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Sample records for bugabo ward kagera

  1. Ethnomedicine of the Kagera Region, north western Tanzania. Part 2: The medicinal plants used in Katoro Ward, Bukoba District

    Directory of Open Access Journals (Sweden)

    Mbabazi Pamela K

    2010-07-01

    Full Text Available Abstract Background The Kagera region of north western Tanzania has a rich culture of traditional medicine use and practices. The dynamic inter-ethnic interactions of different people from the surrounding countries constitute a rich reservoir of herbal based healing practices. This study, the second on an ongoing series, reports on the medicinal plant species used in Katoro ward, Bukoba District, and tries to use the literature to establish proof of the therapeutic claims. Methodology Ethnomedical information was collected using Semi-structured interviews in Kyamlaile and Kashaba villages of Katoro, and in roadside bushes on the way from Katoro to Bukoba through Kyaka. Data collected included the common/local names of the plants, parts used, the diseases treated, methods of preparation, dosage, frequency and duration of treatments. Information on toxicity and antidote were also collected. Literature was consulted to get corroborative information on similar ethnomedical claims and proven biological activities of the plants. Results Thirty three (33 plant species for treatement of 13 different disease categories were documented. The most frequently treated diseases were those categorized as specific diseases/conditions (23.8% of all remedies while eye diseases were the least treated using medicinal plants (1.5% of all remedies. Literature reports support 47% of the claims including proven anti-malarial, anti-microbial and anti-inflammatory activity or similar ethnomedical uses. Leaves were the most frequently used plant part (20 species followed by roots (13 species while making of decoctions, pounding, squeezing, making infusions, burning and grinding to powder were the most common methods used to prepare a majority of the therapies. Conclusion Therapeutic claims made on plants used in traditional medicine in Katoro ward of Bukoba district are well supported by literature, with 47% of the claims having already been reported. This study further

  2. Status of water hyacinth infestation and control in River Kagera

    OpenAIRE

    Twongo, T.; Katagira, F.F.; Ochiel, G.R.S.; Wadd, B.N.K.

    2002-01-01

    During a regional workshop held in Mukono, Uganda (May 2001) by scientists and technocrats from Kenya, Tanzania and Uganda, working on water hyacinth management under the Lake Victoria Environmental Management Project (LVEMP), it was resolved that a survey of River Kagera be made to study the status of water hyacinth infestation and biological control in the river. Reports at the Mukono Workshop indicated that although Tanzania and Uganda had made serious effort to introduced biological co...

  3. Ethnomedicine of the Kagera Region, north western Tanzania. Part 3: plants used in traditional medicine in Kikuku village, Muleba District

    OpenAIRE

    Moshi Mainen J; Otieno Donald F; Weisheit Anke

    2012-01-01

    Abstract Background The Kagera region of north western Tanzania has a rich culture of traditional medicine use and practice. Traditional medicines are the mainstay of healthcare in this region and are known to support the management of many illnesses such as malaria, bacterial infections, epilepsy, gynecological problems and others. However, most of the plants being used have either not been documented or evaluated for safety and efficacy or both. This study, the sixth of an ongoing series, r...

  4. Impact of ALSO training on the management of prolonged labor and neonatal care at Kagera Regional Hospital, Tanzania

    DEFF Research Database (Denmark)

    Sorensen, Bjarke Lund; Rasch, Vibeke; Massawe, Siriel;

    2010-01-01

    OBJECTIVE: To evaluate the management of prolonged labor and neonatal care before and after Advanced Life Support in Obstetrics (ALSO) training. METHODS: Staff involved in childbirth at Kagera Regional Hospital, Tanzania, attended a 2-day ALSO provider course. In this prospective intervention study...... conducted between July and November 2008, the management and outcomes of 558 deliveries before and 550 after the training were observed. RESULTS: There was no significant difference in the rate of cesarean deliveries owing to prolonged labor, and vacuum delivery was not practiced after the intervention...... 5.6% to 71.5% (RR 12.71; 95% CI, 9.04-17.88). There was a significant decrease from 6 to 0 neonatal deaths before discharge among those born with an Apgar score after 1minute of 4 or more (P=0.03). CONCLUSION: ALSO training had no effect on the management of prolonged labor. Early contact between...

  5. The rise and fall of water hyacinth in Lake Victoria and the Kagera River basin, 1989-2001

    Science.gov (United States)

    Albright, T.P.; Moorhouse, T.G.; McNabb, T.J.

    2004-01-01

    Water hyacinth (Eichhornia crassipes (Mart.) Solms) is an invasive aquatic macrophyte associated with major negative economic and ecological impacts to the Lake Victoria region since the plant's establishment in Uganda in the 1980s. Reliable estimates of water hyacinth distribution and extent are required to gauge the severity of the problem through time, relate water hyacinth abundance to environmental factors, identify areas requiring management action, and assess the efficacy of management actions. To provide such estimates and demonstrate the utility of remote sensing for this application, we processed and analyzed remotely sensed imagery to determine the distribution and extent of water hyacinth. Maps were produced and coverage was quantified using a hybrid unsupervised image classification approach with manual editing for each of the riparian countries of Kenya, Tanzania, and Uganda, as well as for numerous gulfs and bays. A similar procedure was carried out for selected lakes in the Rwanda-Tanzania borderlands lakes region in the Kagera River basin. Results confirm the severity of the water hyacinth infestation, especially in the northern parts of the lake. A maximum lake-wide extent of at least 17,374 ha was attained in 1998. Following this, a combination of factors, including conditions associated with the 1997 to 1998 El Nin??o and biocontrol with water hyacinth weevils, appear to have contributed to a major decline in water hyacinth in the most affected parts of the lake. Some lakes in the Kagera basin, such as Lake Mihindi, Rwanda, were severely infested in the late 1990s, but the level of infestation in most of these decreased markedly by the early 2000s.

  6. Lattice supersymmetric ward identities

    International Nuclear Information System (INIS)

    SUSY Ward identities for the N=1 SU(2) SUSY Yang-Mills theory are studied on the lattice in a non-perturbative numerical approach. As a result a determination of the subtracted gluino mass is obtained

  7. A memorable ward round

    Institute of Scientific and Technical Information of China (English)

    Douglas Seaton

    2009-01-01

    @@ Some 25 years ago, I was a young consultant physician about to start an early morning ward round with my usual team of registrar,senior house officer, and preregistration house physician. All started according to plan except that the SHO was absent. I knew her to be diligent, so I assumed she had probably been distracted by some other pressing call of duty. By the time we had progressed to our third patient, however, I was starting to feel uneasy about her continued absence. Suddenly it came to me: a colleague had mentioned that she was using a novel device to infuse insulin continuously-she was diabetic. We broke off the round and conferred in the ward sister'a office. We knew that our SHO lived with her husband out of town and that he was also a junior doctor, but at another large hospital about 50 miles away.

  8. Splitting Ward identity

    Energy Technology Data Exchange (ETDEWEB)

    Safari, Mahmoud [Institute for Research in Fundamental Sciences (IPM), School of Particles and Accelerators, P.O. Box 19395-5531, Tehran (Iran, Islamic Republic of)

    2016-04-15

    Within the background-field framework we present a path integral derivation of the splitting Ward identity for the one-particle irreducible effective action in the presence of an infrared regulator, and make connection with earlier works on the subject. The approach is general in the sense that it does not rely on how the splitting is performed. This identity is then used to address the problem of background dependence of the effective action at an arbitrary energy scale. We next introduce the modified master equation and emphasize its role in constraining the effective action. Finally, application to general gauge theories within the geometric approach is discussed. (orig.)

  9. A study into ward traffic

    Directory of Open Access Journals (Sweden)

    P. Hardcatle

    1982-09-01

    Full Text Available The study was undertaken in 1980 and was prompted by a need to highlight some of the problems associated with the ward milieu, both for patient care and for nurse teaching. Being associated at that time with the clinical teaching department the author was very interested in looking into the amount of traffic entering the ward area. It seemed that the ward sister had a very difficult task in providing a therapeutic environment for her patients, and that patient care was always being criticised with little thought to what was actually occurring in the ward.

  10. Superconformal Ward identities and the supertorus

    International Nuclear Information System (INIS)

    We derive superconformal Ward identities in the context of superspace supergravity. From these Ward identities we extract operator product expansions and the case of a supertorus is studied in some detail. (orig.)

  11. Light atmosphere in hospital wards

    DEFF Research Database (Denmark)

    Stidsen, Lone Mandrup

    Sociocultural aspects of light are important for the user experience of the atmosphere in a ward. According to the Danish Regulation for light in hospitals (DS703, 1983), a home-like feeling is required to support the patients, as they needa pleasant environment for their recovery. The term ‘Light...... Atmosphere’ is explored using methods in the practice of lighting design where qualitative and quantitative methods are used to qualify important aspects of a lighting design. Measurable parameters such as the amount of Lux, composition of CRI and degree of Kelvin is well described so the designer can handle...... Atmosphere' is the focal point developed through the study. Primarily, the model frames the study and serves as a design tool for creating the light atmosphere in hospital wards. First, brain storming is used to open up the field supported by theoretical aspects based on Gernot Böhmes' concept of atmosphere...

  12. Anatomy of the ward round.

    LENUS (Irish Health Repository)

    O'Hare, James A

    2008-07-01

    The ward round has been a central activity of hospital life for hundreds of years. It is hardly mentioned in textbooks. The ward round is a parade through the hospital of professionals where most decision making concerning patient care is made. However the traditional format may be intimidating for patients and inadequate for communication. The round provides an opportunity for the multi-disciplinary team to listen to the patient\\'s narrative and jointly interpret his concerns. From this unfolds diagnosis, management plans, prognosis formation and the opportunity to explore social, psychological, rehabilitation and placement issues. Physical examination of the patient at the bedside still remains important. It has been a tradition to discuss the patient at the bedside but sensitive matters especially of uncertainty may better be discussed elsewhere. The senior doctor as round leader must seek the input of nursing whose observations may be under-appreciated due to traditional professional hierarchy. Reductions in the working hours of junior doctors and shortened length of stay have reduced continuity of patient care. This increases the importance of senior staff in ensuring continuity of care and the need for the joint round as the focus of optimal decision making. The traditional round incorporates teaching but patient\\'s right to privacy and their preferences must be respected. The quality and form of the clinical note is underreported but the electronic record is slow to being accepted. The traditional multi-disciplinary round is disappearing in some centres. This may be regrettable. The anatomy and optimal functioning of the ward round deserves scientific scrutiny and experimentation.

  13. Ward Identities for Hall Transport

    CERN Document Server

    Hoyos, Carlos; Oz, Yaron

    2014-01-01

    We derive quantum field theory Ward identities based on linear area preserving and conformal transformations in 2+1 dimensions. The identities relate Hall viscosities, Hall conductivities and the angular momentum. They apply both for relativistic and non relativistic systems, at zero and at finite temperature. We consider systems with or without translation invariance, and introduce an external magnetic field and viscous drag terms. A special case of the identities yields the well known relation between the Hall conductivity and half the angular momentum density.

  14. Ken Kimes & Sandra Ward: New Natives Farm

    OpenAIRE

    Farmer, Ellen

    2010-01-01

    Both Ken Kimes and Sandra Ward grew up in Southern California. They met in the Los Angeles area, but moved to Santa Cruz in 1980. Together they founded New Natives Farm, a greenhouse-based farm certified by California Certified Organic Farmers in 1983, and located in Corralitos, California. There they tend organic sprouts, including alfalfa, wheat grass, pea shoots, sunflower sprouts, broccoli, and beans. In addition to managing their farm full time, Kimes and Ward are both outspoken activist...

  15. Anomalous N=2 superconformal Ward identities

    International Nuclear Information System (INIS)

    The N=2 superconformal Ward identities and their anomalies are discussed in N=2 superspace (including N=2 harmonic superspace), at the level of the low-energy effective action (LEEA) in four-dimensional N=2 supersymmetric field theories. The (first) chiral N=2 supergravity compensator is related to the known N=2 anomalous Ward identity in the N=2 (abelian) vector mulitplet sector. As regards the hypermultiplet LEEA given by the N=2 non-linear sigma-model (NLSM), a new anomalous N=2 superconformal Ward identity is found, whose existence is related to the (second) analytic compensator in N=2 supergravity. The celebrated solution of Seiberg and Witten is known to obey the (first) anomalous Ward identity in the Coulomb branch. We find a few solutions to the new anomalous Ward identity, after making certain assumptions about unbroken internal symmetries. Amongst the N=2 NLSM target space metrics governing the hypermultiplet LEEA are the SU(2)-Yang-Mills-Higgs monopole moduli-space metrics that can be encoded in terms of the spectral curves (Riemann surfaces), similarly to the Seiberg-Witten-type solutions. After a dimensional reduction to three spacetime dimensions (3d), our results support the mirror symmetry between the Coulomb and Higgs branches in 3d, N=4 gauge theories

  16. Dispersion approach to Ward-Takahashi identities

    International Nuclear Information System (INIS)

    This is a brief summary of a series of papers on the derivation of various Ward-Takahashi identities. The conventional field theoretical calculations often lead to ambiguities and also miss anomalies. The S matrix theory is free from these objections. But there is not a complete set of dispersion relations so that the theory represents an approximate dynamical scheme. This approach is standing midway. It is based on unitarity and dispersion relations. The object is the complete collection of Green's functions for which there is a complete set of dispersion relations. This provides a convenient basis for deriving various Ward-Takahashi identities unambiguously. (BMS)

  17. Ward identities of higher order Virasoro algebra

    International Nuclear Information System (INIS)

    The general formulations of primary fields versus quasi-primary ones in the context of high order Virasoro algebra (HOVA) and the corresponding Ward identity are explored. The primary fields of conformal spins up to 8 are given in terms of quasi-primary fields, and the general features of the higher order expressions are also discussed. It is observed that the local fields, either primary of quasi-primary, carry the same numbers of central charges, and not all the primary fields contribute to the anomalies in the Ward identities. (author). 6 refs

  18. Developing a general ward nursing dashboard.

    Science.gov (United States)

    Russell, Margot; Hogg, Maggie; Leach, Stuart; Penman, Mags; Friel, Susan

    2014-12-15

    The seventh and final article in the series on Leading Better Care explores some of the challenges in clinical practice relating to the use of data and making information meaningful to senior charge nurses and ward sisters. It describes the collaborative approach taken by NHS Lanarkshire, which involved nursing staff, programme leads and the eHealth team in the development of a general ward nursing dashboard as a means of ensuring safe, effective person-centred care. The article also illustrates how this web-based data-reporting programme is used to support clinical practice. PMID:25492791

  19. Geometrical formulation of the conformal Ward identity

    International Nuclear Information System (INIS)

    In this paper we use deep ideas in complex geometry that proved to be very powerful in unveiling the Polyakov measure on the moduli space of Riemann surfaces and lead to obtain the partition function of perturbative string theory for 2, 3, 4 loops. Indeed, a geometrical interpretation of the conformal Ward identity in two dimensional conformal field theory is proposed: the conformal anomaly is interpreted as a deformation of the complex structure of the basic Riemann surface. This point of view is in line with the modern trend of geometric quantizations that are based on deformations of classical structures. Then, we solve the conformal Ward identity by using this geometrical formalism. (author)

  20. "Ward v. Wilbanks": Counselor Educators Respond

    Science.gov (United States)

    Burkholder, David; Hall, Stephanie F.; Burkholder, Jessica

    2014-01-01

    This article investigated 71 counselor educators' perspectives and pedagogical practices related to "Ward v. Wilbanks" (2009) and the American Counseling Association (ACA) response to the case. The authors used qualitative content analysis to identify 6 themes from survey data: (a) views on gatekeeping and student training; (b)…

  1. A Note on Ward's Chiral Model

    OpenAIRE

    Ioannidou, Theodora; Zakrzewski, Wojtek

    1998-01-01

    A one parameter generalization of Ward's chiral model in 2+1 dimensions is given. Like the original model the present one is integrable and possesses a positive-definite and conserved energy and $y$-momentum. The details of the scattering depend on the value of the parameter of the generalisation.

  2. Solutions of ward's modified chiral model

    International Nuclear Information System (INIS)

    We discuss the adaptation of Uhlenbeck's method of solving the chiral model in 2 Euclidean dimensions to Ward's modified chiral model in (2+1) dimensions. We show that the method reduces the problem of solving the second-order partial differential equations for the chiral field to solving a sequence of first-order partial differential equations for time dependent projector valued fields

  3. Occupational Therapy and Multidisciplinary Working on Acute Psychiatric Wards: The Tompkins Acute Ward Study

    OpenAIRE

    Simpson, A.; Bowers, L.; J. Alexander; Ridley, C.; Warren, J.

    2005-01-01

    There is limited research into occupational therapy and interprofessional working on acute psychiatric wards. This study aimed to explore relations between occupational therapists and other members of the multidisciplinary team through structured interviews with 47 staff on 14 acute psychiatric wards. The study found that occupational therapists provided assessments, group activities and individual therapeutic work, with the assessment and development of activities of daily living being c...

  4. The supersymmetric Ward identities on the lattice

    International Nuclear Information System (INIS)

    Supersymmetric (SUSY) Ward identities are considered for the N=1 SU(2) SUSY Yang Mills theory discretized on the lattice with Wilson fermions (gluinos). They are used in order to compute non-perturbatively a subtracted gluino mass and the mixing coefficient of the SUSY current. The computations were performed at gauge coupling β=2.3 and hopping parameter κ=0.1925, 0.194, 0.1955 using the two-step multi-bosonic dynamical-fermion algorithm. Our results are consistent with a scenario where the Ward identities are satisfied up to O(a) effects. The vanishing of the gluino mass occurs at a value of the hopping parameter which is not fully consistent with the estimate based on the chiral phase transition. This suggests that, although SUSY restoration appears to occur close to the continuum limit of the lattice theory, the results are still affected by significant systematic effects. (orig.)

  5. Patients Light Preferences in Hospital Wards

    DEFF Research Database (Denmark)

    Stidsen, Lone; Bjerrum, H. S.; Kirkegaard, Poul Henning; Thuesen, Niels; Fisker, Anna Marie

    When designing Danish hospitals in the future, patients, staff and guests are in focus and it is especially important to design an environment with knowledge of users sensory and functionally needs. Likewise, focus should be on how hospital wards can support patients’ experiences or maybe even how...... it can have a positive influence on the recovery process. The present paper introduces the human perspective and the Danish cultural approach in illuminating homes and how it can contribute to innovative lighting design at hospitals. The importance of having a holistic approach to lighting design is...... introduced based on the theory by Gernot Böhmes i.e. “concept of atmosphere” dealing with the effect of experiencing atmosphere. The aim of this study for design of a lighting concept for wards is to get qualified information on patients light preferences for light atmosphere by studying the everyday use of...

  6. Implementing lean in a surgical ward

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Jacobsen, Peter

    be analyzed and discussed using a number of different theoretical perspectives from, e.g., organization theory, lean and manufacturing management. The paper will conclude by outlining a number of recommendations for the successful implementation of lean in the health care sector.......Using the well-known principles from lean management in an orthopedic surgical ward at a major Danish hospital reorganized their work-flow and processes. The ward has ten operating rooms and performs the complete range of the orthopedic procedures ranging from patients that need simple standard...... procedures to patients in need of complex emergency procedures. The primary result of the lean project has been to split the flow of patients in two. The first flow is concerned with highly standardized and non-emergency procedures, e.g. minor knee surgery. These surgeries are routine, predictable and can be...

  7. Improving fluid balance monitoring on the wards

    OpenAIRE

    Jeyapala, Sobanakumari; Gerth, Alice; Patel, Aarti; Syed, Nazia

    2015-01-01

    Clinical experience and nursing metrics have consistently identified poor documentation of fluid balance monitoring at Milton Keynes University Hospital, compromising patient safety and quality of care. This project aimed to increase the percentage of fluid balance charts correctly completed on the wards. Three areas for improvement were identified: understanding the importance of good fluid balance monitoring, correct identification of patients requiring monitoring, and ease of completion of...

  8. [Comment on “Ward Off?”] More on Ward Valley

    Science.gov (United States)

    Powers, Dennis W.

    The May 23rd Eos “In Brief” could have been considerably more informative about Ward Valley and the work of the NAS panel in reviewing issues raised about the proposed site. The article should have included more comprehensive discussion by the scientific participants who reviewed the technical issues involved. In addition, the article raised two very different subjects—safety issues at Ward Valley and alleged bias of NAS panels—but did not separate the subjects well. Readers may not have distinguished between the Ward Valley panel and the NAS Board on Radioactive Waste Management in the question of bias. In addition, the nature of the reported-on attacks on scientific and personal integrity of the scientists may well discourage qualified but thinner-skinned geoscientists from public service on panels.

  9. Developing a ward round checklist to improve patient safety

    OpenAIRE

    Hale, Gordon; McNab, Duncan

    2015-01-01

    Checklists have been shown to improve care and reduce morbidity and mortality in the healthcare setting.[1] Their application in safety-critical industries outside of medicine continues to offer a strong argument for their application to medicine.[2] The daily in-patient medical ward round is a complex process and includes multiple potential risks to patient safety. This project aims to evaluate the effectiveness of a ward round review checklist on one general medical ward in a district gener...

  10. Ideal ward round making in neurosurgical practice.

    Directory of Open Access Journals (Sweden)

    Pathak A

    2000-07-01

    Full Text Available The success of a perfect ward round lies in the role of the consultant leading the ′round making group′ (RMG as well as the hallmark of effective questioning and participation of each member. Twelve senior consultants with more than 10 years′ experience in neurosurgical practice at three different university hospitals were observed during round making by a participant observer. Observations were made on the group climate of the RMG, the leadership pattern and language expressed by the clinician conducting the round and the effectiveness in his performance as a leader during clinical discussions. The group climate showed evidence of good productivity and flexibility with 92% and 75% consultants, pleasantness of climate was above average with only 50% (6/12 and poor objectivity with 42% (5/12 consultants. Forty two percent of the consultants were not always very well comprehensible, while only 50% (6/12 spoke exactly fitting the occasion. Only 33% (4/12 of the consultants used humour effectively, while 42% (5/12 spoke unnecessarily in between discussion and were poor in introducing the problems of patient to the round making group. Ward round making in neurosurgical practice needs a holistic approach with motivation, planning, leadership skills and structured curriculum to fulfill its objectives.

  11. Ward rounds, participants, roles and perceptions: literature review.

    Science.gov (United States)

    Walton, Victoria; Hogden, Anne; Johnson, Julie; Greenfield, David

    2016-05-01

    Purpose - The purpose of this paper is to classify and describe the purpose of ward rounds, who attends each round and their role, and participants' perception of each other's role during the respective ward rounds. Design/methodology/approach - A literature review of face-to-face ward rounds in medical wards was conducted. Peer reviewed journals and government publications published between 2000 and 2014 were searched. Articles were classified according to the type of round described in the study. Purposes were identified using keywords in the description of why the round was carried out. Descriptions of tasks and interactions with team members defined participant roles. Findings - Eight round classifications were identified. The most common were the generalised ward; multidisciplinary; and consultant rounds. Multidisciplinary rounds were the most collaborative round. Medical officers were the most likely discipline to attend any round. There was limited reference to allied health clinicians and patient involvement on rounds. Perceptions attendees held of each other reiterated the need to continue to investigate teamwork. Practical implications - A collaborative approach to care planning can occur by ensuring clinicians and patients are aware of different ward round processes and their role in them. Originality/value - Analysis fulfils a gap in the literature by identifying and analysing the different ward rounds being undertaken in acute medical wards. It identifies the complexities in the long established routine hospital processes of the ward round. PMID:27142947

  12. Radiation shielding of 131I therapeutic ward in department

    International Nuclear Information System (INIS)

    Objective: To rebuild an 131I therapeutic ward of the department of nuclear medicine in the hospital, and design the radiation shielding to make the radiation safety achieve the national standards. Methods: According to the protection demands of national relating standards, the design of the ward was based on the basic principles and methods of radiation shielding of 131I, and combined the distribution of radioactive sources, rooms and people. Results: The design parameters and radioprotection data of the rebuilt ward were obtained and the radiation shielding was safe by monitoring. Conclusion: The design of the 131I therapeutic ward achieved the anticipated target that the radiation safety could be controlled. (authors)

  13. Effective sigma models and lattice Ward identities

    International Nuclear Information System (INIS)

    We perform a lattice analysis of the Faddeev-Niemi effective action conjectured to describe the low-energy sector of SU(2) Yang-Mills theory. To this end we generate a particular ensemble of unit vector fields ('color spins') n from the Wilson action. The ensemble does not show long-range order but exhibits a mass gap of the order of 1 GeV. From the distribution of color spins we reconstruct approximate effective actions by means of exact lattice Schwinger-Dyson and Ward identities ('inverse Monte Carlo'). We show that the particular ensemble generated cannot be recovered from a Faddeev-Niemi action, modified in a minimal way by adding an explicit symmetry-breaking term to avoid the appearance of Goldstone modes. (author)

  14. Nurse rostering at a Danish ward

    DEFF Research Database (Denmark)

    Bæklund, Jonas

    2014-01-01

    This paper considers a nurse rostering problem from a ward at a Danish hospital.  The problem is highly constrained and comprises a large set of different constraints. A branch-and-price method for solving the problem exactly is proposed. The master problem is to assign schedules to the nurses, and...... its linear relaxation is solved by means of column generation. The pricing sub-problem is to generate feasible schedules for the nurses and -- as a couple of different constraints including several special Danish regulations have to be observed -- is solved by constraint programming. A number of...... specific algorithms for handling these constraints are proposed. The method is very flexible regarding the rules a schedule should comply with, which is a key concern when creating solution methods for nurse rostering problems.  Computational tests show that optimal solutions can be found for instances...

  15. Superconformal Ward identities and their solution

    International Nuclear Information System (INIS)

    Superconformal Ward identities are derived for the four point functions of chiral primary BPS operators for N=2,4 superconformal symmetry in four dimensions. Manipulations of arbitrary tensorial fields are simplified by introducing a null vector so that the four point functions depend on two internal R-symmetry invariants as well as two conformal invariants. The solutions of these identities are interpreted in terms of the operator product expansion and are shown to accommodate long supermultiplets with free scale dimensions and also short and semi-short multiplets with protected dimensions. The decomposition into R-symmetry representations is achieved by an expansion in terms of two variable harmonic polynomials which can be expressed also in terms of Legendre polynomials. Crossing symmetry conditions on the four point functions are also discussed

  16. Noise Pollution in Intensive Care Units and Emergency Wards

    Directory of Open Access Journals (Sweden)

    Gholamreza Khademi

    2011-03-01

    Conclusion:  The average levels of noise in intensive care units and also emergency wards were  more than the standard levels and as it is known these wards have vital roles in treatment procedures, so more attention is needed in this area.

  17. Prophylactic antimicrobial practice in the Orthopaedic wards of RIPAS Hospital.

    OpenAIRE

    Lah Kheng CHUA

    2012-01-01

    Introduction: Surgical site infections (SSI) are common healthcare associated infections (HAI) that is associated with increased morbidity and cost. Antimicrobial prophylaxis is effective when used appropriately. This study assesses the prophylactic antimicrobial prescribing and practice in the orthopaedic wards based on the Scottish Intercollegiate Guidelines Network (SIGN) guideline on antibiotic prophylaxis in surgery. Materials and Methods: Patients admitted to the Orthopaedics wards over...

  18. 34 CFR 300.45 - Ward of the State.

    Science.gov (United States)

    2010-07-01

    ... child resides, is— (1) A foster child; (2) A ward of the State; or (3) In the custody of a public child welfare agency. (b) Exception. Ward of the State does not include a foster child who has a foster parent who meets the definition of a parent in § 300.30. (Authority: 20 U.S.C. 1401(36))...

  19. Air monitoring in radioiodine therapy ward

    International Nuclear Information System (INIS)

    Full text: In Radioiodine therapy wards, in general the radiation exposure due to air borne activity from patients administered with 925MBq-7.4GBq (25-200mCi) of 131I has to be kept under regulatory limits. The purpose of conducting an air monitoring in our setup was to assess air borne activity levels. If the levels are high then it may lead to increased exposure to the occupational workers and patient's attendants. A total of 22.2GBq (600 mCi) 131I is administered every week to our patients in the isolation ward. After administered of 131I in the dose administration room, patients occupy their respective beds. The isolation beds are provided with attached toilet facility. Six air samples were collected from various regions (high dose room, low dose room, dose administration room, special room, corridor and entrance) in the vacuumized vials (9 ml) using 16 G needle at the breathing zone level. One control sample was also collected from the area with no possible 131I air-contamination. The vials were then counted in the pre-calibrated NaI well counter (known efficiency). The maximum air borne radioiodine concentration was found to be 1.999x10-6 ?Ci/cm3 in the high dose room (which keeps on decreasing with time, being maximum on second day and zero on third and subsequent days). We measured the thyroid counts of the staff and patient's attendants, routinely. The estimated thyroid activity never showed any significant increase in the thyroid uptake of the staff and patient's attendants. In our setup, air monitoring is strictly followed and performed periodically. We conclude that air monitoring program is only one element of the comprehensive radiation protection program and should be a made mandatory practice. (author)

  20. Middle-Age Fitness Helps Ward Off Stroke Later

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_159287.html Middle-Age Fitness Helps Ward Off Stroke Later Study finds this ... 2016 THURSDAY, June 9, 2016 (HealthDay News) -- Physical fitness in middle age may lower your risk of ...

  1. Middle-Age Fitness Helps Ward Off Stroke Later

    Science.gov (United States)

    ... gov/medlineplus/news/fullstory_159287.html Middle-Age Fitness Helps Ward Off Stroke Later Study finds this ... 2016 THURSDAY, June 9, 2016 (HealthDay News) -- Physical fitness in middle age may lower your risk of ...

  2. Ward identity and electrical conductivity in hot QED

    International Nuclear Information System (INIS)

    We study the Ward identity for the effective photon-electron vertex summing the ladder diagrams contributing to the electrical conductivity in hot QED at leading logarithmic order. It is shown that the Ward identity requires the inclusion of a new diagram in the integral equation for the vertex that has not been considered before. The real part of this diagram is subleading and therefore the final expressions for the electrical conductivity at leading logarithmic order are not affected. (author)

  3. Pharmacovigilance Among Surgeons and in Surgical Wards: Overlooked or Axiomatic?

    OpenAIRE

    Rodrigues, Gabriel Sunil; Khan, Sohil Ahmed

    2010-01-01

    To review the status of pharmacovigilance system among surgeons and in surgical wards with recommendations. Literature search using MEDLINE, cross-reference of published data and review of World Health Organization—Pharmacovigilance transcripts. Pharmacovigilance system is still in its infancy among surgeons and in surgical wards. No major studies have been published addressing this issue, till date. Surgeons are professionals least likely to report adverse drug reactions. Moreover widespread...

  4. Nurses' contradictory hygiene practices in an infection ward

    OpenAIRE

    Sellin, Kira; Rantanen, Sini

    2015-01-01

    Nurses’ contradictory hygiene practices in an infection ward The purpose of this study was to find out why there are contradictory hygiene practices in the field of nursing. The aim of this study was to create discussion and present the findings to the ward. The literature search conducted revealed that the major factors affecting contradictory hygiene practices are incidence of the bacteria, hygiene nurse, education and orientation, students, available equipment, hospital's budget, t...

  5. Design Proposal for Pleasurable Light Atmosphere in Hospital Wards

    DEFF Research Database (Denmark)

    Stidsen, Lone; Kirkegaard, Poul Henning; Fisker, Anna Marie;

    2010-01-01

    of staff and guests in the future hospital. This paper introduce the concept of atmosphere based on the theory of Gernot Böhmes and it is dealing with the effect of light in experiencing atmosphere, looking at the importance having a holistic approach to lighting design. The paper displays important design...... parameters for achieving pleasurable light atmosphere in hospital wards and outlines a specific design proposal for an experimental case study in a hospital ward....

  6. Noise Pollution in Intensive Care Units and Emergency Wards

    Directory of Open Access Journals (Sweden)

    Gholamreza Khademi

    2011-03-01

    Full Text Available Introduction: The improvement of technology has increased noise levels in hospital Wards to higher than international standard levels (35-45 dB. Higher noise levels than the maximum level result in patient’s instability and dissatisfaction. Moreover, it will have serious negative effects on the staff’s health and the quality of their services. The purpose of this survey is to analyze the level of noise in intensive care units and emergency wards of the Imam Reza Teaching Hospital, Mashhad. Procedure: This research was carried out in November 2009 during morning shifts between 7:30 to 12:00. Noise levels were measured 10 times at 30-minute intervals in the nursing stations of 10 wards of the emergency, the intensive care units, and the Nephrology and Kidney Transplant Departments of Imam Reza University Hospital, Mashhad. The noise level in the nursing stations was tested for both the maximum level (Lmax and the equalizing level (Leq. The research was based on the comparison of equalizing levels (Leq because maximum levels were unstable. Results: In our survey the average level (Leq in all wards was much higher than the standard level. The maximum level (Lmax in most wards was 85-86 dB and just in one measurement in the Internal ICU reached 94 dB. The average level of Leq in all wards was 60.2 dB. In emergency units, it was 62.2 dB, but it was not time related. The highest average level (Leq was measured at 11:30 AM and the peak was measured in the Nephrology nursing station. Conclusion:  The average levels of noise in intensive care units and also emergency wards were  more than the standard levels and as it is known these wards have vital roles in treatment procedures, so more attention is needed in this area.

  7. Malnutrition in Surgical Wards: A Plea for Concern

    OpenAIRE

    Offir Ben-Ishay; Haya Gertsenzon; Tanya Mashiach; Yoram Kluger; Irit Chermesh

    2011-01-01

    Background. Malnutrition in hospitalized patients is underdiagnosed, with 30 to 60% of patients admitted being malnourished. The objective of this study was to investigate the nutritional status of patients in a general surgery ward and to define the correlation between the risk of malnutrition and the hospital course and clinical outcome. Study design. The study group included 100 consecutive patients admitted to a general surgery ward who were ambulant and could undergo the Malnutrition...

  8. Correction to Ward et al. (2015).

    Science.gov (United States)

    Ward, Ryan D; Winiger, Vanessa; Higa, Kerin K; Kahn, Julia B; Kandel, Eric R; Balsam, Peter D; Simpson, Eleanor H

    2015-08-01

    Reports an error in "The impact of motivation on cognitive performance in an animal model of the negative and cognitive symptoms of schizophrenia" by Ryan D. Ward, Vanessa Winiger, Kerin K. Higa, Julia B. Kahn, Eric R. Kandel, Peter D. Balsam and Eleanor H. Simpson (Behavioral Neuroscience, 2015[Jun], Vol 129[3], 292-299). There is a text error in the 4th paragraph of the Discussion section. The explanation for the abbreviation OFC was incorrectly listed as occipitofrontal circumference. It should have been orbitofrontal cortex. (The following abstract of the original article appeared in record 2015-18639-001.) Interactions between motivation and cognition are implicated in producing functional impairments and poor quality of life in psychiatric patients. This interaction, however, is not well understood at either the behavioral or neural level. We developed a procedure for mice in which a cognitive measure, sustained attention, is modulated by a motivationally relevant signal that predicts reward probability on a trial-by-trial basis. Using this paradigm, we tested the interaction between motivation and cognition in mice that model the increased striatal D2 receptor activity observed in schizophrenia patients (D2R-OE mice). In control mice, attention was modulated by signaled-reward probability. In D2R-OE mice, however, attention was not modulated by reward-related cues. This impairment was not due to any global deficits in attention or maintenance of the trial-specific information in working memory. Turning off the transgene in D2R-OE mice rescued the motivational modulation of attention. These results indicate that deficits in motivation impair the ability to use reward-related cues to recruit attention and that improving motivation improves functional cognitive performance. These results further suggest that addressing motivational impairments in patients is critical to achieving substantive cognitive and functional gains. PMID:26214211

  9. Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses' caring ability

    Institute of Scientific and Technical Information of China (English)

    Jiao He; De-Ying Hu; Yi-Lan Liu; Li-Fen Wu; Lian Liu

    2016-01-01

    Objective: To understand the effect of humanistic nursing care model wards in Children Caring Ward School (CCWS) on the nurses' caring ability. Methods: Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory (CAI) before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses' caring ability. Results: The nurses' caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered (p Conclusions: The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

  10. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study

    OpenAIRE

    Bowers, L.; Allan, T; Simpson, A.; Nijman, H.; Warren, J.

    2007-01-01

    Background: Adverse incidents (violence, self-harm and absconding) can cause significant harm to patients and staff, are difficult to predict, and are driving an increase in security measures and defensive practice. Aims: To explore the relationship between adverse incidents on acute psychiatric wards, admissions and nursing workforce variables. Methods: A retrospective analysis of officially collected data covering a period of 30 months on 14 acute wards at three hospitals. This data...

  11. Generalized ward identities for non-local transformation

    International Nuclear Information System (INIS)

    Based on the phase-space generating functional of Green function for a system with a singular higher-order Lagrangian, the generalized canonical Ward identities under the local and non-local transformation in phase space for such a system have been derived. Starting from the configuration-space generating functional for a gauge-invariant system, the generalized Ward identities were deduced under the local, non-local and global transformation, respectively. The applications to the non-Abelian Chern-Simons theories with higher derivatives were given. Some relationships among the proper vertices have been deduced, in which one does not need to carry out the integration over canonical momenta in phase-space generating functional. The Ward-Takahashi identities for BRS transformation are also obtained

  12. Ward Identity Constraints on Ladder Kernels in Transport Coefficient Calculations

    International Nuclear Information System (INIS)

    Using diagrammatic methods, we show how the Ward identity can be used to constrain the ladder kernel in transport coefficients calculations. More specifically, we use the Ward identity to determine the necessary diagrams that must be resummed (using the usual integral equation). Our main result is an equation relating the kernel of the integral equation with functional derivatives of the full (imaginary) self-energy; it is similar to what is obtained with 2PI effective action methods. However, since we use the Ward identity as our starting point, gauge invariance is preserved. Using power counting arguments, we also show which self-energies must be included in the resummation at leading order, including 2 to 2 scatterings and 1 to 2 collinear scatterings with the Landau-Pomeranchuk-Migdal (LPM) effect. In this study we restrict our discussion to electrical conductivity and shear viscosity in QED, but our method can in principles be generalized to other transport coefficients and other theories

  13. Optimizing Lighting Design for Hospital Wards by Defining User Zones

    DEFF Research Database (Denmark)

    Thuesen, Niels; Stidsen, Lone; Kirkegaard, Poul Henning;

    2011-01-01

    Studying Standard and recommendations for lighting in hospital environment its often suggest a uniform light distribution to facilitate the needs of the staff. At the same time the standards recommend a lighting design supporting the patients feeling a homely and pleasant atmosphere, and point out...... comparison of lighting design in private and public settings are often not similar. The purpose of this article is therefore present a approach dividing the hospital ward in 3 user zones for patients, staff and visitors. The main user of the zone should be in control of the light scenario and thereby a...... refining of lighting design, so it has the ability to support the different users activity and behavior on the ward. By using RFID tracking and manual observations we have analyzed and evaluated the ward functionality as working environment for the staff. The method creates a higher understanding of the...

  14. Caring for young adults on a paediatric ward.

    Science.gov (United States)

    Heaton, Paul A J; Routley, Christine; Paul, Siba Prosad

    The need for adolescents and young adults (AYA) to have suitable age-specific inpatient facilities has been recognised for many years, yet has received relatively little attention. This article reports the successful introduction of an inpatient facility for AYA, aged 17-24 years, on a general paediatric ward in a small district general hospital. From December 2010, a young person's unit (YPU) consisting of an 8-bed area was opened within a 24-bed children's ward. Nursing care was provided by the ward staff, all of whom had been trained in the care of young adults. Policies regarding admission criteria, safeguarding, patient choice, visiting and 'house rules' were drafted, implemented and modified as necessary. Discussions with the adult clinicians (for medical care) and site managers were held to ensure smooth running of the system, and to address any concerns or difficulties. Paediatric patients had priority of admission at times of bed crisis. During 2012, there were a total of 2351 inpatient admissions to the paediatric ward, of whom 379 (16%) were YPU patients aged from 17-24 years. Median length of stay was 2 days for patients aged 17-24 years as compared with 1 day for patients aged less than or equal to 16 years. Patients who chose admission to the paediatric ward tended to be younger, in transition from paediatric to adult services for chronic conditions, or with special needs. Patient surveys showed a high level of satisfaction with the facility. Young adults can be cared for safely and effectively on a paediatric ward with minimal additional costs. The essential ingredients for success include discussion with affected parties to address specific concerns, and the establishment of a clear, simple and unambiguous admission policy. PMID:24165407

  15. Douglas House. Seven years' experience of a community hostel ward.

    Science.gov (United States)

    Creighton, F J; Hyde, C E; Farragher, B

    1991-10-01

    Of 24 residents of a ten-bed, community-based hostel ward suffering chronic psychiatric illness, nine have been resettled in the community, with four more expected to follow them. Five residents have made Douglas House their home but another six have manifested behavioural disturbance necessitating return to hospital wards. We found community discharge to be associated with illnesses having good prognostic features, while organic illness militated against such placement. Indicators of a prior history of behavioural disturbance seem to predict difficulties in managing a patient in this environment. PMID:1751859

  16. Functional outcome of pontine infarction in a convalescent rehabilitation ward

    International Nuclear Information System (INIS)

    We studied functional outcome of 12 patients with pontine base infarction in our convalescent ward. The mean onset-admission interval is 33.4±14.8 days, and the mean length of stay in the ward is 90.7±53.5 days. The median Brunnstrome stage and Barthel index at discharge was significantly higher compared with those at admission. Functional outcomes of ventromedial pontine infarcts were less favorable than those of ventrolateral pontine infarcts. Infarctions which was considered to involve branch atheromatous disease as the pathogenetic mechanism, tended to demonstrate a poor functional outcome. The areas of infarcts didn't correlate with functional outcome. (author)

  17. Non-perturbative renormalization constants using Ward identities

    International Nuclear Information System (INIS)

    We extend the application of vector and axial Ward identities to calculate bA, bP and bT, coefficients that give the mass dependence of the renormalization constants of the corresponding bilinear operators in the quenched theory. The extension relies on using operators with non-degenerate quark masses. It allows a complete determination of the O(a) improvement coefficients for bilinears in the quenched approximation using Ward Identities alone. Only the scale dependent normalization constants Z0P (or Z0S) and ZT are undetermined. We present results of a pilot numerical study using hadronic correlators

  18. Electronic prescribing - how does it affect the ward pharmacist?

    OpenAIRE

    Franklin, B D; O'Grady, K.; Donyai, P.; Jacklin, A.; Barber, N

    2005-01-01

    It is likely that electronic prescribing will be a common feature in tomorrow’s hospitals. However, we do not yet know how its introduction will affect the practice of hospital pharmacists. We are evaluating a closed-loop electronic prescribing, automated dispensing, bar-coded administration system (ServeRx) on one surgical ward. As part of this evaluation, we wanted to explore its impact on the ward pharmacist. Our objectives were to assess the impact of ServeRx on the time spent providing a...

  19. Structure of Fluctuation Terms in the Trace Dynamics Ward Identity

    OpenAIRE

    Adler, Stephen L.

    2005-01-01

    We give a detailed analysis of the anti-self-adjoint operator contribution to the fluctuation terms in the trace dynamics Ward identity. This clarifies the origin of the apparent inconsistency between two forms of this identity discussed in Chapter 6 of our recent book on emergent quantum theory.

  20. Ward identities and anomalies in pure W4 gravity

    International Nuclear Information System (INIS)

    W4 gravity is treated algebraically, represented by a set of transformations on classical fields. The Ward identities of the theory are determined by requiring the algebra to close. The general forms for the anomalies are found by looking for solutions to the Wess-Zumino consistency conditions, and some specific cases are considered

  1. Transverse Ward-Takahashi Relation to One Loop

    Institute of Scientific and Technical Information of China (English)

    HEHan-Xin

    2005-01-01

    We calculate the transverse Ward-Takahashi relation for the vector vertex in momentum space at one-loop order in four-dimensional Abelian gauge theory. We demonstrate explicitly that the result is exactly the same as that derived by using one-loop vector vertex calculations.

  2. [Ground-based speleo-climatic wards and the experience with their use in bronchial asthma].

    Science.gov (United States)

    Krasnoshteĭn, A E; Barannikov, V G; Shchekotov, V V; Lebedeva, T M; Bitinskaia, L N; Khasanova, R B; Surovtseva, M V; Mezentseva, E V; Isaevich, A G; Lysenko, D I

    1999-01-01

    Ambient air in ground wards made to contain natural potassium-sodium salt is close in characteristics to the atmosphere of underground wards but has a number of specificities: daily fluctuations of concentrations of light aeroions and aerosol particles, elevated concentration of light aeroions concentration, low radiation background, minimal bacterial contamination. The stay in ground wards brings great benefit for patients with bronchial asthma. Ground speleo-climatic wards are perspective in nonpharmacological treatment of patients with allergic respiratory diseases. PMID:10429568

  3. 75 FR 81269 - Ward Transformer Superfund Site Raleigh, Wake County, NC; Notice of Settlements

    Science.gov (United States)

    2010-12-27

    ... AGENCY Ward Transformer Superfund Site Raleigh, Wake County, NC; Notice of Settlements AGENCY... Ward Transformer Superfund Site located in Raleigh, Wake County, North Carolina for publication. DATES... your comments, identified by Docket ID No. EPA-RO4- SFUND-2010-1053 or Site name Ward...

