited a dentist and 102 (40.5 percentage) had no experience with a dentist before; 38 percentage (95/252) of children had moderate and severe dental anxiety. Dental anxiety decreased significantly with age (p=0.0003). The difference in anxiety levels was not statistically significant between males and females and in different socio-economic status. Conclusion: This study has highlighted dental anxiety as a potential public health concern regarding children in Pakistan. Assessment of dental anxiety is a useful way to identify anxious dental patients. (author)

  8. Level of awareness about legalization of abortion in Nepal: a study at Nepal Medical College Teaching Hospital.

    Science.gov (United States)

    Tuladhar, H; Risal, A

    2010-06-01

    World Health Organization (WHO) estimates that about 25.0% of all pregnancies worldwide end in induced abortion, approximately 50 million each year. More than half of these abortions are performed under unsafe conditions resulting in high maternal mortality ratio specially in developing countries like Nepal. Abortion was legalized under specified conditions in March 2002 in Nepal. But still a large proportion of population are unaware of the legalization and the conditions under which it is permitted. Legal reform alone cannot reduce abortion related deaths in our country. This study was undertaken with the main objective to study the level of awareness about legalization of abortion in women attending gyne out patients department of Nepal Medical College Teaching Hospital (NMCTH), which will give a baseline knowledge for further dissemination and advocacy about abortion law. Total 200 women participated in the study. Overall 133 (66.5%) women said they were aware of legalization of abortion in Nepal. Women of age group 20-34 years, urban residents, service holders, Brahmin/Chhetri caste and with higher education were more aware about it. Majority (92.0%) of the women received information from the media. Detail knowledge about legal conditions under which abortion can be performed specially in second trimester was found to be poor. Large proportion (71.0%) of the women were still unaware of the availability of comprehensive abortion care services at our hospital, which is being provided since last seven years. Public education and advocacy campaigns are crucial to create awareness about the new legislation and availability of services. Unless the advocacy and awareness campaign reaches women, they are not likely to benefit from the legal reform and services.

  9. Medication Errors in an Internal Intensive Care Unit of a Large Teaching Hospital: A Direct Observation Study

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    Saadat Delfani

    2012-06-01

    Full Text Available Medication errors account for about 78% of serious medical errors in intensive care unit (ICU. So far no study has been performed in Iran to evaluate all type of possible medication errors in ICU. Therefore the objective of this study was to reveal the frequency, type and consequences of all type of errors in an ICU of a large teaching hospital. The prospective observational study was conducted in an 11 bed internal ICU of a university hospital in Shiraz. In each shift all processes that were performed on one selected patient was observed and recorded by a trained pharmacist. Observer would intervene only if medication error would cause substantial harm. The data was evaluated and then were entered in a form that was designed for this purpose. The study continued for 38 shifts. During this period, a total of 442 errors per 5785 opportunities for errors (7.6% occurred. Of those, there were 9.8% administration errors, 6.8% prescribing errors, 3.3% transcription errors and, 2.3% dispensing errors. Totally 45 interventions were made, 40% of interventions result in the correction of errors. The most common causes of errors were observed to be: rule violations, slip and memory lapses and lack of drug knowledge. According to our results, the rate of errors is alarming and requires implementation of a serious solution. Since our system lacks a well-organize detection and reporting mechanism, there is no means for preventing errors in the first place. Hence, as the first step we must implement a system where errors are routinely detected and reported.

  10. Zinc phosphide toxicities among patients of the University of Benin Teaching Hospital, Benin city, Nigeria: A 10 year experience

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    S E Aghahowa

    2012-01-01

    Full Text Available Background: Due to the poor success rate associated with zinc phosphide ingestion, it became necessary to assess the incidence. Objective: To assess the incidence of zinc phosphide toxicities reported between June 2000 and June 2009 in the University of Benin Teaching Hospital, Benin City, Nigeria. Material and Method : Data were sourced from the archives of casualties of zinc phosphide poisoning. These were entered into a generated case data form after obtaining an ethical permission. Results: All the ages of the 23 casualties reported were within 37.74±13.20 years. The male-female ratio was 4.75:1. Nineteen [78.26%] died after reporting 13.52±11.34 hours following single ingestion. Twenty cases were due to suicidal tendencies; the most common reason given was because of frustration in life related to marital affairs. Among the three unintentional, two were accidental while the other was due to assassination. Postmortem was refused in all the patients that died. One attempted herbal medication. Oil and milk were the most frequent solvents used at home as first-aid care therapy. Three were unintentional. Nine came with empty sachets and containers brought by relatives. Sodium chloride intravenous infusion was the most frequently used. Duration of hospitalization was 13.38±15.60 hours. Intravenous ciprofloxacin and metronidazole were the most common antibiotics used. Oxygen was instituted in 78.26% of the victims during respiratory distress. One ate meal prepared from poisoned rodent and died after reporting. One had alcohol along with the Zinc Phosphide ingestion. Nine were reported at the drug and poison information centre. Conclusion: Attention is needed by all for proper regulation in the handling of poisons and related substances to reduce burden minimally.

  11. Perception and preferences of teaching and learning methods among second year medical students: a cross sectional survey in a rural tertiary care teaching hospital

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    Manu G

    2016-06-01

    Conclusions: Chalk and board teaching remains the best preferred teaching aid which can be supplemented with PPT and OHP to improve medical teaching. Small group discussion is the most preferred learning method when compared with tutorial, student's seminar and lectures indicating that students are more interested in active teaching and learning methods. [Int J Basic Clin Pharmacol 2016; 5(3.000: 1006-1010

  12. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP

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    Afroz Abidi

    2012-06-01

    Full Text Available Background: In India, a proper reporting of medication errors in the hospital is not available. Drugs worth crores of rupee are consumed every year but a substantial part of these drugs are irrationally prescribed. In order to promote rational drug usage standard policies on use of drugs must be set, and this can be done only after the current prescription practices have been audited. The prescriptions were analyzed based on the objectives of the study in order to promote rational use of drugs in a population. Methods: The study was carried out prospectively over a period of two months and 15 days in general medicine OPD of our tertiary care hospital. A specially designed performa was used with pre-inserted carbons. Results: Two hundred and thirty seven prescriptions were analyzed. Total no. of drugs in 237 prescriptions were 1001. Therefore average number of drugs/prescription is 4.22. Drugs were prescribed by generic names in 3.79% of cases, drugs on EDL are only 53.25% and fixed dose combinations are 26.87% of total drugs. Dosage forms used were mostly oral -93.51%. Injectables were only 6.19% and topical forms were least 0.299%. Doctors profile indicates that maximum number i.e. 93.67% were general practitioners. Basic information of patient was written in 72.57% prescriptions. Complete diagnoses were written in 70.04% prescriptions. Only 88.61% prescriptions were legible and only 76.79% prescriptions were complete in terms of dose, route, strength, frequency and dosage forms. Disease pattern seen was variable. Diseases of respiratory system were maximum 44.72 % followed by infectious and parasitic diseases - 16.03 % and diseases of digestive system - 13.92 %. The most common drug groups prescribed were NSAIDs± serratiopeptidases, antibiotics, antihistaminics, multivitamins, minerals, enzymes and expectorants & bronchodilators. The incidence of polypharmacy was also common with maximum number of drugs which were prescribed per prescription