  4. 78 FR 14543 - Ward Transformer Superfund Site; Raleigh, Wake County, NC; Notice of Settlement

    Science.gov (United States)

    2013-03-06

    ... AGENCY Ward Transformer Superfund Site; Raleigh, Wake County, NC; Notice of Settlement AGENCY... Agency has entered into a settlement at the Ward Transformer Superfund Site located in Raleigh, Wake... EPA Region 4 contact Ms. Paula V. Painter. Submit your comments by Site name Ward...

  5. Superconformal Ward Identities for Green Functions with Multiple Supercurrent Insertions

    CERN Document Server

    Erdmenger, J; Erdmenger, Johanna; Rupp, Christian

    1999-01-01

    Superconformal Ward identities for N=1 supersymmetric quantum field theories in four dimensions are convenienty obtained in the superfield formalism by combining diffeomorphisms and Weyl transformations on curved superspace. Using this approach we study the superconformal transformation properties of Green functions with one or more insertions of the supercurrent to all orders in perturbation theory. For the case of two insertions we pay particular attention to fixing the additional counterterms present, as well as to the purely geometrical anomalies which contribute to the transformation behaviour. Moreover we show in a scheme-independent way how the quasi-local terms in the Ward identities are related to similar terms which contribute to the supercurrent two and three point functions. Furthermore we relate our superfield approach to similar studies which use the component formalism by discussing the implications of our approach for the components of the supercurrent and of the supergravity prepotentials.

  6. Modelling of coughed droplets in a hospital ward

    DEFF Research Database (Denmark)

    Sadrizadeh, Sasan; Nielsen, Peter Vilhelm

    2016-01-01

    Coughing and its importance for spreading respiratory infectious diseases has been confirmed in many previous studies. The dispersion process of respiratory droplets released by the coughing of a patient in a hospital ward was studied using computational fluid dynamics simulation. Two relatively...... realistic three-dimensional thermal mannequins with a parallel bed arrangement simulated the patients. The maximum dispersion distances in time under ward ventilation conditions were studied. A velocity profile simulated a time-dependent cough with total duration of 0.4 s. The results indicated that the...... transport characteristic of droplets due to coughing is highly influenced by their size. Although the effects of gravity or inertia on small droplets (< 40 μm) are negligible and the indoor airflow mostly influences their transport, droplets of > 40 μm are significantly affected by gravity and soon fall as...

  7. Noether's second theorem and Ward identities for gauge symmetries

    Science.gov (United States)

    Avery, Steven G.; Schwab, Burkhard U. W.

    2016-02-01

    Recently, a number of new Ward identities for large gauge transformations and large diffeomorphisms have been discovered. Some of the identities are reinterpretations of previously known statements, while some appear to be genuinely new. We use Noether's second theorem with the path integral as a powerful way of generating these kinds of Ward identities. We reintroduce Noether's second theorem and discuss how to work with the physical remnant of gauge symmetry in gauge fixed systems. We illustrate our mechanism in Maxwell theory, Yang-Mills theory, p-form field theory, and Einstein-Hilbert gravity. We comment on multiple connections between Noether's second theorem and known results in the recent literature. Our approach suggests a novel point of view with important physical consequences.

  8. Lighting quality in hospital wards - State of the art

    DEFF Research Database (Denmark)

    Stidsen, Lone; Kirkegaard, Poul Henning; Fisker, Anna Marie

    When constructing and designing hospitals for the future, patients, staff and guests are in focus. Designing a healing hospital environment is a very important factor when planning new hospitals. How can aspects such as design, architecture, arts, lights, sounds and materials support and improve......, the furnishing, the acoustics and light are essential in evaluating of the experience of an environment. The light is crucial for the physical and psychological experience of wellbeing and the feeling of safety. The ward is a complex and interesting architectural space to design. It has a wide range...... of functions and a multitude of users with many different needs and requirements. It is a public domain with many references to the design of homes in the private sphere. The aim of the report is to display the existing research in the area of lighting design in hospital wards, and to present new...

  9. Psychotherapy in older adults with major depression in psychogeriatric ward

    OpenAIRE

    Wojciech Mateusz Rachel; Agnieszka Turkot

    2015-01-01

    Summary: Psychotherapy of the elderly appears to be a very important part of comprehensive treatment, and its character should be based on a holistic vision of the patient. The effectiveness of the individual Cognitive-Behavioral Psychotherapy (CBT) and Problem Solving Therapy (PST) is well establish in clinical trial. In treating patients at the psycho geriatric ward, on account of the described clinical state placed in the article, we apply Supportive Therapy (ST) and existential approa...

  10. Ward Identities for Transport in 2+1 Dimensions

    CERN Document Server

    Hoyos, Carlos; Oz, Yaron

    2015-01-01

    We use the Ward identities corresponding to general linear transformations, and derive relations between transport coefficients of $(2+1)$-dimensional systems. Our analysis includes relativistic and Galilean invariant systems, as well as systems without boost invariance such as Lifshitz theories. We consider translation invariant, as well as broken translation invariant cases, and include an external magnetic field. Our results agree with effective theory relations of incompressible Hall fluid, and with holographic calculations in a magnetically charged black hole background.

  11. Ward identities and relations between conductivities and viscosities in holography

    Science.gov (United States)

    Hoyos, Carlos; Fernández, David Rodríguez

    2016-01-01

    We derive relations between viscosities and momentum conductivity in 2 + 1 dimensions by finding a generalization of holographic Ward identities for the energy-momentum tensor. The generalization is novel in the sense that it goes beyond the usual identities obtained from holographic renormalization. Our results are consistent with previous field theory analysis. The main tools we use are a constant `probability current' in the gravity dual, that we are able to define for any system of linear ODEs, and parity symmetry.

  12. Drug dispensing errors in a ward stock system

    DEFF Research Database (Denmark)

    Andersen, Stig Ejdrup

    2010-01-01

    . Multivariable analysis showed that surgical and psychiatric settings were more susceptible to involvement in dispensing errors and that polypharmacy was a risk factor. In this ward stock system, dispensing errors are relatively common, they depend on speciality and are associated with polypharmacy. These...... results indicate that strategies to reduce dispensing errors should address polypharmacy and focus on high-risk units. This should, however, be substantiated by a future trial....

  13. Isolation of Klebsiella planticola from Newborns in a Neonatal Ward

    OpenAIRE

    Podschun, R.; Acktun, H.; Okpara, J.; Linderkamp, O; Ullmann, U.; Borneff-Lipp, M

    1998-01-01

    This is the first report on the isolation of Klebsiella planticola from neonates. Over a period of 1 year, oropharyngeal and rectal swab specimens from 131 newborns on a neonatal ward were monitored for Klebsiella spp. Thirteen strains of K. planticola could be isolated, and these represented 9% of all Klebsiella spp. found. Capsule type K27 predominated, followed by capsule type K68. Our findings suggest a significant rate of colonization by K. planticola among neonates.

  14. Words in Maternity Wards: An Aproximation to Perinatal Psychology

    OpenAIRE

    Alicia Oiberman

    2016-01-01

    The acknowledgment that just born babies interact with human and physical contexts originated changes in behaviors of health teems working in maternity wards settings. Concepts such as initial interactions, attachment, dyads, maternal vulnerability, behavioral competences of the just born babies and their applications to perinatal psychology, marked a transformation in different professionals involved in birth’s approaches. From one side, it can be said that medicalization of the birth act in...

  15. Shielding estimation for nuclear medicine therapy ward: our experience

    International Nuclear Information System (INIS)

    Full text: The aim of this study was to calculate and estimate the shielding thickness for a new Nuclear Medicine Therapy Ward. Parameters available for shielding calculation were: ground plan of the ward, radionuclides planned for use, maximum administered activity of I-131, maximum delivered activity of I-131 to the ward per week, average time spent in the hospital after the treatment. The most hazardous and most commonly used radioisotope is I-131. The target dose that needs to be met for occupationally exposed workers is 0.3 mSv per year. There are several factors that could be changed in order to achieve this value: distance from the source, shielding thickness, angle of incidence, occupational and usage factors. The maximum dose rate at 1 meter from the thyroid gland of the patient was considered to be 100 mSv/h. The distances and incidence angles could not be changed since these vales were predetermined in the ground plan. Different usage and occupational factors were used for different rooms in the ward. We used occupational factor 1 for the bed and 1/6 for the bathroom, and usage factor 1 for nurses' room and patient room and 1/6 for the corridors, etc. The easiest way of calculating dose attenuation in material was by introducing the HVL and TVL for broad beams. TVL and HVL were taken from the graph.The results show that shielding thickness should be in the range of 3 mmPb for room doors to 30 mmPb for the wall adjacent to the nurse's office. Most of the walls are 20 mmPb thick. These values were calculated using conservative assumptions and are more then enough to protect staff, patients and public from external radiation. If the construction cannot support the weight of lead some rearrangements regarding patient positions could be made. (author)

  16. Ward identities and relations between conductivities and viscosities in holography

    CERN Document Server

    Hoyos, Carlos

    2015-01-01

    We derive relations between viscosities and momentum conductivity in $2+1$ dimensions by finding a generalization of holographic Ward identities for the energy-momentum tensor. The generalization is novel in the sense that it goes beyond the usual identities obtained from holographic renormalization. Our results are consistent with previous field theory analysis. The main tools we use are a constant `probability current' in the gravity dual, that we are able to define for any system of linear ODEs, and parity symmetry.

  17. Ward identities and high energy scattering amplitudes in string theory

    International Nuclear Information System (INIS)

    High-energy limit α'->∼ of stringy Ward identities derived from the decoupling of two types of zero-norm states in the old covariant first quantized (OCFQ) spectrum of open bosonic string are used to check the consistency of saddle point calculations of high energy scattering amplitudes of Gross and Mende and Gross and Manes. Some inconsistencies of their saddle point calculations are found even for the string-tree scattering amplitudes of the excited string states. We discuss and calculate the missing terms of the calculation by those authors to recover the stringy Ward identities. In addition, based on the tree-level stringy Ward identities, we give the proof of a general formula, which was proposed previously, of all high energy four-point string-tree amplitudes of arbitrary particles in the string spectrum. In this formula all such scattering amplitudes are expressed in terms of those of tachyons as conjectured by Gross. The formula is extremely simple which manifestly demonstrates the universal high energy behavior of the interactions among all string states

  18. Medical academia clinical experiences of Ward Round Teaching curriculum

    Directory of Open Access Journals (Sweden)

    Fariba Haghani

    2014-01-01

    Full Text Available Background: Medical students spend most of their time in hospital wards and it is necessary to study clinical educational opportunities. This study was aimed to explore faculty members′ experience on Ward Round Teaching content. Methods and Materials: This qualitative study was conducted by purposive sampling with the maximum variation of major clinical departments faculty members in Isfahan University of Medical Sciences (n = 9. Data gathering was based on deep and semi-structured interviews. Data gathering continued till data saturation.Data was analyzed through the Collaizzi method and validated. Strategies to ensure trustworthiness of data (credibility, dependability, conformability, transferability were employed (Guba and Lincoln. Results: Basic codes extracted from the analyzed data were categorized into two main themes and related subthemes, including (1 tangible teachings (analytic intelligence, technical intelligence, legal duties and (2 implied teachings (professionalism, professional discipline, professional difficulties. Conclusion: Ward round teaching is a valuable opportunity for learners to learn not only patient care aspects but also ethical values. By appropriate planning, opportunities can be used to teach capabilities that are expected of general practitioners.

  19. 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

  20. Words in Maternity Wards: An Aproximation to Perinatal Psychology

    Directory of Open Access Journals (Sweden)

    Alicia Oiberman

    2016-02-01

    Full Text Available The acknowledgment that just born babies interact with human and physical contexts originated changes in behaviors of health teems working in maternity wards settings. Concepts such as initial interactions, attachment, dyads, maternal vulnerability, behavioral competences of the just born babies and their applications to perinatal psychology, marked a transformation in different professionals involved in birth’s approaches. From one side, it can be said that medicalization of the birth act in Western societies had allowed to minimize risk factors. But this progress had been carried out without taking into account emotional expressions. The introduction of psychological interventions in neonatal periods is a new field of knowledge. History shows that in different periods and cultures there were amulets, potions and other elements associated with magic that were used to swear baby or mother’s death risk during childbirth. All these practices were taken the place of words, in a hard emotional moment: parturition. It was necessary to walk a long and difficult road for Perinatal Psycholy to recuperate the ancient place of old good women and incorporate words in maternity wards, knowing that the main scenery is first occupied by the mother’s body and then by the baby. Our daily job in a maternity ward, working together with pediatricians and neonatologists, allowed us to verify that words come out when psychologists themselves “include their body” as well as do mothers, babies and the medical teem. Words contribute to facilitate emotional expressions related to motherhood and place the baby in the family history, making able his or her “psychological birth”. 

  1. Measuring the impact of modern matrons in the ward setting.

    Science.gov (United States)

    Shanley, Oliver

    With the The NHS Plan (Department of Health, 2000) the government made it clear there was a need to reintroduce the role of matron to establish a clear responsibility for standards in the ward setting. The role of modern matron is now considered to be a fundamental part of clinical governance, ensuring the quality of the care provided is of the highest standard. Staff at South Essex Partnership NHS Trust instituted an audit to provide an accurate picture of the impact of modern matrons. PMID:15552487

  2. Ward identities and chiral anomalies for coupled fermionic chains

    International Nuclear Information System (INIS)

    Coupled fermionic chains are usually described by an effective model written in terms of bonding and anti-bonding fermionic fields with linear dispersion in the vicinities of the respective Fermi points. We derive for the first time exact Ward Identities (WI) for this model, proving the existence of chiral anomalies which verify the Adler-Bardeen non-renormalization property. Such WI are expected to play a crucial role in the understanding of the thermodynamic properties of the system. Our results are non-perturbative and are obtained analyzing Grassmann functional integrals by means of constructive quantum field theory methods

  3. Prevalence of delirium among patients at a cancer ward

    DEFF Research Database (Denmark)

    Grandahl, Mia Gall; Nielsen, Svend Erik; Koerner, Ejnar Alex;

    2016-01-01

    Background Delirium is a frequent psychiatric complication to cancer, but rarely recognized by oncologists. Aims 1. To estimate the prevalence of delirium among inpatients admitted at an oncological cancer ward 2. To investigate whether simple clinical factors predict delirium 3. To examine the...... Drawing Test, and the Digit Span Test can be used as screening tools for delirium among inpatients with cancer, but even in synergy, they lack specificity. Combining cognitive testing and attention to nurses' records might improve detection, yet further studies are needed to create a more detailed patient...

  4. Divergent IR gluon propagator from Ward-Slavnov-Taylor identities?

    CERN Document Server

    Boucaud, P; Lokhov, A Y; Micheli, J; Pène, O; Rodríguez-Quintero, J; Roiesnel, C; Yaouanc, A L; Boucaud, Ph.

    2007-01-01

    We exploit the Ward-Slavnov-Taylor identity relating the 3-gluons to the ghost-gluon vertices to conclude either that the ghost dressing function is finite and non vanishing at zero momentum while the gluon propagator diverges (although it may do so weakly enough not to be in contradiction with current lattice data) or that the 3-gluons vertex is non-regular when one momentum goes to zero. We stress that those results should be kept in mind when one studies the Infrared properties of the ghost and gluon propagators, for example by means of Dyson-Schwinger equations.

  5. The educational value of ward rounds for junior trainees

    Directory of Open Access Journals (Sweden)

    Faidon-Marios Laskaratos

    2015-04-01

    Full Text Available The ward round (WR is a complex task and medical teachers are often faced with the challenge of finding a balance between service provision and clinical development of learners. The educational value of WRs is an under-researched area. This short communication aims to evaluate the educational role of WRs for junior trainees and provides insight into current practices. It also identifies obstacles to effective teaching/training in this setting and provides suggestions for improving the quality of WR teaching.

  6. Ward identities and chiral anomalies for coupled fermionic chains

    Science.gov (United States)

    Costa, L. C.; Ferraz, A.; Mastropietro, Vieri

    2013-12-01

    Coupled fermionic chains are usually described by an effective model written in terms of bonding and anti-bonding fermionic fields with linear dispersion in the vicinities of the respective Fermi points. We derive for the first time exact Ward Identities (WI) for this model, proving the existence of chiral anomalies which verify the Adler-Bardeen non-renormalization property. Such WI are expected to play a crucial role in the understanding of the thermodynamic properties of the system. Our results are non-perturbative and are obtained analyzing Grassmann functional integrals by means of constructive quantum field theory methods.

  7. SUSY Ward identities in 1-loop perturbation theory

    International Nuclear Information System (INIS)

    We present preliminary results of a study of the supersymmetric (SUSY) Ward identities (WIs) for the N = 1 SU(2) SUSY Yang-Mills theory in the context of one-loop lattice perturbation theory. The supersymmetry on the lattice is explicitly broken by the gluino mass and the lattice artifacts. However, the renormalization of the supercurrent can be carried out in a scheme that restores the nominal continuum WIs. The perturbative calculation of the renormalization constants and mixing coefficients for the local supercurrent is presented

  8. On logarithmic solutions to the conformal Ward identities

    International Nuclear Information System (INIS)

    A general discussion of the conformal Ward identities is presented in the context of logarithmic conformal field theory with conformal Jordan cells of rank two. The logarithmic fields are taken to be quasi-primary. No simplifying assumptions are made about the operator-product expansions of the primary or logarithmic fields. Based on a very natural and general ansatz about the form of the two- and three-point functions, their complete solutions are worked out. The results are in accordance with and extend the known results. It is demonstrated, for example, that the correlators exhibit hierarchical structures similar to the ones found in the literature pertaining to certain simplifying assumptions

  9. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital

    OpenAIRE

    Mekonnen AB; Yesuf EA; Odegard PS; Wega SS

    2013-01-01

    Background: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however.Objective: To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods:...

  10. Guidance and Orientation Manual : Internal Diseases Ward 11 - Central Finland Central Hospital

    OpenAIRE

    Hirjaba, Marina

    2009-01-01

    The purpose of this Bachelor’s Thesis is to create an initiation manual for the foreign students, foreign visitors or anyone else interested about Internal Diseases ward 11, Central Finland Central Hospital. The aim of the guidance material is to help the foreign students, who are practicing on ward 11, to become acquainted with the Finnish Healthcare System, Central Finland Central Hospital and to offer orientation upon the nursing and organisation of Internal Diseases ward 11. It is taken i...

  11. Psychotherapy in older adults with major depression in psychogeriatric ward

    Directory of Open Access Journals (Sweden)

    Wojciech Mateusz Rachel

    2015-03-01

    Full Text Available Summary: Psychotherapy of the elderly appears to be a very important part of comprehensive treatment, and its character should be based on a holistic vision of the patient. The effectiveness of the individual Cognitive-Behavioral Psychotherapy (CBT and Problem Solving Therapy (PST is well establish in clinical trial. In treating patients at the psycho geriatric ward, on account of the described clinical state placed in the article, we apply Supportive Therapy (ST and existential approach. An important element of therapy is a holistic approach to the needs of the patient, an attempt to understand their internal conflicts, a focus on long-term therapy and the setting of realistic goals tailored to the patient's abilities. A positive change in thinking can bear fruit in the patient’s everyday life, their functioning, and in their relationships with other people. It seems, that at elderly people, choice of the psychotherapeutic method should adapt individually to the clinical state, therapeutic readiness to work and one's situation in life of the patient In this article, the authors share their own experiences and reflections from the use of individual and group psychotherapy with elderly patients in the psychogeriatric ward.

  12. Multi-Criteria Knapsack Problem for Disease Selection in an Observation Ward

    International Nuclear Information System (INIS)

    The aging population and the introduction of Thailand universal healthcare have increased inpatients and outpatients to public hospitals, particularly to a hospital that provides special and comprehensive health services. Many inpatient wards have experienced large influx of inpatients as the hospitals have to admit all patients regardless their conditions. These overcrowding wards cause stress to medical staffs, block access between medical departments, hospital-acquired infections, and ineffective uses of resources. One way to manage such inundated inpatient is to select some patients whose conditions require less clinical attention or whose lengths of stay are predictable and short and, then, place them at an observation ward. This intermediate ward increases turnover of beds and reduces unnecessary paperwork as patients are considered to be outpatients. In this article, we studied inpatient data of a tertiary care hospital in which an observation ward was considered to alleviate the overcrowding problem at Internal Medicine Department. The analysis of data showed that the hospital can balance inpatient flow by managing a group of patients who is admitted because of treatments ordered by its special clinics. Having explored several alternatives, we suggested patient selection criteria and proposed a layout at an observation ward. The hospital should increase medical beds in a new building ward because the current observation ward can handle 27.3% of total short stay patients, while the observation ward is projected to handle 80% of total short stay patients

  13. Job enrichment, work motivation, and job satisfaction in hospital wards: testing the job characteristics model.

    Science.gov (United States)

    Kivimäki, M; Voutilainen, P; Koskinen, P

    1995-03-01

    This study investigated work motivation and job satisfaction at hospital wards with high and low levels of job enrichment. Primary nursing was assumed to represent a highly enriched job, whereas functional nursing represented a job with a low level of enrichment. Five surgical wards were divided into these two categories based on the structured interviews with head nurses. Work motivation and job satisfaction among ward personnel were assessed by a questionnaire. The ward personnel occupying highly enriched jobs reported significantly higher work motivation and satisfaction with the management than the personnel occupying jobs with a low level of enrichment. PMID:7735655

  14. Supporting breastfeeding mothers on children's wards: an overview.

    Science.gov (United States)

    Narramore, Naomi

    2007-02-01

    Just under half of all six-week-old babies in the U.K. are breastfed, and just under a quarter are still being breastfed at six months old so it is likely that children's nurses will frequently encounter breastfed babies on children's wards. Support for breastfeeding has traditionally been left to midwives but Department of Health guidance requires that all relevant staff have training in this practice. Children's nurses need to understand the principles and practice of breastfeeding support including correct positioning and attachment, prevention and management of breastfeeding problems, mothers' needs and safe use of breast pumps. Breastfeeding should be part of the curriculum for children's nursing courses, including practical sessions to observe breastfeeding support in the clinical setting. Children's nurses should be aware that literature and learning resources written for midwives might be appropriate for them to access to increase their understanding in this important area of practice. PMID:17326552

  15. Christmas cards workshop in a Restricted Access Ward

    Directory of Open Access Journals (Sweden)

    Teresa García

    2003-12-01

    Full Text Available The Christmas cards workshop is an intervention study made in the Restricted Access Ward (RAW of Hospital Gregorio Marañón (Madrid, in December 2001, from the 5th to the 22nd. The object of this study was to assess the effectiveness of this workshop to improve the quality of the RAW patients´ hospital day, through their participation. They made 47 cards, the mean per patient was 1,52. Participation: 91,2% of the patients that fulfilled the inclusion criteria. Drawings and texts alluded to the convict´s perspective of Christmas time, from their own experience. The Christmas cards were exhibited in the hospital and they also were sent to different penitentiary institutions in Madrid, to make the RAW known. The course “Education for health for interdisciplinary projects in penitentiary institutions” was the frame of this workshop.

  16. Ward blanket assembly pre-test predictions by superenergy

    International Nuclear Information System (INIS)

    A number of WARD sodium cooled blanket geometry experiments in the mixed convection range were prepredicted by the computer code SUPERENERGY in the original version of this report. Of these tests one was actually run and is re-examined in Revision I. When account is taken of the difference between the assumed and actual test operating conditions and the temperature-induced variation of the Reynolds number with height in the bundle, the code results and test data compare very favorably. Of the other actual test cases examined in Revision I, the comparison with predictions was poor at low flows. Since these low flows however were predicted to be outside the mixed convection regime per Khan's criteria, the validity of the criteria is suspect and will be reassessed

  17. The full Ward-Takahashi Identity for colored tensor models

    CERN Document Server

    Pérez-Sánchez, Carlos I

    2016-01-01

    We derive the full $\\mathrm{U}(\\infty)$-Ward-Takahashi Identities for random colored tensor models. The strategy is to expand the free energy in boundary graphs that determine the combinatorics of the sources. This contributes to the organization of the correlation functions of colored tensor models and is carried out for arbitrary interactions of any rank, $D$, with subsequent focus on the $\\varphi^4$-theories. The result is that the boundary sector of quartic melonic interactions suffices to generate all $D$-colored graphs. For the rank-$3$ $\\varphi^4$-theory we derive the exact integral-like equation for the 2-point function. Our results hold for some Group Field Theories as well. Altogether, our non-perturbative approach trades graph theory for analytical methods.

  18. Nursing safety management in onco-hematology pediatric wards

    Directory of Open Access Journals (Sweden)

    Marcelle Miranda da Silva

    2015-02-01

    Full Text Available This study aimed at identifying how safety management is applied by nurses to manage the nursing care, and at analyzing their challenges in onco-hematology pediatric wards. Descriptive and qualitative research, conducted at the Instituto Estadual de Hematologia Arthur de Siqueira Cavalcanti, Rio de Janeiro, Brazil, in August 2013. Six nurses were interviewed, and the content analysis was used. The key aspects relate to the importance of training and continuing education, teamwork, with the challenges in the care of hospitalized children and particularities of the disease, and the systematization, use of instruments and protocols. For child safety, the relationship between the administration and support is critical to the quality of care.

  19. Ward identities and gauge independence in general chiral gauge theories

    CERN Document Server

    Anselmi, Damiano

    2015-01-01

    Using the Batalin-Vilkovisky formalism, we study the Ward identities and the equations of gauge dependence in potentially anomalous general gauge theories, renormalizable or not. A crucial new term, absent in manifestly nonanomalous theories, is responsible for interesting effects. We prove that gauge invariance always implies gauge independence, which in turn ensures perturbative unitarity. Precisely, we consider potentially anomalous theories that are actually free of gauge anomalies thanks to the Adler-Bardeen theorem. We show that when we make a canonical transformation on the tree-level action, it is always possible to re-renormalize the divergences and re-fine-tune the finite local counterterms, so that the renormalized $\\Gamma $ functional of the transformed theory is also free of gauge anomalies, and is related to the renormalized $\\Gamma $ functional of the starting theory by a canonical transformation. An unexpected consequence of our results is that the beta functions of the couplings may depend on...

  20. Cross Infection in a Hospital Ward and Deposition of Particles Exhaled from a Source Manikin

    DEFF Research Database (Denmark)

    Nielsen, Peter V.; Li, Yuguo; Buus, Morten; Winther, Frederik V.; Qian, Hua

    2009-01-01

    The cross infection in a hospital ward is studied. Deposition of particles exhaled from a source manikin is investigated in a full-scale hospital ward ventilated by downward directed ventilation. Deposition on vertical surfaces close to the source shows distribution of particles directed upwards in...

  1. Incidence, staff awareness and mortality of patients at risk on general wards

    DEFF Research Database (Denmark)

    Fuhrmann, L.; Lippert, A.; Perner, A.; Fuhrmann, Lone; Lippert, Anne; Perner, Anders; Østergaard, Doris

    2008-01-01

    The aim of this study was to estimate the incidence, staff awareness and subsequent mortality of patients with abnormal vital signs on general wards in a Danish university hospital.......The aim of this study was to estimate the incidence, staff awareness and subsequent mortality of patients with abnormal vital signs on general wards in a Danish university hospital....

  2. An Abelian Ward identity and the vertex corrections to the color superconducting gap

    Institute of Scientific and Technical Information of China (English)

    XU Hao-Jie; WANG Qun

    2009-01-01

    We derive an Abelian-like Ward identity in the color superconducting phase and calculate vertex corrections to the color superconducting gap. Making use of the Ward identity, we show that subleading order contributions to the gap from vertices are absent for gapped excitations.

  3. Comorbid depression in dementia on psychogeriatric nursing home wards: which symptoms are prominent?

    OpenAIRE

    Verkaik, R.; Francke, A.L.; Meijel, B. van; Ribbe, M. W.; Bensing, J.M.

    2009-01-01

    OBJECTIVE: To provide insight into the prevalence and clinically relevant symptoms of comorbid depression among dementia patients in psychogeriatric nursing home wards, to enhance depression recognition. DESIGN: Cross-sectional analyses of multicenter diagnostic data. SETTING: Psychogeriatric wards of Dutch nursing homes. PARTICIPANTS: Five hundred and eighteen residents with dementia. MEASUREMENTS: 1) Diagnosis of depression in dementia (Provisional Diagnostic Criteria for Depression of Alzh...

  4. Mobile and fixed computer use by doctors and nurses on hospital wards

    DEFF Research Database (Denmark)

    Andersen, Pia; Lindgaard, Anne-Mette; Prgomet, M.;

    2009-01-01

    , clinical task, and selection of a computer hardware device in hospital wards. METHODS: Twenty-seven nurses and eight doctors were observed for a total of 80 hours as they used a range of computing devices to access a computerized provider order entry system on two wards at a major Sydney teaching hospital...

  5. Particle Removal Efficiency of the Portable HEPA Air Cleaner in a Simulated Hospital Ward

    DEFF Research Database (Denmark)

    Qian, Hua; Li, Yuguo; Sun, Hequan; Nielsen, Peter V.; Huang, Xinghua; Zheng, Xiaohong

    2010-01-01

    Use of a HEPA (high efficiency particulate air) filter in a room is believed to assist in reducing the risk of transmission of infectious diseases through removing the particles or large droplets to which pathogens may be attached. Use of a portable HEPA filter(s) in hospital wards is hypothesized...... to increase the effective ventilation rate (for particles only). Use of a portable HEPA filter is also hypothesized to increase the effective airflow rate of the general ward to the standard of an isolation ward for emerging infection diseases. This may be a good solution for housing patients when...... the number of beds in an isolation ward is insufficient. An experiment was conducted in a full scale experimental ward with a dimension of 6.7 m × 6 m × 2.7 m and 6 beds to test these hypotheses for a portable HEPA filter. The removal efficiency for different size particles was measured at different...

  6. Holomorphic Vector Bundles Corresponding to some Soliton Solutions of the Ward Equation

    International Nuclear Information System (INIS)

    Holomorphic vector bundles corresponding to the static soliton solution of the Ward equation were explicitly presented by Ward in terms of a meromorphic framing. Bundles (for simplicity, “bundle” is to be taken throughout to mean “holomorphic vector bundle”) corresponding to all Ward k-soliton solutions whose extended solutions have only simple poles, and some Ward 2-soliton solutions whose extended solutions have only a second-order pole, were explicitly described by us in a previous paper. In this paper, we go on to present some bundles corresponding to soliton-antisoliton solutions of the Ward equation, and Ward 3-soliton solutions whose extended solutions have a simple pole and a double pole. To give some more interpretation of the bundles, we study the second Chern number of the corresponded bundles and find that it can be obtained directly from the patching matrices. We also point out some information about bundles corresponding to Ward soliton solutions whose extended solutions have general pole data at the end of the paper

  7. Holomorphic Vector Bundles Corresponding to some Soliton Solutions of the Ward Equation

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Xiujuan, E-mail: yzzhuxiujuan@sina.com [Jiangsu Second Normal University, School of Mathematics and Information Technology (China)

    2015-12-15

    Holomorphic vector bundles corresponding to the static soliton solution of the Ward equation were explicitly presented by Ward in terms of a meromorphic framing. Bundles (for simplicity, “bundle” is to be taken throughout to mean “holomorphic vector bundle”) corresponding to all Ward k-soliton solutions whose extended solutions have only simple poles, and some Ward 2-soliton solutions whose extended solutions have only a second-order pole, were explicitly described by us in a previous paper. In this paper, we go on to present some bundles corresponding to soliton-antisoliton solutions of the Ward equation, and Ward 3-soliton solutions whose extended solutions have a simple pole and a double pole. To give some more interpretation of the bundles, we study the second Chern number of the corresponded bundles and find that it can be obtained directly from the patching matrices. We also point out some information about bundles corresponding to Ward soliton solutions whose extended solutions have general pole data at the end of the paper.

  8. Supporting Information Access in a Hospital Ward by a Context-Aware Mobile Electronic Patient Record

    DEFF Research Database (Denmark)

    Skov, Mikael B.; Høegh, Rune Thaarup

    2006-01-01

    Context-awareness holds promise for improving the utility of software products. Context-aware mobile systems encompass the ability to automatically discover and react to changes in an environment. Most contemporary context-aware mobile systems aim to support users in private situations, for example......Ward is to support nurses in conducting morning procedures in a hospital ward. MobileWard is context-aware as it is able to discover and react autonomously according to changes in the environment and since it integrates the ability to provide information and services to the user where the relevancy...

  9. Participatory Action Research in clinical nursing practice in a medical ward

    DEFF Research Database (Denmark)

    Kjerholt, Mette; Wagner, Lis; Lindhardt, Tove;

    2016-01-01

    Background: Action research with a participatory approach (PAR) was used as research design in a medical ward but stopped midway because of lack of active actor participation in the actions. Aim: To describe challenges and barriers influencing lack of participation. Setting: A medical hospital ward...... framework and conditions are present not only prior to but during the entire project process. Implications. The study shows that PAR is not always suitable as research approach in a busy hospital ward. Furthermore, the study outlines methodological questions in relation to use of PAR....

  10. Antimicrobial stewardship: Improving antibiotic prescribing practice in a respiratory ward

    Science.gov (United States)

    Yeo, Jing Ming

    2016-01-01

    International efforts have mandated guidelines on antibiotic use and prescribing, therefore the focus is now on encouraging positive behavioral changes in antibiotic prescribing practice. Documentation of indication and intended duration of antibiotic use in drug charts is an evidence-based method of reducing inappropriate antibiotic prescribing. It is also a standard detailed in our local antimicrobial guidelines. We collected baseline data on compliance with documentation of indication and duration in drug charts in a respiratory ward which revealed compliance rates of 24% and 39% respectively. We introduced interventions to improve accessibility to the guideline and to increase awareness by distributing antibiotic guardian pocket cards with a three-point checklist and strategically-placed mini-posters. We also aim to increase team motivation by obtaining their feedback in multidisciplinary team meetings and by introducing certificates for their involvement in the quality improvement process. The results of the second cycle post-intervention showed an increase in compliance rates for documentation of indication and duration of 97% and 69% respectively. After a further awareness and discussion session at the multidisciplinary team meeting with the local antimicrobial management team audit nurses, a third cycle showed compliance rates of 94% and 71% for indication and duration respectively. This project has highlighted the importance of improving accessibility and of encouraging interventions that would bring about a change in personal value and subsequently in behavior and individual practice. PMID:26893898

  11. Caring for cancer patients on non-specialist wards.

    LENUS (Irish Health Repository)

    Gill, Finola

    2012-02-01

    As cancer is the leading cause of death worldwide, every nurse will be required to care for patients with the condition at some point in his\\/her career. However, non-specialized oncology nurses are often ill-prepared to nurse patients suffering from cancer. This literature review aims to provide an overview of current trends and developments in cancer care nursing in an attempt to identify the range of previous research pertaining to caring for patients with cancer on non-specialist wards. The review finds that non-specialized cancer nurses report a lack of education and training with regard to cancer care and cancer treatments, which acts as a barrier to providing quality nursing care. Emotional and communication issues with patients and their families can also cause non-specialist nurses significant distress. International research has shown that specialist oncology nurses make a considerable difference to physical and psychosocial patient care. It is therefore paramount that non-speciality nurses\\' educational needs are met to develop clinical competence and to provide supportive holistic care for both patients and their families.

  12. Enabling coordination within medical settings: case of a maternity ward

    Directory of Open Access Journals (Sweden)

    Fouzi LEZZAR

    2013-06-01

    Full Text Available Purpose: This study evaluates the planning process issues in healthcare institutions that can be considered as a high risk environment. Most recent healthcare research has focused on methods mainly based on communication, rather than collaboration supports. Material Methods: We followed then a collaborative-based planning approach which constitutes an evolution of planning environment toward new shared workspaces supporting collaboration. Our work led us first, to analyse the related tasks in an Algerian maternity ward in order to highlight the vital collaborative medical tasks that need to be modelled. Results: the paper summaries basic design concepts of our collaborative planning system that is designed to make group interaction support flexible for care coordination and continuity. Conclusion: after development and test of our collaborative planning system, we noticed that our collaborative and planning system can increase awareness and hence decrease coordination breakdowns, reduce costs of information collecting and sharing. All these factors constitute a crucial aspect of an efficient management of a hospital.

  13. Ward identities and gauge independence in general chiral gauge theories

    Science.gov (United States)

    Anselmi, Damiano

    2015-07-01

    Using the Batalin-Vilkovisky formalism, we study the Ward identities and the equations of gauge dependence in potentially anomalous general gauge theories, renormalizable or not. A crucial new term, absent in manifestly nonanomalous theories, is responsible for interesting effects. We prove that gauge invariance always implies gauge independence, which in turn ensures perturbative unitarity. Precisely, we consider potentially anomalous theories that are actually free of gauge anomalies thanks to the Adler-Bardeen theorem. We show that when we make a canonical transformation on the tree-level action, it is always possible to re-renormalize the divergences and re-fine-tune the finite local counterterms, so that the renormalized Γ functional of the transformed theory is also free of gauge anomalies, and is related to the renormalized Γ functional of the starting theory by a canonical transformation. An unexpected consequence of our results is that the beta functions of the couplings may depend on the gauge-fixing parameters, although the physical quantities remain gauge independent. We discuss nontrivial checks of high-order calculations based on gauge independence and determine how powerful they are.

  14. Antimicrobial stewardship: Improving antibiotic prescribing practice in a respiratory ward.

    Science.gov (United States)

    Yeo, Jing Ming

    2016-01-01

    International efforts have mandated guidelines on antibiotic use and prescribing, therefore the focus is now on encouraging positive behavioral changes in antibiotic prescribing practice. Documentation of indication and intended duration of antibiotic use in drug charts is an evidence-based method of reducing inappropriate antibiotic prescribing. It is also a standard detailed in our local antimicrobial guidelines. We collected baseline data on compliance with documentation of indication and duration in drug charts in a respiratory ward which revealed compliance rates of 24% and 39% respectively. We introduced interventions to improve accessibility to the guideline and to increase awareness by distributing antibiotic guardian pocket cards with a three-point checklist and strategically-placed mini-posters. We also aim to increase team motivation by obtaining their feedback in multidisciplinary team meetings and by introducing certificates for their involvement in the quality improvement process. The results of the second cycle post-intervention showed an increase in compliance rates for documentation of indication and duration of 97% and 69% respectively. After a further awareness and discussion session at the multidisciplinary team meeting with the local antimicrobial management team audit nurses, a third cycle showed compliance rates of 94% and 71% for indication and duration respectively. This project has highlighted the importance of improving accessibility and of encouraging interventions that would bring about a change in personal value and subsequently in behavior and individual practice. PMID:26893898

  15. Application of the MIT two-channel model to predict flow recirculation in WARD 61-pin blanket tests

    International Nuclear Information System (INIS)

    The preliminary application of MIT TWO-CHANNEL MODEL to WARD sodium blanket tests was presented in this report. Our criterion was employed to predict the recirculation for selected completed (transient and steady state) and proposed (transient only) tests. The heat loss was correlated from the results of the WARD zero power tests. The calculational results show that our criterion agrees with the WARD tests except for WARD RUN 718 for which the criterion predicts a different result from WARD data under bundle heat loss condition. However, if the test assembly is adiabatic, the calculations predict an operating point which is marginally close to the mixed-to-recirculation transition regime

  16. Application of the MIT two-channel model to predict flow recirculation in WARD 61-pin blanket tests

    International Nuclear Information System (INIS)

    The preliminary application of MIT two-channel model to WARD sodium blanket tests was presented in this report. The criterion was employed to predict the recirculation for selected completed (transient and steady state) and proposed (transient only) tests. The heat loss was correlated from the results of the WARD zero power tests. The calculational results show that the criterion agrees with the WARD tests except for WARD RUN 718 for which the criterion predicts a different result from WARD data under bundle heat loss condition. However, if the test assembly is adiabatic, the calculations predict an operating point which is marginally close to the mixed-to-recirculation transition regime

  17. The Mind-Body Connection - How to Fight Stress and Ward Off Illness

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues The Mind-Body Connection How to Fight Stress and Ward ... take more seriously the popular notions of the mind-body connection," says Esther M. Sternberg, M.D., ...

  18. Extended ward identities and the generator of the supersymmetric structure of the bosonic string

    International Nuclear Information System (INIS)

    We show that the supersymmetric structure of the bosonic string introduced by M. Werneck de Olivera et al. is related to the extended Ward identities satisfied by the gauge fixed action. (author). 13 refs

  19. Ward-Takahashi identity for vertex functions of sQED

    International Nuclear Information System (INIS)

    Ward-Takahashi identity is an useful tool for calculating amplitude of scattering processes. In the high-order perturbative theory of sQED, propagator and vertex functions contain many high-order corrections. By using Ward-Takahashi identity, each vertex function is separated into two parts: “longitudinal” and “transverse” part. The longitudinal part can be directly calculated from Ward-Takahashi identity. The transverse part depends on the expanding of specific orders of the theory. In this report, we present one method based on the Ward-Takahashi identity, to calculate this part of vertex functions at the one-loop order in arbitrary gauge and dimensions in sQED. (author)

  20. Validation of a checklist to assess ward round performance in internal medicine

    DEFF Research Database (Denmark)

    Nørgaard, Kirsten; Ringsted, Charlotte; Dolmans, Diana

    2004-01-01

    construct validity, an observer assessed 4 groups of doctors during performance of a complete ward round (n = 32). The nurse who accompanied the doctor on rounds made a global assessment of the performance. RESULTS: The response rate to the questionnaire was 80.7%. The respondents found that all 10 items on...... supported by the higher scores of experienced doctors compared to those with less experience and the significant correlation between the observer's and nurses' global scores. The developed checklist should be valuable in guiding and assessing trainees on ward round performance.......BACKGROUND: Ward rounds are an essential responsibility for doctors in hospital settings. Tools for guiding and assessing trainees' performance of ward rounds are needed. A checklist was developed for that purpose for use with trainees in internal medicine. OBJECTIVE: To assess the content and...

  1. Classifying nursing organization in wards in Norwegian hospitals: self-identification versus observation

    Directory of Open Access Journals (Sweden)

    Helgeland Jon

    2010-02-01

    Full Text Available Abstract Background The organization of nursing services could be important to the quality of patient care and staff satisfaction. However, there is no universally accepted nomenclature for this organization. The objective of the current study was to classify general hospital wards based on data describing organizational practice reported by the ward nurse managers, and then to compare this classification with the name used in the wards to identify the organizational model (self-identification. Methods In a cross-sectional postal survey, 93 ward nurse managers in Norwegian hospitals responded to questions about nursing organization in their wards, and what they called their organizational models. K-means cluster analysis was used to classify the wards according to the pattern of activities attributed to the different nursing roles and discriminant analysis was used to interpret the solutions. Cross-tabulation was used to validate the solutions and to compare the classification obtained from the cluster analysis with that obtained by self-identification. The bootstrapping technique was used to assess the generalizability of the cluster solution. Results The cluster analyses produced two alternative solutions using two and three clusters, respectively. The three-cluster solution was considered to be the best representation of the organizational models: 32 team leader-dominated wards, 23 primary nurse-dominated wards and 38 wards with a hybrid or mixed organization. There was moderate correspondence between the three-cluster solution and the models obtained by self-identification. Cross-tabulation supported the empirical classification as being representative for variations in nursing service organization. Ninety-four per cent of the bootstrap replications showed the same pattern as the cluster solution in the study sample. Conclusions A meaningful classification of wards was achieved through an empirical cluster solution; this was, however, only

  2. Junior staffing changes and the temporal ecology of adverse incidents in acute psychiatric wards

    OpenAIRE

    Bowers, L.; Jeffery, D; Simpson, A; C. Daly; Warren, J.; Nijman, H.

    2007-01-01

    Aim.  This paper reports an examination of the relationship between adverse incident rates, the arrival of new junior staff on wards, and days of the week on acute psychiatric wards. Background.  Incidents of violence, absconding and self-harm in acute inpatient services pose risks to patients and staff. Previous research suggests that the arrival of inexperienced new staff may trigger more adverse incidents. Findings on the relationship between incidents and the weekly routine are incons...

  3. A rehabilitation ward in a district general hospital: first three years' experience.

    OpenAIRE

    Walsh, K. J.; Barnes, M P; McLellan, D. L.

    1988-01-01

    The experience of the first three years' work on a ward for the rehabilitation of patients was reviewed. Adults with physical disabilities or mixed physical and psychological disabilities, including unstable or deteriorating conditions, were accepted for intensive rehabilitation. Most patients had neurological disorders. The ward policy was that each patient had considerable time with the therapist, maximum personal independence was encouraged, and multidisciplinary staff meetings were held t...

  4. Drinking Water Quality Surveillance in a Vulnerable Urban Ward of Ahmedabad

    OpenAIRE

    Veena Iyer; Nandini Choudhury; Gulrez Shah Azhar; Bhushan Somvanshi

    2014-01-01

    The World Bank estimates that 21% of all communicable diseases in India are related to unsafe water with diarrhoea alone causing more than 0.1 million deaths annually. The WHO drinking water surveillance parameters of quality, quantity, accessibility, affordability and continuity were assessed in one vulnerable ward of Ahmedabad—a fast growing city in Western India. Interviews with key informants of the ward office, health centre and water supply department, secondary analysis and mapping of ...

  5. Closed pelvic fractures: characteristics and outcomes in older patients admitted to medical and geriatric wards

    OpenAIRE

    Morris, R.; Sonibare, A.; Green, D.; Masud, T.

    2000-01-01

    OBJECTIVE—To investigate the characteristics and outcomes of older patients with pelvic fracture admitted to medical and geriatric wards.
METHODS—All patients admitted to medical and geriatric wards with a pelvic fracture over a four year period were identified using the hospital clinical coding database. Data were collected from casenotes, hospital and Family Health Services Authority databases. Where available, pelvic radiographs were graded according to the Singh index.
RESULTS—The casenot...

  6. Prescription and cost-analysis of antiemetic medication use in pediatric wards: a prospective observational study

    OpenAIRE

    Maulik M. Patel; Rana, Devang A.; Patel, Varsha J.; Manish Patel

    2014-01-01

    Background: Use of anti-emetic drugs in pediatric population is often warranted, but choice of drug remains questionable within pediatricians. Objective of current study is: to study prescribing pattern and to calculate cost of antiemetic drug therapy in pediatric wards. Methods: A prospective, observational study was conducted in pediatric wards of a tertiary care hospital of over 14 month’s duration. Institutional ethics committee approval was obtained and written informed consent o...

  7. Ontology-Based Model For The "Ward-round" Process in Healthcare (OMWRP)

    OpenAIRE

    Ali, Abid

    2010-01-01

    Abstract In the current arena, rapid changes are required to address dynamic patient’s treatment process needs according to the patient’s demand in the healthcare sector. This research work addresses existing problems about information flow in ward-round, what is the optimal information need for an individual with his/her competences according to their role during ward-round in healthcare area. This work also mentions what are the certain activities which are required during the patient treat...

  8. 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...

  9. On gauge invariance and Ward identities for the Wilsonian Renormalisation Group

    International Nuclear Information System (INIS)

    We investigate non-Abelian gauge theories within a Wilsonian Renormalisation Group approach. The cut-off term inherent in this approach leads to a modified Ward identity (mWI). It is shown that this mWI is compatible with the flow and that the full effective action satisfies the usual Ward identity (WI). The universal 1-loop β-function is derived within this approach and the extension to the 2-loop level is briefly outlined

  10. Surveillance of Hospital Acquired Infection in Surgical Wards in Tertiary Care Centre Ahmedabad, Gujarat

    OpenAIRE

    Patel Disha A, Patel Kiran B, Bhatt Seema K, Shah Hetal S

    2011-01-01

    Present study was undertaken to know the rate of Hospital acquired infection in general surgical wards with special reference to surgical site infections with their antibiotic resistance pattern and to find out the source of the infection to develop preventive measures to reduce the risk of hospital acquired infection. Prospective surveillance for hospital acquired infections was performed during period from January 2006 to June 2006 in the wards of general surgery. One day prevalence study w...

  11. Training program conference of "Good Pain Management Ward" was launched in Wuhan

    Institute of Scientific and Technical Information of China (English)

    Yi Cheng

    2012-01-01

    @@ On March 6th, the training program conference of "Good Pain Management Ward" (GPM ward) was launched in the conference hall of Westin Hotel, Wuhan.The conference was hosted by Clinics Medical Secretary, Ministry of Health, and undertaken by CSCO and Mundipharma (China) Pharmaceutical Co., Ltd.Three hundreds experts, doctors and nurses, from departments of oncology, pain, anesthesiology and pharmacy, in 6 provinces (including Hubei, Hunan, Jiangxi, Shanxi, Shanxi, Henan), attended the conference.

  12. Medication prescribing errors and associated factors at the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia

    OpenAIRE

    Zeleke, Abebe; Chanie, Tesfahun; Woldie, Mirkuzie

    2014-01-01

    Background Medication error is common and preventable cause of medical errors and occurs as a result of either human error or a system flaw. The consequences of such errors are more harmful and frequent among pediatric patients. Objective To assess medication prescribing errors and associated factors in the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia. Methods A cross-sectional study was carried out in the pediatric wards of Dessie Referral Hospital from February 17 to Marc...

  13. Neonatal abstinence syndrome: Diagnostic dilemmas in the maternity ward

    Directory of Open Access Journals (Sweden)

    Lazić-Mitrović Tanja

    2015-01-01

    Full Text Available Introduction. Neonatal abstinence syndrome (NAS refers to a newborn neurological, gastrointestinal and/or respiratory disorder if a newborn was exposed to psychoactive substances in the intrauterine period. NAS is difficult to diagnose due to unreliability of the data on addictive substances use during pregnancy, limited possibilities of the prenatal exposure diagnosis and postnatal substance detection, which all lead to diagnostic dilemmas. Objective. The aim of this study was to indicate the problems in patients with early NAS diagnosis in the maternity ward and the importance of clinical presentation used as a guide toward the diagnosis. Methods. This retrospective study included five term eutrophic newborns with high Apgar score, good adaptation in the first day and with clinical presentation of NAS during the second day of life. The clinical presentation was dominated by irritability, increased wakefulness, increased muscle tone, shrilly crying, tremors, problems with accepting food, tachypnea, subfebrility and hyperhidrosis. Finnegan scale was introduced in order to diagnose NAS and apply the therapy. Single-medication therapy of phenobarbitone was applied in four cases and a combination of phenobarbitone and morphine in one case. For toxicological analysis newborns’ urine samples were used. Results. Conditions such as perinatal asphyxia, infection, hunger, polycythemia, hypoglycemia or hypocalcemia were excluded. Finnegan score implied that pharmacological treatment had to be administered. The discrepancy between the NAS anamnesis and toxicological analysis existed. Response to the treatment was positive in all cases. Conclusion. NAS is a multisystemic disorder and should be suspected when it is noticed that children exhibit characteristic signs. However, other pathological conditions have to be excluded. Quantification according to the adopted scales for NAS leads toward appropriate treatment and recovery of the newborns.

  14. Assesment of psychosocial work conditions of nurses at selected hospital wards

    Directory of Open Access Journals (Sweden)

    Iwona Rotter

    2014-04-01

    Full Text Available Background: Good organisation of work, clear division of responsibilities, support from superiors are factors that positively influence the satisfaction of the profession. The purpose of the work was the assessment of psychosocial working conditions of nurses. Material and Methods: The research included 388 nurses working at surgical wards, medical treatment wards, and psychiatric wards. The research method was a diagnostic survey carried out by means of a questionnaire called Psychosocial Work Conditions. The obtained results were statistically analysed. Results: Nearly a half of the nurses considers the requirements at work as moderate, and 36.66% as high. Nurses from medical treatment wards indicate the highest level of requirements. Nurses working at psychiatric wards and in a shift system significantly more often feel the requirements relating to overload and resulting from a conflict of roles. Nurses working in the profession for more than 10 years considerably more often describe the level of behavioural control as high in comparison to those working for a shorter time. Regardless of the character of a ward, nurses most often (44.33% assess the support from co-workers as average, and 1/5 considered this as low. Conclusions: The results indicate the correctness of introducing psychosocial training for professionally active nurses. Med Pr 2014;65(2:173–179

  15. 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

  16. Leadership support for ward managers in acute mental health inpatient settings.

    Science.gov (United States)

    Bonner, Gwen; McLaughlin, Sue

    2014-05-01

    This article shares findings of work undertaken with a group of mental health ward managers to consider their roles through workshops using an action learning approach. The tensions between the need to balance the burden of administrative tasks and act as clinical role models, leaders and managers are considered in the context of providing recovery-focused services. The group reviewed their leadership styles, broke down the administrative elements of their roles using activity logs, reviewed their working environments and considered how recovery focused they believed their wards to be. Findings support the notion that the ward manager role in acute inpatient settings is at times unmanageable. Administration is one aspect of the role for which ward managers feel unprepared and the high number of administrative tasks take them away from front line clinical care, leading to frustration. Absence from clinical areas reduces opportunities for role modeling good clinical practice to other staff. Despite the frustrations of administrative tasks, overall the managers thought they were supportive to their staff and that their wards were recovery focused. PMID:24779763

  17. Outbreak of respiratory syncytial virus (RSV) infection in immunocompromised adults on a hematology ward.

    Science.gov (United States)

    Jensen, Tomas Ostergaard; Stelzer-Braid, Sacha; Willenborg, Christiana; Cheung, Carol; Andresen, David; Rawlinson, William; Clezy, Kate

    2016-10-01

    We describe an outbreak of respiratory syncytial virus (RSV) infection on a hematology ward without allogeneic stem cell transplant patients. Twelve patients and one staff member infected with RSV were identified from the laboratory database. Five patients had lower respiratory tract infection, seven had upper respiratory tract infection, one was asymptomatic, and there were two (15.4%) deaths. Most patients had overlapping periods of potential infectiousness on the ward. Sequencing was possible on eight specimens and five of these had identical sequences. Results were consistent with transmission occurring both on the ward and by introduction of RSV from the community. J. Med. Virol. 88:1827-1831, 2016. © 2016 Wiley Periodicals, Inc. PMID:26990584

  18. Implementation and Evaluation of a Ward-Based eLearning Program for Trauma Patient Management.

    Science.gov (United States)

    Curtis, Kate; Wiseman, Taneal; Kennedy, Belinda; Kourouche, Sarah; Goldsmith, Helen

    2016-01-01

    The majority of trauma nursing education is focused on the emergency phases of care. We describe the development and evaluation of a trauma eLearning module for the ward environment. The module was developed using adult learning principles and implemented in 2 surgical wards. There were 3 phases of evaluation: (1) self-efficacy of nurses; (2) relevance and usability of the module and; (3) application of knowledge learnt. The majority indicated they had applied new knowledge, particularly when performing a physical assessment (85.7%), communicating (91.4%), and identifying risk of serious illness (90.4%). Self-efficacy relating to confidence in caring for patients, communication, and escalating clinical deterioration improved (p = .023). An eLearning trauma patient assessment module for ward nursing staff improves nursing knowledge and self-efficacy. PMID:26745537

  19. The Master Ward Identity and generalized Schwinger-Dyson Equation in classical field theory

    International Nuclear Information System (INIS)

    In the framework of perturbative quantum field theory a new, universal renormalization condition (called Master Ward Identity) was recently proposed by one of us (M.D.) in a joint paper with F.-M. Boas. The main aim of the present paper is to get a better understanding of the Master Ward Identity by analyzing its meaning in classical field theory. It turns out that it is the most general identity for classical local fields which follows from the field equations. It is equivalent to a generalization of the Schwinger-Dyson Equation and is closely related to the Quantum Action Principle of Lowenstein and Lam. The validity of the Master Ward Identity makes possible a local construction of quantum gauge theories. (orig.)

  20. The effects of introducing a clinical pharmacist on orthopaedic wards in Denmark

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Brandstrup, Lene; Brandslund, Ivan;

    2007-01-01

    OBJECTIVE: To assess the effects and cost effects of introducing clinical pharmacists on hospital wards. METHODS: Comparative prospective study on four orthopaedic surgical wards in two hospitals. The primary effect variables were 10 target areas widely considered to be indicators of good...... sub-optimal prescriptions were changed, 43% resulted in cost reductions. The reductions achieved could cover 47% of the costs of clinical pharmacy service. CONCLUSION: Clinical pharmacy services offered to four orthopaedic surgical wards resulted in reduction of sub-optimal prescriptions. Every time...... the pharmacist screened seven patients one sub-optimal prescription was found and adjusted. The reduction in medicine costs due to adjusted sub-optimal prescriptions could not cover the whole cost of clinical pharmacy service....

  1. Light-front zero-mode contribution to the Ward Identity

    International Nuclear Information System (INIS)

    In a covariant gauge we implicitly assume that the Green's function propagates information from one point of the space-time to another, so that the Green's function is responsible for the dynamics of the relativistic particle. In the light front form one would naively expect that this feature would be preserved. In this manner, the fermionic field propagator can be split into a propagating piece and a non-propagating ('contact') term. Since the latter ('contact') one does not propagate information, and therefore, supposedly can be discarded with no harm to the field dynamics we wanted to know what would be the impact of dropping it off. To do that, we investigated its role in the Ward identity in the light front. Here we use the terminology Ward identity to identify the limiting case of photon's zero momentum transfer in the vertex from the more general Ward-Takahashi identity with nonzero momentum transfer.

  2. Insider action research and the microsystem of a Danish surgical ward

    DEFF Research Database (Denmark)

    Paltved, Charlotte; Mørcke, Anne Mette; Musaeus, Peter

    2015-01-01

    This insider action research project aimed to improve interprofessional team performance at a surgical ward. The purpose of the project was (1) to critically appraise potential deficiencies in staffs’ identification, clinical judgment, and management of deteriorating ward patients, (2) to develop...... an interprofessional change model, and (3) evaluate the impact of the change model and the AR process. The insider AR project took place at a large Danish surgical ward with 60 participating physicians and nurses. The study was conducted in three interconnected action and reflection cycles using mixed methods. Staff...... with microsystems, this study highlights the importance of senior leaders to recognize the nature and power of using the microsystem approach for strategy, excellence, innovation, and research. Staff was able to formulate an overarching vision of interprofessionalism and this helped inspire changes in clinical...

  3. External equivalent type Ward aiming optimization studies in power systems; Equivalentes externos tipo Ward visando estudos de otimizacao em sistemas de potencia

    Energy Technology Data Exchange (ETDEWEB)

    Nepomuceno, Leonardo

    1993-07-01

    The execution of functions such as contingency analysis, optimization, reactive dispatch, etc, at the control centers requires appropriate models representing the non-observable parts (external system). The classical external equivalents have been developed considering basically the contingency analysis. This work points out the performance of the Extended Ward Equivalent (W.E.), which currently represents the state of art concerning reduced circuit based models. the work analyzes the W.E. response to changes occurred in optimization studied. Moreover, a new model, named INTERNAL REACTIVE WARD (WRINT), resulting from an adaptation of the W.E. is proposed focusing on the improvement of the equivalent in case of changes occurs in optimization studies. The model's general idea is to reflect the equivalent's capacity of reactive response into the internal system. Comparative computational test results are shown. The details of routines implementation are also pointed out. (author)

  4. Does doctors’ workload impact supervision and ward activities of final-year students? A prospective study

    Directory of Open Access Journals (Sweden)

    Celebi Nora

    2012-06-01

    Full Text Available Abstract Background Hospital doctors face constantly increasing workloads. Besides caring for patients, their duties also comprise the education of future colleagues. The aim of this study was to objectively investigate whether the workload arising from increased patient care interferes with student supervision and is associated with more non-medical activities of final-year medical students. Methods A total of 54 final-year students were asked to keep a diary of their daily activities over a three-week period at the beginning of their internship in Internal Medicine. Students categorized their activities – both medical and non-medical - according to whether they had: (1 only watched, (2 assisted the ward resident, (3 performed the activity themselves under supervision of the ward resident, or (4 performed the activity without supervision. The activities reported on a particular day were matched with a ward specific workload-index derived from the hospital information system, including the number of patients treated on the corresponding ward on that day, a correction factor according to the patient comorbidity complexity level (PCCL, and the number of admissions and discharges. Both students and ward residents were blinded to the study question. Results A total of 32 diaries (59 %, 442 recorded working days were handed back. Overall, the students reported 1.2 ± 1.3 supervised, 1.8 ±1.6 medical and 3.6 ± 1.7 non-medical activities per day. The more supervised activities were reported, the more the number of reported medical activities increased (p  Conclusions There was a significant association between ward doctors’ supervision of students and the number of medical activities performed by medical students. The workload had no significant effect on supervision or the number of medical or non-medical activities of final-year students.

  5. Predicting Spatial Distribution of Infection Risk of Airborne Transmission Diseases in a Hospital Ward

    DEFF Research Database (Denmark)

    Qian, Hua; Li, Yuguo; Nielsen, Peter V.; Huang, Xinghuang

    2007-01-01

    This study attempt to integrate the Wells-Riley equation and computational fluid dynamics for analyzing the risk of airborne transmission diseases in a building. The new method can predict the spatial distribution of the infection risk of the airborne transmission diseases in a large hospital ward......, while the Wells-Riley equation alone can only predict the overall infection risk in the whole building assuming a uniform distribution of the droplet nuclei concentration. This new method is applied to analyze the transmission risk in the well documented 8A ward SARS outbreak in a Hong Kong hospital in...

  6. Functional flows in QED and the modified Ward-Takahashi identity

    CERN Document Server

    Igarashi, Yuji; Pawlowski, Jan M

    2016-01-01

    In the functional renormalisation group approach to gauge theory, the Ward-Takahashi identity is modified due to the presence of an infrared cutoff term. It take the most accessible form for the Wilsonian effective action. In the present work we solve these identities, partially, for the Wilson effective action of QED. In particular, we compute the longitudinal part of the photon two point vertex function as a momentum- dependent function in the presence of the cutoff k. The resultant Wilsonian effective action carries form factors that originate from the modified Ward-Takahashi identity. We show how this result carries over to the one-particle-irreducible effective action.

  7. Evaluation of the new ward housekeeper role in UK NHS Trusts

    OpenAIRE

    May, D.; Smith, L., Shacklady-Smith, A., Boyd, A., and Johnson, C.

    2003-01-01

    In the year 2000, the UK government promoted the concept that hospital services be shaped around the needs of the patient to make their stay in hospital as comfortable as possible and advocated the introduction of a ward housekeeper role in at least 50 per cent of hospitals by 2004. This is a ward-based non-clinical role centred on cleaning, food service and maintenance to ensure that the basics of care are right for the patient. In 2002 the Facilities Management Graduate Centre at Sheffield ...

  8. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.

    Science.gov (United States)

    Aung, Tin Htun; Judith Beck, Adèle; Siese, Thomas; Berrisford, Richard

    2016-01-01

    Potentially inappropriate prescribing in healthcare of the elderly (HCE) is associated with avoidable adverse drug events (ADEs).1(,)2 A recent set of prescribing criteria has been designed and validated, called "Screening Tool of Older Persons' Prescriptions" (STOPP), to rationalise prescribing in hospitalised patients on HCE wards.1(,)3 The aim of this quality improvement project was to identify how many potentially inappropriate medications (PIMs) were prescribed on these wards, and remove them. This was executed by implementing a ward round checklist, which incorporated STOPP criteria, for the twice weekly, consultant led ward rounds. This quality improvement project was carried out over four months. In a pilot study, we identified eight inappropriate medical prescriptions among 148 medications (5.4% ) prescribed on one ward. After applying a checklist for a structured ward round, we reviewed the medications prescribed on that ward, and found 10 PIMs out of 192 (5.2% ). Utilising the increasingly recognised "plan, do, study, act" (PDSA) cycle,4 we implemented departmental teaching and meetings with other members of the multidisciplinary team, which raised awareness of PIMs among junior doctors, as well as involving our pharmacists in drug chart screening. During this process we continued with a further six cycles on a bi-weekly basis, and saw a gradual decrease in PIM to 1.5%. In conclusion, a structured ward round, facilitated by a checklist that included review of drug charts based on STOPP criteria, demonstrated a considerable reduction of PIMs. It would be interesting to apply this quality improvement project to non-HCE wards, including general surgical wards or adult psychiatry wards, as a means of not only reducing the effects of ADEs, but also the expenditure associated with unnecessary drug prescriptions, and the costs associated with additional care arising from associated ADEs. PMID:27096089

  9. Conflicting priorities: evaluation of an intervention to improve nurse-parent relationships on a Tanzanian paediatric ward

    DEFF Research Database (Denmark)

    Manongi, Rachel N; Nasuwa, Fortunata R; Mwangi, Rose;

    2009-01-01

    on a paediatric ward in a busy regional hospital in Tanzania. METHODS: The intervention consisted of six workshops, attended by 29 of 31 trained nurses and nurse attendants working on the paediatric ward. Parental satisfaction with nursing care was measured with 288 parents before and six weeks after...

  10. Proposed Reference Model for Guiding Teachers to Perform Ward Round Teaching

    Directory of Open Access Journals (Sweden)

    Luís Alberto Corona Martínez

    2014-06-01

    Full Text Available Ward round teaching is an essential professional medical activity as an organizational form of teaching in undergraduate medical education. Its great importance for shaping a professional "personality" is well recognized by the faculty; as well as its extremely complex implementation and development of the necessary skills. The problem to be solved in this paper is related to the need to help younger clinical teachers in undergraduate medical education to develop the skills to conduct ward round teaching; which would be achieved through appropriate guidance on how to perform this activity. Based on this, the teaching staff in the Department of Clinical Sciences of the Dr. Raúl Dorticós Torrado Faculty of Medical Sciences in Cienfuegos has designed a model or representation of ward round teaching to be used as a guide. The main results include the development of a model with two variants, according to the care provided to a recently admitted patient or an already known patient; and the definition of conditions, both in practical and educational areas, which should be considered for the proper implementation of the activity. The model is not a complete representation of the ward round teaching, thus the proposal is open to review and improvement; and its use is based on its adaptation to the particularities of the different disciplines and learning scenarios.

  11. SUSY Ward identities for multi-gluon helicity amplitudes with massive quarks

    International Nuclear Information System (INIS)

    We use supersymmetric Ward identities to relate multi-gluon helicity amplitudes involving a pair of massive quarks to amplitudes with massive scalars. This allows to use the recent results for scalar amplitudes with an arbitrary number of gluons obtained by on-shell recursion relations to obtain scattering amplitudes involving top quarks

  12. Information Needs Assessment for a Medicine Ward-Focused Rounding Dashboard.

    Science.gov (United States)

    Aakre, Christopher A; Chaudhry, Rajeev; Pickering, Brian W; Herasevich, Vitaly

    2016-08-01

    To identify the routine information needs of inpatient clinicians on the general wards for the development of an electronic dashboard. Survey of internal medicine and subspecialty clinicians from March 2014-July 2014 at Saint Marys Hospital in Rochester, Minnesota. An information needs assessment was generated from all unique data elements extracted from all handoff and rounding tools used by clinicians in our ICUs and general wards. An electronic survey was distributed to 104 inpatient medical providers. 89 unique data elements were identified from currently utilized handoff and rounding instruments. All data elements were present in our multipurpose ICU-based dashboard. 42 of 104 (40 %) surveys were returned. Data elements important (50/89, 56 %) and unimportant (24/89, 27 %) for routine use were identified. No significant differences in data element ranking were observed between supervisory and nonsupervisory roles. The routine information needs of general ward clinicians are a subset of data elements used routinely by ICU clinicians. Our findings suggest an electronic dashboard could be adapted from the critical care setting to the general wards with minimal modification. PMID:27307266

  13. Design Parameters for Evaluating Light Settings and Light Atmosphere in Hospital Wards

    DEFF Research Database (Denmark)

    Stidsen, Lone; Kirkegaard, Poul Henning; Fisker, Anna Marie

    2010-01-01

    When constructing and designing Danish hospitals for the future, patients, staff and guests are in focus. It is found important to have a starting point in healing architecture and create an environment with knowledge of users sensory and functionally needs and looks at how hospital wards can...

  14. Inappropriate use of urinary catheters and its common complications in different hospital wards

    Directory of Open Access Journals (Sweden)

    Parivash Davoodian

    2012-01-01

    Full Text Available Inappropriate use of indwelling urinary catheters (IUCs and their related complications is one of the most important problems in hospital wards. The aim of this study was to evaluate inappropriate use of IUCs and their complications among patients in Tehran, Iran. Two hundred and six consecutive patients hospitalized in the intensive care unit (ICU as well as medical and surgical wards at the Shahid Mohammadi Hospital in Bandarabbas from September 1 to 30, 2005 and in whom IUCs were used, were studied. Data collected included age of the patients, diagnoses, reason for use of IUC and the complications related to it. Overall, 164 patients (79.6% had IUCs used appropriately while 42 of them (20.6% were catheterized unjustifiably. Inappropriate use of IUCs in the ICU, medical and surgical wards was reported in 12 (18.5%, 16 (19.0% and 14 patients (24.6%, respectively. The most common complication of IUCs was urinary tract infection, which occurred in 91 patients (44.2% and hematuria, which was seen in 3.9% of the patients. Our study suggests that inappropriate use of IUCs is prevalent, particularly in the surgical wards, and the most common complication observed was catheter-associated urinary tract infection.

  15. Two-particle renormalizations in many-fermion perturbation theory: the importance of the Ward identity

    Czech Academy of Sciences Publication Activity Database

    Janiš, Václav

    2003-01-01

    Roč. 15, - (2003), s. L311-L317. ISSN 0953-8984 R&D Projects: GA ČR GA202/01/0764 Institutional research plan: CEZ:AV0Z1010914 Keywords : Ward identity * electron correlations * conservation laws Subject RIV: BE - Theoretical Physics Impact factor: 1.757, year: 2003

  16. Missed Opportunities for Nutritional Rehabilitation in Children Admitted to Surgical Wards

    Science.gov (United States)

    Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish

    2016-01-01

    Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a “missed opportunity.” Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. “Identification” and hence management of malnutrition need more attention.

  17. Spatial Distribution of Infection Risk of SARS Transmission in a Hospital Ward

    DEFF Research Database (Denmark)

    Qian, Hua; Li, Yuguo; Nielsen, Peter V.;

    2009-01-01

    The classical Wells-Riley model for predicting risk of airborne transmission of diseases assumes a uniform spatial distribution of the infected cases in an enclosed space. A new mathematical model is developed here for predicting the spatial distribution of infection risk of airborne transmitted ......, such as inpatients in a hospital ward, passengers in an airplane etc....

  18. Constructing and Evaluating a Validity Argument for the Final-Year Ward Simulation Exercise

    Science.gov (United States)

    Till, Hettie; Ker, Jean; Myford, Carol; Stirling, Kevin; Mires, Gary

    2015-01-01

    The authors report final-year ward simulation data from the University of Dundee Medical School. Faculty who designed this assessment intend for the final score to represent an individual senior medical student's level of clinical performance. The results are included in each student's portfolio as one source of evidence of the student's…

  19. Factors affecting staff morale on inpatient mental health wards in England: a qualitative investigation

    Directory of Open Access Journals (Sweden)

    Paul Moli

    2011-04-01

    Full Text Available Abstract Background Good morale among staff on inpatient psychiatric wards is an important requirement for the maintenance of strong therapeutic alliances and positive patient experiences, and for the successful implementation of initiatives to improve care. More understanding is needed of mechanisms underlying good and poor morale. Method We conducted individual and group interviews with staff of a full range of disciplines and levels of seniority on seven NHS in-patient wards of varying types in England. Results Inpatient staff feel sustained in their potentially stressful roles by mutual loyalty and trust within cohesive ward teams. Clear roles, supportive ward managers and well designed organisational procedures and structures maintain good morale. Perceived threats to good morale include staffing levels that are insufficient for staff to feel safe and able to spend time with patients, the high risk of violence, and lack of voice in the wider organisation. Conclusions Increasing employee voice, designing jobs so as to maximise autonomy within clear and well-structured operational protocols, promoting greater staff-patient contact and improving responses to violence may contribute more to inpatient staff morale than formal support mechanisms.

  20. Neonatal Intensive Care Unit Nurses Working in an Open Ward: Stress and Work Satisfaction.

    Science.gov (United States)

    Lavoie-Tremblay, Mélanie; Feeley, Nancy; Lavigne, Geneviève L; Genest, Christine; Robins, Stéphanie; Fréchette, Julie

    2016-01-01

    There is some research on the impact of open-ward unit design on the health of babies and the stress experienced by parents and nurses in neonatal intensive care units. However, few studies have explored the factors associated with nurse stress and work satisfaction among nurses practicing in open-ward neonatal intensive care units. The purpose of this study was to examine what factors are associated with nurse stress and work satisfaction among nurses practicing in an open-ward neonatal intensive care unit. A cross-sectional correlational design was used in this study. Participants were nurses employed in a 34-bed open-ward neonatal intensive care unit in a major university-affiliated hospital in Montréal, Quebec, Canada. A total of 94 nurses were eligible, and 86 completed questionnaires (91% response rate). Descriptive statistics were computed to describe the participants' characteristics. To identify factors associated with nurse stress and work satisfaction, correlational analysis and multiple regression analyses were performed with the Nurse Stress Scale and the Global Work Satisfaction scores as the dependent variables. Different factors predict neonatal intensive care unit nurses' stress and job satisfaction, including support, family-centered care, performance obstacles, work schedule, education, and employment status. In order to provide neonatal intensive care units nurses with a supportive environment, managers can provide direct social support to nurses and influence the culture around teamwork. PMID:27455363

  1. Audit of a ward-based patient-controlled epidural analgesia service in Ireland.

    LENUS (Irish Health Repository)

    Tan, T

    2012-02-01

    BACKGROUND: Ward-based patient-controlled epidural analgesia (PCEA) for postoperative pain control was introduced at our institution in 2006. We audited the efficacy and safety of ward-based PCEA from January 2006 to December 2008. METHOD: Data were collected from 928 patients who received PCEA in general surgical wards for postoperative analgesia using bupivacaine 0.125% with fentanyl 2 mug\\/mL. RESULTS: On the first postoperative day, the median visual analogue pain score was 2 at rest and 4 on activity. Hypotension occurred in 21 (2.2%) patients, excessive motor blockade in 16 (1.7%), high block in 5 (0.5%), nausea in 5 (0.5%) and pruritus in only 1 patient. Excessive sedation occurred in two (0.2%) patients but no intervention was required. There were no serious complications such as epidural abscess, infection or haematoma. CONCLUSION: Effective and safe postoperative analgesia can be provided with PCEA in a general surgical ward without recourse to high-dependency supervision.

  2. Heterotic massive Einstein-Yang-Mills-type symmetry and Ward identity

    OpenAIRE

    Lee, Jen-Chi

    2005-01-01

    We show that there exist spontaneously broken symmetries for massive modes with transformation parameters containing both Einstein and E8xE8 (or SO(32)) Yang-Mills indices in the 10D Heterotic string. The corresponding on-shell Ward identities are also constructed.

  3. [Medical economics in tuberculosis management: what will come after the TB ward?].

    Science.gov (United States)

    Yotsumoto, Hideki

    2009-11-01

    Current unprofitability of medical services in tuberculosis (TB) ward in Japan has been induced by low medical fee and long-term hospital stays, aggravated by unoccupied beds due to the decrease in the number of patients. For the solution of this issue, the increase of medical fee, shortening of the length of hospital stay and drastic reduction of oversupplied beds are essential. An increment of medical fee by the change in the system would be appreciated, but even under the current system, the balance between revenue and expenditure could be obtained by reducing the length of hospital stay toward 4 weeks, and the elimination of deficit in TB ward could be accomplished by these efforts; shortening of length of hospital stay and reduction of TB beds. Although the latter might result in the difficulty of sustaining TB wards, these patients could be treated in the infectious disease ward. The integration of TB Control Law to Infectious Disease Control Law suggests that TB is not a special disease in Japan. If a true "short course therapy" era would be realized by novel anti-tuberculosis drugs, a dramatic change in TB management would occur in the near future. PMID:19999596

  4. Applying mobile and pervasive computer technology to enhance coordination of work in a surgical ward

    DEFF Research Database (Denmark)

    Hansen, Thomas Riisgaard; Bardram, Jakob Eyvind

    2007-01-01

    unnecessary stress. To accommodate this situation and to increase the quality of work in operating wards, we have designed a set of pervasive computer systems which supports what we call context-mediated communication and awareness. These systems use large interactive displays, video streaming from key...

  5. Applying Mobile and Pervasive Computer Technology to Enhance Coordination of Work in a Surgical Ward

    DEFF Research Database (Denmark)

    Hansen, Thomas Riisgaard; Bardram, Jakob

    2007-01-01

    unnecessary stress. To accommodate this situation and to increase the quality of work in operating wards, we have designed a set of pervasive computer systems which supports what we call context-mediated communication and awareness. These systems use large interactive displays, video streaming from key...

  6. Incidence of nutritional support complications in patient hospitalized in wards. multicentric study

    OpenAIRE

    Gloria María Agudelo Ochoa; Nubia Amparo Giraldo Giraldo; Nora Luz Aguilar; Beatriz Elena Restrepo; Marcela Vanegas; Sandra Alzate; Mónica Martínez; Sonia Patriacia Gamboa; Eliana Castaño; Janeth Barbosa; Juliana Román; Angela María Serna; Gloria Marcela Hoyos

    2012-01-01

    Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, app...

  7. SUSY Ward identities for multi-gluon helicity amplitudes with massive quarks

    OpenAIRE

    Schwinn, Christian; Weinzierl, Stefan

    2006-01-01

    We use supersymmetric Ward identities to relate multi-gluon helicity amplitudes involving a pair of massive quarks to amplitudes with massive scalars. This allows to use the recent results for scalar amplitudes with an arbitrary number of gluons obtained by on-shell recursion relations to obtain scattering amplitudes involving top quarks.

  8. Changes in Emotion Work at Interdisciplinary Conferences Following Clinical Supervision in a Palliative Outpatient Ward

    DEFF Research Database (Denmark)

    Nordentoft, Helle Merete

    2008-01-01

    In this article, I describe changes in emotion work at weekly interdisciplinary conferences in a palliative1 outpatient ward following clinical supervision (CS). I conceive emotions as constantly negotiated in interaction, and I researched the similarity between how this is done during CS and at ...... conclude that CS enhances professional development and may prevent burnout in palliative care....

  9. Psychological Evaluation of Patients in Critical Care/Intensive Care Unit and Patients Admitted in Wards

    OpenAIRE

    Sharma B, Gaurav; EVS, Maben; MS, Kotian; B., Ganaraja

    2014-01-01

    Background: Psychological assessment for depression, anxiety and stress among ICU patients and the patients admitted to ward in a hospital in India. This aspect did not get much attention in India so far. Such studies were common in developed countries. Therefore we decided in this study, to analyse the psychological status responses from the hospitalised patients in Mangalore using a validated questionnaire.

  10. Improving the communication between teams managing boarded patients on a surgical specialty ward

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  11. Improving the communication between teams managing boarded patients on a surgical specialty ward.

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  12. Duration of bed occupancy as calculated at a random chosen day in an acute care ward. Implications for the use of scarce resources in psychiatric care

    OpenAIRE

    Restan Asbjørn; Berg John E

    2005-01-01

    Abstract Background Psychiatric acute wards are obliged to admit patients without delay according to the Act on Compulsive Psychiatric Care. Residential long term treatment facilities and rehabilitation facilities may use a waiting list. Patients, who may not be discharged from the acute ward or should not wait there, then occupy acute ward beds. Materials and methods Bed occupancy in one acute ward at a random day in 2002 was registered (n = 23). Successively, the length of stay of all patie...

  13. A replication study of the City nurse intervention: reducing conflict and containment on three acute psychiatric wards.

    Science.gov (United States)

    Bowers, L; Flood, C; Brennan, G; Allan, T

    2008-11-01

    Conflict and containment on acute inpatient psychiatric wards pose a threat to patient and staff safety, and it is desirable to minimize the frequency of these events. Research has indicated that certain staff attitudes and behaviours might serve to accomplish this, namely, positive appreciation, emotional regulation and effective structure. A previous test of an intervention based on these principles, on two wards, showed a good outcome. In this study, we tested the same intervention on three further wards. Two 'City nurses' were employed to work with three acute wards, assisting with the implementation of changes according to the working model of conflict and containment generation. Evaluation was via before-and-after measures, with parallel data collected from five control wards. While simple before-and-after analysis of the two experimental wards showed significant reductions in conflict and containment, when a comparison with controls was conducted, with control for patient occupancy and clustering of results by ward, no effect of the intervention was found. The results were therefore ambiguous, and neither confirm nor contradict the efficacy of the intervention. A further intervention study may need to be conducted with a larger sample size to achieve adequate statistical power. PMID:18844799

  14. The effect of multi-professional education on the recognition and outcome of patients at risk on general wards

    DEFF Research Database (Denmark)

    Fuhrmann, L.; Perner, A.; Klausen, T.W.;

    2009-01-01

    The aim of this study was to evaluate the effect of multi-professional full-scale simulation-based education of staff on the mortality and staff awareness of patients at risk on general wards. DESIGN, SETTINGS AND PATIENTS: A prospective before-and-after study conducted on four general wards at...... Herlev Hospital, Denmark. In the pre-intervention period (June-July 2006) and post-intervention period (November-December 2007), all patients on the wards had vital signs measured in the evening by study personnel, who also asked nursing staff questions about patients with abnormal vital signs. The...

  15. Clinical assessment and treatment in paediatric wards in the north-east of the United Republic of Tanzania

    DEFF Research Database (Denmark)

    Reyburn, Hugh; Mwakasungula, Emmanuel; Chonya, Semkini; Mtei, Frank; Bygbjerg, Ib; Poulsen, Anja; Olomi, Raimos

    2008-01-01

    outpatient consultations were observed, and a record of care was extracted from the case notes of children on the paediatric ward. Additional data were collected from inspection of ward supplies and hospital reports. FINDINGS: Of 1181 outpatient consultations, basic clinical signs were often not checked; e......; appropriate feeds were not present in any of the hospitals. A diagnosis of HIV-AIDS was made in only two cases while approximately 5% children admitted were expected to be infected with HIV in this area. CONCLUSION: Clinical assessment of children admitted to paediatric wards is disturbingly poor and...

  16. Medication reconciliation and prescribing reviews by pharmacy technicians in a geriatric ward

    DEFF Research Database (Denmark)

    Buck, Thomas Croft; Gronkjaer, Louise Smed; Duckert, Marie-Louise;

    2013-01-01

    OBJECTIVE: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians' in obtaining medication histories by performing medication reconciliation...... and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients. METHODS: This observational study was conducted over a 7 week period in the geriatric ward at Odense...... University Hospital, Denmark. Two pharmacy technicians conducted medication reconciliation and prescribing reviews at the time of patients' admission to the ward. The reviews were conducted according to standard operating procedures developed by a clinical pharmacist and approved by the Head of the Geriatric...

  17. Development of an adhesive surgical ward round checklist: a technique to improve patient safety.

    LENUS (Irish Health Repository)

    Dhillon, P

    2012-02-01

    Checklists have been shown to improve patient outcomes. Checklist use is seen in the pre-operative to post-operative phases of the patient pathway. An adhesive checklist was developed for ward rounds due to the positive impact it could have on improving patient safety. Over an eight day period data were collected from five consultant-led teams that were randomly selected from the surgical department and divided into sticker groups and control groups. Across the board percentage adherence to the Good Surgical Practice Guidelines (GSPG) was markedly higher in the sticker study group, 1186 (91%) in comparison with the control group 718 (55%). There was significant improvement of documentation across all areas measured. An adhesive checklist for ward round note taking is a simple and cost-effective way to improve documentation, communication, hand-over, and patient safety. Successfully implemented in a tertiary level centre in Dublin, Ireland it is easily transferable to other surgical departments globally.

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

    Directory of Open Access Journals (Sweden)

    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.

  19. The understanding of the special administration of nursing care in the intervention ward

    International Nuclear Information System (INIS)

    Because of the particularity of the interventional therapy,that is,the interventional management covers a large scope in clinical application and involves the diagnosis and treatment of various diseases of multiple systems and organs,the clinical interventional practice has really brought an unprecedented challenge for the administration of the nursing care in the intervention ward. In our hospital, independent nursing group for the intervention ward was established two years ago. For the past two years, we have constantly groped and summarized the reasonable and effect administration of interventional nursing care. Pertinent administrative measures, such as nurse training, strengthening of communication with physicians and focusing on key links in nursing care and promptly finding out the weak points in clinical work, have effectively improved the quality of clinical nursing, in this way the clinical nursing practice has been integrated into the interventional therapy and the safe and high-quality nursing service has been provided to the patients. (authors)

  20. Risk of Cross-Infection in a Hospital Ward with Downward Ventilation

    DEFF Research Database (Denmark)

    Nielsen, Peter V.; Li, Yuguo; Buus, Morten; Winther, Frederik Vildbrad

    2010-01-01

    A two-bed hospital ward with one standing healthcare person and a ceiling-mounted lowimpulse semicircular inlet diffuser is simulated in a full-scale room. Tracer gas is used for simulating gaseous contaminants, and the concentration is measured at different air change rates and different postures...... of the patients. A textile partition between the beds, which is typical in a hospital ward, is used for protection of the patients in some of the experiments. Three different layouts of return openings are tested. One layout with one opening at the ceiling, another with four openings at the wall...... opposite to the inlet diffuser, and one with a high location of these four openings. The downward recirculating flow is on average parallel with the partition, and in most cases the partition does not decrease cross-infection. A high location of the four return openings decreases the risk of cross-infection....

  1. Continuous pulse oximetry in the general surgical ward: Nellcor N-200 versus Nellcor N-3000

    DEFF Research Database (Denmark)

    Christensen, M; Lie, C; Rosenberg, J

    1999-01-01

    New measurement principles in pulse oximetry have been introduced to decrease the incidence of false movement alarms. Experimental studies have shown that the new Nellcor Symphony N-3000 may reduce the incidence of false alarms when monitoring during different activities. We compared the Nellcor...... Symphony N-3000 with the Nellcor N-200 pulse oximeter, when monitoring patients in the general surgical ward. Twenty-two patients were monitored during unrestricted ward activities for a total of 275 h with a N-3000 and a N-200 pulse oximeter simultaneously. Data were analysed for lack of concordance...... between the two pulse oximeters with respect to frequency of registered hypoxaemic episodes and thus the amount of time spent in the alarm state. The median number of desaturation episodes with the N-200 was 18 (range 0-511) compared with four (range 0-476) with the N-3000 (p < 0.0001). The median number...

  2. Hidden in Plain Sight on Locked Wards--On Finding and Being Found.

    Science.gov (United States)

    Margulies, Alfred

    2016-01-01

    Lost and falling, the feeling that life is disorienting: none of us escapes the experience. For those clinicians who venture on to inpatient wards, lost-ness takes on a special urgency. But what does it mean to "find" another? Surely feeling lost is at the heart of our existential search for grounding. And so how does one find oneself? And why is another so important in this self-search? This paper explores two brief encounters on an inpatient ward where the lost-ness of psychosis and despair cover the shock of unbearable feelings. Yet the intolerable story is displayed as both a symptom and a sign, inscribed in the body, an uncanny symbol hidden in plain sight. And here may be a way in, and a way out-here a person might be found. PMID:27052608

  3. Airflow and Contaminant Distribution in Hospital Wards with a Displacement Ventililation System

    DEFF Research Database (Denmark)

    Qian, H.; Nielsen, Peter Vilhelm; Li, Y.;

    2004-01-01

    wards probably due to its inability to remove large particles and risk of particle deposition on horizontal surfaces in the occupied regions. However, the existing downward ventilation system commonly used in isolation rooms does not deliver the required performance. There is a need to develop effective...... to accurately predict three-dimensional distribution of air velocity, temperature, and contaminant concentration in the ward. Indoor airflow in a displacement ventilation system involves a combination of different flow streams such as the gravity currents and thermal plumes. It is important to choose...... an appropriate turbulent model to simulate and reproduce the process of contaminant dispersion. The low Reynolds-number (LRN) k-e (Launder and Sharma, 1978) turbulence model with a damping function (Chikamoto et al., 1992) was considered and evaluated by experiment. We carried out an experimental...

  4. Validation of a checklist to assess ward round performance in internal medicine

    DEFF Research Database (Denmark)

    Nørgaard, Kirsten; Ringsted, Charlotte; Dolmans, Diana

    2004-01-01

    the checklist were relevant to ward round performance and that the item collection was comprehensive. Checklist mean-item scores differed between levels of expertise: junior house officers 1.4 (1.0-1.9); senior house officers 2.0 (1.5-2.9); specialist trainees 2.5 (1.8-2.8), and specialists 2.7 (2.......3-3.5); median (range) (P < 0.001). A significant correlation was found between global observer scores and nurse scores (r = 0.56, P < 0.001). CONCLUSION: The checklist, developed for assessing trainees' performance of ward rounds in internal medicine, showed high content validity. Construct validity was...

  5. Conformal Ward identities for Wilson loops and a test of the duality with gluon amplitudes

    International Nuclear Information System (INIS)

    Planar gluon amplitudes in N=4 SYM are remarkably similar to expectation values of Wilson loops made of light-like segments. We argue that the latter can be determined by making use of the conformal symmetry of the gauge theory, broken by cusp anomalies. We derive the corresponding anomalous conformal Ward identities valid to all loops and show that they uniquely fix the form of the finite part of a Wilson loop with n cusps (up to an additive constant) for n=4 and 5 and reduce the freedom in it to a function of conformal invariants for n≥6. We also present an explicit two-loop calculation for n=5. The result confirms the form predicted by the Ward identities and matches the finite part of the two-loop five-gluon planar MHV amplitude, up to a constant. This constitutes another non-trivial test of the Wilson loop/gluon amplitude duality.

  6. Checking the transverse Ward-Takahashi relation at one-loop order in four dimensions

    International Nuclear Information System (INIS)

    Some time ago Takahashi derived the so-called transverse relations relating Green's functions of different orders to complement the well-known Ward-Green-Takahashi identities of gauge theories by considering wedge rather than inner products. These transverse relations have the potential to determine the full fermion-boson vertex in terms of the renormalization functions of the fermion propagator. He and Yu have given an indicative proof at one-loop level in four dimensions. However, their construct involves the fourth-rank Levi-Civita tensor defined only unambiguously in four dimensions exactly where the loop integrals diverge. Consequently, here we explicitly check the proposed transverse Ward-Takahashi relation holds at one-loop order in d-dimensions, with d = 4 + ε

  7. Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa

    Directory of Open Access Journals (Sweden)

    Lisa M. Puchalski Ritchie

    2010-01-01

    Full Text Available Despite recent advances in our understanding of paediatric pain and its management, pain continues to be undertreated globally, particularly in children and in low income countries. This article describes the development of a paediatric analgesia and sedation protocol, tailored to the specific setting of the Medical Research Council (MRC paediatric ward in the Gambia, West Africa. An iterative process was used throughout development, with inputs from the medical literature, local providers, and pain experts, incorporated to ensure a safe, effective, and locally appropriate protocol. We demonstrate that evidence-based published guidelines, can and should be adapted to allow for optimal pain management given the resources and capabilities of specific health care settings. It is hoped that the process and protocol described here, will not only help to improve care on the MRC ward, but serve as an example to others working toward improving pain management in similar health care settings.

  8. Diagnosis of the thorax in the intensive-care ward: Digital radiography

    International Nuclear Information System (INIS)

    Only few reports have been published so far on the clinical use of digital luminescence radiography (DLR). We report on 3.000 X-ray examinations of the thorax in the intensive-care ward performed by us since a suitable system (Philips PCR) had been installed in December 1987. The following advantages must be pointed out in respect of using DLR in thoracic diagnosis in the intensive-care ward: No faulty exposures; the thorax can be X-rayed with the patient recumbent in bed, with lateral take; the image brightness is maintained at a constant level by histogram selection; electronic image processing and storage. Hence, DLR entails considerable improvement in X-ray diagnosis of intensive-care patients. (orig.)

  9. 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...

  10. Ward Identities of W_{\\infty} Symmetry and Higher Genus Amplitudes in 2D String Theory

    OpenAIRE

    Hamada, Ken-ji

    1995-01-01

    The Ward identities of the $W_{\\infty}$ symmetry in two dimensional string theory in the tachyon background are studied in the continuum approach. We consider amplitudes different from 2D string ones by the external leg factor and derive the recursion relations among them. The recursion relations have non-linear terms which give relations among the amplitudes defined on different genus. The solutions agree with the matrix model results even in higher genus. We also discuss differences of role...

  11. Infinite symmetry and ward identities in two-dimensional string theory

    International Nuclear Information System (INIS)

    We review some of the recent progress in the continuum formulation of two-dimensional string theory, i.e. two-dimensional quantum gravity coupled to c=1 matter. Special attention is devoted to the discrete states and to the ω∞ algebra they generate. To demonstrate the power of the infinite symmetry, we use the ω∞ Ward identities to derive recursion relations among certain classes of correlation functions, which allow to calculate them exactly. (author). 47 refs

  12. Drug utilization study in postoperative patients in obstetrics and gynaecology ward of tertiary care hospital

    OpenAIRE

    Rajeshwari Neela; Nagabushan Hanumantharaya

    2016-01-01

    Background: A growing number of pharmaceutical products are available in the world market and there has been an increase both in the consumption of the drugs and in expenditure on them. The aim of the study was to analyse drug usage in post-operative patients in obstetrics and gynaecological ward and to assess the prescribing indicators (WHO: Core Drug Use Indicators). Methods: A prospective observational study was conducted over a period of six months, after getting approval from Institu...

  13. Professional caregivers’ experiences of caring for women with breast cancer on a surgical ward

    OpenAIRE

    Ödling, Gunvor

    2004-01-01

    The overall aim of the thesis was to describe caregivers’ experiences of caring for women with breast cancer on a surgical ward. The study was based on interviews with narrative parts and tape-recorded clinical supervision sessions. The interviews and clinical supervision sessions were transcribed verbatim, and analysed by content analysis. Nurses (n=10) described life for women with breast cancer as either having freedom or not having freedom, with both physical and existential suffering. Dy...

  14. Retrospective evaluation of tooth injuries and associated factors at a hospital emergency ward

    OpenAIRE

    Ferreira, Meire Coelho; Batista, Anne Margareth; Marques, Leandro Silva; Ferreira, Fernanda de Oliveira; Medeiros-Filho, João Batista; Ramos-Jorge, Maria Letícia

    2015-01-01

    Background The aim of study was to determine the occurrence of tooth injuries and associated factors among patients treated at a hospital emergency ward. Methods A cross-sectional study was conducted involving the analysis of 790 patient charts. The independent variables were gender, place of residence and type of accident. The dependent variable was tooth injury (fractures, concussion, luxation and avulsion). Statistical analysis involved the chi-square test, Poisson analysis and logistic re...

  15. Medication Prescribing Pattern at a Pediatric Ward of an Ethiopian Hospital

    Directory of Open Access Journals (Sweden)

    Fitsum Sebsibe Teni

    2014-11-01

    Full Text Available Introduction: drug use in pediatric patients is a unique dilemma in the management and monitoring of disease. This study aimed at assessing medication prescribing in a pediatric ward of an  Ethiopian hospital. Materials and Methods: a retrospective cross-sectional study was done by reviewing the medical records of 249 patients among those admitted in the period between 11th of September 2007 and 10th of September 2008 to the pediatric ward of Gondar University Referral Hospital, Northwest Ethiopia. Data on characteristics like age, sex and weight; the diagnoses for which patients were admitted and medications prescribed to them during their stay in the ward was collected from the medical records of the patients. Results: an average of 3 diagnoses per patient with the most frequently diagnosed being malnutrition (29.23%, severe community acquired pneumonia (12.96% and underweight (8.86% were reported. A mean of 4.5 medications per patient with the most commonly prescribed being antibacterials namely penicillins which constituted 25.42%, other antibacterials making up 19.61% and medications used for correcting water, electrolyte and acid-base disturbances accounting for 17.19% of the total number of medications prescribed in the ward. The most common individual medications prescribed to the patients included crystalline penicillin, gentamicin and maintenance fluid constituting 9.22, 7.52 and 6.45 percentages respectively most of them in solution forms which were administered dominantly intravenously. Conclusion In this study the common prescription of antibacterials and those used for correcting water, electrolyte and acid-base disturbances was observed which went with the common diagnoses of malnutrition and pneumonia. 

  16. Implementing large-scale quality improvement – lessons from the productive ward: Releasing time to care

    OpenAIRE

    Morrow, Elizabeth; Robert, Glenn; Maben, Jill; Griffiths, Peter

    2011-01-01

    Purpose: This paper is concerned with facilitating large-scale quality improvement in health care, and specifically understanding more about the known challenges associated with implementation of Lean innovations: receptivity, the complexity of adoption processes, evidence of the innovation, and embedding change. Lessons are drawn from the implementation of The Productive Ward: Releasing Time to CareTM programme in English hospitals. Design/participants: The study which the paper draws up...

  17. Aspects of solitons in noncommutative field theories. The modified Ward model

    International Nuclear Information System (INIS)

    In this thesis several aspects of solutions to the equations of motions to noncommutative field theories are investigated in detail. The main focus of the analysis is on the integrable chiral or modified unitary sigma model with U(n)-valued fields as introduced by Ward and its noncommutative extension where the above mentioned new solutions arise. Of particular interest in this context are to us the question of stability of static solitons and the applicability of the so-called adiabatic approach to as a means to approximate time-dependent solutions by geodesic motion in the moduli space of static solutions. After some introductory remarks we proceed to present the Ward model together with its noncommutative extension and give a unified exposition of its known static solutions. This model, as the prime example of an almost Lorentz-invariant field theory in 1+2 dimensions, has several virtues which make its analysis worthwhile. First of all it is integrable thus allowing for powerful, well developed, techniques to generate soliton solutions. At the same time these feature interaction among them. Furthermore, the commutative counterpart of the Ward model has been investigated in great detail such that many results are available for comparison. Next, the question of stability for the present static solutions is considered. This stability is governed by the quadratic form of the fluctuations, which, upon concentrating on the case of diagonal U(1) solutions, is explicitly computed. We show that the considered solutions are stable within a certain subsector of possible configurations, namely the grassmannian ones, and become unstable upon embedding them into the full unitary sigma model. Finally, we remark on some possible generalization of these results. This subject is followed, after a brief review of time-dependent Ward model solutions, by the application of the adiabatic approach, as proposed by Manton, to the static solutions. (orig.)

  18. Factors Influencing Communication Between the Patients with Cancer and their Nurses in Oncology Wards

    OpenAIRE

    Vahid Zamanzadeh; Maryam Rassouli; Abbas Abbaszadeh; Alireza Nikanfar; Hamid Alavi-Majd; Akram Ghahramanian

    2014-01-01

    Aims: The purpose of this study was to demonstrate the factors influencing nurse-patient communication in cancer care in Iran. Materials and Methods: This study was conducted with a qualitative conventional content analysis approach in oncology wards of hospitals in Tabriz. Data was collected through purposive sampling by semi-structured deep interviews with nine patients, three family members and five nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the p...

  19. Student outcomes, learning environment, quality of care and patient safety at an interprofessional training ward

    OpenAIRE

    Hallin, Karin

    2014-01-01

    The overall aim was to enhance knowledge on students’ collaborative learning and patient safety of interprofessional education (IPE) at an interprofessional training ward (IPTW). Medical, nurse, physiotherapy and occupational therapy students and patients at the IPTW were studied. STUDENTS. Study I: A prospective quantitative questionnaire study on 616 IPTW students evaluated whether students perceived they had achieved interprofessional competence. Anonymous pre and post course questio...

  20. Barriers to Nurse-Patient Communication in Cardiac Surgery Wards: A Qualitative Study

    OpenAIRE

    Shafipour, Vida; Mohammad, Eesa; Ahmadi, Fazlollah

    2014-01-01

    Background: An appropriate and effective nurse-patient communication is of the most important aspect of caring. The formation and continuation of such a relationship depends on various factors such as the conditions and context of communication and a mutual understanding between the two. A review of the literature shows that little research is carried out on identification of such barriers in hospital wards between the patients and the healthcare staff. Objectives: The present study was there...

  1. Protocol for an exploration of knowledge sharing for improved discharge from a mental health ward

    OpenAIRE

    Rowley, Emma; Wright, Nicola; Waring, Justin; Gregoriou, Kyri; Chopra, Arun

    2014-01-01

    Introduction Strategies to reduce hospital admissions for mental health service users have received vast amounts of attention, yet the transfer of care from hospital to the community has been ignored. The discharge process is complex, messy, disjointed and inefficient, relying on cross-agency and organisational working. Focusing on one acute mental health admission ward, we will investigate whether the discharge process for people with severe mental health problems can be enhanced through the...

  2. Ward-Takahashi identity for Yang-Mills theory in the Exact Renormalization Group

    OpenAIRE

    Igarashi, Yuji; Itoh, Katsumi; Sonoda, Hidenori

    2008-01-01

    We give a functional derivation of the Ward-Takahashi identity for Yang-Mills theory in the framework of the exact renormalization group. The identity realizes non-abelian gauge symmetry nontrivially despite the presence of a momentum cutoff. The cutoff deforms the gauge transformation by introducing composite operators. In our functional method, which is an extension of the method used in our previous work on QED, these composite operators are expressed in terms of the Wilson action that dep...

  3. Pion electroproduction, PCAC, chiral Ward identities, and the axial form factor revisited

    OpenAIRE

    Fuchs, T.(Department of Physics, TU Dortmund University, 44221, Dortmund, Germany); Scherer, S.

    2003-01-01

    We re-investigate Adler's PCAC relation in the presence of an external electromagnetic field within the framework of QCD coupled to external fields. We discuss pion electroproduction within a tree-level approximation to chiral perturbation theory and explicitly verify a chiral Ward identity referred to as the Adler-Gilman relation. We critically examine soft-momentum techniques and point out how inadmissable approximations may lead to results incompatible with chiral symmetry. As a result we ...

  4. Appropriateness and cost-effectiveness in the treatment of invasive candidiasis in Internal Medicine Wards

    OpenAIRE

    Enrico Tagliaferri; Francesco Menichetti

    2014-01-01

    Invasive candidiasis (IC), including candidemia, is a major cause of morbidity and mortality among patients and the majority of cases of candidemia are documented in Medical Wards. Early identification of patients at risk, knowledge of local epidemiology and prompt efforts to define etiologic diagnosis are pivotal to ensure appropriateness. Start with an echinocandin and switch to fluconazole when possible, seems to represent a useful strategy for the management of IC. The choice between the ...

  5. Effects of neuromuscular electrostimulation in patients with heart failure admitted to ward

    OpenAIRE

    de Araújo Carlos José Soares; Gonçalves Fernanda Souza; Bittencourt Hugo Souza; dos Santos Noélia Gonçalves; Junior Sérgio Vitor Mecca; Neves Júlio Leal Bandeira; Fernandes André Maurício Souza; Junior Roque Aras; dos Reis FranciscoJoséFariasBorges; Guimarães Armênio Costa; Junior ErenaldodeSouzaRodrigues; Carvalho Vitor Oliveira

    2012-01-01

    Abstract Background Neuromuscular electrostimulation has become a promising issue in cardiovascular rehabilitation. However there are few articles published in the literature regarding neuromuscular electrostimulation in patients with heart failure during hospital stay. Methods This is a randomized controlled pilot trial that aimed to investigate the effect of neuromuscular electrostimulation in the walked distance by the six-minute walking test in 30 patients admitted to ward for heart failu...

  6. Direct proof of the Ward-like identities in split field theory

    Science.gov (United States)

    Abdurrahman, Abdulmajeed; Abdurrahman, Ibrahim; Gassem, Mahmoud

    2016-03-01

    The bosonic representation of the split field theory of the open bosonic string ghost, in the full string basis, is examined. The proof that the split field theory 3- vertex (matter and ghost) in the bosonic representation satisfy the Ward like identities is established thus completing the proof of the Bose Fermi equivalence in the split field theory formalism of the open bosonic string. This work is supported by CFEST, Institute of Public Services, Shippensburg University of Pennsylvania.

  7. Uncovering paradoxes from physicians' experiences of patient-centered ward-round.

    Science.gov (United States)

    Bååthe, Fredrik; Ahlborg, Gunnar; Edgren, Lars; Lagström, Annica; Nilsson, Kerstin

    2016-05-01

    Purpose The purpose of this paper is to uncover paradoxes emerging from physicians' experiences of a patient-centered and team-based ward round, in an internal medicine department. Design/methodology/approach Abductive reasoning relates empirical material to complex responsive processes theory in a dialectical process to further understandings. Findings This paper found the response from physicians, to a patient-centered and team-based ward round, related to whether the new demands challenged or confirmed individual physician's professional identity. Two empirically divergent perspectives on enacting the role of physician during ward round emerged: We-perspective and I-perspective, based on where the physician's professional identity was centered. Physicians with more of a We-perspective experienced challenges with the new round, while physicians with more of an I-perspective experienced alignment with their professional identity and embraced the new round. When identity is challenged, anxiety is aroused, and if anxiety is not catered to, then resistance is likely to follow and changes are likely to be hampered. Practical implications For change processes affecting physicians' professional identity, it is important for managers and change leaders to acknowledge paradox and find a balance between new knowledge that needs to be learnt and who the physician is becoming in this new procedure. Originality/value This paper provides increased understanding about how physicians' professional identity is interacting with a patient-centered ward round. It adds to the knowledge about developing health care in line with recent societal requests and with sustainable physician engagement. PMID:27198705

  8. A two year prospective study of hospital-acquired respiratory virus infection on paediatric wards.

    OpenAIRE

    Sims, D G

    1981-01-01

    Over a 24 month period on six paediatric wards of different designs 169 cases of possible hospital-acquired respiratory virus infection were investigated. A variety of viruses was isolated from 82 cases, the most common being respiratory syncytial virus, influenza, parainfluenza, adenoviruses and rhinoviruses. A further 73 children developed respiratory symptoms between 3 and 300 days after administration but viruses were not demonstrable by the techniques used. These children were thought to...

  9. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital

    Directory of Open Access Journals (Sweden)

    Mekonnen AB

    2013-03-01

    Full Text Available Background: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding, dispensing and supplying drugs to roles more directly in caring for patients. Studies on the activities of the clinical pharmacist in an inpatient ward in resource constrained settings are scarce, however.Objective: To assess ward based clinical pharmacy services in an internal medicine ward of Jimma University Specialized Hospital. Methods: The study was carried out in the internal medicine ward from March to April, 2011 at Jimma University Specialized Hospital. The study design was a prospective observational study where pharmaceutical care services provided by clinical pharmacists for inpatients were documented over a period of two months. Interventions like optimization of rational drug use and physician acceptance of these recommendations were documented. Clinical significance of interventions was evaluated by an independent team (1 internist, 1 clinical pharmacologist using a standardized method for categorizing drug related problems (DRPs. Results: A total of 149 drug related interventions conducted for 48 patients were documented; among which 133(89.3% were clinical pharmacists initiated interventions and 16(10.7% interventions were initiated by other health care professionals. The most frequent DRPs underlying interventions were unnecessary drug therapy, 36(24.2%; needs additional drug therapy, 34(22.8% and noncompliance, 29(19.5%. The most frequent intervention type was change of dosage/instruction for use, 23(15.4%. Acceptance rate by physicians was 68.4%. Among the interventions that were rated as clinically significant, 46(48.9% and 25(26.6% had major and moderate clinical importance respectively. Conclusion: Involving trained clinical pharmacists in the healthcare team leads to clinically relevant and well accepted optimization of medicine use in a resource limited settings. This

  10. Development of a nurse robot serving in infectious disease isolation wards

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A prototype of nurse robot system serving in infectious disease wards is developed by analyzing the systems requirement. Firstly, the type synthesis and dimension synthesis for optimizing the workspace are presented. Secondly, the tele-control system based on velocity control mode is introduced, and tele-control program is written. Finally, the imitation of position workspace and experiment of transforming objects from buffer area to isolation area are carried out.

  11. Transverse Ward-Takahashi Relation for the Vector Vertex in Quantum Field Theory

    Institute of Scientific and Technical Information of China (English)

    HE Han-Xin

    2001-01-01

    The transverse Ward-Takahashi (W-T) relation for the vector vertex in quantum field theory is derived by calculating the curl of the time-ordered product of the three-point function including the vector current operator. This provides the constraint on the transverse part of the vertex. By combining the transverse and normal (longitudinal)W-T identities, we obtain the expression for the full vector vertex function.``

  12. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds

    OpenAIRE

    Fertleman, M; Barnett, N; Patel, T.

    2005-01-01

    

Problem: Medication management in the NHS has been highlighted by the UK Department of Health as an area for improvement. Pharmacist participation on post-take (post-admission) ward rounds was shown to reduce medication errors and reduced prescribing costs in the USA and in UK teaching hospitals, which can contribute to improved medication management. We sought to demonstrate the problem in our hospital by collecting data on prescribing practice from three consecutive general medical post-t...

  13. Team climate and attitudes toward information and communication technology among nurses on acute psychiatric wards.

    Science.gov (United States)

    Koivunen, Marita; Anttila, Minna; Kuosmanen, Lauri; Katajisto, Jouko; Välimäki, Maritta

    2015-01-01

    Objectives: To describe the association of team climate with attitudes toward information and communication technology among nursing staff working on acute psychiatric wards. Background: Implementation of ICT applications in nursing practice brings new operating models to work environments, which may affect experienced team climate on hospital wards. Method: Descriptive survey was used as a study design. Team climate was measured by the Finnish modification of the Team Climate Inventory, and attitudes toward ICT by Burkes' questionnaire. The nursing staff (N = 181, n = 146) on nine acute psychiatric wards participated in the study. Results: It is not self-evident that experienced team climate associates with attitudes toward ICT, but there are some positive relationships between perceived team climate and ICT attitudes. The study showed that nurses' motivation to use ICT had statistically significant connections with experienced team climate, participative safety (p = 0.021), support for innovation (p = 0.042) and task orientation (p = 0.042). Conclusion: The results suggest that asserting team climate and supporting innovative operations may lead to more positive attitudes toward ICT. It is, in particular, possible to influence nurses' motivation to use ICT. More attention should be paid to psychosocial factors such as group education and co-operation at work when ICT applications are implemented in nursing. PMID:24393065

  14. Detection of Common Respiratory Viruses and Mycoplasma pneumoniae in Patient-Occupied Rooms in Pediatric Wards.

    Science.gov (United States)

    Wan, Gwo-Hwa; Huang, Chung-Guei; Chung, Fen-Fang; Lin, Tzou-Yien; Tsao, Kuo-Chien; Huang, Yhu-Chering

    2016-04-01

    Few studies have assessed viral contamination in the rooms of hospital wards. This cross-sectional study evaluated the air and objects in patient-occupied rooms in pediatric wards for the presence of common respiratory viruses and Mycoplasma pneumoniae.Air samplers were placed at a short (60-80 cm) and long (320 cm) distance from the head of the beds of 58 pediatric patients, who were subsequently confirmed to be infected with enterovirus (n = 17), respiratory syncytial virus (RSV) (n = 13), influenza A virus (n = 13), adenovirus (n = 9), or M pneumoniae (n = 6). Swab samples were collected from the surfaces of 5 different types of objects in the patients' rooms. All air and swab samples were analyzed via real-time quantitative polymerase chain reaction assay for the presence of the above pathogens.All pathogens except enterovirus were detected in the air, on the objects, or in both locations in the patients' rooms. The detection rates of influenza A virus, adenovirus, and M pneumoniae for the long distance air sampling were 15%, 67%, and 17%, respectively. Both adenovirus and M pneumoniae were detected at very high rates, with high concentrations, on all sampled objects.The respiratory pathogens RSV, influenza A virus, adenovirus, and M pneumoniae were detected in the air and/or on the objects in the pediatric ward rooms. Appropriate infection control measures should be strictly implemented when caring for such patients. PMID:27057827

  15. Caring for children with brain tumors in an oncology ward: a phenomenologic-hermeneutic study

    Directory of Open Access Journals (Sweden)

    Chiara Fioretti

    2014-01-01

    Full Text Available Brain tumors are the most common form of solid tumors in childhood and are characterized by an uncertain prognosis, often meaning tumor invasive surgical procedures in the first steps of the patient’s treatment. In a Pediatric Oncology Ward, children with brain tumors are considered a challenge for health professionals, due to the nature of the relationship between the child, the parents, and the health care providers in the initial phase of the patient’s illness. Here we present a phenomenologic-hermeneutic study, developed in the Oncology Ward of a Hospital in Southern Spain. All the caregivers of the Ward underwent interviews concerning their experience in caring for children with brain tumors. Interviews were recorded and transcribed with the consent of the participants and were analyzed by content themes. In the present paper, we focus on the experiences concerning the first meeting of the professionals with the children and their families and the principal critical issues related to the communication of the diagnosis.

  16. Neuroinfection survey at a neurological ward in a Brazilian tertiary teaching hospital

    Directory of Open Access Journals (Sweden)

    Paulo E Marchiori

    2011-01-01

    Full Text Available OBJECTIVES: This study was undertaken to characterize the neuroinfection profile in a tertiary neurological ward. INTRODUCTION: Neuroinfection is a worldwide concern and bacterial meningitis, tetanus and cerebral malaria have been reported as the commonest causes in developing countries. METHODS: From 1999 to 2007, all patients admitted to the Neurology Ward of Hospital das Clínicas, São Paulo University School of Medicine because of neuroinfection had their medical records reviewed. Age, gender, immunological status, neurological syndrome at presentation, infectious agent and clinical outcome were recorded. RESULTS: Three hundred and seventy four cases of neuroinfectious diseases accounted for 4.2% of ward admissions and the identification of infectious agent was successful in 81% of cases. Mean age was 40.5 + 13.4 years, 63.8% were male, 19.7% were immunocompromised patients and meningoencephalitis was the most common clinical presentation despite infectious agent. Viruses and bacteria were equally responsible for 29.4% of neuroinfectious diseases; parasitic, fungal and prion infections accounted for 28%, 9.6% and 3.5% respectively. Human immunodeficiency virus (HIV, herpes simplex virus 1 (HSV1, Mycobacterium tuberculosis, Treponema pallidum, Taenia solium, Schistosoma mansoni, Cryptococcus neoformans and Histoplasma capsulatum were the more common infectious pathogens in the patients. Infection mortality rate was 14.2%, of which 62.3% occurred in immunocompetent patients. CONCLUSION: Our institution appeared to share some results with developed and developing countries. Comparison with literature may be considered as quality control to health assistance.

  17. Gauge fixing, BRS invariance and Ward identities for randomly stirred flows

    International Nuclear Information System (INIS)

    The Galilean invariance of the Navier-Stokes equation is shown to be akin to a global gauge symmetry familiar from quantum field theory. This symmetry leads to a multiple counting of infinitely many inertial reference frames in the path integral approach to randomly stirred fluids. This problem is solved by fixing the gauge, i.e., singling out one reference frame. The gauge fixed theory has an underlying Becchi-Rouet-Stora (BRS) symmetry which leads to the Ward identity relating the exact inverse response and vertex functions. This identification of Galilean invariance as a gauge symmetry is explored in detail, for different gauge choices and by performing a rigorous examination of a discretized version of the theory. The Navier-Stokes equation is also invariant under arbitrary rectilinear frame accelerations, known as extended Galilean invariance (EGI). We gauge fix this extended symmetry and derive the generalized Ward identity that follows from the BRS invariance of the gauge-fixed theory. This new Ward identity reduces to the standard one in the limit of zero acceleration. This gauge-fixing approach unambiguously shows that Galilean invariance and EGI constrain only the zero mode of the vertex but none of the higher wavenumber modes.

  18. Prevalence of ESBLs-producing Pseudomonas aeruginosa isolates from different wards in a Chinese teaching hospital

    Science.gov (United States)

    Chen, Zhilong; Niu, Hui; Chen, Guangyu; Li, Mingcheng; Li, Ming; Zhou, Yuqing

    2015-01-01

    This study was to explore the molecular dissemination of P. aeruginosa producing extended spectrum β-lactamase (ESBLs) recovered from the different wards in a teaching hospital, Jilin. Among 240 isolates, 91 strains were isolated from burn wards and 149 strains from surgical wards. A total of 210 strains (87.5%) produced ESBLs, 30 strains (12.5%) didn’t produce ESBLs. All ESBLs isolates showed identical antimicrobial susceptibility profiles. The genotypic prevalence of ESBLs for bla SHV-12, bla TEM-24, bla CTX-M-1, bla CTX-M-2, bla CTX-M-3, bla PER and bla VEB genes was 17.6%, 20.5%, 14.3%, 9.6%, 12.9%, 13.8% and 11.4% respectively. All P. aeruginosa strains producing ESBLs had three to six plasmids and contained class 1 integrons, which transferred resistance to E. coli C 600 by conjuation. The data indicated a high prevalence of ESBL among P. aeruginosa isolates in this region and their enzyme types were diverse. PMID:26770582

  19. Determination of Noise Level and Its Sources in the Neonatal Intensive Care Unit and Neonatal Ward

    Directory of Open Access Journals (Sweden)

    Mahdi Jahangir Blourchian

    2015-12-01

    Full Text Available Background: In Neonatal intensive care units (NICU different sound intensities and frequencies are produced from different sources, which may exert undesirable physiological effects on the infants. The aim of this study was to determine the noise level and its sources in the NICU and neonatal ward of Al-Zahra Hospital of Rasht, Iran. Methods: In this descriptive cross-sectional study, the intensity of the sounds generated by the internal and external sources in the NICU and neonatal ward was measured using a sound level meter device. The sound produced by each of the sources was individually calculated. Data were analyzed performing descriptive and analytical statistics, using SPSS version 19. Results: The mean noise levels in six rooms and a hallway during morning, afternoon and night shifts with the electromechanical devices turned on were 61.67±4.5, 61.32±4.32 and 60.71±4.56 dB, respectively. Moreover, with the devices tuned off the mean noise levels during morning, afternoon and evening shifts were 64.97±2.6, 60.6±1.29 and 57.91±4.73 dB, respectively. The differences between the mean noise levels in the neonatal wards (standard noise level=45 dB during each shift with the electromechanical devices turned on and off were statistically significant (P=0.002 and P

  20. Impediments to recovery in New Orleans' Upper and Lower Ninth Ward: one year after Hurricane Katrina.

    Science.gov (United States)

    Green, Rebekah; Bates, Lisa K; Smyth, Andrew

    2007-12-01

    In the aftermath of Hurricane Katrina, a rapid succession of plans put forward a host of recovery options for the Upper and Lower Ninth Ward in New Orleans. Much of the debate focused on catastrophic damage to residential structures and discussions of the capacity of low-income residents to repair their neighbourhoods. This article examines impediments to the current recovery process of the Upper and Lower Ninth Ward, reporting results of an October 2006 survey of 3,211 plots for structural damage, flood damage and post-storm recovery. By examining recovery one year after Hurricane Katrina, and by doing so in the light of flood and structural damage, it is possible to identify impediments to recovery that may disproportionately affect these neighbourhoods. This paper concludes with a discussion of how pre- and post-disaster inequalities have slowed recovery in the Lower Ninth Ward and of the implications this has for post-disaster recovery planning there and elsewhere. PMID:18028156

  1. Development of a self-assessment tool for measuring competences of obstetric nurses in rooming-in wards in China

    OpenAIRE

    Zhang, Ju; Ye, Wenqin; Fan, Fan

    2015-01-01

    Introduction: To provide high-quality nursing care, a reliable and feasible competency assessment tool is critical. Although several questionnaire-based competency assessment tools have been reported, a tool specific for obstetric nurses in rooming-in wards is lacking. Therefore, the purpose of this research is to develop a competency assessment tool for obstetric rooming-in ward nurses. Methods: A literature review was conducted to create an individual intensive interview with 14 nurse manag...

  2. Non-anomalous `Ward' identities to supplement large-N multi-matrix loop equations for correlations

    OpenAIRE

    Akant, Levent; Krishnaswami, Govind S.

    2006-01-01

    This work concerns single-trace correlations of Euclidean multi-matrix models. In the large-N limit we show that Schwinger-Dyson equations imply loop equations and non-anomalous Ward identities. Loop equations are associated to generic infinitesimal changes of matrix variables (vector fields). Ward identities correspond to vector fields preserving measure and action. The former are analogous to Makeenko-Migdal equations and the latter to Slavnov-Taylor identities. Loop equations correspond to...

  3. Enabling people, not completing tasks: patient perspectives on relationships and staff morale in mental health wards in England

    OpenAIRE

    Mistry, Himanshu; Levack, William M. M.; Johnson, Sonia

    2015-01-01

    Background Mental health inpatient wards are stressful places to work and concerns have been raised regarding quality of patient care and staff wellbeing on these wards. Recent research has suggested that robust support systems and conditions that allow staff to exercise professional autonomy in their clinical work result in better staff morale. Staff value having a voice in their organisations, and say that they would like more interaction with patients and processes to reduce violent incide...

  4. The Development and Feasibility of a Ward-Based Physiotherapy and Nutritional Rehabilitation Package for People Experiencing Critical Illness

    OpenAIRE

    Salisbury, L. G.; Merriweather, J. L.; Walsh, T. S.

    2010-01-01

    Objective: To investigate ward-based rehabilitation after critical illness and undertake a pilot study exploring the feasibility of delivering enhanced physiotherapy and nutritional rehabilitation.Design: Service evaluation (part A) and pilot feasibility randomized controlled trial (part B).Setting: Hospital inpatient wards following discharge from intensive care.Participants: Part A involved 24 people with an intensive care stay of four days or more. Part B involved 16 participants randomize...

  5. Unitarity of time-like noncommutative gauge theories: the violation of Ward identities in time-ordered perturbation theory

    International Nuclear Information System (INIS)

    We study Ward identities for simple processes with external gauge bosons in the time-ordered perturbation theory approach to time-like noncommutative gauge theories. We demonstrate that these Ward identities cannot be satisfied when all orders in the noncommutativity parameters θi0 are taken into account. We conclude that in time-ordered perturbation theory one cannot solve the unitarity problem of time-like noncommutative quantum field theories

  6. Nosocomial Outbreak of Salmonella enterica Serovar Typhimurium Primarily Affecting a Pediatric Ward in South Africa in 2012

    OpenAIRE

    Smith, Anthony M.; Mthanti, Mnikelwa A.; Haumann, Carel; Tyalisi, Nomalungisa; Boon, Gerald P. G.; Sooka, Arvinda; Keddy, Karen H

    2014-01-01

    We describe a nosocomial outbreak of diarrheal disease caused by extended-spectrum β-lactamase-producing multidrug-resistant Salmonella enterica serovar Typhimurium, focused on a pediatric ward in South Africa. The outbreak peaked between May 2012 and July 2012. Person-to-person transmission was the most likely mechanism of spread of the infection, expedited due to a breakdown in hand-washing and hygiene, suboptimal infection control practices, overcrowding of hospital wards, and an undesirab...

  7. The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care

    Directory of Open Access Journals (Sweden)

    Wann-Hansson Christine

    2011-06-01

    Full Text Available Abstract Background The nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants. Methods 93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses. Results The data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate. Conclusions The results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways.

  8. 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

  9. Feasibility and acceptability of rapid HIV screening in a labour ward in Togo

    Directory of Open Access Journals (Sweden)

    Vincent P Pitche

    2012-07-01

    Full Text Available Background: HIV screening in a labour ward is the last opportunity to initiate an antiretroviral prophylaxis among pregnant women living with HIV to prevent mother-to-child HIV transmission. Little is known about the feasibility and acceptability of HIV screening during labour in West Africa. Findings: A cross-sectional survey was conducted in the labour ward at the Tokoin Teaching Hospital in Lomé (Togo between May and August 2010. Pregnant women admitted for labour were randomly selected to enter the study and were interviewed on the knowledge of their HIV status. Clinical and biological data were collected from the individual maternal health chart. HIV testing or re-testing was systematically proposed to all pregnant women. Among 1530 pregnant women admitted for labour, 508 (32.2% were included in the study. Information on HIV screening was available in the charts of 359 women (71%. Overall, 467 women accepted HIV testing in the labour ward (92%. The HIV prevalence was 8.8% (95% confidence interval: 6.4 to 11.7%. Among the 41 women diagnosed as living with HIV during labour, 34% had not been tested for HIV during pregnancy and were missed opportunities. Antiretroviral prophylaxis had been initiated antenatally for 24 women living with HIV and 17 in the labour room. Conclusions: This study is the first to show in West Africa that HIV testing in a labour room is feasible and well accepted by pregnant women. HIV screening in labour rooms needs to be routinely implemented to reduce missed opportunities for intervention aimed at HIV care and prevention, especially PMTCT.

  10. One particle properties in the 2D Coulomb problem. Luttinger-Ward variational approach

    International Nuclear Information System (INIS)

    In this work, we have studied the 2D Coulomb problem. We used the Luttinger-Ward variational principle to determine the self-energy Σ in ring approximation. The use of an ansatz for Σ enables us to perform the frequency sums (integrals as T → 0) analytically. Compared to the usual procedure of iterating the self consistency equation with free Green's function as starting points, the present approach is superior. It works for higher density parameter rs (low density) where the iteration already fails to converge. The motivation of the present work is the quantum Hall system at filling factor 1/2. The Luttinger-Ward procedure is a rather powerful method in particular if combined with an analytical ansatz for Σ. The computation performed here for 2DEG has to be seen as a first step: There, the experiment shows the features of a free Fermion system that is interpreted as a system of Composite Fermions. If one studies the self energy of the Composite Fermions in an conserved approximation that corresponds to the ring approximation, one encounters a self consistency equation. However, an iterative solution of this equation meets with a complication: Instead of the polarization part Π00, in the case of the Composite Fermion there appears the longitudinal polarization part ΠLL that has an additional factor (2k + q)2 under the k integral. This integral converges only after the frequency integral is performed. It is highly difficult to reproduce this numerically. Here, the Luttinger-Ward variational approach applied to the 2D Coulomb problem in the present work looks promising. For the 2D Coulomb problem, in the ring approximation for the LW thermodynamic potential, that already leads to a formidable integral equation that has to be studied numerically. (orig.)

  11. One particle properties in the 2D Coulomb problem. Luttinger-Ward variational approach

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, M.P.

    2007-04-27

    In this work, we have studied the 2D Coulomb problem. We used the Luttinger-Ward variational principle to determine the self-energy {sigma} in ring approximation. The use of an ansatz for {sigma} enables us to perform the frequency sums (integrals as T {yields} 0) analytically. Compared to the usual procedure of iterating the self consistency equation with free Green's function as starting points, the present approach is superior. It works for higher density parameter r{sub s} (low density) where the iteration already fails to converge. The motivation of the present work is the quantum Hall system at filling factor 1/2. The Luttinger-Ward procedure is a rather powerful method in particular if combined with an analytical ansatz for {sigma}. The computation performed here for 2DEG has to be seen as a first step: There, the experiment shows the features of a free Fermion system that is interpreted as a system of Composite Fermions. If one studies the self energy of the Composite Fermions in an conserved approximation that corresponds to the ring approximation, one encounters a self consistency equation. However, an iterative solution of this equation meets with a complication: Instead of the polarization part {pi}{sub 00}, in the case of the Composite Fermion there appears the longitudinal polarization part {pi}{sub LL} that has an additional factor (2k + q){sup 2} under the k integral. This integral converges only after the frequency integral is performed. It is highly difficult to reproduce this numerically. Here, the Luttinger-Ward variational approach applied to the 2D Coulomb problem in the present work looks promising. For the 2D Coulomb problem, in the ring approximation for the LW thermodynamic potential, that already leads to a formidable integral equation that has to be studied numerically. (orig.)

  12. Census of Ligurian Internal Medicine Wards of non-teaching hospitals

    Directory of Open Access Journals (Sweden)

    Micaela La Regina

    2014-12-01

    Full Text Available What is the future of internal medicine in Italy? Which competencies? Which potentialities? To this aim Ligurian FADOI Regional Society performed a census among 18 Internal Medicine Wards (IMWs in non-teaching Ligurian Hospital. We administered, by email, a questionnaire to the heads of IMWs. Data about staffing, equipment, skills, competencies and productivity during 2011 were collected from 1st to 31st November 2012. A total of 15/18 (83.3% chiefs answered to the questionnaire. The number of beds was largely variable among the wards. In 2011, mean diagnosis-related group (DRG-weight was 1.09 (range 0.91-1.6 and that revenues/costs ratio much higher than 1.5. Staff was quite adequate to standards defined by current law, only 33% has got a doctor:patients ratio superior to 1:6.4. However, annual hospitalizations exceed the availability of beds in medicine and the complexity of the patients would require a lower doctor:patients ratio, at least for a group of patients. In fact, 4 wards have a progressive care organization with a defined area for more seriously ill patients. Mean length of stay was 10 days. Expertise was wide, covering almost all medical sub-specialties. Acquired skills such as abdominal, heart and vascular ultrasounds, invasive procedures and their comprehensive knowledge make internists complete and cost-effective specialists. IMWs, as a concentrate of medical knowledge and skills, are the natural destination of current patients with co-morbidities. Staffing and number of beds should be revised according to this new demand. Their revenues/costs ratio resulted favorable and their global approach to patients and not to disease can be useful for resource rationalization. Wider and further studies are needed to improve the awareness of stakeholders about Internal Medicine.

  13. Blood infections in patients treated at transplantation wards of a clinical hospital in Warsaw.

    Science.gov (United States)

    Kierzkowska, M; Majewska, A; Dobrzaniecka, K; Sawicka-Grzelak, A; Mlynarczyk, A; Chmura, A; Durlik, M; Deborska-Materkowska, D; Paczek, L; Mlynarczyk, G

    2014-10-01

    Establishment of the etiology in blood infection is always advisable. The purpose of this study was to evaluate the proportion of different bacterial species, including aerobic and anaerobic bacteria in blood cultures of patients hospitalized in transplantation wards of a large clinical hospital between 2010 and 2012. A total of 1994 blood samples from patients who were treated at one of two transplantation wards of a large hospital in Warsaw were analyzed using an automated blood culture system, BacT/ALERT (bioMerieux, France). The 306 bacterial strains were obtained from the examined samples. The highest proportion were bacteria from the family Enterobacteriaceae (112 strains; 36.6%) with Escherichia coli (61 strains), Klebsiella pneumoniae (30 strains), and Enterobacter cloacae (10 strains) most commonly isolated. The non-fermenting bacilli constituted 21.6% (66 strains), with most common Stenotrophomonas maltophilia (31 strains), Pseudomonas aeruginosa (14 strains), Achromobacter spp. (12 strains), and Acinetobacter baumannii (3 strains). Most frequent Gram-positive bacteria were staphylococci (25.2%). Of 77 staphylococcal strains, 56 were coagulase-negative staphylococci and 21 Staphylococcus aureus. Other Gram-positive bacteria included enterococci (14 strains) and Streptococcus pneumoniae (1 strain). Obligatory anaerobic bacteria were represented by 19 strains (6.2% of total isolates). Among all Enterobacteriaceae, 49 isolates (43.7%) produced extended-spectrum ß-lactamases (ESBLs). Resistance to methicillin was detected in 62% of S aureus isolates and in 46% of coagulase-negative staphylococci. Of 14 enterococci cultured from blood samples, 2 strains (14.3%) were resistant to vancomycin. Both were Enterococcus faecium. Resistant strains of Gram-negative and Gram-positive bacteria are significant problems for patients in the transplantation ward. PMID:25380873

  14. The specific character of hospitalization in a gynaecology ward = Specyfika hospitalizacji w oddziale ginekologii

    OpenAIRE

    Czerwiak, Grażyna; Adamczyk-Gruszka, Olga; Gruszka, Jakub

    2016-01-01

    Czerwiak Grażyna, Adamczyk-Gruszka Olga, Gruszka Jakub. The specific character of hospitalization in a gynaecology ward = Specyfika hospitalizacji w oddziale ginekologii. Journal of Education, Health and Sport. 2016;6(2):244-254. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.46655 http://ojs.ukw.edu.pl/index.php/johs/article/view/3389 https://pbn.nauka.gov.pl/works/717121   The journal has had 7 points in Ministry of Science and Higher Education parametric evaluat...

  15. Ward and Nielsen Identities for ABJM Theory in ${\\cal N}=1$ Superspace

    CERN Document Server

    Upadhyay, Sudhaker

    2016-01-01

    The structures and the associated gauge algebra of ABJM theory in ${\\cal N}=1$ superspace are reviewed. We derive the Ward identities of the theory in the class of Lorentz-type gauges at quantum level to justify the renormalizability of the model. We compute the Nielsen identities for the two-point functions of the theory with the help of enlarged BRST transformation. The identities are derived in ABJM theory to ensure the gauge independence of the physical poles of the Green's functions.

  16. Ward identities for the Anderson impurity model: derivation via functional methods and the exact renormalization group

    International Nuclear Information System (INIS)

    Using functional methods and the exact renormalization group we derive Ward identities for the Anderson impurity model. In particular, we present a non-perturbative proof of the Yamada-Yosida identities relating certain coefficients in the low-energy expansion of the self-energy to the thermodynamic particle number and spin susceptibilities of the impurity. Our proof underlines the relation of the Yamada-Yosida identities to the U(1) x U(1) symmetry associated with the particle number and spin conservation in a magnetic field.

  17. Two-particle renormalizations in many-fermion perturbation theory: the importance of the Ward identity

    International Nuclear Information System (INIS)

    We analyse two-particle renormalizations within the many-fermion perturbation expansion. We show that present diagrammatic theories suffer from a lack of direct diagrammatic control over the physical two-particle functions. To rectify this, we introduce and prove a Ward identity enabling an explicit construction of the self-energy from a given two-particle irreducible vertex. Approximations constructed in this way are causal, obey conservation laws, and offer explicit diagrammatic control of singularities in dynamical two-particle functions. (letter to the editor)

  18. Ward identities of W∞ symmetry and higher-genus amplitudes in 2D string theory

    International Nuclear Information System (INIS)

    The Ward identities of the W∞ symmetry in two-dimensional string theory in the tachyon background are studied in the continuum approach. We consider amplitudes different from 2D string ones by the external leg factor and derive the recursion relations among them. The recursion relations have non-linear terms which give relations among the amplitudes defined on different genus. The solutions agree with the matrix model results even in higher genus. We also discuss the differences of the roles of the external leg factor between the cM = 1 model and the cM <1 model. (orig.)

  19. Applying The Ward Method in the Analysis of Financial Situation of Commercial Banks

    Directory of Open Access Journals (Sweden)

    Anna Bieniasz

    2011-11-01

    Full Text Available The article presents the evaluation of the financial situation of commercial banks in Poland. The ratio analysis shows that the biggest variations between analyzed units were in productivity of tangible fixed assets, share of non-performing loans and overall liquidity. The financial indicators constituted the basis for the process of grouping banks into clusters of similar financial standing. The use of Ward method enabled us to differentiate five clusters. The most profitable banks belong to the first cluster, while the most productive ones are from the fourth cluster. The third cluster comprises the banks with the relatively worst financial situation.

  20. Transverse Vector Vertex Function and Transverse Ward-Takahashi Relations in QED

    Institute of Scientific and Technical Information of China (English)

    HE Han-Xin

    2006-01-01

    The transverse vector vertex function in momentum space in four-dimensional QED is derived in terms of a set of transverse Ward-Takahashi relations for the vector and the axial-vector vertices in the case of massless fermion.It is demonstrated explicitly that the transverse vector vertex function derived this way to one-loop order leads to the same result as one obtained in perturbation theory. This provides a basic approach to determine the transverse part of basic vertex function from the symmetry relations of the system.

  1. Dispersion of Exhalation Pollutants in a Two-bed Hospital Ward with a Downward Ventilation System

    DEFF Research Database (Denmark)

    Qian, Hua; Nielsen, Peter V.; Hyldgård, Carl-Erik

    2006-01-01

    investigate the airflow pattern and pollutant dispersion in the test ward. Based on both experimental and numerical results, the laminar airflow pattern was shown to be impossible to achieve due to turbulent flow mixing and flow entrainment into the supply air stream. The thermal plumes produced above people...... were found to induce flow mixing. We also studied the effects of the locations of the supply and extraction openings on both the flow pattern and pollutant exposure level in the occupied zone. A number of practical recommendations are suggested....

  2. Clustering Hiérarchique de données à base de Ward.

    OpenAIRE

    Tabet aoul, Walid Houcine

    2014-01-01

    Le clustering est considéré comme l’une des facultés facinantes du cerveau humain,plusieurs implémentations artificielles ,sont proposées pour simuler ce processus,nous distinguons le clustering à base de centroides,le clustering hiérarchique,le clustering à base de distibution…etc. Dans ce travail nous avons choisi la classe de clustering hiérarchique , et en particulier nous avons conçu et implémenter l’algorithme ascendant de Ward.Ce dernier possède beaucoup d’avantages, par rapport à d...

  3. Frequency and severity of aggressive incidents in acute psychiatric wards in Switzerland

    Directory of Open Access Journals (Sweden)

    Fischer Joachim E

    2007-12-01

    Full Text Available Abstract Background Aggression and violence and negative consequences thereof are a major concern in acute psychiatric inpatient care globally. Variations in study designs, settings, populations, and data collection methods render comparisons of the incidence of aggressive behaviour in high risk settings difficult. Objective To describe the frequency and severity of aggressive incidents in acute psychiatric wards in the German speaking part of Switzerland. Methods We conducted a prospective multicentre study on 24 acute admission wards in 12 psychiatric hospitals in the German speaking part of Switzerland. Aggressive incidents were recorded by the revised Staff Observation Aggression Scale (SOAS-R and we checked the data collection for underreporting. Our sample comprised 2344 treatment episodes of 2017 patients and a total of 41'560 treatment days. Results A total of 760 aggressive incidents were registered. We found incidence rates per 100 treatment days between 0.60 (95% CI 0.10–1.78 for physical attacks and 1.83 (1.70–1.97 for all aggressive incidents (including purely verbal aggression. The mean severity was 8.80 ± 4.88 points on the 22-point SOAS-R-severity measure; 46% of the purely verbally aggression was classified as severe (≥ 9 pts.. 53% of the aggressive incidents were followed by a coercive measure, mostly seclusion or seclusion accompanied by medication. In 13% of the patients, one ore more incidents were registered, and 6.9% of the patients were involved in one ore more physical attack. Involuntary admission (OR 2.2; 1.6–2.9, longer length of stay (OR 2.7; 2.0–3.8, and a diagnosis of schizophrenia (ICH-10 F2 (OR 2.1; 1.5–2.9 was associated with a higher risk for aggressive incidents, but no such association was found for age and gender. 38% of the incidents were registered within the first 7 days after admission. Conclusion Aggressive incidents in acute admission wards are a frequent and serious problem. Due to the

  4. Instantons: Dynamical mass generation, chiral ward identities and the topological charge correlation function

    International Nuclear Information System (INIS)

    When dynamical mass generation resulting from the breakdown of chiral symmetry is taken into account, instanton dynamics treated within the dilute gas approximation may satisfy the constraints on the quark condensates and the topological charge correlation function derived by Crewther from an analysis of the chiral Ward identities assuming the absence of a physical axial U(1) Goldstone boson. From a consideration of the contribution of the eta' to the topological charge correlation function, a relationship is derived in which msub(eta')2fsub(eta')2 is proportional to the vacuum energy density. (orig.)

  5. Appropriateness and cost-effectiveness in the treatment of invasive candidiasis in Internal Medicine Wards

    Directory of Open Access Journals (Sweden)

    Enrico Tagliaferri

    2014-12-01

    Full Text Available Invasive candidiasis (IC, including candidemia, is a major cause of morbidity and mortality among patients and the majority of cases of candidemia are documented in Medical Wards. Early identification of patients at risk, knowledge of local epidemiology and prompt efforts to define etiologic diagnosis are pivotal to ensure appropriateness. Start with an echinocandin and switch to fluconazole when possible, seems to represent a useful strategy for the management of IC. The choice between the three echinocandins should be based on the specific indications, pharmacokinetic/pharmacodynamic profile, clinical experience and cost.

  6. Chiral Ward identities, automatic O(a) improvement and the gradient flow

    International Nuclear Information System (INIS)

    Non-singlet chiral Ward identities for fermionic operators at positive flow-time are derived using standard techniques based on local chiral variations of the action and of local operators. The gradient flow formalism is applied to twisted mass fermions and it is shown that automatic O(a) improvement for Wilson twisted mass fermions at maximal twist is a property valid also at positive flow-time. A definition of the chiral condensate that is multiplicatively renormalizable and automatically O(a) improved is then derived

  7. On the 1-loop lattice perturbation theory of the supersymmetric ward identities

    International Nuclear Information System (INIS)

    The one loop corrections to the supersymmetric Ward identities (WIs) in the discretized N = 1 SU(2) supersymmetric Yang-Mills theory can be investigated by means of lattice perturbation theory. The supersymmetry (SUSY) is explicitly broken by the lattice discretization as well as by the introduction of Wilson fermions. However, the renormalization of the supercurrent can be carried out in a scheme that restores the nominal continuum WIs. We present our work in progress which is concerned with the 1-loop renormalization of the local supercurrent, i.e. with the perturbative computation of the corresponding renormalization constants and mixing coefficients

  8. An antimicrobial stewardship program reduces antimicrobial therapy duration and hospital stay in surgical wards.

    Science.gov (United States)

    Güerri-Fernández, R; Villar-García, J; Herrera-Fernández, S; Trenchs-Rodríguez, M; Fernández-Morato, J; Moro, L; Sancho, J; Grande, L; Clará, A; Grau, S; Horcajada, J P

    2016-06-01

    We report a quasi-experimental study of the implementation of an antimicrobial stewardship program in two surgical wards, with a pre-intervention period with just assessment of prescription and an intervention period with a prospective audit on antibiotic prescription model. There was a significant reduction of length of stay and the total days of antimicrobial administration. There were no differences in mortality between groups. The antimicrobial stewardship program led to the early detection of inappropriate empirical antibiotic treatment and was associated with a significant reduction in length of stay and the total duration of antimicrobial therapy. PMID:27167764

  9. [Allergen-free wards in the treatment of pollinoses and bronchial asthma].

    Science.gov (United States)

    Poroshina, Iu A; Basmanov, P M; Gubankova, S G; Ivanov, Iu N; Belostotskaia, O I

    1986-01-01

    Two allergen-free wards (AFW) fitted out with Academician I. V. Petryanov's filters have been in operation in the Department of General Allergy of the Institute of Immunology, USSR Ministry of Health, since 1981. A high AFW efficacy was shown during treatment without drugs of pollinosis patients with grave manifestations in the pollination season and patients with atopic bronchial asthma outside the season of plant pollination. Since 1981 treatment in AFW has been provided to 232 patients, of them in 104 with a good effect in the season of plant pollination. PMID:3715757

  10. Ward and Nielsen identities for ABJM theory in 𝒩 = 1 superspace

    Science.gov (United States)

    Upadhyay, Sudhaker

    2016-07-01

    The structures and the associated gauge algebra of ABJM theory in 𝒩 = 1 superspace are reviewed. We derive the Ward identities of the theory in the class of Lorentz-type gauges at quantum level to justify the renormalizability of the model. We compute the Nielsen identities for the two-point functions of the theory with the help of enlarged BRST transformation. The identities are derived in ABJM theory to ensure the gauge independence of the physical poles of the Green’s functions.

  11. An Improved Ward Architecture for Treatment of Patients with Ebola Virus Disease in Liberia.

    Science.gov (United States)

    You, Jianping; Mao, Qing

    2016-04-01

    During the recent outbreak of Ebola virus disease (EVD) in west Africa, we established an Ebola treatment center (ETC) with improved ward architecture. The ETC was built with movable prefabricated boards according to infectious disease unit standard requirements. The clinical staff ensured their own security while providing patients with effective treatment. Of the 180 admissions to the ETC, 10 cases were confirmed with EVD of which six patients survived. None of the clinical staff was infected. We hope that our experience will enable others to avoid unnecessary risks while delivering EVD care. PMID:26755568

  12. Anomalies in Ward identities revisited. Explicit calculation of the three point functions; Anomalias em identidades de Ward revisitadas. Calculo explicito das funcoes de tres pontos

    Energy Technology Data Exchange (ETDEWEB)

    Dalmolin, Fabricio Tronco

    2007-07-01

    others already performed within the same issue. In particular, in one of such investigation a pioneer and traditional reference has been revisited by using the alternative strategy mentioned above. In such study, a systematic treatment of purely fermionic one, two and three point functions, associated to scalar, pseudo-scalar, vector and axial-vector densities, has done. There, however, only the explicit expressions for one and two point functions were developed. The conclusions pointed out, in a very clear way, that the association between intrinsic ambiguities of the perturbative calculation and violations in symmetry properties is not consistent. At the same time, it was concluded that only in an investigation where the explicit forms for the three point functions involved are considered clean and sound conclusions can be extracted. This is due to the fact that, in the relevant symmetry properties, it is involved three ward identities and a low energy limit. This is precisely the main purpose of the present work: to promote a detailed investigation of the relations among green functions and ward identities, within the context of a model having only one specie of 1/2 spin fermionic field, that consider all the amplitudes having superficial degree of divergence higher than the logarithmic one, in a similar way as that made in the work of Gerstein and Jackiw, taking however the explicit form for the three point functions. This is one to get in the analysis, simultaneously, the ward identities and the low energy limits involved in the anomalous amplitudes as required by the Sutherland-Veltman theorem, in order to get an adequate understanding of the anomaly phenomena. We will show that our final results can be mapped in those found with the use of the Dimensional Regularization, in situation where this technique can be applied, or in those of Gerstein and Jackiw, however with conflicting interpretations. Finally, we will show that in the context of the adopted technique

  13. Examination of particulate matter and heavy metals and their effects in at-risk wards in Washington, DC

    Science.gov (United States)

    Greene, Natasha Ann

    One of the major contributions to pollution in the Washington, DC urban environment is particulate matter (PM). Quite often, ambient airborne toxics are closely associated with fine PM (PM2.5). We have performed high-resolution aerosol measurements of PM2.5 in four wards (Ward 1, 4, 5, and 7) of Washington, DC during two intensive observational periods (IOP). The first IOP occurred during the summer of 2003 (June 23rd to August 8th). The second IOP transpired during the late fall season of 2003 (October 20th to December 4 th). The measurement platform consisted of a Laser Particle Counter (LPC) and a Quartz Crystal Microbalance Cascade Impactor (QCM) to obtain both in-situ number and mass density distributions across the measurement sites. The data shows spatial distributions of particulate matter characterized as a function of size and mass properties. The QCM analyses show significant levels (> 15 mug/m3) of ward-averaged PM2.5 in Wards 4, 1, and 7 respectively during the summer IOP. However, all wards were less than the EPA National Ambient Air Quality Standard (NAAQS) of 15 mug/m 3 during the fall IOP ward-averaged measurements. Yet, investigations of the site-averaged measurements during the fall revealed some specific locations in Ward 4 that exceeded the NAAQS. Results also show that the aerosol mass density peaked in the 0.3 mum mode during the summer IOP and in the 0.15 mum mode during the fall IOP. The number density peaked in the 0.3--0.5 mum size range. Accordingly, the distributions have also been analyzed as a function of meteorological factors, such as wind speed and direction via NOAA HYSPLIT trajectories. One important attribute to this study is the evaluation of risks amongst IBC subgroups (youth, adults, elderly, black, white, hispanic, male, and female) for bath pediatric asthma rates and the onset of lung cancer over a lifetime (70-year period) when exposed to these levels of particulates. It has been determined that there are individual excess

  14. One site fits all? A student ward as a learning practice for interprofessional development.

    Science.gov (United States)

    Falk, Annika Lindh; Hult, Håkan; Hammar, Mats; Hopwood, Nick; Dahlgren, Madeleine Abrandt

    2013-11-01

    Interprofessional training wards (IPTWs), aiming to enhance interprofessional collaboration, have been implemented in medical education and evaluated over the last decade. The Faculty of Health Sciences, Linköping University has, in collaboration with the local health provider, arranged such training wards since 1996, involving students from the medical, nursing, physiotherapy, and occupational therapy programs. Working together across professional boundaries is seen as a necessity in the future to achieve sustainable and safe healthcare. Therefore, educators need to arrange learning contexts which enhance students' interprofessional learning. This article shows aspects of how the arrangement of an IPTW can influence the students' collaboration and learning. Data from open-ended questions from a questionnaire survey, during autumn term 2010 and spring term 2011 at an IPTW, was analyzed qualitatively using a theoretical framework of practice theory. The theoretical lens gave a picture of how architectures of the IPTW create a clash between the "expected" professional responsibilities and the "unexpected" responsibilities of caring work. Also revealed was how the proximity between students opens up contexts for negotiations and boundary work. The value of using a theoretical framework of professional learning in practice within the frames of healthcare education is discussed. PMID:23805862

  15. Large-eddy simulation of airflow and heat transfer in a general ward of hospital

    Science.gov (United States)

    Hasan, Md. Farhad; Himika, Taasnim Ahmed; Molla, Md. Mamun

    2016-07-01

    In this paper, a very popular alternative computational technique, the Lattice Boltzmann Method (LBM) has been used for Large-Eddy Simulation (LES) of airflow and heat transfer in general ward of hospital. Different Reynolds numbers have been used to study the airflow pattern. In LES, Smagorinsky turbulence model has been considered and a discussion has been conducted in brief. A code validation has been performed comparing the present results with benchmark results for lid-driven cavity problem and the results are found to agree very well. LBM is demonstrated through simulation in forced convection inside hospital ward with six beds with a partition in the middle, which acted like a wall. Changes in average rate of heat transfer in terms of average Nusselt numbers have also been recorded in tabular format and necessary comparison has been showed. It was found that partition narrowed the path for airflow and once the air overcame this barrier, it got free space and turbulence appeared. For higher turbulence, the average rate of heat transfer increased and patients near the turbulence zone released maximum heat and felt more comfortable.

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

    Directory of Open Access Journals (Sweden)

    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:

  17. The Maxwell–Einstein system, Ward identities and the Vilkovisky construction

    International Nuclear Information System (INIS)

    The gauge fixing dependence of the one-loop effective action of quantum gravity in the proper-time representation is investigated for a space of arbitrary curvature, and the investigation is extended to Maxwell–Einstein theory. The construction of Vilkovisky and DeWitt for removal of this dependence is then considered in general gauges, and it is shown that nontrivial criteria arising from a Ward identity of the theory must be obeyed by the regularization scheme, if the construction is to remove the gauge dependence of quadratic and quartic divergences. The results apply also to non-Abelian gauge theories; they are used to address the question of gauge dependence of asymptotic freedom arising through internal graviton lines at one-loop order as suggested by Robinson and Wilczek. - Highlights: ► Gauge dependence of one-loop quantum gravity. ► The connection between Ward identities and the Vilkovisky method. ► Application on the Maxwell–Einstein system.

  18. Factors Associated with Readmission of Patients at a University Hospital Psychiatric Ward in Iran

    Directory of Open Access Journals (Sweden)

    Majid Barekatain

    2013-01-01

    Full Text Available Objectives. Readmission has a major role in the reduction of the quality of life and the increase in the years of lost life. The main objectives of this study were to answer to the following research questions. (a What was the readmission rate? (b What were the social, demographic, and clinical characteristics of patients admitted to the Psychiatric Emergency Service at Nour University Hospital, affiliated to Isfahan University of Medical Sciences, Isfahan, Iran? (c What were the effective factors on readmission? Method. This cross-sectional study was conducted on a total number of 3935 patients who were admitted to Isfahan University Hospital Psychiatric Ward in Isfahan, Iran, from 2004 to 2010. Gender, age, marital status, education, self-report history of previous admission, type of psychiatric disorder, substance misuse, suicide, and the length of the current psychiatric disorder were collected from the registered medical files of patients. The data were analysed using the negative binomial regression model. Results. We found that factors such as psychiatric anxiety disorder, bipolar I, bipolar II, psychotic disorder, depression, and self report history of previous admission were statistically significant in the number of readmissions using the negative binomial model. Conclusion. Readmission to the psychiatric ward is mainly predictable by the type of diagnosis and psychosocial supports.

  19. Factors associated with readmission of patients at a university hospital psychiatric ward in iran.

    Science.gov (United States)

    Barekatain, Majid; Maracy, Mohammad Reza; Hassannejad, Razeyeh; Hosseini, Reihane

    2013-01-01

    Objectives. Readmission has a major role in the reduction of the quality of life and the increase in the years of lost life. The main objectives of this study were to answer to the following research questions. (a) What was the readmission rate? (b) What were the social, demographic, and clinical characteristics of patients admitted to the Psychiatric Emergency Service at Nour University Hospital, affiliated to Isfahan University of Medical Sciences, Isfahan, Iran? (c) What were the effective factors on readmission? Method. This cross-sectional study was conducted on a total number of 3935 patients who were admitted to Isfahan University Hospital Psychiatric Ward in Isfahan, Iran, from 2004 to 2010. Gender, age, marital status, education, self-report history of previous admission, type of psychiatric disorder, substance misuse, suicide, and the length of the current psychiatric disorder were collected from the registered medical files of patients. The data were analysed using the negative binomial regression model. Results. We found that factors such as psychiatric anxiety disorder, bipolar I, bipolar II, psychotic disorder, depression, and self report history of previous admission were statistically significant in the number of readmissions using the negative binomial model. Conclusion. Readmission to the psychiatric ward is mainly predictable by the type of diagnosis and psychosocial supports. PMID:24236285

  20. Constructing and evaluating a validity argument for the final-year ward simulation exercise.

    Science.gov (United States)

    Till, Hettie; Ker, Jean; Myford, Carol; Stirling, Kevin; Mires, Gary

    2015-12-01

    The authors report final-year ward simulation data from the University of Dundee Medical School. Faculty who designed this assessment intend for the final score to represent an individual senior medical student's level of clinical performance. The results are included in each student's portfolio as one source of evidence of the student's capability as a practitioner, professional, and scholar. Our purpose in conducting this study was to illustrate how assessment designers who are creating assessments to evaluate clinical performance might develop propositions and then collect and examine various sources of evidence to construct and evaluate a validity argument. The data were from all 154 medical students who were in their final year of study at the University of Dundee Medical School in the 2010-2011 academic year. To the best of our knowledge, this is the first report on an analysis of senior medical students' clinical performance while they were taking responsibility for the management of a simulated ward. Using multi-facet Rasch measurement and a generalizability theory approach, we examined various sources of validity evidence that the medical school faculty have gathered for a set of six propositions needed to support their use of scores as measures of students' clinical ability. Based on our analysis of the evidence, we would conclude that, by and large, the propositions appear to be sound, and the evidence seems to support their proposed score interpretation. Given the body of evidence collected thus far, their intended interpretation seems defensible. PMID:25808311

  1. Urban land use and ground water vulnerability in Washington, DC: Environmental equity by city ward

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, J.; O' Conner, J.V.; Wade, C.; Chang, F.M. (Univ. of the District of Columbia, Washington, DC (United States))

    1992-01-01

    The DC WRRC initiated a USGS-funded study on impacts of urban land use on the city's ground water. Its main objective is the development of pollution potential maps using available physical and land use data for the District of Columbia. A second goal is the design of a ground water protection strategy applicable to a heterogeneous urban setting. The multitude of data required for this project were compiled using a Geographic Information System (GIS). GIS maps show the four hydrogeologic settings, traditional land use categories, specific urban pollution sources, and management units. A coding matrix was developed to create a rating hierarchy of the pollution potential of various land use/pollution source combinations. Subsequent superposition with the ground water vulnerability map allowed the city-wide spatial assessment of land use impacts on ground water quality. Preliminary results can be displayed by voting ward and used to educate residents on environmental conditions. Field trips and technical notes coupled with exposure to new laws and historic maps can heighten public and political awareness of the ground water resource. A city-wide GIS based on voting wards can enhance understanding of the dynamic urban hydrologic cycle and thus aid in establishing environmental equity.

  2. Effects of neuromuscular electrostimulation in patients with heart failure admitted to ward

    Directory of Open Access Journals (Sweden)

    de Araújo Carlos José Soares

    2012-11-01

    Full Text Available Abstract Background Neuromuscular electrostimulation has become a promising issue in cardiovascular rehabilitation. However there are few articles published in the literature regarding neuromuscular electrostimulation in patients with heart failure during hospital stay. Methods This is a randomized controlled pilot trial that aimed to investigate the effect of neuromuscular electrostimulation in the walked distance by the six-minute walking test in 30 patients admitted to ward for heart failure treatment in a tertiary cardiology hospital. Patients in the intervention group performed a conventional rehabilitation and neuromuscular electrostimulation. Patients underwent 60 minutes of electrostimulation (wave frequency was 20 Hz, pulse duration of 20 us two times a day for consecutive days until hospital discharge. Results The walked distance in the six-minute walking test improved 75% in the electrostimulation group (from 379.7 ± 43.5 to 372.9 ± 46.9 meters to controls and from 372.9 ± 62.4 to 500 ± 68 meters to electrostimulation, p Conclusion The neuromuscular electrostimulation group showed greater improvement in the walked distance in the six-minute walking test in patients admitted to ward for compensation of heart failure.

  3. An evaluation of a formative assessment process used on post take ward rounds.

    Science.gov (United States)

    Caldwell, G

    2013-01-01

    The purpose of clinical training is to develop doctors capable of delivering professional, personal, effective, high quality, safe clinical care with Intelligent Kindness. The processes supporting training must promote development towards excellence. In 2004 a formative assessment process for use on medical post take ward rounds was introduced based on a model of a Driving Instructor and Learner Driver. This process has been evaluated in comparison with the Case based Discussion (CbD) and mini-Cex by 140 of 369 trainees, using online surveys. Ten trainees were interviewed in depth. The majority of trainees reported that this process had helped them more in their development as doctors than the CbD or mini-CEX. Trainees were able to describe positive effects in areas such as diagnosis, prescribing and confidence in their work. In the NHS the assessments are meant to be "trainee driven", however all but one of the trainees stated that they preferred the routine provision of an assessment to having to ask for an assessment. This evaluation of a truly formative assessment process shows that the trainees benefit in their progression towards clinical excellence. Effective formative feedback can be provided on an Acute Medical Unit even within the constraints of busy post take ward rounds. Within a team of Consultants one should be allowed time to develop an extended Clinical Supervisor role. PMID:24364051

  4. Multidisciplinary case management for patients at high risk of hospitalization: comparison of virtual ward models in the United kingdom, United States, and Canada.

    Science.gov (United States)

    Lewis, Geraint; Wright, Lorraine; Vaithianathan, Rhema

    2012-10-01

    Virtual wards are a model for delivering multidisciplinary case management to people who are at high predicted risk of unplanned acute care hospitalization. First introduced in Croydon, England, in 2006, this concept has since been adopted and adapted by health care organizations in other parts of the United Kingdom and internationally. In this article, the authors review the model of virtual wards as originally described-with its twin pillars of (1) using a predictive model to identify people who are at high risk of future emergency hospitalization, and (2) offering these individuals a period of intensive, multidisciplinary preventive care at home using the systems, staffing, and daily routines of a hospital ward. The authors then describe how virtual wards have been modified and implemented in 6 sites in the United Kingdom, United States, and Canada where they are subject to formal evaluation. Like hospital wards, virtual wards vary in terms of patient selection, ward configuration, staff composition, and ward processes. Policy makers and researchers should be aware of these differences when considering the evaluation results of studies investigating the cost-effectiveness of virtual wards. PMID:22788975

  5. The effect of an active on-ward participation of hospital pharmacists in Internal Medicine teams on preventable Adverse Drug Events in elderly inpatients: protocol of the WINGS study (Ward-oriented pharmacy in newly admitted geriatric seniors

    Directory of Open Access Journals (Sweden)

    Dijkgraaf Marcel G

    2011-05-01

    Full Text Available Abstract Background The potential of clinical interventions, aiming at reduction of preventable Adverse Drug Events (preventable ADEs during hospital stay, have been studied extensively. Clinical Pharmacy is a well-established and effective service, usually consisting of full-time on-ward participation of clinical pharmacists in medical teams. Within the current Hospital Pharmacy organisation in the Netherlands, such on-ward service is less feasible and therefore not yet established. However, given the substantial incidence of preventable ADEs in Dutch hospitals found in recent studies, appears warranted. Therefore, "Ward-Oriented Pharmacy", an on-ward service tailored to the Dutch hospital setting, will be developed. This service will consist of multifaceted interventions implemented in the Internal Medicine wards by hospital pharmacists. The effect of this service on preventable ADEs in elderly inpatients will be measured. Elderly patients are at high risk for ADEs due to multi-morbidity, concomitant disabilities and polypharmacy. Most studies on the incidence and preventability of ADEs in elderly patients have been conducted in the outpatient setting or on admission to a hospital, and fewer in the inpatient setting. Moreover, recognition of ADEs by the treating physicians is challenging in elderly patients because their disease presentation is often atypical and complex. Detailed information about the performance of the treating physicians in ADE recognition is scarce. Methods/Design The design is a multi-centre, interrupted time series study. Patients of 65 years or older, consecutively admitted to Internal Medicine wards will be included. After a pre-measurement, a Ward-Oriented Pharmacy service will be introduced and the effect of this service will be assessed during a post-measurement. The primary outcome measures are the ADE prevalence on admission and ADE incidence during hospital stay. These outcomes will be assessed using structured

  6. Dispersion of exhaled droplet nuclei in a two-bed hospital ward with three different ventilation systems

    DEFF Research Database (Denmark)

    Qian, H.; Li, Y.; Nielsen, Peter V.;

    2006-01-01

    Effective ventilation in general hospital wards is important for controlling the airborne transmission of infectious respiratory diseases. Experiments have been carried out to increase our understanding of the interaction of the breathing flows of two individuals in a full-scale experimental...... hospital ward with three ventilation systems, i.e. mixing, downward and displacement ventilation. Two life-size breathing thermal manikins were used to simulate a source patient and a receiving patient. The exhalation jet from a bed-lying manikin was visualized using smoke. N2O was used as tracer gas to...... with displacement ventilation. This work is useful for identifying an appropriate ventilation method that can remove droplet nuclei more effectively and minimize the risk of cross-infections in a hospital ward environment....

  7. The effect of an out-of-hours reform on attendance at casualty wards. The Danish example

    DEFF Research Database (Denmark)

    Vedsted, Peter; Christensen, Morten Bondo

    2001-01-01

    increase in the attendance rate with casualty wards after the reform was statistically insignificant. CONCLUSIONS: The decrease in the total number of contacts with the out-of-hours primary health care after the reform was not met by a corresponding increase in casualty ward contacts. A clear......OBJECTIVE: A reorganisation of the out-of-hours general practice service in Denmark was launched in January 1992. The biggest changes were in a mandatory telephone triage staffed by GPs and the replacement of small rota systems with county-based health centres. We aimed to analyse the effect of...... this out-of-hours reform on the number of contacts with the casualty wards. DESIGN: A register-based ecologic time-trend study of the mean number of annual contacts per inhabitant from 1988 to 1997. SETTING: The County of Aarhus. SUBJECTS: All 630000 inhabitants in the county. MAIN OUTCOME MEASURES...

  8. Hospital surface contamination in wards occupied by patients infected with MRSA or MSSA in a Brazilian university hospital

    Directory of Open Access Journals (Sweden)

    K. S. Carvalho

    2009-01-01

    Full Text Available

    The hospital environment, especially surfaces, represents a secondary reservoir for pathogens such as Staphylococcus aureus. The present study was carried out at the Hospital de Clínicas da Universidade Federal de Uberlândia (HC-UFU in Brazil, from January to August 2004, with the aim of qualitatively and quantitatively assessing the presence of S. aureus on surfaces touched by hands (bed rail, bedside table and door handle, on the floor and in the air, in wards where the patients were infected or not infected with this organism. Twenty-six wards with at least one infected patient and 26 wards with uninfected patients were investigated. Surfaces and air were sampled during bed making, by means of sterile 10cm2 adhesive tapes and 90mm-diameter exposed culture plates, respectively. Cultures were carried out on Egg Yolk Salt Agar, containing 7.5% NaCl and 1% egg yolk, and colonies identified by lecithinase and coagulase tests and Gram stain. About 50% of the wards were S. aureus contaminated, without significant differences between the groups (46.1% in the infected patient wards versus 53.8% in controls; the correlation between counts of the pathogen on the surfaces and in the air was 66.7%. In spite of the fact that these bacteria were frequently present in the assessed wards, the microbial density was low (less than 1 CFU/cm2. The association between environmental contamination and the epidemiology of S. aureus nosocomial infections is complex and thus further investigations are needed to reach a better understanding of this relationship. Keywords: environmental contamination; nosocomial infections; Staphylococcus aureus.

  9. Five-year mortality rate in an ophthalmic ward in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Pamidzai Madzima

    2015-03-01

    Full Text Available Objective: To determine the mortality rate in the ophthalmic ward at the Sekuru KaguviHospital Eye Unit (SKHEU, Zimbabwe, from January 2009 to December 2013 and to identify the causes of death.Design: A hospital-based clinical audit.Methods: Data from completed hospital death notification forms and medical records of patients who had died in the ward during the review period were collected that included age, gender, diagnoses, date of admission, date of death and cause of death. The data were analysed using Epi Info7 software.Setting: The audit was conducted at SKHEU, the largest tertiary eye unit in Zimbabwe. It comprises an ophthalmic ward with 30 beds and caters for about 900 patients per year. Patients are admitted via the Out-patients Department where about 30 000 patients are seen yearly. SKHEU is part of the Parirenyatwa Group of Hospitals, which is one of the four major referral hospitals in Zimbabwe.Results: Of the 4722 ophthalmic admissions at SKHEU during the 5-year study period, therewere 15 (0.3% deaths, with a male:female ratio of 3:2 giving a mortality rate of 0.3% and an average of 3 deaths per year. The highest number of deaths was in 2009 when 7 deaths occurred, whilst the lowest number was 1 death in 2010 and 1 in 2013. Of the 15 deaths,4 (26.7% were children < 12 years old and 11 (73.3% were adults; of whom 12 (80% patients had orbital malignancies, 2 (13.3% had orbital cellulitis and 1 (6.7% had ocular trauma. Theorbital malignancies included ocular surface squamous neoplasia (OSSN, retinoblastomaand non-Hodgkins lymphoma (NHL. The most common probable cause of death was OSSN which accounted for 9 (60% of the deaths.Conclusion: The mortality rate at SKHEU was 0.3%, with approximately 3 deaths occurring per year. The most common attributable cause of death was OSSN.

  10. The effect of an active on-ward participation of hospital pharmacists in Internal Medicine teams on preventable Adverse Drug Events in elderly inpatients: protocol of the WINGS study (Ward-oriented pharmacy in newly admitted geriatric seniors)

    NARCIS (Netherlands)

    J.E. Klopotowska; P.C. Wierenga; S.E. de Rooij; C.C. Stuijt; L. Arisz; P.F. Kuks; M.G. Dijkgraaf; L. Lie-A-Huen; S.M. Smorenburg

    2011-01-01

    The potential of clinical interventions, aiming at reduction of preventable Adverse Drug Events (preventable ADEs) during hospital stay, have been studied extensively. Clinical Pharmacy is a well-established and effective service, usually consisting of full-time on-ward participation of clinical pha

  11. Estimating the unquenched strange quark mass from the lattice axial Ward identity

    International Nuclear Information System (INIS)

    We present a determination of the strange quark mass for two flavors (nf=2) of light dynamical quarks using the axial Ward identity. The calculations are performed on the lattice using O(a) improved Wilson fermions and include a fully nonperturbative determination of the renormalization constant. In the continuum limit we find msMS(2 GeV)=111(6)(4)(6) MeV, using the force scale r0=0.467 fm, where the first error is statistical, the second and third are systematic due to the fit and scale uncertainties, respectively. Results are also presented for the light quark mass and the chiral condensate. The corresponding results are also given for r0=0.5 fm

  12. Estimating the unquenched strange quark mass from the lattice axial Ward identity

    International Nuclear Information System (INIS)

    We present a determination of the strange quark mass for two flavours (nf=2) of light dynamical quarks using the axial Ward identity. The calculations are performed on the lattice using O(a) improved Wilson fermions and include a fully non-perturbative determination of the renormalisation constant. In the continuum limit we find msMS (2 GeV)=111(6)(4)(6) MeV, using the force scale r0=0.467 fm, where the first error is statistical, the second and third are systematic due to the fit and scale uncertainties respectively. Results are also presented for the light quark mass and the chiral condensate. The corresponding results are also given for r0=0.5 fm. (orig.)

  13. Activity sampling of nurses of a sub-acute ward of a large hospital.

    Science.gov (United States)

    Bobdey, C S; Sandhu, M S; Urmil, A C; Dayakar, T

    1992-07-01

    A study was conducted in a 43 bedded subacute family ward of a large hospital to find out the adequacy and efficiency of its nursing service. Activity analysis in respect of nurses was carried out by Activity Sampling Technique. The study revealed that out of 334 activities, observed, 78 (23.3%) were non-productive, whereas 256 (76.7%) were productive. Out of the productive activities, 148 (44.3%) were for direct patient care mainly comprising of 46 (31.1% for carrying out technical procedures, 36 (24.32%) for determining patients' needs, 20 (13.15%) for preparing patients for various procedures and 15 (10.14%) for assisting in technical procedures. Number wise the nurses were found to be adequate. PMID:10130935

  14. Acute bacterial skin and skin structure infections in internal medicine wards: old and new drugs.

    Science.gov (United States)

    Falcone, Marco; Concia, Ercole; Giusti, Massimo; Mazzone, Antonino; Santini, Claudio; Stefani, Stefania; Violi, Francesco

    2016-08-01

    Skin and soft tissue infections (SSTIs) are a common cause of hospital admission among elderly patients, and traditionally have been divided into complicated and uncomplicated SSTIs. In 2010, the FDA provided a new classification of these infections, and a new category of disease, named acute bacterial skin and skin structure infections (ABSSSIs), has been proposed as an independent clinical entity. ABSSSIs include three entities: cellulitis and erysipelas, wound infections, and major cutaneous abscesses This paper revises the epidemiology of SSTIs and ABSSSIs with regard to etiologies, diagnostic techniques, and clinical presentation in the hospital settings. Particular attention is owed to frail patients with multiple comorbidities and underlying significant disease states, hospitalized on internal medicine wards or residing in nursing homes, who appear to be at increased risk of infection due to multi-drug resistant pathogens and treatment failures. Management of ABSSSIs and SSTIs, including evaluation of the hemodynamic state, surgical intervention and treatment with appropriate antibiotic therapy are extensively discussed. PMID:27084183

  15. Patients' experiences of postoperative intermediate care and standard surgical ward care after emergency abdominal surgery

    DEFF Research Database (Denmark)

    Thomsen, Thordis; Vester-Andersen, Morten; Nielsen, Martin Vedel;

    2015-01-01

    patients experience postoperative care. The patient population is generally older with multiple comorbidities, and the short-term postoperative mortality rate is 15-20%. Thus, vigilant surgeon and nursing attention is essential. The present study is a qualitative sub-study of a randomised trial evaluating......AIMS AND OBJECTIVES: To elicit knowledge of patient experiences of postoperative intermediate care in an intensive care unit and standard postoperative care in a surgical ward after emergency abdominal surgery. BACKGROUND: Emergency abdominal surgery is common, but little is known about how...... postoperative intermediate care after emergency abdominal surgery, the InCare trial. DESIGN: A qualitative study with individual semi-structured interviews. METHODS: We analysed interviews using Systematic Text Condensation. RESULTS: Eighteen patients (nine intervention/nine controls) were strategically sampled...

  16. An analysis of population and social change in London wards in the 1980s.

    Science.gov (United States)

    Congdon, P

    1989-01-01

    "This paper discusses the estimation and projection of small area populations in London, [England] and considers trends in intercensal social and demographic indices which can be calculated using these estimates. Information available annually on vital statistics and electorates is combined with detailed data from the Census Small Area Statistics to derive demographic component based population estimates for London's electoral wards over five year periods. The availability of age disaggregated population estimates permits derivation of small area social indicators for intercensal years, for example, of unemployment and mortality. Trends in spatial inequality of such indicators during the 1980s are analysed and point to continuing wide differentials. A typology of population and social indicators gives an indication of the small area distribution of the recent population turnaround in inner London, and of its association with other social processes such as gentrification and ethnic concentration." PMID:12282380

  17. Ward Identity and Homes' Law in a Holographic Superconductor with Momentum Relaxation

    CERN Document Server

    Kim, Keun-Young; Park, Miok

    2016-01-01

    We study three properties of a holographic superconductor related to conductivities, where momentum relaxation plays an important role. First, we find that there are constraints between electric, thermoelectric and thermal conductivities. The constraints are analytically derived by the Ward identities regarding diffeomorphism from field theory perspective. We confirm them by numerically computing all two-point functions from holographic perspective. Second, we investigate Homes' law and Uemura's law for various high-temperature and conventional superconductors. They are empirical and (material independent) universal relations between the superfluid density at zero temperature, the transition temperature, and the electric DC conductivity right above the transition temperature. In our model, it turns out that the Homes' law does not hold but the Uemura's law holds at small momentum relaxation related to coherent metal regime. Third, we explicitly show that the DC electric conductivity is finite for a neutral sc...

  18. Nonperturbative calculation of ZA/ZV for heavy-light currents using Ward-Takahashi identity

    International Nuclear Information System (INIS)

    We determine the ratio of renormalization factors of vector and axial-vector heavy-light currents. The calculation is performed nonperturbatively using the axial Ward-Takahashi identity for the heavy-light currents. We find that the effect of the O(a)-improvement of the heavy-light current is sizable in the strong coupling region g20 > 0.9. Since the nonperturbative determination of its coefficient is not yet available, it leads to an error of order 10% in the nonperturbative determination of the ratio ZhlA/ZhlV. Our result for ZhlA/ZhlV is smaller than the one-loop evaluation, but the difference is within expected two-loop uncertainty

  19. SUSY Ward identities in N=1 SYM theory on the lattice

    International Nuclear Information System (INIS)

    The SUSY Ward identities (WIs) for the N=1 SU(2) SUSY Yang Mills theory discretized on the lattice with Wilson fermions (gluinos) are considered. The study is performed in the framework of a Monte Carlo simulation of the model with light dynamical gluinos. The renormalization and mixing constants of the lattice SUSY current ZS and ZT and the additively renormalized gluino mass mS are unknown parameters of the SUSY WIs. Using suitable on-shell combinations of the WIs, the ratios ZT/ZS and mS/ZS are determined non-perturbatively at one value of the coupling constant g0 and two values of the hopping parameter κ

  20. Holographic renormalization and Ward identities with the Hamilton-Jacobi method

    International Nuclear Information System (INIS)

    A systematic procedure for performing holographic renormalization, which makes use of the Hamilton-Jacobi method, is proposed and applied to a bulk theory of gravity interacting with a scalar field and a U(1) gauge field in the Stueckelberg formalism. We describe how the power divergences are obtained as solutions of a set of 'descent equations' stemming from the radial Hamiltonian constraint of the theory. In addition, we isolate the logarithmic divergences, which are closely related to anomalies. The method allows to determine also the exact one-point functions of the dual field theory. Using the other Hamiltonian constraints of the bulk theory, we derive the Ward identities for diffeomorphisms and gauge invariance. In particular, we demonstrate the breaking of U(1)R current conservation, recovering the holographic chiral anomaly recently discussed in and

  1. Real-Time Thermal Ward-Takahashi Identity for Vectorial Current in QED and QCD

    Institute of Scientific and Technical Information of China (English)

    ZHOUBang-Rong

    2004-01-01

    It is shown that by means of canonical operator approach the Ward-Takahashi identity (WTI) at finite temperature T and finite chemical potential μ for complete vectorial vertex and complete fermion propagator can be simply proven, rigorously for Quantum Electrodynamics, and approximately for Quantum Chromodynamics, where the ghost effect in the fermion sector is neglected. The WTI shown in the real-time thermal matrix form will give definite thermal constraints on the imaginary part of inverse complete Feynman propagator including self-energy for fermion and will play an important role in relevant physical processes. When the above inverse propagator is assumed to be real, the thermal WTI will essentially be reduced to its form at T=μ=0 thus one can use it in the latter's form. At this point, a practical example is indicated.

  2. Real-Time Thermal Ward-Takahashi Identity for Vectorial Current in QED and QCD

    Institute of Scientific and Technical Information of China (English)

    ZHOU Bang-Rong

    2004-01-01

    It is shown that by means of canonical operator approach the Ward-Takahashi identity (WTI) at finite temperature T and finite chemical potential μ for complete vectorial vertex and complete fermion propagator can be simply proven, rigorously for Quantum Electrodynamics, and approximately for Quantum Chromodynamics, where the ghost effect in the fermion sector is neglected. The WTI shown in the real-time thermal matrix form will give definite thermal constraints on the imaginary part of inverse complete Feynman propagator including self-energy for fermion and will play an important role in relevant physical processes. When the above inverse propagator is assumed to be real, the thermal WTI will essentially be reduced to its form at T = μ = 0 thus one can use it in the latter's form. At this point,a practical example is indicated.

  3. Using Gamification Combined with Indoor Location to Improve Nurses' Hand Hygiene Compliance in an ICU Ward.

    Science.gov (United States)

    Lapão, Luís Velez; Marques, Rita; Gregório, João; Pinheiro, Fernando; Póvoa, Pedro; Mira da Silva, Miguel

    2016-01-01

    Healthcare acquired infections are among the biggest unsolved problems in healthcare, implying an increasing number of deaths, extra-days of hospital stay and hospital costs. Performing hand hygiene is a simple and inexpensive prevention measure, but healthcare workers compliance with it is still far from optimal. Recognized hurdles are lack of time, forgetfulness, wrong technique and lack of motivation. This study aims at exploring gamification to promote nurses' HH compliance self-awareness and action. Real-time data collected from an indoor location system will provide feedback information to a group of nurses working in an ICU ward. In this paper both the research's motivation and methods is presented, along with the first round of results and its discussion. PMID:27071865

  4. Nutritional survey of patients in a general surgical ward: is there an effective predictor of malnutrition?

    Science.gov (United States)

    Neithercut, W D; Smith, A D; McAllister, J; La Ferla, G

    1987-01-01

    A survey of patients in a general surgical ward was undertaken to establish biochemical and anthropometric standards which could be used to detect malnourished patients in hospital. Results of biochemical and anthropometric tests of nutritional status were compared with assessment by a clinician and the quick nutritional index of Seltzer. Triceps skinfold thickness and serum albumin concentrations indicated that 29% and 35% of patients, respectively, were undernourished compared with 16% by clinical assessment and 17% by the quick nutritional index. Significant correlations (p less than 0.001) between serum albumin and transferrin concentrations and arm muscle area were found for men but not for women. Poor nutritional specificity and sensitivity of some anthropometric and biochemical tests may account for the difference in the level of undernutrition found by these tests and clinical assessment. This shows the importance of the choice of test in influencing the level of undernutrition detected. PMID:3624502

  5. [When should a patient with abdominal pain be referred to the emergency ward?].

    Science.gov (United States)

    de Saussure, Wassila Oulhaci; Andereggen, Elisabeth; Sarasin, François

    2010-08-25

    When should a patient with abdominal pain be referred to the emergency ward? The following goals must be achieved upon managing patients with acute abdominal pain: 1) identify vital emergency situations; 2) detect surgical conditions that require emergency referral without further diagnostic procedures; 3) in "non surgical acute abdomen patients" perform appropriate diagnostic procedures, or in selected cases delay tests and reevaluate the patient after an observation period, after which a referral decision is made. Clues from the history and physical examination are critical to perform this evaluation. A good knowledge of the most frequent acute abdominal conditions, and identifying potential severity criteria allow an appropriate management and decision about emergency referral. PMID:20873434

  6. Paediatric early warning scores on a children's ward: a quality improvement initiative.

    LENUS (Irish Health Repository)

    Ennis, Linda

    2014-09-09

    The aim of this quality improvement initiative was to incorporate a paediatric early warning score (PEWS) and track and trigger system in the routine care of children in an acute general children\\'s ward at a regional hospital in the Republic of Ireland. In the absence of a nationally recommended specific PEWS strategy, a local plan was developed. The experience of structuring and implementing the PEWS and track and trigger system is presented in this article. Data from the first year of use were collected to evaluate the clinical utility and effectiveness of this system. In the busy acute children\\'s service, the PEWS initiative was found to benefit processes of early detection, prompt referral and timely, appropriate management of children at potential risk of clinical deterioration. Nursing staff were empowered and supported to communicate concerns immediately and to seek rapid medical review, according to an agreed PEWS escalation plan. Outcomes were significantly improved.

  7. The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward'

    LENUS (Irish Health Repository)

    White, Mark

    2014-05-14

    Quality improvement (QI) Programmes, like the Productive Ward: Releasing-time-to-care initiative, aim to \\'engage\\' and \\'empower\\' ward teams to actively participate, innovate and lead quality improvement at the front line. However, little is known about the relationship and impact that QI work has on the \\'engagement\\' of the clinical teams who participate and vice-versa.

  8. Analyzing Bacterial Agents of Keratoconjunctivitis in Patients Referred to Ophthalmology Ward of Feiz Hospital in Isfahan

    Directory of Open Access Journals (Sweden)

    Noushin Sohrabi

    2011-09-01

    Full Text Available Background & Objectives: Keratoconjunctivitis is considered as the most prevalent ocular disease which is caused by multiple microorganisms. Considering the fact that identifying etiologic agents of Keratoconjunctivitis in a specific geographical area, and determining their antibiotic resistance pattern could be very important in specifying treatment strategy of such patients, the present research has been conducted to discriminate and evaluate etiologic microbial agents of this disease in patients referred to ophthalmology ward of Feiz health center in Isfahan. Materials & Methods: This descriptive study has been conducted in an 18-month period on 196 patients, referred to ophthalmology ward of Feiz hospital with positive symptoms of Keratoconjunctivitis. Ocular secretions were sampled with sterile swap and from conjuctival sac. Then the related samples were transferred and cultured in the medium for bacteria. Antibiogram of isolated strains was performed by method of disc diffusion. One of the samples related to patients was transferred to virus transport media and was used for direct immunofluorescence test. The possible content of IgM anti-adenovirus was investigated by ELISA method and on serum samples of patients. Resulst: From among the total 196 evaluated samples, 75 cases were infected with bacterial agents, 37 cases with adenovirus, and 58 cases with both bacterial and adenovirus agents. The isolated bacterial agents were as follows with respect to their prevalence, Staphylococcus aureus (28.1%, Coagulase negative Staphylococci (16.8%, Bacillus spp (6.6%, Pseudomonas aeruginosa (5.1 %, Enterobacter (4.2%, Klebsiella (3.6% and Streptococcus group D (3.6%. From among antibiotic drugs, the highest rate of sensitivity for S. aureus and P. aeruginosa was observed in Ciprofloxacin and Tobramycin respectively. Conclusion: The results of the study could be applied in specifying treatment strategies for patients suffering from

  9. Opportunities for medical students to perform four common ward procedures in a Malaysian teaching hospital

    Directory of Open Access Journals (Sweden)

    Siew Kheong Lum

    2013-03-01

    Full Text Available Introduction: Undergraduate medical educationshould be broad-based, holistic, integrated andshould promote a framework for the developmentof higher order cognitive skills like communication,professionalism and teamwork to prepare the studentfor a life-long challenging medical career. Recent callsfor a competency-based medical education require, inaddition, competency in clinical and procedural skillsprior to graduation. This study investigates how oftenopportunities exist for medical students to perform fourcommon ward procedures prior to graduation.Method: A prospective cross-sectional study to assessthe opportunities a medical student have in performingfour common ward procedures, comprising intravenouscannulation, nasogastric tube insertion, urinarycatheterisation and chest tube insertion, in a StateGeneral hospital in Malaysia was done.Results: A medical student has sufficient opportunityto perform only intravenous cannulation prior tograduation. He has a remote chance to insert a urinarycatheter and is unlikely to have the opportunity toinsert a nasogastric tube or insert a chest tube prior tograduation.Conclusion: Although competency in clinical skillsand procedural skills prior to graduation are desirable,this is increasingly difficult to achieve due to shortageof clinical material, teachers to supervise, the largenumbers of medical students and house officers, theshort time spent on the main disciplines and thefailure of many universities to invest heavily in skillslaboratories staffed by full time clinicians. The callsto introduce competency-based medical educationin undergraduate medical education, particularly inprocedural competence, should take into account thechallenges in delivery and the realities in the hospitalstoday. This is necessary to avoid demoralising studentswho are unable to achieve their quota of proceduresthrough no fault of theirs.

  10. Teaching teamwork: an evaluation of an interprofessional training ward placement for health care students

    Directory of Open Access Journals (Sweden)

    Morphet J

    2014-06-01

    Full Text Available Julia Morphet,1 Kerry Hood,2 Robyn Cant,2 Julie Baulch,3 Alana Gilbee,3 Kate Sandry4 1School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia; 2School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia; 3Southern Clinical School, Monash University, Monash Health, Clayton, Victoria, Australia; 4Dandenong Emergency Department, Monash Health, David St, Dandenong, Victoria, Australia Abstract: The establishment of interprofessional teamwork training in the preprofessional health care curriculum is a major challenge for teaching faculties. Interprofessional clinical placements offer an opportunity for teamwork education, as students in various professions can work and learn together. In this sequential, mixed-method study, focus group and survey techniques were used to evaluate students' educational experiences after 2-week ward-based interprofessional clinical placements. Forty-five senior nursing, medicine, and other health care students cared for patients in hospital wards under professional supervision, with nursing-medicine student "teams" leading care. Thirty-six students attended nine exit focus groups. Five central themes that emerged about training were student autonomy and workload, understanding of other professional roles, communication and shared knowledge, interprofessional teamwork/collaboration, and the "inner circle", or being part of the unit team. The learning environment was described as positive. In a postplacement satisfaction survey (n=38, students likewise rated the educational experience highly. In practicing teamwork and collaboration, students were able to rehearse their future professional role. We suggest that interprofessional clinical placements be regarded as an essential learning experience for senior preprofessional students. More work is needed to fully understand the effect of this interactive program on students' clinical learning and preparation for practice

  11. Adherence to guidelines of pain assessment and intervention in internal medicine wards.

    Science.gov (United States)

    Kerner, Yehudit; Plakht, Ygal; Shiyovich, Arthur; Schlaeffer, Pnina

    2013-12-01

    Proper management of pain reduces morbidity, assists in recovery, and increases patient satisfaction. The role of a nurse in an accurate pain evaluation is pivotal. It seems that pain evaluation guidelines are not fully adhered to by nurses. The aim of this study was to assess the performance of pain evaluation and management by nurses in patients admitted in internal medicine wards and to identify groups of patients in which pain evaluation was insufficient. In this cross-sectional study medical records of 59 randomly chosen patients were reviewed: age 64.5 ± 18.5 years, 55% women, and hopitalization length 3.9 ± 1.6 days. Data relating to pain evaluation and management were obtained for every patient-hospitalization day (total 213 patient-days) and compared with the guidelines. Pain was evaluated in 176 out of 213 encounters (66.2%): 84.3% upon admission and 72.7% daily routine evaluation in accordance with guidelines. In 23.7% of evaluations, pain level warranted alleviating treatment (visual analog scale ≥3). However, such treatment was administered in only 29.3% of these cases. Reevaluation after treatment and additional evaluations thereafter were performed in 33.3% and 22% of encounters, respectively. The independent factors associated with the reduced performance of pain evaluation were: widower (odds ratio [OR] 0.88, 95% confidence interval [CI] 0.78-0.98; p = .024), reduced level of consicousnness (OR 0.77, 95% CI 0.63-0.95; p = .013), mental disorders as a cause of hospitalization (OR 0.81, 95% CI 0.71-0.94; p = .004), and isolation (OR 0.87, 95% CI 0.76-0.99; p = .03). Pain assessment and management in internal medicine wards is insufficient, especially in the above subgroups. Specific education programs targeted to the latter subgroups and to the unique pain assessment tools are warranted. PMID:23178103

  12. Emergency room referral to internal medicine wards or to coronary care units of patients with first acute myocardial infarction. Israel Study Group on First Acute Myocardial Infarction.

    Science.gov (United States)

    Drory, Y; Shapira, I; Goldbourt, U; Fisman, E Z; Villa, Y; Tenenbaum, A; Pines, A

    2000-01-01

    The objective of the study was to assess factors associated with ward assignment in the emergency room for patients assignment (coronary care unit versus internal ward). Eight major centrally located Israeli hospitals provided data during one year. The study population included 1252 patients, of whom 83% were men, 37% were hypertensives, 22% were diabetics, and 14% had previous anginal syndrome. Most patients (83%) were admitted to the coronary care unit. Internal medicine ward assignment was significantly associated with advanced age, history of hypertension or diabetes, a longer time from appearance of symptoms to arrival at the hospital, and myocardial infarction type (non-Q-wave or non-anterior). The likelihood of medical ward referral increased stepwise with the increasing number of a patient's predictive factors: those with > or = 4 factors had a > 30% chance of being assigned to a medical ward compared to a decision making in the emergency room are needed to resolve this paradoxical situation. PMID:10998758

  13. Evaluation of the decision support system for antimicrobial treatment, TREAT, in an acute medical ward of a university hospital

    DEFF Research Database (Denmark)

    Arboe, Bente; Laub, Rasmus Rude; Kronborg, Gitte;

    2014-01-01

    OBJECTIVES: TREAT, a decision support system for antimicrobial therapy, was implemented in an acute medical ward. METHODS: Patients admitted on suspicion of infection were included in the study. The evaluation of TREAT was done both retrospectively and prospectively. Coverage of empirical antimic...

  14. Cross Infection in Hospital Wards with Downward Ventilation - Different Locations of Return Openings without and with Partitions between Beds

    DEFF Research Database (Denmark)

    Nielsen, Peter V.; Li, Yuguo; Buus, Morten;

    2009-01-01

    A two-bed hospital ward with one standing healthcare assistant and a ceiling-mounted low-impulse semicircular inlet diffuser is simulated in a full-scale room. Tracer gas is used for simulating gaseous contaminants, and the concentration is measured at different air change rates and different pos...

  15. Randomized multicentre feasibility trial of intermediate care versus standard ward care after emergency abdominal surgery (InCare trial)

    DEFF Research Database (Denmark)

    Vester-Andersen, M; Waldau, T; Wetterslev, J; Møller, M H; Rosenberg, J; Jørgensen, L N; Jakobsen, J C; Møller, Ann

    2015-01-01

    BACKGROUND: Emergency abdominal surgery carries a considerable risk of death and postoperative complications. Early detection and timely management of complications may reduce mortality. The aim was to evaluate the effect and feasibility of intermediate care compared with standard ward care in...

  16. An Exploratory Evaluation of the Ward and Hudson Offending Pathways Model with Sex Offenders Who Have Intellectual Disability

    Science.gov (United States)

    Langdon, Peter E.; Maxted, Helen; Murphy, Glynis H.

    2007-01-01

    Background: It was predicted that offenders with intellectual disability (ID) categorised according to Ward & Hudson's (1998b) self-regulation theory as having an "Approach" goal would have higher levels of distorted cognitions, less victim empathy, and a history of more prolific offending compared to those with an "Avoidant" goal. Offenders…

  17. Assessment of genetic divergence among coffee genotypes by Ward-MLM procedure in association with mixed models.

    Science.gov (United States)

    Rodrigues, W P; Vieira, H D; Teodoro, P E; Partelli, F L; Barbosa, D H S G

    2016-01-01

    Mixed linear models have been used for the analysis of the genetic diversity and provided further accurate results in crops such as eucalyptus, castor, and sugarcane. However, to date, research that combined this analysis with Ward-MLM procedure has not been reported. Therefore, the aim of the present study was to identify divergent coffee genotypes by Ward-MLM procedure, in association with the mixed-decision models. The experiment was initiated in February 2007, in the northwestern Rio de Janeiro State. The 25 evaluated genotypes were grown with a spacing of 2.5 x 0.8 m, in a randomized block design, with 5 replications, containing 8 plants each. The following agronomic traits were evaluated: plant height, stem diameter, plagiotropic branch number, and productivity. Four measurements were performed for each character from 2009 to 2012, between May and July. Data were analyzed using REML/BLUP analysis and Ward- MLM procedure. The Ward-MLM procedure in association with mixed linear models demonstrated the genetic variability among the studied coffee genotypes. We identified two groups of most divergent coffee genotypes, which can be combined by crossings and selections in order to obtain genotypes with high productivity and variability. PMID:27173347

  18. Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward

    OpenAIRE

    Higueras, Antonio; Carretero-Dios, Hugo; Mu??oz, Jos?? P.; Idini, Esther; Ortiz, Ana; Rinc??n, Francisco; Prieto-Merino, David

    2006-01-01

    This study would not have been possible without the professional collaboration and enthusiasm of the Titiritas Clown group, who were the stars of the humor-based activities on the ward. We offer special thanks to the members of this group: Jos?? P??rez de la Blanca, Francisco Parera, and Fernando P??rez de la Blanca.

  19. Rate of Pressure Ulcers in Intensive Units and General Wards of Iranian Hospitals and Methods for Their Detection.

    Directory of Open Access Journals (Sweden)

    Ali Akbari Sari

    2014-06-01

    Full Text Available This study aimed to estimate the rate of pressure ulcers in intensive care units (ICUs and medical and surgical wards of Iranian hospitals and compare the performance of methods of medical record review as well as direct observation for their detection.The research team visited 308 patients in medical and surgical wards of hospitals affiliated with Tehran University of Medical Sciences and a further 90 patients in their ICUs between March 2009 and April 2010. In addition 310 patient records were randomly selected from patients discharged from the ICUs between March 2009 and April 2010. And a further 600 patient records were randomly selected from the patients that were discharged from medical and surgical wards between March 2010 and April 2011. These 910 selected records were retrospectively reviewed to identify pressure ulcers. Data were collected by a structured checklist.In ICUs 24 of 90 patients (26.7%, 95% CI: 17.56 to 35.84 that were directly observed and 59 of 310 patients (19.0%, 95% CI: 14.63 to 23.37 that were studied by retrospective review of medical records had pressure ulcers. In medical and surgical wards, 5 of 308 patients (1.6%, 95% CI: 0.20 to 3.00 that were directly observed had pressure ulcers, but no pressure ulcer was detected by review of 600 medical records.Pressure ulcers are significantly more frequent in ICUs than in medical and surgical wards and a significant proportion of pressure ulcers are not reported.

  20. Use and performance of non-invasive ventilation in Internal Medicine ward: a real-life study

    Directory of Open Access Journals (Sweden)

    Francesco Ventrella

    2015-01-01

    Full Text Available Controlled trials demonstrated efficacy and safety of non-invasive ventilation (NIV in treatment of acute respiratory failure, initially in Intensive Care Units, then in other care settings (semi-intensive care units, emergency departments, and also in the wards, more often pneumological ones. Few studies have been published about NIV in Italian wards of Internal Medicine with full self-management of NIV by internists in a normal ward setting. We performed a prospective real-life study about the use of NIV in Internal Medicine ward devoid of a critical area of semi-intensive therapy, with the aim of confirming, in this setting, the effectiveness of NIV. During a period of 13 months, 42 patients with hypercapnic respiratory failure of different etiology and acidosis (pH<7.25were treated by NIV. NIV was successful in 81% of patients. In-hospital mortality was 9.5%. Safety of NIV is demonstrated by the absence of serious complications: only 7 patients showed poor compliance and 2 patients had facial pressure ulcer due to the mask. There were not statistical differences in success rate of NIV according to severity of acidosis at admission (pH<7.25 vs pH>7.25, neither according to the acute physiology and chronic health evaluation II score and the national early warning score, but the modified early warning score only showed statistically significant difference with lower values in the success group: 2.82±1.57 vs 4.13±1.46 (P<0.05. NIV has proven to be effective and safe in Internal Medicine ward.

  1. Community-Based Wetland Restoration Workshop in the Lower Ninth Ward, New Orleans

    Science.gov (United States)

    Wang, H. F.; Craig, L.; Ross, J. A.; Zepeda, L.; Carpenter, Q.

    2010-12-01

    Since 2007 a workshop class of University of Wisconsin-Madison students has participated in a community-based project in New Orleans to investigate the feasibility of restoring the Bayou Bienvenue Wetland Triangle (BBWT), which is adjacent to the Lower 9th Ward in New Orleans. This 440-acre region is currently open water but was a cypress forest until the 1970s. Restoration would provide protection from storm surges, restored ecological services, and recreational use. The workshop introduced students to the multidisciplinary skills needed to work effectively with the complex and interconnected issues within a project involving many stakeholders. The stakeholders included the Center for Sustainable Engagement and Development (CSED), Lower 9th Ward residents, non-profits (e.g., Sierra Club, Environmental Defense, Lake Pontchartrain Basin Foundation, National Wildlife Federation), government agencies (e.g., New Orleans Sewerage and Water Board, Army Corps of Engineers), neighborhood groups (e.g., Holy Cross Neighborhood Association, The Village), and universities (Tulane, U. of New Orleans, LSU, U. Colorado-Denver, Southeastern Louisiana). The course ran initially as a Water Resources Management practicum in the first two summers and then as a broader multidisciplinary project with student expertise in hydrology, social science, law, planning, policy analysis, community development, GIS, public health, environmental education and ecological restoration. The project divided into three main components: wetland science, social science, and land tenure and planning. Principal activities in wetland science were to monitor water levels and water quality, inventory flora and fauna, and plant grasses on small “floating islands.” The principal social science activity was to conduct a neighborhood survey about knowledge of the wetland and interest in its restoration. The land tenure and planning activity was to investigate ownership and transfer of property within the

  2. An infinite set of Ward identities for adiabatic modes in cosmology

    International Nuclear Information System (INIS)

    We show that the correlation functions of any single-field cosmological model with constant growing-modes are constrained by an infinite number of novel consistency relations, which relate N+1-point correlation functions with a soft-momentum scalar or tensor mode to a symmetry transformation on N-point correlation functions of hard-momentum modes. We derive these consistency relations from Ward identities for an infinite tower of non-linearly realized global symmetries governing scalar and tensor perturbations. These symmetries can be labeled by an integer n. At each order n, the consistency relations constrain — completely for n = 0,1, and partially for n ≥ 2 — the qn behavior of the soft limits. The identities at n = 0 recover Maldacena's original consistency relations for a soft scalar and tensor mode, n = 1 gives the recently-discovered conformal consistency relations, and the identities for n ≥ 2 are new. As a check, we verify directly that the n = 2 identity is satisfied by known correlation functions in slow-roll inflation

  3. Contamination of environmental surfaces by Staphylococcus aureus in a dermatological ward and its preventive measures.

    Science.gov (United States)

    Oie, Shigeharu; Yanagi, Chikashige; Matsui, Hiroto; Nishida, Tomoko; Tomita, Masaaki; Kamiya, Akira

    2005-01-01

    We investigated contamination of environmental surfaces by Staphylococcus aureus from April 1 to the end of June in 2002 in the dermatological ward (37 beds) of a university hospital. For surfaces contaminated by high levels of S. aureus, disinfection methods were evaluated. 100-10(5) colony forming units (cfu) of methicillin-resistant S. aureus (MRSA) or methicillin-sensitive S. aureus (MSSA) were detected on items such as an immersion bathtub (examined area, about 900 cm2), foot washbowl, stretcher for an immersion bath, and chair for the shower. After disinfection, no S. aureus was detected on smooth surfaces such as the immersion bathtub and foot washbowl; however, S. aureus was detected even after disinfection on porous surfaces made of sponge-like materials (polyethylene foam) such as the stretcher for the immersion bath and the shower chair. Scanning electron microscopy of the porous surfaces showed formation of a large amount of coccus and bacillus biofilms on the walls of pores in the multi-pore structure. Material that is porous should not be used in patient care settings because it is not possible to disinfect it properly. PMID:15635175

  4. An infinite set of Ward identities for adiabatic modes in cosmology

    Science.gov (United States)

    Hinterbichler, Kurt; Hui, Lam; Khoury, Justin

    2014-01-01

    We show that the correlation functions of any single-field cosmological model with constant growing-modes are constrained by an infinite number of novel consistency relations, which relate N+1-point correlation functions with a soft-momentum scalar or tensor mode to a symmetry transformation on N-point correlation functions of hard-momentum modes. We derive these consistency relations from Ward identities for an infinite tower of non-linearly realized global symmetries governing scalar and tensor perturbations. These symmetries can be labeled by an integer n. At each order n, the consistency relations constrain — completely for n = 0,1, and partially for n >= 2 — the qn behavior of the soft limits. The identities at n = 0 recover Maldacena's original consistency relations for a soft scalar and tensor mode, n = 1 gives the recently-discovered conformal consistency relations, and the identities for n >= 2 are new. As a check, we verify directly that the n = 2 identity is satisfied by known correlation functions in slow-roll inflation.

  5. An infinite set of Ward identities for adiabatic modes in cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Hinterbichler, Kurt [Perimeter Institute for Theoretical Physics, 31 Caroline St. N, Waterloo, Ontario, N2L 2Y5 (Canada); Hui, Lam [Physics Department and Institute for Strings, Cosmology and Astroparticle Physics, Columbia University, 538 W 120 St., New York, NY 10027 (United States); Khoury, Justin, E-mail: khinterbichler@perimeterinstitute.ca, E-mail: lh399@columbia.edu, E-mail: jkhoury@sas.upenn.edu [Center for Particle Cosmology, Department of Physics and Astronomy, University of Pennsylvania, 209 South 33rd Street, Philadelphia, PA 19104 (United States)

    2014-01-01

    We show that the correlation functions of any single-field cosmological model with constant growing-modes are constrained by an infinite number of novel consistency relations, which relate N+1-point correlation functions with a soft-momentum scalar or tensor mode to a symmetry transformation on N-point correlation functions of hard-momentum modes. We derive these consistency relations from Ward identities for an infinite tower of non-linearly realized global symmetries governing scalar and tensor perturbations. These symmetries can be labeled by an integer n. At each order n, the consistency relations constrain — completely for n = 0,1, and partially for n ≥ 2 — the q{sup n} behavior of the soft limits. The identities at n = 0 recover Maldacena's original consistency relations for a soft scalar and tensor mode, n = 1 gives the recently-discovered conformal consistency relations, and the identities for n ≥ 2 are new. As a check, we verify directly that the n = 2 identity is satisfied by known correlation functions in slow-roll inflation.

  6. Ending preventable child deaths in South Africa: What role can ward-based outreach teams play?

    Science.gov (United States)

    Doherty, Tanya; Kroon, Max; Rhoda, Natasha; Sanders, David

    2016-07-01

    South Africa (SA) has emerged from the Millennium Development Goal era with a mixture of success and failure. The successful national scale-up of prevention of mother-to-child transmission of HIV services with increasingly efficacious antiretroviral regimens has reduced the mother-to-child transmission rate dramatically; however, over the same period there appears to have been no progress in coverage of high-impact interventions for pneumonia and diarrhoea, which are now leading causes of under-5 mortality. SA embarked on a strategy to re-engineer the primary healthcare system in 2011, which included the creation of ward-based outreach teams consisting of community health workers (CHWs). In this article we argue that the proposed ratio of CHWs to population is too low for public health impact and that the role and scope of CHWs should be extended beyond giving of health information to include assessment and treatment of childhood illnesses (particularly diarrhoea and suspected pneumonia). Evidence and experience amply demonstrate that CHWs in sufficient density can have a rapid and positive impact on neonatal and young child mortality, especially when they are allowed to treat common acute conditions. SA's mediocre performance in child survival could be dramatically improved if there were more CHWs who were allowed to do more. PMID:27384356

  7. Correlation functions of twist fields from Ward identities in the massive Dirac theory

    Energy Technology Data Exchange (ETDEWEB)

    Doyon, Benjamin [Department of Mathematics, King' s College London, Strand WC2R 2LS (United Kingdom); Silk, James [Department of Mathematical Sciences, Durham University, Science Laboratories, South Road, Durham DH1 3LE (United Kingdom)

    2011-07-22

    We derive non-linear differential equations for correlation functions of U(1) twist fields in the two-dimensional massive Dirac theory. Primary U(1) twist fields correspond to exponential fields in the sine-Gordon model at the free-fermion point, and it is well-known that their vacuum two-point functions are determined by integrable differential equations. We extend part of this result to more general quantum states (pure or mixed) and to certain descendents, showing that some two-point functions are determined by the sinh-Gordon differential equations whenever there is translation and parity invariance, and the density matrix is the exponential of a bilinear expression in fermions. We use methods involving Ward identities associated to the copy-rotation symmetry in a model with two independent, anti-commuting copies. Such methods were used in the context of the thermally perturbed Ising quantum field theory model. We show that they are applicable to the Dirac theory as well, and we suggest that they are likely to have a much wider applicability to free fermion models in general. Finally, we note that our form-factor study of descendents twist fields combined with a CFT analysis provides a new way of evaluating vacuum expectation values of primary U(1) twist fields: by deriving and solving a recursion relation.

  8. Correlation functions of twist fields from Ward identities in the massive Dirac theory

    International Nuclear Information System (INIS)

    We derive non-linear differential equations for correlation functions of U(1) twist fields in the two-dimensional massive Dirac theory. Primary U(1) twist fields correspond to exponential fields in the sine-Gordon model at the free-fermion point, and it is well-known that their vacuum two-point functions are determined by integrable differential equations. We extend part of this result to more general quantum states (pure or mixed) and to certain descendents, showing that some two-point functions are determined by the sinh-Gordon differential equations whenever there is translation and parity invariance, and the density matrix is the exponential of a bilinear expression in fermions. We use methods involving Ward identities associated to the copy-rotation symmetry in a model with two independent, anti-commuting copies. Such methods were used in the context of the thermally perturbed Ising quantum field theory model. We show that they are applicable to the Dirac theory as well, and we suggest that they are likely to have a much wider applicability to free fermion models in general. Finally, we note that our form-factor study of descendents twist fields combined with a CFT analysis provides a new way of evaluating vacuum expectation values of primary U(1) twist fields: by deriving and solving a recursion relation.

  9. Psychiatric nursing as 'different' care: experience of Iranian mental health nurses in inpatient psychiatric wards.

    Science.gov (United States)

    Zarea, K; Nikbakht-Nasrabadi, A; Abbaszadeh, A; Mohammadpour, A

    2013-03-01

    Patients with mental illness require unique and specific care. The purpose of this study was to explore the experiences of nurses, who provide such care for mentally ill people, within the context of Iranian culture. This hermeneutic phenomenological study was carried out in a university-affiliated hospital in an urban area of Iran. We interviewed 10 mental health nurses to capture in detail their experiences in psychiatric units, and the approach developed by Diekelmann et al. was employed to analyse the data. Four themes and five sub-themes were identified: 'being engaged with patients' (sub-themes: 'struggle for monitor/control', 'safety/security concerns', 'supporting physiological and emotional needs'), 'being competent', 'altruistic care' and 'facing difficulties and challenges' (sub-themes: 'socio-cultural' and 'organizational challenges'). The results provide valuable insights and greater understanding of the professional experiences of psychiatric nurses in Iran, and indicate the need for a stable and responsible organizational structure for those nurses who are expected to manage patient care in psychiatric wards. PMID:22384949

  10. Factors Influencing communication between the patients with cancer and their nurses in oncology wards

    Directory of Open Access Journals (Sweden)

    Vahid Zamanzadeh

    2014-01-01

    Full Text Available Aims: The purpose of this study was to demonstrate the factors influencing nurse-patient communication in cancer care in Iran. Materials and Methods: This study was conducted with a qualitative conventional content analysis approach in oncology wards of hospitals in Tabriz. Data was collected through purposive sampling by semi-structured deep interviews with nine patients, three family members and five nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. Results: The main theme of the research emerged as "three-factor effects" that demonstrates all the factors related to the patient, nurse, and the organization and includes three categories of "Patient as the center of communication", "Nurse as a human factor", and "Organizational structures". The first category consists of two sub-categories of "Imposed changes by the disease" and "the patient′s particular characteristics". The second category includes sub-categories of "sense of vulnerability" and "perception of professional self: Pre-requisite of patient-centered communication". The third category consists of the sub-categories of "workload and time imbalance", "lack of supervision", and "impose duties in context of neglecting nurse and patient needs". Characteristics of the patients, nurses, and care environment seemed to be the influential factors on the communication. Conclusions: In order to communicate with cancer patients effectively, changes in philosophy and culture of the care environment are essential. Nurses must receive proper trainings which meet their needs and which focus on holistic and patient-centered approach.

  11. Chemical restraint in routine clinical practice: a report from a general hospital psychiatric ward in Greece

    Directory of Open Access Journals (Sweden)

    Papamichael Georgios

    2011-02-01

    Full Text Available Abstract Background There is a dearth of studies regarding chemical restraint in routine clinical psychiatric practice. There may be wide variations between different settings and countries. Methods A retrospective study on chemical restraint was performed in the 11-bed psychiatric ward of the General Hospital of Arta, in northwestern Greece. All admissions over a 2-year-period (from March 2008 to March 2010 were examined. Results Chemical restraint was applied in 33 cases (10.5% of total admissions. From a total of 82 injections, 22 involved a benzodiazepine and/or levomepromazine, whereas 60 injections involved an antipsychotic agent, almost exclusively haloperidol (96.7% of cases, usually in combination with a benzodiazepine (61.7% of cases. In 36.4% of cases the patient was further subjected to restraint or seclusion. Conclusions In our unit, clinicians prefer the combined antipsychotic/benzodiazepine regimen for the management of patients' acute agitation and violent behaviour. Conventional antipsychotics are administrated almost exclusively and in a significant proportion of cases further coercive measures are applied. Studies on the practice of chemical restraint should be regularly performed in clinical settings.

  12. Observations on BI from $\\mathcal{N}=2$ Supergravity and the General Ward Identity

    CERN Document Server

    Andrianopoli, Laura; D'Auria, Riccardo; Rodriguez, Evelyn; Trigiante, Mario

    2015-01-01

    The multi-vector generalization of a rigid, partially-broken $\\mathcal{N}=2$ supersymmetric theory is presented as a rigid limit of a suitable gauged $\\mathcal{N}=2$ supergravity with electric, magnetic charges and antisymmetric tensor fields. This on the one hand generalizes a known result by Ferrara, Girardello and Porrati while on the other hand allows to recover the multi-vector BI models from $\\mathcal{N}=2$ supergravity as the end-point of a hierarchical limit in which the Planck mass first and then the supersymmetry breaking scale are sent to infinity. We define, in the parent supergravity model, a new symplectic frame in which, in the rigid limit, manifest symplectic invariance is preserved and the electric and magnetic Fayet-Iliopoulos terms are fully originated from the dyonic components of the embedding tensor. The supergravity origin of several features of the resulting rigid supersymmetric theory will be elucidated, such as the presence of a traceless ${\\rm SU}(2)$- Lie algebra term in the Ward i...

  13. Effect of Skin to Skin Contact on Maternal State Anxiety in a Cesarean Section Ward

    Directory of Open Access Journals (Sweden)

    Hamid Haghani

    2011-01-01

    Full Text Available Introduction: This study aimed at investigating the effect of skin to skin contact (SSC on maternal state anxiety (MSA in cesarean section unit in Akbarabadi Hospital in Tehran. Methods: In a randomized controlled trial, 60 Iranian mothers with at least one record of cesarean section delivery were assigned to two intervention (SSC and control groups. In the morning shift and two hours after the operation, as a routine postoperative care, pain-killers were given to all mothers. Then the mothers’ pain scores were measured using visual analog scale (VAS. If VAS was≤3, MSA was measured by using the State-Trait Anxiety Inventory (STAI Scale (Spiel Berger. Thirty minutes of SSC intervention was done for mothers in the intervention group. Six hours later, in case VAS was ≤ 3, MSA was re-measured by using the Spiel Berger Scale for all mothers. Results: Six hours after implementing the intervention, there were no meaningful statistical differences between the MSA mean scores of the two groups, but severity of MSA in intervention group was less than that of the control group (P=0.037. Six hours after the intervention, there was a significant decrease in the MSA mean score in SSC group (P=0.002. Conclusion: As regards the important role of constant anxiety in developing postpartum depression, and as the results of this study indicate, SSC is recommended in postpartum and especially cesarean section wards.

  14. Creation and validation of an instrument to identify nursing activities in pediatric wards: information for determining workload

    Directory of Open Access Journals (Sweden)

    Nanci Cristiano Santos

    2013-10-01

    Full Text Available The aim of this study was to develop and validate an instrument for identifying nursing activities performed in a pediatric ward and to provide a basis for defining the workload of these units. The instrument was developed by selecting the activities relevant to pediatric nursing from the Nursing Intervention Classification and then submitting them to a panel of judges for validation. The panel considered the selected activities relevant and representative of pediatric nursing practice. Now that representative activities for the nursing workload have been identified, we envision new studies to verify their usefulness in practice. Determining the amount of time each activity takes to perform will help to develop a system for measuring the workloads of nursing teams in pediatric wards.

  15. Clockwork SUSY: supersymmetric Ward and Slavnov-Taylor identities at work in Green's functions and scattering amplitudes

    International Nuclear Information System (INIS)

    We study the cancellations among Feynman diagrams that implement the Ward and Slavnov-Taylor identities corresponding to the conserved supersymmetry current in supersymmetric quantum field theories. In particular, we show that the Faddeev-Popov ghosts of gauge and supersymmetries never decouple from the physical fields, even for abelian gauge groups. The supersymmetric Slavnov-Taylor identities provide efficient consistency checks for automatized calculations and can verify the supersymmetry of Feynman rules and the numerical stability of phenomenological predictions simultaneously. (orig.)

  16. Emergency care of the elderly in the short-stay ward of the accident and emergency department.

    OpenAIRE

    Harrop, S.N.; Morgan, W J

    1985-01-01

    Review of a consecutive series of the elderly patients who presented unheralded to the Accident and Emergency Department of the Royal Gwent Hospital showed that a relative minority (11%) were difficult to manage because they had no obvious acute medical condition or injury which qualified them for admission by the firms to whom they were first referred. The difficulty was compounded by the shortage of geriatric beds. Judicious use of short-stay ward beds in the accident and emergency departme...

  17. Coping with inadequacy: understanding the effects of central teacher recruitment in six ward secondary schools in Tanzania

    OpenAIRE

    Mafuru, Wilhelm Leonard

    2011-01-01

    Decentralization by devolution is the means to transfer the responsibilities for service provision to the grassroots levels in Tanzania. The aim of this policy is to deal with the stagnation in the development of, among other things, secondary education. Despite this policy, Tanzania still provides a strong top-down influence on education. This study is about the effects of the central influence on the recruitment of teachers in secondary education. For this research, six ward secondary schoo...

  18. Talking via the child : discursively created interaction between parents and health care professionals in a pediatric oncology ward

    OpenAIRE

    Ringnér, Anders; Öster, Inger; Björk, Maria; Ulla H. Graneheim

    2013-01-01

    The aim of this study was to describe discursively constructed interactions between parents and health care professionals (HCPs) in a pediatric oncology ward. Field notes from 70 focused participant observations and 16 informal interviews with 25 HCPs interacting with 25 parents of children with cancer were analyzed using discursive psychology. Six dominant interpretative repertoires (flexible parts of discourses used in everyday interaction) were found. Repertoires used by the HCPs were chil...

  19. A qualitative assessment of implementing a cross-cultural survey on cancer wards in Denmark--a description of barriers

    DEFF Research Database (Denmark)

    Kristiansen, Maria; Hassani, Amani; Krasnik, Allan

    2010-01-01

    Research into migration and health is often confronted with methodological challenges related to the identification of migrants in various settings. Furthermore, it is often difficult to reach an acceptable level of participation among migrant groups in quantitative research. The aim of this study...... is to conduct a qualitative assessment of the barriers encountered during the implementation of a cross-cultural survey on cancer wards in Copenhagen, Denmark....

  20. Drug-resistant coagulase-negative skin staphylococci. Evaluation of four marker systems and epidemiology in an orthopaedic ward.

    OpenAIRE

    Thore, M.; Kühn, I; Löfdahl, S; Burman, L G

    1990-01-01

    Drug-resistant coagulase-negative staphylococci (DRCNS) in orthopaedic patients and ward staff were studied. A significant increase in the DRCNS carriage rate was observed among the 16 patients studied after 14 days of hospitalization with levels approaching that of the staff. Patients receiving dicloxacillin prophylaxis (n = 9) were more likely to be colonized with methicillin-resistant CNS, while patients receiving no antibiotics (n = 7) became to a larger extent colonized with multiple DRC...

  1. CHARACTERISTICS OF THE FOREST FUND IN IASI COUNTY, WITH SPECIAL REFERENCE TO THE FOREST WARDS OF IASI AND CIUREA

    OpenAIRE

    Angela Lupaşcu; Maria Onofrei

    2009-01-01

    In the forest wards in Iasi County, several management units are differentiated: regular forest, gardening forest, poplar and willow crops selected for furniture, poplar and willow crops selected for pulp and timber, forests for cutting, poplar and willow pastures, forest with cynegetic interest, forests with special protection, reserves for nature protection, seed reserves. Within the management process a series of technical works with planning role have been realized:- forest technical work...

  2. Successful reduction of hospital-acquired methicillin-resistant Staphylococcus aureus in a urology ward: a 10-year study

    OpenAIRE

    Tatokoro, Manabu; Kihara, Kazunori; Masuda, Hitoshi; Ito, Masaya; Yoshida, Soichiro; Kijima, Toshiki; Yokoyama, Minato; Saito, Kazutaka; Koga, Fumitaka; Kawakami, Satoru; Fujii, Yasuhisa

    2013-01-01

    Background To eradicate hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA) using a stepwise infection control strategy that includes an avoidance of antimicrobial prophylaxis (AMP) based on surgical wound classification and an improvement in operative procedures in gasless single-port urologic surgery. Methods The study was conducted at an 801-bed university hospital. Since 2001, in the urology ward, we have introduced the stepwise infection control strategy. In 2007, survei...

  3. Non-anomalous `Ward' identities to supplement large-N multi-matrix loop equations for correlations

    CERN Document Server

    Akant, L; Akant, Levent; Krishnaswami, Govind S.

    2007-01-01

    This work concerns single-trace correlations of Euclidean multi-matrix models. In the large-N limit we show that Schwinger-Dyson equations imply loop equations and non-anomalous Ward identities. Loop equations are associated to generic infinitesimal changes of matrix variables (vector fields). Ward identities correspond to vector fields preserving measure and action. The former are analogous to Makeenko-Migdal equations and the latter to Slavnov-Taylor identities. Loop equations correspond to leading large-N Schwinger-Dyson equations. Ward identities correspond to 1/N^2 suppressed Schwinger-Dyson equations. But they become leading equations since loop equations for non-anomalous vector fields are vacuous. We show that symmetries at infinite N persist at finite N, preventing mixing with multi-trace correlations. For one matrix, there are no non-anomalous infinitesimal symmetries. For two or more matrices, measure preserving vector fields form an infinite dimensional graded Lie algebra, and action preserving on...

  4. Antibiotic resistance and OXA-type carbapenemases-encoding genes in airborne Acinetobacter baumannii isolated from burn wards.

    Science.gov (United States)

    Gao, Jing; Zhao, Xiaonan; Bao, Ying; Ma, Ruihua; Zhou, Yufa; Li, Xinxian; Chai, Tongjie; Cai, Yumei

    2014-03-01

    The study was conducted to investigate drug resistance, OXA-type carbapenemases-encoding genes and genetic diversity in airborne Acinetobacter baumannii (A. baumannii) in burn wards. Airborne A. baumannii were collected in burn wards and their corridors using Andersen 6-stage air sampler from January to June 2011. The isolates susceptibility to 13 commonly used antibiotics was examined according to the CLSI guidelines; OXA-type carbapenemases-encoding genes and molecular diversity of isolates were analyzed, respectively. A total of 16 non-repetitive A. baumannii were isolated, with 10 strains having a resistance rate of greater than 50% against the 13 antibiotics. The resistance rate against ceftriaxone, cyclophosvnamide, ciprofloxacin, and imipenem was 93.75% (15/16), but no isolate observed to be resistant to cefoperazone/sulbactam. Resistance gene analyses showed that all 16 isolates carried OXA-51, and 15 isolates carried OXA-23 except No.15; but OXA-24 and OXA-58 resistance genes not detected. The isolates were classified into 13 genotypes (A-M) according to repetitive extragenic palindromic sequence PCR (REP-PCR) results and only six isolates had a homology ≥90%. In conclusion, airborne A. baumannii in the burn wards had multidrug resistance and complex molecular diversity, and OXA-23 and OXA-51 were dominant mechanisms for resisting carbapenems. PMID:23886986

  5. An Australian hospital-based student training ward delivering safe, client-centred care while developing students' interprofessional practice capabilities.

    Science.gov (United States)

    Brewer, Margo L; Stewart-Wynne, Edward G

    2013-11-01

    Royal Perth Hospital, in partnership with Curtin University, established the first interprofessional student training ward in Australia, based on best practice from Europe. Evaluation of the student and client experience was undertaken. Feedback from all stakeholders was obtained regularly as a key element of the quality improvement process. An interprofessional practice program was established with six beds within a general medical ward. This provided the setting for 2- to 3-week clinical placements for students from medicine, nursing, physiotherapy, occupational therapy, social work, pharmacy, dietetics and medical imaging. Following an initial trial, the training ward began with 79 students completing a placement. An interprofessional capability framework focused on the delivery of high quality client care and effective teamwork underpins this learning experience. Quantitative outcome data showed not only an improvement in students' attitudes towards interprofessional collaboration but also acquisition of a high level of interprofessional practice capabilities. Qualitative outcome data from students and clients was overwhelmingly positive. Suggestions for improvement were identified. This innovative learning environment facilitated the development of the students' knowledge, skills and attitudes required for interprofessional, client centred collaborative practice. Staff reported a high level of compliance with clinical safety and quality. PMID:24299579

  6. Assessment the Bio-Aerosols Type and Concentration in Various Wards of Valiasr Hospital, Khorramshahr during 2011

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    Zohreh Sadeghi Hasanvand1,

    2013-09-01

    Results: The highest average concentration of pollution occurred in Infectious Ward (238.51 CFU/ M3 in spring and 167.02 CFU/M3 in autumn and the lowest one was related to the CCU, where showed no fungi growth during both seasons. Despite the environment sterilization, the highest percentage of fungi (Aspergillus Niger and yeast observed in the hospital air was 42.45 percent in spring and 44.26 percent in autumn respectively. Moreover, Staphillus Epidermithis (25.93 percentand gram-positive bacillus were the highest percentage of bacteria identified in air samples. Conclusion: From the findings of this study, it can be concluded that the concentration of bio-aerosols in different hospital wards expect in CCU was more than recommended and similar studies and in terms of species was similar to other studies. Therefore, the hospital authority is recommended to reduce the amount of the pathogenic and environmental bio-aerosols through controlling individual traffic, changing the disinfectants and their applying procedure on the wards surface, establishing standard and suitable ventilation systems.

  7. Prevalence of potential drug-drug interactions among internal medicine ward in University of Gondar Teaching Hospital, Ethiopia

    Institute of Scientific and Technical Information of China (English)

    Akshaya Srikanth Bhagavathula; Alemayehu Berhanie; Habtamu Tigistu; Yishak Abraham; Yosheph Getachew; Tahir Mehmood Khan; Chandrashekhar Unakal

    2014-01-01

    Objective: To determine the prevalence, clinical significance and the associated risk factors of potential drug-drug interactions (DDIs) at internal medicine ward of University of Gondar (UOG) hospital.Method:medicine ward of UOG hospital from April 29, 2013 to June 2, 2013. Data was collected from medical records and by interviewing the patients face to face. Descriptive analysis was conducted for back ground characteristics and logistic regression was used to determine the associated risk factors.Result:A prospective cross-sectional study was conducted on patients treated in internal interacting combinations with 4.13 potential DDIs per patient. Among 413 potential DDIs most were of moderate interactions 61.2% (n=253) followed by 26% (n=107) of minor interactions and 12.8% (n=53) of major interactions. There was significant association of occurrence of potential DDIs only with taking three or more medications.Conclusion:We have recorded a high rate of prevalence of potential DDI in the internal In our study, we have identified a total number of 413 potential DDIs and 184 types of medicine ward of UOG hospital and a high number of clinically significant DDIs which the most prevalent DDI were of moderate severity. Careful selection of drugs and active pharmaceutical care is encouraged in order to avoid negative consequences of these interactions.

  8. Hospital Acquired Infections Among Patients Admitted in the Medical and Surgical Wards of a Non-Teaching Secondary Care Hospital in Northern India

    OpenAIRE

    Ginawi, I.; Saleem, Mohd; Sigh, Mastan; Vaish, A.K.; I. Ahmad; Srivastava, V.K.; Abdullah, A. Fahad M.

    2014-01-01

    Objective: To investigate the incidence of Nosocomial Infection (NI) and type of bacteriological isolates among the patients admitted in the medical and surgical wards of a non-teaching secondary care hospital in north India.

  9. The Effect of Information Provision on Reduction of Errors in Intravenous Drug Preparation and Administration by Nurses in ICU and Surgical Wards

    OpenAIRE

    Homa Azizian; Mohammad Sistanizad; Abdollah Hassani; Samaneh Zareh-Toranposhti; Mohammad Abbasinazari; Yunes Panahi

    2012-01-01

    Malpractice in preparation and administration of intravenous (IV) medications has been reported frequently. Inadequate knowledge of nurses has been reported as a cause of such errors. We aimed to evaluate the role of nurses' education via installation of wall posters and giving informative pamphlets in reducing theerrors in preparation and administration of intravenous drugs in 2 wards (ICU and surgery) of a teaching hospital in Tehran, Iran. A trained observer stationed in 2 wards in differe...

  10. Attachment to stress ulcer prophylaxis guideline in the neurology wards of two teaching and non-teaching hospitals: A retrospective survey in Iran

    OpenAIRE

    Foroughinia, Farzaneh; Madhooshi, Mohammad

    2016-01-01

    Objective: In this study, we aimed to evaluate the attachment to stress ulcer prophylaxis (SUP) guideline in the neurology wards of two teaching and nonteaching hospitals. Methods: A total of 243 patients were retrospectively reviewed in the neurology wards of two teaching and nonteaching hospitals. To assess the appropriate administration of SUP, an internal guideline was prepared using the American Society of Health-System Pharmacists (ASHP) protocol. Findings: SUP prescriptions were noncom...

  11. On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study

    OpenAIRE

    Klopotowska, J.E.; Kuiper, R; Kan, van, J.; Pont, de, A.C.J.; Dijkgraaf, M.G.; Lie-A-Huen, L.; Vroom, M.B.; Smorenburg, S.M.

    2010-01-01

    Introduction Patients admitted to an intensive care unit (ICU) are at high risk for prescribing errors and related adverse drug events (ADEs). An effective intervention to decrease this risk, based on studies conducted mainly in North America, is on-ward participation of a clinical pharmacist in an ICU team. As the Dutch Healthcare System is organized differently and the on-ward role of hospital pharmacists in Dutch ICU teams is not well established, we conducted an intervention study to inve...

  12. Methotrexate – Genotoxic and teratogenic for medical staff of oncology wards?

    Directory of Open Access Journals (Sweden)

    Małgorzata Kupczewska-Dobecka

    2015-06-01

    Full Text Available Methotrexate (MTX is one of the most widely used cytostatic drugs belonging to the folic acid antagonists. It is a substance non-classified as a carcinogen in the European Union and by the International Agency for Research on Cancer (IARC as there is no evidence of its carcinogenicity to humans and animals. Nevertheless, MTX has been placed on the list of dangerous drugs used in chemotherapy, mainly due to genotoxic and teratogenic effects, causing developmental toxicity and reproductive toxicity. Methotrexate was determined in the hospital ward air during the preparation of a medicament at a level of 0.3 mg/m3, as well as on protective gloves and preparatory room surfaces. In most research projects MTX was identified in the urine of health care workers, pharmacists and nursing staff. The highest cumulative concentration of MTX in 112 urine samples was 1416 mg in workers preparing infusions for patients. Studies carried out in pharmacies revealed the presence of MTX in 60% of tests, and the maximum concentration of 15 ng/cm2 surface of the tray to count tablets. Legal exposure limit values for MTX in the work environment have not yet been established. Occupational exposure limits have been established by some manufacturers at the level of 0.0003–0.0025 mg/m3. There is an urgent need to establish normative values. It should also be emphasized that MTX is absorbed through the skin, which may significantly increase the exposure and measuring its concentration in the work environment may not be sufficient to estimate the actual exposure. Med. Pr. 2015;66(2:265–275

  13. Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology

    Directory of Open Access Journals (Sweden)

    Wallin Juliska

    2008-02-01

    Full Text Available Abstract Background The objective was to examine various aspects of narcissism in patients admitted to acute psychiatric wards and to compare their level of narcissism to that of an age- and gender-matched sample from the general population (NORM. Methods This cross-sectional study interviewed 186 eligible acute psychiatric patients with the Brief Psychiatric Rating Scale (BPRS and the Global Assessment of Functioning (GAF. The patients filled in the Narcissistic Personality Inventory-21 item version (NPI-21, The Hospital Anxiety and Depression Scale (HADS and the Rosenberg Self-Esteem Scale. High and low narcissism was defined by the median of the total NPI-21 score. An age- and gender-matched control sample from the general population also scored the NPI-21 (NORM. Results Being male, involuntary admitted, having diagnosis of schizophrenia, higher self-esteem, and severe violence were significantly associated with high narcissism, and so were also low levels of suicidality, depression, anxiety and GAF scores. Severe violence and high self-esteem were significantly associated with high narcissism in multivariable analyses. The NPI-21 and its subscales showed test-retest correlations ≥0.83, while the BPRS and the HADS showed lower correlations, confirming the trait character of the NPI-21. Depression and suicidality were negatively associated with the NPI-21 total score and all its subscales, while positive association was observed with grandiosity. No significant differences were observed between patients and NORM on the NPI-21 total score or any of the NPI subscales. Conclusion Narcissism in the psychiatric patients was significantly associated with violence, suicidality and other symptoms relevant for management and treatment planning. Due to its trait character, use of the NPI-21 in acute psychiatric patients can give important clinical information. The similar level of narcissism found in patients and NORM is in need of further examination.

  14. N=1 supersymmetry and super quantum electrodynamic in Atiyah-Ward space-time

    Energy Technology Data Exchange (ETDEWEB)

    Andrade, M.A. de; Cima, O.M. Del; Magalhaes, M.N.P.

    1994-12-01

    The supersymmetric gauge invariant action for the massive Abelian N=1 super-QED{sub 2+2} in the Atiyah-Ward space-time (D=2+2) is formulated. The questions concerning the scheme of the gauge invariance in D=2+2 by means of gauging the massive N=1 super-QED{sub 2+2} are investigated. It is studied how to ensure the gauge invariance at the expenses of the introduction of a complex vector superfield. It is discussed the Wess-Zumino gauge and thereupon we conclude that in this gauge, only the imaginary part of the complex vector field, B{sub {mu}}, gauges a U(1)-symmetry, whereas its real part gauges a Weyl symmetry. It is build up the gauge invariant massive term by introducing four scalar superfields: a pair of chiral and a pair of anti-chiral superfields; the supermultiplets of each pair have opposite U (1)-changes. It is carried out a dimensional reduction a la Scherk of the massive N=1 super-QED{sub 2+2} action from D=2+2 to D=1+2. Truncations are needed in order to suppress unphysical modes and one ends up with a parity-preserving N=1 super QED{sub 1+2} (rather than N=2) in D=1+2 which spectrum is free from tachyons and ghosts at tree-level. Finally it is show that the N=1 super-QED{sub 1+2} obtained is the supersymmetry version of the {sub {phi}3} QED. (author). 27 refs.

  15. Recognition of Radiological Protection of Ward Staff after Brachytherapy for Malignant Tumor with Radioiodine Seeds

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    HU Shu

    2016-02-01

    Full Text Available Through radiation measurement of the patients after brachytherapy with radioiodine seeds for malignant tumor at different distances and shielding condition, the importance, optimization and individualization of the radiological protection are well recognized. The 35 patients were randomly selected in the minimally invasive interventional ward of Peking University Shenzhen Hospital who underwent brachytherapy for malignant tumor with radioiodine seeds. Within 2 hours after the brachytherapy, the radiation of the patients without shielding, with 0.25 mmPb and 0.5 mmPb shielding were detected by an x-γ ray detector at different distances (equivalent dose rate. The results were analysed by SPSS19.0 t test. Annual equivalent dose was calculated by the average close contact time (two hours everyone per day. The average annual equivalent dose of the 35 patients without shielding was below 20 mSv at 0.5 meter, close to the public limit 1 mSv at 2 meters and equivalent to the background at 4 meters. Under 0.25 mmPb shielding, 6 patients’ radiation was still above the pubic limit, although the average radiation of the 35 patients was below the pubic limit; under 0.5 mmPb shielding, all patients’ radiation was nearly equivalent to the background at 0 meter. The results showed that among the time, distance and shielded protection, the individual radiological protection was especially important. The 0.25 mmPb lead cushion was the most commonly used shield. The 0.5 mmPb lead cushion also should be used in case of the large number of radioiodine seeds implantation and/or more superficial implant site, so as to ensure the individualization and optimization in radiological protection.

  16. N=1 supersymmetry and super quantum electrodynamic in Atiyah-Ward space-time

    International Nuclear Information System (INIS)

    The supersymmetric gauge invariant action for the massive Abelian N=1 super-QED2+2 in the Atiyah-Ward space-time (D=2+2) is formulated. The questions concerning the scheme of the gauge invariance in D=2+2 by means of gauging the massive N=1 super-QED2+2 are investigated. It is studied how to ensure the gauge invariance at the expenses of the introduction of a complex vector superfield. It is discussed the Wess-Zumino gauge and thereupon we conclude that in this gauge, only the imaginary part of the complex vector field, Bμ, gauges a U(1)-symmetry, whereas its real part gauges a Weyl symmetry. It is build up the gauge invariant massive term by introducing four scalar superfields: a pair of chiral and a pair of anti-chiral superfields; the supermultiplets of each pair have opposite U (1)-changes. It is carried out a dimensional reduction a la Scherk of the massive N=1 super-QED2+2 action from D=2+2 to D=1+2. Truncations are needed in order to suppress unphysical modes and one ends up with a parity-preserving N=1 super QED1+2 (rather than N=2) in D=1+2 which spectrum is free from tachyons and ghosts at tree-level. Finally it is show that the N=1 super-QED1+2 obtained is the supersymmetry version of the φ3 QED. (author). 27 refs

  17. Characterization of colonizing Staphylococcus aureus isolated from surgical wards' patients in a Nigerian university hospital.

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    Deboye O Kolawole

    Full Text Available In contrast to developed countries, only limited data on the prevalence, resistance and clonal structure of Staphylococcus aureus are available for African countries. Since S. aureus carriage is a risk factor for postoperative wound infection, patients who had been hospitalized in surgical wards in a Nigerian University Teaching Hospital were screened for S. aureus carriage. All S. aureus isolates were genotyped (spa, agr and assigned to multilocus sequence types (MLST. Species affiliation, methicillin-resistance, and the possession of pyrogenic toxin superantigens (PTSAg, exfoliative toxins (ETs and Panton-Valentine Leukocidin (PVL were analyzed. Of 192 patients screened, the S. aureus carrier rate was 31.8 % (n = 61. Of these isolates, 7 (11.5% were methicillin-resistant (MRSA. The isolates comprised 24 spa types. The most frequent spa types were t064, t084, t311, and t1931, while the most prevalent MLST clonal complexes were CC5 and CC15. The most frequent PTSAg genes detected were seg/sei (41.0% followed by seb (29.5%, sea (19.7%, seh (14.7% and sec (11.5. The difference between the possession of classical and newly described PTSAg genes was not significant (63.9% versus 59.0% respectively; P = 0.602. PVL encoding genes were found in 39.3% isolates. All MRSA isolates were PVL negative, SCCmec types I and VI in MLST CC 5 and CC 30, respectively. Typing of the accessory gene regulator (agr showed the following distribution: agr group 1 (n = 20, group II (n = 17, group III (n = 14 and group IV (n = 10. Compared to European data, enterotoxin gene seb and PVL-encoding genes were more prevalent in Nigerian methicillin-susceptible S. aureus isolates, which may therefore act as potential reservoir for PVL and PTSAg genes.

  18. Quantification of the diversity among common bean accessions using Ward-MLM strategy Quantificação da diversidade entre acessos de feijoeiro-comum com uso da estratégia Ward-MLM

    Directory of Open Access Journals (Sweden)

    Pablo Diego Silva Cabral

    2010-10-01

    Full Text Available The present work aimed at evaluating the divergence among common bean accessions by their agronomic, morphological and molecular traits, based on the Ward-MLM procedure. A collection of 57 accessions from the gene bank of Universidade Federal do Espírito Santo was used in this study, from which: 31 were landraces belonging to the community Fortaleza, in the municipality of Muqui, ES, Brazil; 20 accessions were provided by Embrapa Trigo; and 6 were commercial cultivars. Five agronomic traits (plant cycle, number of seeds per pod, number of pods per plant, weight of 100 seeds, and grain yield, five morphological traits (growth habit, plant size, seed shape, seed color, and commercial group and 16 microsatellite primers were evaluated. High genetic variability was detected considering morphological, agronomic and molecular traits in the 57 common bean accessions studied. The Ward-MLM procedure showed that the ideal number of groups was five, according to the pseudo F and pseudo t² criteria. The accessions from Andean origin had heavier seeds than others and formed a cluster. The Ward-MLM statistical procedure is a useful technique to detect genetic divergence and to cluster genotypes by simultaneously using morphological, agronomic and molecular data.O objetivo deste trabalho foi avaliar a divergência de acessos de feijoeiro-comum por suas características agronômicas, morfológicas e moleculares, com base no procedimento Ward-MLM. Uma coleção de 57 acessos do banco de germoplasma da Universidade Federal do Espírito Santo foi utilizada neste estudo, dos quais: 31 acessos locais, pertencentes à comunidade Fortaleza, no Município de Muqui, ES; 20 acessos fornecidos pela Embrapa Trigo; e 6 cultivares comerciais. Foram avaliados cinco caracteres agronômicos (ciclo da planta, número de sementes por vagem, número de vagens por planta, peso de 100 grãos e produtividade de grãos, cinco caracteres morfológicos (hábito de crescimento, porte

  19. An observational study in psychiatric acute patients admitted to General Hospital Psychiatric Wards in Italy

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    Margari Francesco

    2007-01-01

    Full Text Available Abstract Objectives this Italian observational study was aimed at collecting data of psychiatric patients with acute episodes entering General Hospital Psychiatric Wards (GHPWs. Information was focused on diagnosis (DSM-IV, reasons of hospitalisation, prescribed treatment, outcome of aggressive episodes, evolution of the acute episode. Methods assessments were performed at admission and discharge. Used psychometric scales were the Brief Psychiatric Rating Scale (BPRS, the Modified Overt Aggression Scale (MOAS and the Nurses' Observation Scale for Inpatient Evaluation (NOSIE-30. Results 864 adult patients were enrolled in 15 GHPWs: 728 (320 M; mean age 43.6 yrs completed both admission and discharge visits. A severe psychotic episode with (19.1% or without (47.7% aggressive behaviour was the main reason of admission. Schizophrenia (42.8% at admission and 40.1% at discharge and depression (12.9% at admission and 14.7% at discharge were the predominant diagnoses. The mean hospital stay was 12 days. The mean (± SD total score of MOAS at admission, day 7 and discharge was, respectively, 2.53 ± 5.1, 0.38 ± 2.2, and 0.21 ± 1.5. Forty-four (6.0% patients had episodes of aggressiveness at admission and 8 (1.7% at day 7. A progressive improvement in each domain/item vs. admission was observed for MOAS and BPRS, while NOSIE-30 did not change from day 4 onwards. The number of patients with al least one psychotic drug taken at admission, in the first 7 days of hospitalisation, and prescribed at discharge, was, respectively: 472 (64.8%, 686 (94.2% and 676 (92.9%. The respective most frequently psychotic drugs were: BDZs (60.6%, 85.7%, 69.5%, typical anti-psychotics (48.3%, 57.0%, 49.6%, atypical anti-psychotics (35.6%, 41.8%, 39.8% and antidepressants (40.9%, 48.8%, 43.2%. Rates of patients with one, two or > 2 psychotic drugs taken at admission and day 7, and prescribed at discharge, were, respectively: 24.8%, 8.2% and 13.5% in mono-therapy; 22.0%, 20

  20. "Driving the devil away": qualitative insights into miraculous cures for AIDS in a rural Tanzanian ward

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    Urassa Mark

    2010-07-01

    Full Text Available Abstract Background The role of religious beliefs in the prevention of HIV and attitudes towards the infected has received considerable attention. However, little research has been conducted on Faith Leaders' (FLs perceptions of antiretroviral therapy (ART in the developing world. This study investigated FLs' attitudes towards different HIV treatment options (traditional, medical and spiritual available in a rural Tanzanian ward. Methods Qualitative interviews were conducted with 25 FLs purposively selected to account for all the denominations present in the area. Data was organised into themes using the software package NVIVO-7. The field work guidelines were tailored as new topics emerged and additional codes progressively added to the coding frame. Results Traditional healers (THs and FLs were often reported as antagonists but duality prevailed and many FLs simultaneously believed in traditional healing. Inter-denomination mobility was high and guided by pragmatism. Praying for the sick was a common practice and over one third of respondents said that prayer could cure HIV. Being HIV-positive was often seen as "a punishment from God" and a consequence of sin. As sinning could result from "the work of Satan", forgiveness was possible, and a "reconciliation with God" deemed as essential for a favourable remission of the disease. Several FLs believed that "evil spirits" inflicted through witchcraft could cause the disease and claimed that they could cast "demons" away. While prayers could potentially cure HIV "completely", ART use was generally not discouraged because God had "only a part to play". The perceived potential superiority of spiritual options could however lead some users to interrupt treatment. Conclusions The roll-out of ART is taking place in a context in which the new drugs are competing with a diversity of existing options. As long as the complementarities of prayers and ART are not clearly and explicitly stated by FLs

  1. Treatment in a ward for elderly patients with dementia in Japan

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    Taniguchi S

    2013-03-01

    Full Text Available Shogo Taniguchi,1 Jin Narumoto,1 Keisuke Shibata,1 Nobutaka Ayani,1 Teruyuki Matsuoka,1 Aiko Okamura,1 Kaeko Nakamura,1 Hiroshi Shimizu,2 Kenji Fukui11Department of Psychiatry, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; 2Umibeno-mori Hospital, Kochi, JapanBackground: Japan has become the world's most aged country. The percentage of elderly people in Japan is estimated to reach 25.2% in 2013, and the number of patients with dementia is estimated to reach 2.5 million in 2015. In addition to its deterioration of physical function and activities of daily living (ADL, behavioral and psychological symptoms of dementia (BPSD often become major clinical problems, greatly annoying patients and their caregivers. In Japan, we utilize wards for elderly patients with dementia (WEDs for BPSD treatment. However, there are few studies investigating the effectiveness of treatment in a WED. In such treatment, physical complications are a challenge physicians must overcome while treating BPSD and safely returning patients home or to the institutions in which they live. Therefore, we investigated the effectiveness of treatment in a WED, focusing on physical complications.Methods: The subjects were 88 patients who were admitted to and discharged from a WED. Severity of dementia, basic ADL, and BPSD were investigated using the Clinical Dementia Rating, Physical Self-Maintenance Scale (PSMS, and Neuropsychiatric Inventory. Differences in characteristics between patients discharged from the WED because of physical complications and all other patients were also examined.Results: We found significant improvements in the PSMS score and decreases in delusions and sleep disturbances in all patients. Patients discharged from the WED because of physical complications had significantly greater severity of dementia at discharge compared to all other patients.Conclusion: Treatment in a WED seems to be effective for BPSD and ADL

  2. Evaluation of clinical pharmacist recommendations in the geriatric ward of a Belgian university hospital

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    Somers A

    2013-06-01

    Full Text Available Annemie Somers,1 Hugo Robays,1 Peter De Paepe,2 Georges Van Maele,3 Katrina Perehudoff,4 Mirko Petrovic41Department of Pharmacy, Ghent University Hospital, Ghent, Belgium; 2Department of Emergency Medicine, Ghent University Hospital, Ghent, Belgium; 3Department of Medical Statistics, Ghent University Hospital, Ghent, Belgium; 4Department of Geriatrics, Ghent University Hospital, Ghent, BelgiumObjective: To evaluate the type, acceptance rate, and clinical relevance of clinical pharmacist recommendations at the geriatric ward of the Ghent university hospital.Methods: The clinical pharmacist evaluated drug use during a weekly 2-hour visit for a period of 4 months and, if needed, made recommendations to the prescribing physician. The recommendations were classified according to type, acceptance by the physician, prescribed medication, and underlying drug-related problem. Appropriateness of prescribing was assessed using the Medication Appropriateness Index (MAI before and after the recommendations were made. Two clinical pharmacologists and two clinical pharmacists independently and retrospectively evaluated the clinical relevance of the recommendations and rated their own acceptance of them.Results: The clinical pharmacist recommended 304 drug therapy changes for 100 patients taking a total of 1137 drugs. The most common underlying drug-related problems concerned incorrect dose, drug–drug interaction, and adverse drug reaction, which appeared most frequently for cardiovascular drugs, drugs for the central nervous system, and drugs for the gastrointestinal tract. The most common type of recommendation concerned adapting the dose, and stopping or changing a drug. In total, 59.7% of the recommendations were accepted by the treating physician. The acceptance rate by the evaluators ranged between 92.4% and 97.0%. The mean clinical relevance of the recommendations was assessed as possibly important (53.4%, possibly low relevance (38.1%, and possibly

  3. Factors Influencing Participation of Rural Women in Zimbabwes 2013 Constitution Referendum A Case Study Of Ward 22 Gutu District

    Directory of Open Access Journals (Sweden)

    Barbra Ncube

    2015-08-01

    Full Text Available Abstract Participation is the cornerstone of citizen engagement. In constitution making and other public policy formulation processes public participation typically involves preparing the public to participate through civic education and public information campaigns as well as consulting the public on issues such as how the process should take place and the contents of the constitution itself. This study sought to examine the factors that influence womens participation in constitution making processes specifically relating to voting in the constitution referendum in the case of rural women residing in ward 22 of Gutu district of Zimbabwe. Gutu District is the third largest district in Masvingo province. Ward 22 is located in the communal region of Gutu central. The people of ward 22 largely depend on subsistence farming and market gardening for their livelihoods. The objectives of the study were to ascertain to what extent media campaign and publicity efforts by womens civic groups and public interaction through public meetings and hearings were able to influence the participation of Zimbabwean women in the 2013 referendum in ward 22 Gutu district. Over and above these objectives the study sought to document the experiences and views of rural Zimbabwean women on the constitution making process. This study adopted a descriptive case study research design. Samples of 108 women from Ward 22 Gutu District were conveniently selected to participate in this study. Data was collected using a structured interview guide and questionnaires which were administered to the respondents. A focused group discussion was also carried out to verify the information gathered through these instruments. Findings and conclusions were derived by means of detailed comparative and inductive analysis of data. Descriptive statistics were employed in the presentation of the findings. Amongst the major findings are that rural women in ward 22 in Gutu district were in actual

  4. Duration of bed occupancy as calculated at a random chosen day in an acute care ward. Implications for the use of scarce resources in psychiatric care

    Directory of Open Access Journals (Sweden)

    Restan Asbjørn

    2005-05-01

    Full Text Available Abstract Background Psychiatric acute wards are obliged to admit patients without delay according to the Act on Compulsive Psychiatric Care. Residential long term treatment facilities and rehabilitation facilities may use a waiting list. Patients, who may not be discharged from the acute ward or should not wait there, then occupy acute ward beds. Materials and methods Bed occupancy in one acute ward at a random day in 2002 was registered (n = 23. Successively, the length of stay of all patients was registered, together with information on waiting time after a decision was made on further treatment needs. Eleven patients waited for further resident treatment. The running cost of stay was calculated for the acute ward and in the different resident follow-up facilities. Twenty-three patients consumed a total of 776 resident days. 425 (54.8% of these were waiting days. Patients waited up to 86 days. Results Total cost of treatment was 0.69 million Euro (0.90 mill. $, waiting costs were 54.8% of this, 0.38 million Euro (0.50 million $. The difference between acute care costs and the costs in the relevant secondary resident facility was defined as the imputed loss. Net loss by waiting was 0.20 million Euro (0.26 million $ or 28.8% of total cost. Discussion This point estimate study indicates that treating patients too sick to be released to anything less than some other intramural facility locks a sizable amount of the resources of a psychiatric acute ward. The method used minimized the chance of financially biased treatment decisions. Costs of frustration to staff and family members, and delayed effect of treatment was set to zero. Direct extrapolation to costs per year is not warranted, but it is suggested that our findings would be comparable to other acute wards as well. The study shows how participant observation and cost effectiveness analysis may be combined.

  5. A comparative study of epidural catheter colonization and infection in Intensive Care Unit and wards in a Tertiary Care Public Hospital.

    Science.gov (United States)

    Harde, Minal; Bhadade, Rakesh; Iyer, Hemlata; Jatale, Amol; Tiwatne, Sagar

    2016-02-01

    Infection is a potentially serious complication of epidural analgesia and with an increase in its use in wards there is a necessity to demonstrate its safety. We aimed to compare the incidence of colonization of epidural catheters retained for short duration (for 48 h) postoperative analgesia in postanesthesia care unit and wards. It was a prospective observational study done in a tertiary care teaching public hospital over a period of 2 years and included 400 patients with 200 each belonged to two groups PACU and ward. We also studied epidural tip culture pattern, skin swab culture at the entry point of the catheter, their relation to each other and whether colonization is equivalent to infection. Data were analyzed using statistical software GraphPad. Overall positive tip culture was 6% (24), of them 7% (14) were from PACU and 5% (10) were from ward (P = 0.5285). Positive skin swab culture was 38% (150), of them 20% (80) were from PACU and 18% (70) were from ward (P = 0.3526). The relation between positive tip culture and positive skin swab culture in same patients is extremely significant showing a strong linear relationship (95% confidence interval = 0.1053-0.2289). The most common microorganism isolated was Staphylococcus epidermidis. No patient had signs of local or epidural infection. There is no difference in the incidence of epidural catheter tip culture and skin swab culture of patients from the general ward and PACU. Epidural analgesia can be administered safely for 48 h in general wards without added risk of infection. The presence of positive tip culture is not a predictor of epidural space infection, and colonization is not equivalent to infection; hence, routine culture is not needed. Bacterial migration from the skin along the epidural track is the most common mode of bacterial colonization; hence, strict asepsis is necessary. PMID:27076712

  6. A comparative study of epidural catheter colonization and infection in Intensive Care Unit and wards in a Tertiary Care Public Hospital

    Directory of Open Access Journals (Sweden)

    Minal Harde

    2016-01-01

    Full Text Available Infection is a potentially serious complication of epidural analgesia and with an increase in its use in wards there is a necessity to demonstrate its safety. We aimed to compare the incidence of colonization of epidural catheters retained for short duration (for 48 h postoperative analgesia in postanesthesia care unit and wards. It was a prospective observational study done in a tertiary care teaching public hospital over a period of 2 years and included 400 patients with 200 each belonged to two groups PACU and ward. We also studied epidural tip culture pattern, skin swab culture at the entry point of the catheter, their relation to each other and whether colonization is equivalent to infection. Data were analyzed using statistical software GraphPad. Overall positive tip culture was 6% (24, of them 7% (14 were from PACU and 5% (10 were from ward (P = 0.5285. Positive skin swab culture was 38% (150, of them 20% (80 were from PACU and 18% (70 were from ward (P = 0.3526. The relation between positive tip culture and positive skin swab culture in same patients is extremely significant showing a strong linear relationship (95% confidence interval = 0.1053–0.2289. The most common microorganism isolated was Staphylococcus epidermidis. No patient had signs of local or epidural infection. There is no difference in the incidence of epidural catheter tip culture and skin swab culture of patients from the general ward and PACU. Epidural analgesia can be administered safely for 48 h in general wards without added risk of infection. The presence of positive tip culture is not a predictor of epidural space infection, and colonization is not equivalent to infection; hence, routine culture is not needed. Bacterial migration from the skin along the epidural track is the most common mode of bacterial colonization; hence, strict asepsis is necessary.

  7. Acquired CNS Demyelinating Syndrome in Children Referred to Shiraz Pediatric Neurology Ward

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    Soroor INALOO*

    2014-04-01

    Full Text Available How to Cite This Article: Inaloo S, Haghbin S, Moradi M, Dashti H, Safari N. Acquired CNS Demyelinating Syndrome in Children Referred to Shiraz Pediatric Neurology Ward. Iran J Child Neurol. 2014 Spring; 8(2:18-23.ObjectiveIncidence of CNS acquired demyelinating syndrome (ADS, especially multiple sclerosis (MS in children, appears to be on the rise worldwide. The objective of this study was to determine prevalence, clinical presentation, neuroimagingfeatures, and prognosis of different types of ADS in Iranian children.Materials & MethodsDuring the period 2002-2012, all the patients (aged 1-18 years with ADS, such as MS, acute disseminated encephalomyelitis (ADEM, optic neurotic (ON, Devic disease, and transverse myelitis (TM, referred to the pediatric neurology ward, Nemazee Hospital, Shiraz University of Medical Sciences, were includedin this study. Demographic data, clinical signs and symptoms, past and family history, preclinical findings, clinical course, and outcome were obtained.ResultsWe identified 88 patients with ADS in our center. The most prevalent disease was MS with 36.5% (n=32, followed by AEDM 26.1% (n=31, ON 17% (n=13, TM 15.9% (n=14, and Devic disease 4.5% (n=4. MS, ON, TM were morecommon among females while ADEM was more common in males. Children with ADEM were significantly younger than those with other types of ADS.Family history was positive in 10% of patients with MS.Previous history of recent infection was considerably seen in cases with ADEM.Clinical presentation and prognosis in this study was in accordance with those in previous studies on children.ConclusionIn this study, the most common type of ADS was MS, which was more common in female and older age cases. ADEM was more common in male and younger children. ADEM and ON had the best and Devic disease had the worst prognosis.References1. Longer-Gould A, Zhaug JL, Chung J, Yeung Y, Wanbant E, Yao J. Incidence of acquired CNS demyelinating syndrome in a

  8. Implications of Shared Interactive Displays for Work at a Surgery Ward: Coordination, Articulation Work and Context-awareness

    DEFF Research Database (Denmark)

    Bossen, Claus; Jensen, Lis Witte Kjær

    2008-01-01

    We report on experiences gained from the use at a surgery ward of shared interactive displays to support coordination and communication.  The displays merge large displays, video feed, RFID tag, chat and mobile phones to facilitate better coordination and articulation of work tasks and enhance...... context-awareness of collaborating physicians, nurses and surgery technicians. We focus on the implication of the systems for work and describe the changes in coordination, articulation work and context-awareness that occurred. This implied creating a fit between technology and work, attributing...

  9. An Appraisal of End-of-Life Care in Persons with Chronic Kidney Disease Dying in Hospital Wards

    OpenAIRE

    Noble, Helen; Brown, Joan; Shields, Joanne; Fogarty, Damian; Maxwell, Alexander P.

    2015-01-01

    AIM: To review end-of-life care provided by renal healthcare professionals to hospital in-patients with chronic kidney disease, and their carers, over a 12-month period in Northern Ireland.METHODS: Retrospective review of 100 patients.RESULTS: Mean age at death was 72 years (19-95) and 56% were male. Eighty three percent of patients had a 'Not For Attempted Resuscitation' order during their last admission and this was implemented in 42%. Less than 20% of all patients died in a hospital ward. ...

  10. Nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards: A qualitative study

    DEFF Research Database (Denmark)

    Tove, Lindhardt; Hallberg, Ingalill Rahm; Poulsen, Ingrid

    2008-01-01

    BACKGROUND: Frail elderly people admitted to hospital often receive help from relatives in managing their daily lives. These relatives are likely to continue to feel responsible after admission, and to hold valuable knowledge, which may contribute to decision-making related to care and treatment....... OBJECTIVE: To illuminate nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards, and of the barriers and promoters for collaboration. DESIGN AND SETTING: The design was descriptive. Three acute units in a large Danish university hospital participated...

  11. Nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards: a qualitative study

    DEFF Research Database (Denmark)

    Lindhardt, Tommi Bo; Hallberg, I.R.; Poulsen, Ingrid

    2008-01-01

    BACKGROUND: Frail elderly people admitted to hospital often receive help from relatives in managing their daily lives. These relatives are likely to continue to feel responsible after admission, and to hold valuable knowledge, which may contribute to decision-making related to care and treatment....... OBJECTIVE: To illuminate nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards, and of the barriers and promoters for collaboration. DESIGN AND SETTING: The design was descriptive. Three acute units in a large Danish university hospital participated...

  12. Pion electroproduction, partially conserved axial-vector current, chiral Ward identities, and the axial form factor revisited

    International Nuclear Information System (INIS)

    We reinvestigate Adler's partially conserved axial-vector current relation in the presence of an external electromagnetic field within the framework of QCD coupled to external fields. We discuss pion electroproduction within a tree-level approximation to chiral perturbation theory and explicitly verify a chiral Ward identity referred to as the Adler-Gilman relation. We critically examine soft-momentum techniques and point out how inadmissable approximations may lead to results incompatible with chiral symmetry. As a result we confirm that threshold pion electroproduction is indeed a tool to obtain information on the axial form factor of the nucleon

  13. Regularisation: many recipes, but a unique principle: Ward identities and normalisation conditions. The case of CPT violation in QED

    International Nuclear Information System (INIS)

    We analyse the recent controversy on a possible Chern-Simons like term generated through radiative corrections in QED with a CPT violating term: we prove that, if the theory is correctly defined through Ward identities and normalisation conditions, no Chern-Simons term appears, without any ambiguity. This is related to the fact that such a term is a kind of minor modification of the gauge fixing term, and then no renormalised. The past year literature on that subject is discussed, and we insist on the fact that any absence of an a priori divergence should be explained by some symmetry or some non-renormalisation theorem

  14. Feasibility of telecare solution for patients admitted with COPD exacerbation: screening data from a pulmonary ward in a university hospital

    DEFF Research Database (Denmark)

    Gottlieb, Magnus; Marså, Kristoffer; Andreassen, Helle;

    2014-01-01

    to assess the reasons for the exclusion of patients, and the reasons for patients not consenting to participate, as well as to identify the predictors for consenting or not consenting among the subgroup of eligible patients. Methods: In this study, all data in the screening log were collected over a...... help patients manage their disease at home and thereby possibly reduce the risk of readmission. Purpose: The primary aim of this study is to assess the feasibility of a telehealth care solution when offered in connection with discharges from a pulmonary ward at a university hospital. Secondary aims are...

  15. Poverty and Its Association with Child Labor in Njombe District in Tanzania: The Case of Igima Ward

    OpenAIRE

    Rocky R.J. Akarro; Nathan Anthon Mtweve

    2011-01-01

    The main aim of the study is to present the state of child labour and factors behind this citing one of the most prevalent areas for child labour in Tanzania known as Njombe. Njombe district which is predominantly a rural area is one of the most prevalent areas of child labour in Tanzania. A survey of 300 household heads that were randomly selected from accessible four villages in Igima ward in Njombe district confirmed this phenomenon. Chi-square statistic analysis on the relationship betwee...

  16. Meningitis Caused by Escherichia coli Producing TEM-52 Extended-Spectrum β-Lactamase within an Extensive Outbreak in a Neonatal Ward: Epidemiological Investigation and Characterization of the Strain▿

    OpenAIRE

    Moissenet, Didier; Salauze, Béatrice; Clermont, Olivier; Bingen, Edouard; Arlet, Guillaume; Denamur, Erick; Mérens, Audrey; Mitanchez, Delphine; Vu-Thien, Hoang

    2010-01-01

    Outbreaks caused by Enterobacteriaceae isolates producing extended-spectrum β-lactamases (ESBL) in neonatal wards can be difficult to control. We report here an extensive outbreak in a neonatal ward with a case of meningitis caused by an ESBL-producing Escherichia coli strain. Between 24 March and 29 April 2009, among the 59 neonates present in the ward, 26 neonates with ESBL-producing E. coli rectal colonization were detected (44%). One of the colonized neonates developed meningitis with a f...

  17. Ward identities and the analogous Goldberger-Treiman relation in a three-flavor Spectral Quark Model

    Science.gov (United States)

    Reis, E. A.; Mota, A. L.; Dias, E. W.

    2016-04-01

    This work presents the first results of an extension of the spectral quark model which includes different flavors. The spectral quark model is an approach based on a generalization of the Lehmann representation for the quark propagator. Gauge and chiral invariance are ensured with the help of gauge technique which provides particular solutions to the Ward-Takahashi identities. General conditions on the quark spectral function follow from natural physical requirements. In particular, the function is normalized, its positive momenta must vanish, while the physical observables depend on negative moments and the so-called log moments. As a consequence, the model is made finite. To allow the description of mesons constituted by different flavors of quarks we introduce different spectral functions and obtain vertex functions constructed from Ward-Takahashi identities that includes two different spectral (constituent) quark masses, allowing the physical description of strange mesons, for example. We obtain some observables based on the current approach and, in particular, the spectral version of the Kaon analogous Goldberger-Treiman relation.

  18. Prevalence of delirium among patients at a cancer ward: Clinical risk factors and prediction by bedside cognitive tests.

    Science.gov (United States)

    Grandahl, Mia Gall; Nielsen, Svend Erik; Koerner, Ejnar Alex; Schultz, Helga Holm; Arnfred, Sidse Marie

    2016-08-01

    Background Delirium is a frequent psychiatric complication to cancer, but rarely recognized by oncologists. Aims 1. To estimate the prevalence of delirium among inpatients admitted at an oncological cancer ward 2. To investigate whether simple clinical factors predict delirium 3. To examine the value of cognitive testing in the assessment of delirium. Methods On five different days, we interviewed and assessed patients admitted to a Danish cancer ward. The World Health Organization International Classification of Diseases Version 10, WHO ICD-10 Diagnostic System and the Confusion Assessment Method (CAM) were used for diagnostic categorization. Clinical information was gathered from medical records and all patients were tested with Mini Cognitive Test, The Clock Drawing Test, and the Digit Span Test. Results 81 cancer patients were assessed and 33% were diagnosed with delirium. All delirious participants were CAM positive. Poor performance on the cognitive tests was associated with delirium. Medical records describing CNS metastases, benzodiazepine or morphine treatment were associated with delirium. Conclusions Delirium is prevalent among cancer inpatients. The Mini Cognitive Test, The Clock Drawing Test, and the Digit Span Test can be used as screening tools for delirium among inpatients with cancer, but even in synergy, they lack specificity. Combining cognitive testing and attention to nurses' records might improve detection, yet further studies are needed to create a more detailed patient profile for the detection of delirium. PMID:26882016

  19. The impact of facility relocation on patients' perceptions of ward atmosphere and quality of received forensic psychiatric care.

    Science.gov (United States)

    Alexiou, Eirini; Degl' Innocenti, Alessio; Kullgren, Anette; Wijk, Helle

    2016-08-01

    In recent years, large groups of forensic psychiatric patients have been relocated into new medium- and maximum-security forensic psychiatric facilities in Sweden, where a psychosocial care approach is embedded. From this perspective and on the assumption that physical structures affect the therapeutic environment, a prospective longitudinal study was designed to investigate the impact of the facility relocation of three forensic psychiatric hospitals on patients' perceptions of ward atmosphere and quality of received forensic psychiatric care. Participants were patients over 18 years of age sentenced to compulsory forensic psychiatric treatment. Data were obtained by validated questionnaires. Overall, 58 patients (78%) answered the questionnaires at baseline with a total of 25 patients (34%) completing follow-up 1 at six months and 11 patients (15%) completing follow-up 2, one year after relocation. Approximately two-thirds of the participants at all time-points were men and their age range varied from 18 to 69. The results of this study showed that poor physical environment features can have a severe impact on care quality and can reduce the possibilities for person-centered care. Furthermore, the study provides evidence that the patients' perceptions of person-centered care in forensic psychiatric clinics are highly susceptible to factors in the physical and psychosocial environment. Future work will explore the staff's perception of ward atmosphere and the possibilities to adapt a person-centered approach in forensic psychiatric care after facility relocation. PMID:27213839

  20. Prevalence of body dysmorphic disorder on a psychiatric inpatient ward and the value of a screening question.

    Science.gov (United States)

    Veale, David; Akyüz, Elvan U; Hodsoll, John

    2015-12-15

    The aim of this study was to estimate the prevalence of body dysmorphic disorder (BDD) on an inpatient ward in the UK with a larger sample than previously studied and to investigate the value of a simple screening question during an assessment interview. Four hundred and thirty two consecutive admissions were screened for BDD on an adult psychiatric ward over a period of 13 months. Those who screened positive had a structured diagnostic interview for BDD. The prevalence of BDD was estimated to be 5.8% (C.I. 3.6-8.1%). Our screening question had a slightly low specificity (76.6%) for detecting BDD. The strength of this study was a larger sample size and narrower confidence interval than previous studies. The study adds to previous observations that BDD is poorly identified in psychiatric inpatients. BDD was identified predominantly in those presenting with depression, substance misuse or an anxiety disorder. The screening question could be improved by excluding those with weight or shape concerns. Missing the diagnosis is likely to lead to inappropriate treatment. PMID:26404769

  1. 烧伤新病房细菌流行病学调查%Bacterial epidemiology in new burn wards

    Institute of Scientific and Technical Information of China (English)

    刘赞; 周宇翔; 张丕红; 何亭; 张明华; 任利成; 梁鹏飞; 曾纪章; 黄晓元

    2013-01-01

    目的 了解烧伤科搬迁后新病房的病原菌分布及药敏变化. 方法 统计自2010年6月烧伤病房搬迁后送检各类标本中分离出来的菌株情况及药敏试验结果,分为2010年6月-2012年6月和2012年6月-2013年6月两个时间段,并与搬迁前2003年8月-2006年7月的住院患者细菌流行病学调查结果进行比较. 结果 2010年6月-2012年6月金黄色葡萄球菌检出率最高,铜绿假单胞菌与鲍曼不动杆菌分别位列第二、三位;而2012年6月-2013年6月鲍曼不动杆菌检出最多,铜绿假单胞菌和金黄色葡萄球菌位列其后,且铜绿假单胞菌、鲍曼不动杆菌与大肠埃希菌对亚胺培南和头孢他啶等多种抗生素的耐药性明显增强. 结论 烧伤病房多重耐药革兰阴性杆菌逐年增加,搬迁后前2年金黄色葡萄球菌检出增多、病原菌菌谱出现较大变迁可能与病房搬迁后环境改变、设备更新等有关.%Objective To know the pathogenic bacteria distribution and drug susceptibility variation in the burns ward after the relocation.Methods Bacterial strains separated from all kinds of inspected samples and drug sensitive results were analyzed statistically since the removal of the burns ward in June 2010,including the time periods of June 2010-June 2012 and of June 2012-June 2013.Then a comparison was made with epidemiological results of bacteria involved in the patients hospitalized from August 2003 to July 2006 before the ward removal.Results From June 2010-June 2012,the detection ratio of staphylococcus aureus was the highest,followed by pseudomonas aeruginosa and acinetobacter baumannii; from June 2012-June 2013,acinetobacter baumannii was the most,followed by pseudomonas aeruginosa and staphylococcus aureus.In addition,the drug resistance of pseudomonas aeruginosa,acinetobacter baumannii and escherichia coli against antibiotics like imipenem and ceftazidime had been significantly enhanced.Conclusions There is a gradual growth of

  2. Implementing bootstrap in ward´s algorithm to estimate the number of clusters

    Directory of Open Access Journals (Sweden)

    Francisco N. Felix

    2009-09-01

    -family: ";New York";;" lang="EN-US">In this paper we show how bootstrap can be implemented in hierarchical clustering algorithms as a strategy to estimate the number of clusters (k. Ward´s algorithm was chosen as an example. The estimation of k is based on a similarity coefficient and three statistical stopping rules, pseudo F, pseudo

  1. Potential drug-drug interactions in pediatric wards of Gondar University Hospital, Ethiopia:A cross sectional study

    Institute of Scientific and Technical Information of China (English)

    Henok Getachew; Mohammed Assen; Feser Dula; Akshaya Srikanth Bhagavathula

    2016-01-01

    Objective: To determine the prevalence, level of severity of potential drug–drug in-teractions (PDDIs) and the associated factors for PDDIs in hospitalized pediatric patients of Gondar University Hospital. Methods: A retrospective cross-sectional study was conducted for a period of 3 months from March to May 2014 in pediatric wards of Gondar University Hospital. Systematic random sampling technique was used to select charts from all pediatric patients' charts with every 7th interval to get sample size of 384. Univariate and multivariate analysis were performed to compute crude odds ratio and adjusted odds ratio respectively. Sta-tistical significance was set at P value Results: A total of 176 (45.8%) patients had at least one PDDI. A total of 393 PDDIs, which were comprised of 283 types of interacting combinations, were identified. Of the total of 393 PDDIs, most were of moderate severity [201 (51%)] followed by minor [152 (39%)] and major severity [40 (10%)]. The most common interacting pairs of major severity were gentamicin + furosemide (6), cotrimoxazole + methotrexate (4) and phenytoin + artemether (4). The occurrence of PDDIs was significantly associated with age and polypharmacy. Conclusions: The study showed that most of the interactions had moderate severity followed by minor severity. Age and polypharmacy were found to show statistically significant association with the occurrence of PDDIs. Due to sensitive nature of pediatrics population, close monitoring is recommended for the detection and management of PDDIs to prevent its negative consequences.

  2. Developing an holistic assessment protocol on a hospice inpatient ward: staff engagement and my role as a practice development facilitator

    Directory of Open Access Journals (Sweden)

    John Lansdell

    2016-05-01

    Full Text Available Background: In 2014 I received the Richard Tompkins Nurse Development Scholarship, granted through the Foundation of Nursing Studies and including attendance at a five-day International Practice Development Collaborative practice development school, followed by a year’s mentorship. The scholarship aims to foster the delivery of person-centred care, which I hoped to achieve by enhancing holistic nursing assessment on a hospice inpatient ward. Aims: This article is a critical reflection on my learning through the scholarship, specifically related to staff engagement and my role as a practice development facilitator. Conclusions: While the project has not yet reached its conclusion, the learning has been invaluable. I have deepened my understanding of the need for collaboration, inclusion and participation to foster engagement and cultural change. More fundamentally, understanding how different aspects of my role enable change has proved both challenging and constructive, resulting in greater self-awareness and confidence. I remain committed to refining holistic nursing assessment to allow a greater degree of person-centred care in the hospice. Implications for practice: Practice development combines a variety of approaches to realise a shared vision; collaboration, inclusion and participation are central to fostering engagement Balancing different elements of a role (for instance, leader-manager-facilitator has the potential to be confusing and contradictory; awareness of how these elements interrelate promotes effectiveness when introducing change Individuals in a practice development role must ensure they have good sources of support

  3. Epidemiology, species distribution, antifungal susceptibility and outcome of candidemia among Internal Medicine Wards of community hospitals of Udine province, Italy

    Directory of Open Access Journals (Sweden)

    Federico Silvestri

    2014-09-01

    Full Text Available Candidemia is an emerging problem among patients hospitalized in Internal Medicine Wards (IMW. We performed a retrospective study to assess the epidemiology, species distribution, antifungal susceptibility and outcome of candidaemia recorded over a 3-year period (2010-2012 among IMW of community hospitals of Udine province in Italy: forty-eight patients were identified, with an overall incidence of 1.44 cases/1000 hospital admissions/year. Candida albicans was the most frequent species, followed by Candida parapsilosis that accounted for 42.9% of Tolmezzo cases. All isolates were susceptible to amphotericin and caspofungin, while 11.4% of strains were not-susceptible to voriconazole and 14.3% to fluconazole. Crude mortality was 41.7%. In conclusion, in community hospitals overall incidence of candidemia is similar to tertiary care hospitals, but 80% of cases are detected in IMW. Candida species distribution is overlapping, but differences in local epidemiology were found and should be taken into consideration. No resistance to amphotericin and caspofungin was found while resistance to azoles was observed. Knowledge of this data might be useful when planning the best therapeutic strategy.

  4. An IBCLC in the Maternity Ward of a Mother and Child Hospital: A Pre- and Post-Intervention Study

    Directory of Open Access Journals (Sweden)

    Antonella Chiurco

    2015-08-01

    Full Text Available Published evidence on the impact of the integration of International Board Certified Lactation Consultants (IBCLCs for breastfeeding promotion is growing, but still relatively limited. Our study aims at evaluating the effects of adding an IBCLC for breastfeeding support in a mother and child hospital environment. We conducted a prospective study in the maternity ward of our maternal and child health Institute, recruiting 402 mothers of healthy term newborns soon after birth. The 18-month intervention of the IBCLC (Phase II was preceded (Phase I by data collection on breastfeeding rates and factors related to breastfeeding, both at hospital discharge and two weeks later. Data collection was replicated just before the end of the intervention (Phase III. In Phase III, a significantly higher percentage of mothers: (a received help to breastfeed, and also received correct information on breastfeeding and community support, (b started breastfeeding within two hours from delivery, (c reported a good experience with the hospital staff. Moreover, the frequency of sore and/or cracked nipples was significantly lower in Phase III. However, no difference was found in exclusive breastfeeding rates at hospital discharge or at two weeks after birth.

  5. Poverty and Its Association with Child Labor in Njombe District in Tanzania: The Case of Igima Ward

    Directory of Open Access Journals (Sweden)

    Rocky R.J. Akarro

    2011-05-01

    Full Text Available The main aim of the study is to present the state of child labour and factors behind this citing one of the most prevalent areas for child labour in Tanzania known as Njombe. Njombe district which is predominantly a rural area is one of the most prevalent areas of child labour in Tanzania. A survey of 300 household heads that were randomly selected from accessible four villages in Igima ward in Njombe district confirmed this phenomenon. Chi-square statistic analysis on the relationship between household poverty and child labour showed that household poverty was the factor which forced children to engage in economic activities. Major finding emanating from this study is that child labour is a reflection of poverty and therefore tackling poverty will have a positive impact on child labour. This suggests that policies such as a ban on child labour in rural areas could have an adverse effect as child labour decisions are more likely a response to poverty and subsistence requirements.

  6. Advanced cancer patients' self-assessed physical and emotional problems on admission and discharge from hospital general ward - a questionnaire study

    DEFF Research Database (Denmark)

    Sølver, Lisbeth; Østergaard, Birte; Rydahl Hansen, Susan;

    2012-01-01

    -prolonging or palliative treatment are offered non-specialist palliative services. There is a lack of knowledge about their problem profile. The aim of this article is to describe the incidence of patient-reported physical and emotional problems on admission and discharge from general hospital wards and health......SOELVER L., OESTERGAARD B., RYDAHL-HANSEN S. & WAGNER L. (2012) European Journal of Cancer Care21, 667-676 Advanced cancer patients' self-assessed physical and emotional problems on admission and discharge from hospital general wards - a questionnaire study Most cancer patients receiving life...... between patient-reported problems and reported intervention for physical function, pain, constipation and loss of appetite. Palliative cancer patients' self-reported problem profile on admission and discharge from hospital has not previously been described and the results indicate a need to focus on...

  7. Screening for ecotoxicological effects of antiepileptic drugs in biologically treated waste water originating from an epilepsy ward by Danio rerio embryos

    OpenAIRE

    Hartwig, Christoph; Muth-Köhne, Elke; Düring, Rolf-Alexander

    2013-01-01

    Background: Pharmaceuticals, like antiepileptic drugs, are found regularly in surface waters, and consequently, advanced waste water treatment technologies are discussed for substance elimination. Because antiepileptic drugs have shown to transform to more toxic substances, their behavior in these treatment processes and resulting effects on ecotoxicity should be investigated. To validate if waste water from an epilepsy ward of a neurological hospital is appropriate for these investigations, ...

  8. Methicillin-Resistant Staphylococcus aureus (MRSA Contamination in Bedside Surfaces of a Hospital Ward and the Potential Effectiveness of Enhanced Disinfection with an Antimicrobial Polymer Surfactant

    Directory of Open Access Journals (Sweden)

    John W. M. Yuen

    2015-03-01

    Full Text Available The aim in this study was to assess the effectiveness of a quaternary ammonium chloride (QAC surfactant in reducing surface staphylococcal contamination in a routinely operating medical ward occupied by patients who had tested positive for methicillin-resistant Staphylococcus aureus (MRSA. The QAC being tested is an antibacterial film that is sprayed onto a surface and can remain active for up to 8 h. A field experimental study was designed with the QAC plus daily hypochlorite cleaning as the experimental group and hypochlorite cleaning alone as the control group. The method of swabbing on moistened surfaces was used for sampling. It was found that 83% and 77% of the bedside surfaces of MRSA-positive and MRSA-negative patients respectively were contaminated with staphylococci at 08:00 hours, and that the staphylococcal concentrations increased by 80% at 1200 h over a 4-hour period with routine ward and clinical activities. Irrespective of the MRSA status of the patients, high-touch surfaces around the bed-units within the studied medical ward were heavily contaminated (ranged 1 to 276 cfu/cm2 amongst the sites with positive culture with staphylococcal bacteria including MRSA, despite the implementation of daily hypochlorite wiping. However, the contamination rate dropped significantly from 78% to 11% after the application of the QAC polymer. In the experimental group, the mean staphylococcal concentration of bedside surfaces was significantly (p < 0.0001 reduced from 4.4 ± 8.7 cfu/cm2 at 08:00 hours to 0.07 ± 0.26 cfu/cm2 at 12:00 hours by the QAC polymer. The results of this study support the view that, in addition to hypochlorite wiping, the tested QAC surfactant is a potential environmental decontamination strategy for preventing the transmission of clinically important pathogens in medical wards.

  9. Determinants of Length of Stay in Surgical Ward after Coronary Bypass Surgery: Glycosylated Hemoglobin as a Predictor in All Patients, Diabetic or Non-Diabetic

    Directory of Open Access Journals (Sweden)

    Mahdi Najafi

    2015-10-01

    Full Text Available Background: Reports on the determinants of morbidity in coronary artery bypass graft surgery (CABG have focused on outcome measures such as length of postoperative stay in the Intensive Care Unit (ICU. We proposed that major comorbidities in the ICU hampered the prognostic effect of other weaker but important preventable risk factors with effect on patients’ length of hospitalization. So we aimed at evaluating postoperative length of stay in the ICU and surgical ward separately.Methods: We studied isolated CABG candidates who were not dialysis dependent. Preoperative, operative, and postoperative variables as well as all classic risk factors of coronary artery disease were recorded. Using multivariate analysis, we determined the independent predictors of length of stay in the ICU and in the surgical ward.Results: Independent predictors of extended length of stay in the surgical ward ( > 3 days were a history of peripheral vascular disease, total administered insulin during a 24-hour period after surgery, glycosylated hemoglobin (HbA1c, last fasting blood sugar of the patients before surgery, and inotropic usage after cardiopulmonary bypass. The area under the Receiver Operating Characteristic Curve (AUC was found to be 0.71 and Hosmer-Lemeshow (HL goodness of fit statistic p value was 0.88. Independent predictors of extended length of stay in the ICU ( > 48 hours were surgeon category, New York Heart Association functional class, intra-aortic balloon pump, postoperative arrhythmias, total administered insulin during a 24-hour period after surgery, and mean base excess of the first 6 postoperative hours (AUC = 0.70, HL p value = 0.94 .Conclusion: This study revealed that the indices of glycemic control were the most important predictors of length of stay in the ward after cardiac surgery in all patients, diabetic or non-diabetic. However, because HbA1c level did not change under the influence of perioperative events, it could be deemed a

  10. Epidemiology and resistance features of Acinetobacter baumannii isolates from the ward environment and patients in the burn ICU of a Chinese hospital.

    Science.gov (United States)

    Gong, Yali; Shen, Xiaodong; Huang, Guangtao; Zhang, Cheng; Luo, Xiaoqiang; Yin, Supeng; Wang, Jing; Hu, Fuquan; Peng, Yizhi; Li, Ming

    2016-08-01

    Acinetobacter baumannii is an important opportunistic pathogen that causes severe nosocomial infections, especially in intensive care units (ICUs). Over the past decades, an everincreasing number of hospital outbreaks caused by A. baumannii have been reported worldwide. However, little attention has been directed toward the relationship between A. baumannii isolates from the ward environment and patients in the burn ICU. In this study, 88 A. baumannii isolates (26 from the ward environment and 62 from patients) were collected from the burn ICU of the Southwest Hospital in Chongqing, China, from July through December 2013. Antimicrobial susceptibility testing results showed that drug resistance was more severe in isolates from patients than from the ward environment, with all of the patient isolates being fully resistant to 10 out of 19 antimicrobials tested. Isolations from both the ward environment and patients possessed the β-lactamase genes bla OXA-51, bla OXA-23, bla AmpC, bla VIM, and bla PER. Using pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST), these isolates could be clustered into 4 major PFGE types and 4 main sequence types (ST368, ST369, ST195, and ST191) among which, ST368 was the dominant genotype. Epidemiologic and molecular typing data also revealed that a small-scale outbreak of A. baumannii infection was underway in the burn ICU of our hospital during the sampling period. These results suggest that dissemination of β-lactamase genes in the burn ICU might be closely associated with the high-level resistance of A. baumannii, and the ICU environment places these patients at a high risk for nosocomial infection. Cross-contamination should be an important concern in clinical activities to reduce hospitalacquired infections caused by A. baumannii. PMID:27480635

  11. Indoor Air Bacterial Load and Antibiotic Susceptibility Pattern of Isolates in Operating Rooms and Surgical Wards at Jimma University Specialized Hospital, Southwest Ethiopia

    OpenAIRE

    Genet, Chalachew; Kibru, Gebre; Tsegaye, Wondewosen

    2011-01-01

    Background Surgical site infection is the second most common health care associated infection. One of the risk factors for such infection is bacterial contamination of operating rooms' and surgical wards' indoor air. In view of that, the microbiological quality of air can be considered as a mirror of the hygienic condition of these rooms. Thus, the objective of this study was to determine the bacterial load and antibiotic susceptibility pattern of isolates in operating rooms' and surgical war...

  12. Nurse Managers' Perceptions Related to Their Leadership Styles, Knowledge, and Skills in These Areas—A Viewpoint: Case of Health Centre Wards in Finland

    OpenAIRE

    Soili Vesterinen; Marjo Suhonen; Arja Isola; Leena Paasivaara; Helena Laukkala

    2013-01-01

    The purpose of this study was to explore nurse managers' perceptions related to their leadership styles, knowledge, and their skills in these areas in health centre wards in Finland. The data were collected from nurse managers (n = 252) in health centre hospitals in Finland using a structured questionnaire (response rate 63%). Six leadership styles—visionary, coaching, affiliate, democratic, commanding, and isolating—were reflected on. Almost all respondents in every age group considered four...

  13. Quantum corrections to ward identities of chronological AVV- and AAA-current correlators for nondegenerate many-fermion systems in the four-dimensional world

    International Nuclear Information System (INIS)

    The explicit form of nontrivial quantum corrections to Ward identities for AVV- and AAA-current correlators in the four-dimensional world for nondegenerate many-fermion systems of general type is obtained. The characteristics of all nontrivial quantum corrections for nondegenerate two-flavour fermion systems are classified and described. In particular, the well-known results follow from ours for the trivial quantum corrections (anomalies) in the case of the degenerate spectrum of fermion masses

  14. Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients)

    OpenAIRE

    Mussi Chiara; Galizia Gianluigi; Abete Pasquale; Morrione Alessandro; Maraviglia Alice; Noro Gabriele; Cavagnaro Paolo; Ghirelli Loredana; Tava Giovanni; Rengo Franco; Masotti Giulio; Salvioli Gianfranco; Marchionni Niccolò; Ungar Andrea

    2013-01-01

    To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82 ± 7 years, range 65–101). Falls were defined “accidental” (fall explained by a definite accidental cause), “medical” (fall caused directly by a specific medical disease), “dementia-related” (fall in patients affected by moderate-severe dementia), and “unexplained” (nonaccidental falls, not related ...

  15. Does music make the ward go round? The role of staff attitudes and burnout in the use of music for people with dementia

    OpenAIRE

    Papageorgiou, Emilia

    2013-01-01

    Introduction: The evidence-base for the effectiveness of music on people with dementia is unclear, yet music is frequently used in the care of people with dementia. Little is known about formal dementia caregivers’ views on the use of music in their ward. The aim of this study was to investigate the attitudes of formal dementia caregivers towards the use of music in people with dementia through the development of a new attitudes scale, and to investigate if these attitudes may ...

  16. Mobile and Fixed Computer Use by Doctors and Nurses on Hospital Wards: Multi-method Study on the Relationships Between Clinician Role, Clinical Task, and Device Choice

    OpenAIRE

    Andersen, Pia; Lindgaard, Anne-Mette; Prgomet, Mirela; Creswick, Nerida; Westbrook, Johanna I.

    2009-01-01

    Background Selecting the right mix of stationary and mobile computing devices is a significant challenge for system planners and implementers. There is very limited research evidence upon which to base such decisions. Objective We aimed to investigate the relationships between clinician role, clinical task, and selection of a computer hardware device in hospital wards. Methods Twenty-seven nurses and eight doctors were observed for a total of 80 hours as they used a range of computing devices...

  17. Effects of Civic Education on Women’s Political Participation in Gatanga Ward in Gatanga Constituency, Murang’a County- Kenya

    OpenAIRE

    Anthony Kamau Wainana; Guantai Mboroki

    2013-01-01

    Kenyan women comprise 52 percent of the population (according to 2009 national census) and 60 percent of the country's registered voters but are represented in very limited numbers as elected officials. The dominance of patriarchic structures in Kenyan politics and society is well illustrated by the low number of women among the members of parliament. This paper examines the effects of civic education (CE) on women’s political participation in Gatanga Ward in Gatanga Constituency in Murang’a ...

  18. Evaluation of the occupational doses in the ward room of a public hospital of Sergipe, Brazil, during chest X-rays examination

    International Nuclear Information System (INIS)

    Radiology is one of the main tools for medical diagnosis. The substantial growth in the number of radiological interventions is being accompanied by the interest with the patient, technical and clinical body's safety. The use of portable X rays equipment for medical diagnosis in hospitals is a common practice different types of examinations. At ward room, the chest radiography is one of the most requested. During this X ray examination, besides the technical team involved, in the room are also exposed to the scattered radiation. The aim of this study was to evaluate and to quantify the kerma rates, in the air, at different distances of the equipment and to evaluate the doses received by the workers in the ward room of a public hospital. Besides, safe distances were determined for two radiography techniques. Different exams were evaluated and the typical parameters for performing the examination were determined. From that, the kerma rates were measured in the air using a chest phantom. By the results, it was possible to draw a dose map of a ward room of a public hospital of Sergipe. The knowledge of the dose maps allows the technical body to execute the radiological procedures in a safer way, minimizing the risks for them and for the general public. (author)

  19. The Changing Pattern of Hospital Admission to Medical Wards; Burden of non-communicable diseases at a hospital in a developing country

    Directory of Open Access Journals (Sweden)

    Sufian K. Noor

    2015-11-01

    Full Text Available Objectives: This study aimed to determine the pattern of hospital admissions and patient outcomes in medical wards at Atbara Teaching Hospital in River Nile State, Sudan. Methods: This retrospective cross-sectional study was conducted from August 2013 to July 2014 and included all patients admitted to medical wards at the Atbara Teaching Hospital during the study period. Morbidity and mortality data was obtained from medical records. Diseases were categorised using the World Health Organization’s International Classification of Diseases (ICD coding system. Results: A total of 2,614 patient records were analysed. The age group with the highest admissions was the 56‒65-year-old age group (19.4% and the majority of patients were admitted for one week or less (86.4%. Non-communicable diseases constituted 71.8% of all cases. According to ICD classifications, patients were admitted most frequently due to infectious or parasitic diseases (19.7%, followed by diseases of the circulatory (16.4%, digestive (16.4% and genito-urinary (13.8% systems. The most common diseases were cardiovascular disease (16.4%, malaria (11.3%, gastritis/peptic ulcer disease (9.8%, urinary tract infections (7.2% and diabetes mellitus (6.9%. The mortality rate was 4.7%. Conclusion: The burden of non-communicable diseases was found to exceed that of communicable diseases among patients admitted to medical wards at the Atbara Teaching Hospital.

  20. Cost - utility analysis of parenteral antibiotics prescribed in medical wards in a tertiary care health facility in southern province of Sri Lanka

    Directory of Open Access Journals (Sweden)

    Lukshmy Menik Hettihewa

    2012-10-01

    Full Text Available Introduction: Parenteral antibiotic (PA prescription pattern in a hospital will directly influence the annual budget allocation, development of bacterial resistance and occurrence of unnecessary adverse drug reactions if it is done with poor adherence to the standard guidelines of prescription. As specialist in the field we understand the need of conducting economic studies in relation to the cost and utility of PA prescription pattern. It will be helpful to predict the drug procurement plan for the next year and also to prevent unnecessary complications mentioned above. Objective: Our main objective was to analyze the cost/utility relationship of PA drugs which were used in medical wards in this hospital according to the top ten of the cost (TTTC and the top ten of the consumption (TTCS. Materials and method : Aggregate data from the pharmacy record books were collected for year 2010 from indoor pharmacy. Unit prize was obtained from medical supplies division. Total quantity consumed by each medical ward was considered for analysis of the cost /utility relationship. Two top ten lists were prepared according to the cost and the consumption respectively for medical wards and the correlation was analyzed using non parametric testing with spearman test. Results: Regarding PA drugs used in this hospital, 7/10 PA drugs in TTTC are not included in the TTCS. Out of the total cost for TTTC, 82.6% of the cost had been spent for the PA drugs which are not in the TTCS and 17.5% of the cost of TTTC was used to purchase only three drugs from the TTCS. But these three drugs had contributed only 28% of top ten consumption. 72% of the PA drugs in TTCS were not costly drugs and highly consumed in medical wards. Correlation was significantly positive between cost and utility of PA drugs. ( r=-0.91,p<0.001 Conclusion: Majority of the consumed PA drugs are non-costly and it indicates the prescriptions had been done according to the rational guidelines including

  1. Epidemiologic Evaluation of Ocular Trauma in Patients Admitted to Ophthalmology Ward of Farshchian Hospital in Hamadan in 2012

    Directory of Open Access Journals (Sweden)

    N. Bazzazi

    2014-04-01

    Full Text Available Introduction & Objective: Ocular trauma is one of the important reasons of visual loss which can cause multiple damages to eyelid, eyeball and adenexal tissues. Furthermore, ocular trauma is one of the major causes of unilateral blindness and the third leading cause of hospi-talization in ophthalmology wards. The aim of this study is to determine the prevalence and characteristics of eye trauma at Farshchian hospital in Hamadan in 2012. Material & Methods: In this cross-sectional descriptive study, 70 patients with ocular trauma, admitted to Farshchian hospital, were studied. We assessed the age, sex, job , educational level, location, cause of trauma, its type and site of injury. The data was analyzed by SPSS 16 software and t, ?2 statistical tests. Results: The mean age of patients in this study was 24.01 years (SD= 16.04. Among 70 pa-tients, 58 people (82.1% were males and 12 patients (17.1% were females. The most com-mon cause of trauma was observed in 19 patients (27.1%. The most common location of the trauma in this study was homing, seen in 28 patients (40%. Among the 70 patients, 29 peo-ple (41.4% had open globe injuries, 25 people had (35.7% closed globe injuries, 5 patients (7.1% had burning and 11 patients (15.7% had adenexal injury. Conclusions: The results showed that most ocular traumas occur in the early ages and in males. The most common type of them is open globe injury and the most common cause is a sharp object. (Sci J Hamadan Univ Med Sci 2014; 21 (1:25-31

  2. About to Lose all the Soil in Zaka’s Ward 5, Zimbabwe: Rewards of Unsustainable Land Use

    Directory of Open Access Journals (Sweden)

    E.C. Makwara

    2014-04-01

    Full Text Available Soil erosion which manifests itself in the form of gullies, rills and sheet wash is animmensely complicated process involving the interaction of many biological, social,economic, environmental and political factors. It varies in its occurrence bothspatially and temporally. The ultimate result of soil erosion is that it reduces cropyields and ruins agriculture, though the exact extent of soil erosion and landdegradation is not known.The study was carried out in Masvingo Province, ZakaDistrict, Ward 5 with 4502 households using the questionnaire survey, interviewand field observations as research methods. The study established that populationpressure ( people and livestock, as evidenced by, cultivation of steep slopes,stream bank cultivation, deforestation and overstocking are major problems .Fromthe results, it emerged that people continue to compound the problem by settlingand extending farmlands on steep slopes, stream banks, grazing land and dambos/veils. Therefore, there is need to educate people on conservation, proper tillage,proper or correct stocking rates, develop a proper land tenure system and avoidingland degradation. There are patches of abandoned land on account of failure tosupport crops or grazing. This means that there is need for soil conservationmeasures to be instituted so as to save the soil from further deterioration. This isnot to say nothing has been done before, rather it is the enormity of the problemthat dictates that form and decisive action needs be taken sooner rather than latter.Measures which have been implemented are fragmented and seem to have metwith very limited, if at all any, success so there might be need to revisit both theapproach ,methods, techniques and strategies which have been tried hitherto witha view to blend them with the yet untried and untested methods.

  3. Substance abuse in patients admitted voluntarily and involuntarily to acute psychiatric wards: a national cross-sectional study

    Directory of Open Access Journals (Sweden)

    Anne Opsal

    2011-12-01

    Full Text Available Background: Substance abuse and mental disorder comorbidity is high among patients admitted to acute psychiatric wards. The aim of the study was to identify this co-occurrence as a reason for involuntary admission and if specific substance use-related diagnoses were associated with such admissions.Methods: The study was a part of a multicentre, cross-sectional national study carried out during 2005-2006 within a research network of acute mental health services. Seventy-five percent of Norwegian hospitals providing acute in-patient treatment participated. Substance use was measured using the Clinician Rating Scale and the ICD-10 diagnoses F10-19. Diagnostic assessments were performed by the clinicians during hospital stay.Results: Overall, 33.2% (n=1,187 of the total patient population (3,506 were abusing alcohol or drugs prior to admission according to the Clinician Rating Scale. No difference in the overall prevalence of substance abuserelated diagnoses between the two groups was found. Overall, 310 (26% of the admissions, 216 voluntarily and 94 involuntarily admitted patients received a double diagnosis. Frequent comorbid combinations among voluntarily admitted patients were; a combination of alcohol and either mood disorder (40% or multiple mental disorders (29%. Among involuntarily admitted patients, a combination of poly drug use and schizophrenia was most frequent (47%. Substance abusing patients diagnosed with mental and behavioral disorders due to the use of psychoactive stimulant substances had a significantly higher risk of involuntary hospitalization (OR 2.3.Conclusion: Nearly one third of substance abusing patients are involuntarily admitted to mental hospitals, in particular stimulant drug use was associated with involuntarily admissions.

  4. Assessment of drug-drug interactions among renal failure patients of nephrology ward in a south Indian tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Mylapuram Rama

    2012-01-01

    Full Text Available Polypharmacy is common in drug prescriptions of chronic kidney disease patients. A study of the prescription patterns of drugs with potential interactions would be of interest to prevent drug related adverse events. A prospective observational study of six months (Dec 2009-May 2010 was carried out among the chronic kidney disease patients admitted to the nephrology ward of a South Indian tertiary care hospital. The pattern and rates of drug-drug interactions seen in the prescriptions of these patients was studied. Among the 205 prescriptions included, a total of 474 interactions were reported, making 2.7 interactions per prescription with incidence rates of 76.09%. Around 19.62% of interactions were of major severity. Most common interactions were found between ascorbic acid and cyanocobalamine (12.45%, clonidine and metoprolol (3.80% respectively. Hypo or hypertension (31.65%, decreased drug efficacy (29.11% and hypo or hyperglycemia (14.14%, were the most commonly reported clinical outcomes of the drug interactions. Cardiovascular drugs (calcium channel blockers and beta blockers; 52% constitute the major class of drugs involved in interactions. As most of the interactions had a delayed onset, long term follow-up is essential to predict the clinically significant outcomes of these interactions. Hence, drug interactions are commonly seen in the prescriptions of chronic kidney disease patients which can lead to serious adverse events if not detected early. Need for collaboration with a clinical pharmacist and electronic surveillance, which are absent in developing countries like India, is emphatic.

  5. [An exploration of the professional confidence, practice competency and related factors of new nurses in surgical wards].

    Science.gov (United States)

    Wu, Ming-Chuan; Hsu, Man-Ying Fang; Wen, Ru-Yuh

    2008-10-01

    This study adopted a secondary analysis method to explore the professional confidence, practice competency and related factors of new nurses who had worked in surgical wards for less than one year. This study analyzed data from 92 completed structured questionnaires (validity rate: 93.88%). The questionnaire was designed in three parts, including demographic data (personal and organizational factors), the Nursing Practice Situation Handling Confidence Scale (NPSHC Scale) and the Nursing Practicing Competencies Mastery (NPCH Scale) Scale. Subjects self-completed the distributed questionnaire. Internal consistency Cronbach's alpha of four sub-scales for the NPSHC scales and the NPCM scales were, respectively, between .946-.985 and .947-.985. Results indicate that (1) the mean and standard deviation for the four categories in professional confidence (0-10) were 6.59 +/- 1.38, 6.56 +/- 1.53, 6.65 +/- 1.48 and 7.00 +/- 1.75. The mean and standard deviation for the four practice competency categories (1-4) were 3.10 +/- 0.57, 3.24 +/- 0.56, 3.15 +/- 0.60 and 3.00 +/- 0.54; (2) the professional confidence of nurses and practice competency are positively related. The former explained 18.9% of variance in the latter, while individual factors (number of months of experience, mastery of nursing practice competencies) and organizational factors (support from peers, patients and their families) explained 44.3% of the variance in subject professional confidence. Results of this study provide a valuable reference for future nursing school curricula and clinical planning when designing courses for employment, pre-occupation and continuing education courses. PMID:18836972

  6. 医院内科、外科和ICU病区护士特征分布以及护理工作环境分析%Study on the nurse characteristics and nursing work environment in medical wards, surgical wards and intensive care units in hospitals in mainland China

    Institute of Scientific and Technical Information of China (English)

    陈竞萌; 陆虹; 陆敏敏; 朱晓雯; 张利峰; 卜秀青; 尤黎明; 郑晶; 刘可; 王瑶; 方进博; 尹娟; 吕岩; 刘华平

    2012-01-01

    目的:探讨我国医院不同病区的护士特征分布以及护理工作环境情况.方法:该研究为描述性研究,采用一般资料调查表和护理工作环境量表(PES-NWI量表)对181家医院共9698名护士进行调查,在病区层面上描述内科、外科和ICU病区护士特征的分布情况,比较不同病区护理工作环境的差别.结果:ICU的护士较内科、外科护士年轻,工作年限短,男护士及合同制护士比例大、学历高.各类病区得分最高的均是“医护合作关系”维度,得分最低的是“充足的人力和物力”维度,其次是“护士参与医院事务”维度.ICU护士的PES-NWI量表总分以及各维度均分较内科、外科均低,外科“人力和物力的充足性”维度得分高于内科(P<0.001).结论:ICU的护理工作环境较内科和外科差;外科在“人力物力充足性”方面好于内科.%Objective: To describe and compare nurses characteristics and nursing work environment in medical wards, surgical wards and intensive care units in hospitals in mainland China, Methods: A descriptive design was used in this study. Totally 9698 clinical first-line nurses from 181 hospitals in mainland China were recruited and investigated by demographic questionnaire and Practice Environment Scale of the Nursing Work Index(PES-NWI). Results: Nurses in intensive care units were relatively younger and had less working years than those in medical and surgical wards. The percentages of male nurses, contract nurses and nurses with higher educational levels in intensive care units were higher than those in medical and surgical units. In all the three wards, the scores of "Collegia! Nurse-Physician Relations" subscale of PES-NWI were the highest, while the scores of the "Staffing and Resource Adequacy" and "Nurse Participation in Hospital Affairs" subscales were the lowest. The total scores and means of PES-NWI and its subscales in intensive care units were lower than those in medical

  7. Adverse Drug Reactions Causing Admission to Medical Wards: A Cross-Sectional Survey at 4 Hospitals in South Africa.

    Science.gov (United States)

    Mouton, Johannes P; Njuguna, Christine; Kramer, Nicole; Stewart, Annemie; Mehta, Ushma; Blockman, Marc; Fortuin-De Smidt, Melony; De Waal, Reneé; Parrish, Andy G; Wilson, Douglas P K; Igumbor, Ehimario U; Aynalem, Getahun; Dheda, Mukesh; Maartens, Gary; Cohen, Karen

    2016-05-01

    Limited data exist on the burden of serious adverse drug reactions (ADRs) in sub-Saharan Africa, which has high HIV and tuberculosis prevalence. We determined the proportion of adult admissions attributable to ADRs at 4 hospitals in South Africa. We characterized drugs implicated in, risk factors for, and the preventability of ADR-related admissions.We prospectively followed patients admitted to 4 hospitals' medical wards over sequential 30-day periods in 2013 and identified suspected ADRs with the aid of a trigger tool. A multidisciplinary team performed causality, preventability, and severity assessment using published criteria. We categorized an admission as ADR-related if the ADR was the primary reason for admission.There were 1951 admissions involving 1904 patients: median age was 50 years (interquartile range 34-65), 1057 of 1904 (56%) were female, 559 of 1904 (29%) were HIV-infected, and 183 of 1904 (10%) were on antituberculosis therapy (ATT). There were 164 of 1951 (8.4%) ADR-related admissions. After adjustment for age and ATT, ADR-related admission was independently associated (P ≤ 0.02) with female sex (adjusted odds ratio [aOR] 1.51, 95% confidence interval [95% CI] 1.06-2.14), increasing drug count (aOR 1.14 per additional drug, 95% CI 1.09-1.20), increasing comorbidity score (aOR 1.23 per additional point, 95% CI 1.07-1.41), and use of antiretroviral therapy (ART) if HIV-infected (aOR 1.92 compared with HIV-negative/unknown, 95% CI 1.17-3.14). The most common ADRs were renal impairment, hypoglycemia, liver injury, and hemorrhage. Tenofovir disoproxil fumarate, insulin, rifampicin, and warfarin were most commonly implicated, respectively, in these 4 ADRs. ART, ATT, and/or co-trimoxazole were implicated in 56 of 164 (34%) ADR-related admissions. Seventy-three of 164 (45%) ADRs were assessed as preventable.In our survey, approximately 1 in 12 admissions was because of an ADR. The range of ADRs and implicated drugs reflect South Africa's high HIV

  8. Efficacy of a low-cost bubble CPAP system in treatment of respiratory distress in a neonatal ward in Malawi.

    Directory of Open Access Journals (Sweden)

    Kondwani Kawaza

    Full Text Available BACKGROUND: Respiratory failure is a leading cause of neonatal mortality in the developing world. Bubble continuous positive airway pressure (bCPAP is a safe, effective intervention for infants with respiratory distress and is widely used in developed countries. Because of its high cost, bCPAP is not widely utilized in low-resource settings. We evaluated the performance of a new bCPAP system to treat severe respiratory distress in a low resource setting, comparing it to nasal oxygen therapy, the current standard of care. METHODS: We conducted a non-randomized convenience sample study to test the efficacy of a low-cost bCPAP system treating newborns with severe respiratory distress in the neonatal ward of Queen Elizabeth Central Hospital, in Blantyre, Malawi. Neonates weighing >1,000 g and presenting with severe respiratory distress who fulfilled inclusion criteria received nasal bCPAP if a device was available; if not, they received standard care. Clinical assessments were made during treatment and outcomes compared for the two groups. FINDINGS: 87 neonates (62 bCPAP, 25 controls were recruited. Survival rate for neonates receiving bCPAP was 71.0% (44/62 compared with 44.0% (11/25 for controls. 65.5% (19/29 of very low birth weight neonates receiving bCPAP survived to discharge compared to 15.4% (1/13 of controls. 64.6% (31/48 of neonates with respiratory distress syndrome (RDS receiving bCPAP survived to discharge, compared to 23.5% (4/17 of controls. 61.5% (16/26 of neonates with sepsis receiving bCPAP survived to discharge, while none of the seven neonates with sepsis in the control group survived. INTERPRETATION: Use of a low-cost bCPAP system to treat neonatal respiratory distress resulted in 27% absolute improvement in survival. The beneficial effect was greater for neonates with very low birth weight, RDS, or sepsis. Implementing appropriate bCPAP devices could reduce neonatal mortality in developing countries.

  9. Birth “Out-of-Hours”: An Evaluation of Obstetric Practice and Outcome According to the Presence of Senior Obstetricians on the Labour Ward

    Science.gov (United States)

    Knight, Hannah E.; van der Meulen, Jan H.; Gurol-Urganci, Ipek; Smith, Gordon C.; Kiran, Amit; Thornton, Steve; Cameron, Alan; Cromwell, David A.

    2016-01-01

    Background Concerns have been raised that a lack of senior obstetricians (“consultants”) on the labour ward outside normal hours may lead to worse outcomes among babies born during periods of reduced cover. Methods and Findings We carried out a multicentre cohort study using data from 19 obstetric units in the United Kingdom between 1 April 2012 and 31 March 2013 to examine whether rates of obstetric intervention and outcome change “out-of-hours,” i.e., when consultants are not providing dedicated, on-site labour ward cover. At the 19 hospitals, obstetric rotas ranged from 51 to 106 h of on-site labour ward cover per week. There were 87,501 singleton live births during the year, and 55.8% occurred out-of-hours. Women who delivered out-of-hours had slightly lower rates of intrapartum caesarean section (CS) (12.7% versus 13.4%, adjusted odds ratio [OR] 0.94; 95% confidence interval [CI] 0.90 to 0.98) and instrumental delivery (15.6% versus 17.0%, adj. OR 0.92; 95% CI 0.89 to 0.96) than women who delivered at times of on-site labour ward cover. There was some evidence that the severe perineal tear rate was reduced in out-of-hours vaginal deliveries (3.3% versus 3.6%, adj. OR 0.92; 95% CI 0.85 to 1.00). There was no evidence of a statistically significant difference between out-of-hours and “in-hours” deliveries in the rate of babies with a low Apgar score at 5 min (1.33% versus 1.25%, adjusted OR 1.07; 95% CI 0.95 to 1.21) or low cord pH (0.94% versus 0.82%; adjusted OR 1.12; 95% CI 0.96 to 1.31). Key study limitations include the potential for bias by indication, the reliance upon an organisational measure of consultant presence, and a non-random sample of maternity units. Conclusions There was no difference in the rate of maternal and neonatal morbidity according to the presence of consultants on the labour ward, with the possible exception of a reduced rate of severe perineal tears in out-of-hours vaginal deliveries. Fewer women had operative deliveries

  10. Child-Parent Wellbeing in a Paediatric Ward: The Role of Music Therapy in Supporting Children and Their Parents Facing the Challenge of Hospitalisation

    Directory of Open Access Journals (Sweden)

    Carolyn Ayson

    2008-03-01

    Full Text Available This report, based on clinical practice on a children’s ward in New Zealand, examines the role of short-term music therapy in supporting children and their parents[1] facing the difficulties of hospitalisation. It endeavours to explore three questions. How might music therapy support hospitalised children? How can it support parents of hospitalised children? Is it important/valuable for music therapists working in a paediatric ward to involve parent(s in music therapy sessions? Three hospitalised children (aged 11 months, 5 and 7 years, who were accompanied by a parent, participated in a single individual music therapy session. From the clinical notes, semi-structured interviews with the children’s parents and a staff member, and my own reflective journal it was indicated that music therapy supported the psychosocial needs of the paediatric patients and their parents in many ways. For the children music therapy: 1 promoted normalisation; and 2 provided emotional/psychological support. For parents, it: 1 elicited positive changes in mood; 2 reduced anxiety; and 3 supported parental learning/parenting. Furthermore, the findings suggested that the wellbeing of the parent-child relationship can be supported during music therapy. The importance of parental involvement varied for each case, and highlighted different views between therapist, staff member and parents regarding this. Factors that may determine parental involvement and the benefits of both parental presence and absence during sessions were elicited. The report suggests that music therapy has the potential positively to support paediatric wards in New Zealand to provide an environment that is responsive to the psychosocial needs of hospitalised children and their parents.

  11. Child-Parent Wellbeing in a Paediatric Ward: The Role of Music Therapy in Supporting Children and Their Parents Facing the Challenge of Hospitalisation

    Directory of Open Access Journals (Sweden)

    Carolyn Ayson

    2008-03-01

    Full Text Available This report, based on clinical practice on a children’s ward in New Zealand, examines the role of short-term music therapy in supporting children and their parents[1] facing the difficulties of hospitalisation. It endeavours to explore three questions. How might music therapy support hospitalised children? How can it support parents of hospitalised children? Is it important/valuable for music therapists working in a paediatric ward to involve parent(s in music therapy sessions? Three hospitalised children (aged 11 months, 5 and 7 years, who were accompanied by a parent, participated in a single individual music therapy session. From the clinical notes, semi-structured interviews with the children’s parents and a staff member, and my own reflective journal it was indicated that music therapy supported the psychosocial needs of the paediatric patients and their parents in many ways. For the children music therapy: 1 promoted normalisation; and 2 provided emotional/psychological support. For parents, it: 1 elicited positive changes in mood; 2 reduced anxiety; and 3 supported parental learning/parenting. Furthermore, the findings suggested that the wellbeing of the parent-child relationship can be supported during music therapy. The importance of parental involvement varied for each case, and highlighted different views between therapist, staff member and parents regarding this. Factors that may determine parental involvement and the benefits of both parental presence and absence during sessions were elicited. The report suggests that music therapy has the potential positively to support paediatric wards in New Zealand to provide an environment that is responsive to the psychosocial needs of hospitalised children and their parents

  12. 外科病区护理安全隐患分析及防范措施%Surgical Ward Nursing Safety Hazard Analysis and Preventive Measures

    Institute of Scientific and Technical Information of China (English)

    韩阳

    2015-01-01

    Objective To analyse the safe hidden trouble existing in the surgical ward nursing and countermeasures.Methods To analyse the surgical ward nursing as object, analyses the cause of the security hidden danger existing in nursing measures to prevent and solve the hidden trouble. Results Nursing measures after implementation, surgical ward significantly lower incidence of complications and medical disputes,nursing satisfaction.Conclusion Through earnestly implement various rules and regulations, strengthening professional ethics education,constantly learning legal knowledge, strengthen the training to improve the nursing quality and improve service attitude is fundamental to prevent and reduce medical disputes.%目的:分析外科病区护理工作中存在的安全隐患及应对措施。方法以该院外科病区的护理工作为对象,分析护理工作中存在的安全隐患的原因及解决隐患的防范措施。结果护理防范措施实施后,外科病区并发症和医疗纠纷发生率明显下降,护理满意度明显上升。结论通过切实落实各项规章制度,加强职业道德教育,不断地学习法律知识,强化培训提高护理质量水平和改善服务态度是防范和减少医疗纠纷的根本所在。

  13. In connection with the aged who have need help to perform all daily chores on general care ward in Hiroshima Survivors Home

    International Nuclear Information System (INIS)

    The aged who are admitted to general care ward of Hiroshima Survivors Home and need help to perform all daily chores as of January 1978 are 3 of 18 aged 60 - 69 years old (16.7%), 18 of 69 ones 70 - 79 years old (26.1%), 21 of 52 ones 80 - 89 years old (40.4%), and 6 of 7 ones more than 90 years old (85.7%), which are 48 of total 146 (32.9%). This phenomenon is recognized more frequently in women than in men. Occurrence of this phenomenon was high in a short-distance group and a group who entered city after the explosion. It was also high in the aged who stayed at this home for more than 7 years. Most diseases from which they suffered are those of bone and joints (19%) and arteriosclerosis (18.7%). Eight of 13 aged with eye diseases suffered from cataract. As advancement of senility with aging and exacerbation lead to increase of care for them, it is necessary to change their general care to special one. The ability of such aged, who are admitted to general ward and need help to perform all daily chores, to act independently was the same as that of those admitted to Yokufukai special care ward. At the present when beds for special care are filled to capacity, treatment of the aged who need special care (30% of those who need general care), personnel management, and health management of staffs are important. (Tsunoda, M.)

  14. Analysis of Comfortable Wards Nursing Process Optimization%舒心病房护理流程优化的探究和分析

    Institute of Scientific and Technical Information of China (English)

    葛慧莉

    2014-01-01

    目的:对静脉输液流程优化在舒心病房中的应用效果进行分析。方法建立流程管理组,并采取优化措施,对护理人员进行培训,监督反馈优化后流程执行情况。结果在药液核对分配时间、肝素封管时间以及换液时间方面,优化前后有明显差异(P<0.05)。流程优化以后,病房整体满意度为93.75%(75/80)、输液满意度为96.25%(77/80)。结论在对舒心病房输液流程进行优化以后,加强输液环节质量,使患者满意度得以提高,缩短患者等待时间。%Objective To intravenous infusion process optimization in pleasant ward application ef ect analysis. Methods Process Management Group, and take measures to optimize training for nursing staf , supervise the implementation of the feedback process optimization. Results In the liquid to check the al ocation of time, heparin lock was changed time and time aspects, there are significant dif erences ( <0.05) before and after optimization. After process optimization, ward overal satisfaction was 93.75% (75/80), infusion satisfaction was 96.25% (77/80). Conclusion After infusion of pleasant ward process optimization to enhance the quality of the infusion part, improved patient satisfaction, shorten patient waiting time.

  15. The Teamwork Assessment Scale: A Novel Instrument to Assess Quality of Undergraduate Medical Students' Teamwork Using the Example of Simulation-based Ward-Rounds

    Directory of Open Access Journals (Sweden)

    Kiesewetter, Jan

    2015-05-01

    Full Text Available Background: Simulation-based teamwork trainings are considered a powerful training method to advance teamwork, which becomes more relevant in medical education. The measurement of teamwork is of high importance and several instruments have been developed for various medical domains to meet this need. To our knowledge, no theoretically-based and easy-to-use measurement instrument has been published nor developed specifically for simulation-based teamwork trainings of medical students. Internist ward-rounds function as an important example of teamwork in medicine.Purposes: The purpose of this study was to provide a validated, theoretically-based instrument that is easy-to-use. Furthermore, this study aimed to identify if and when rater scores relate to performance.Methods: Based on a theoretical framework for teamwork behaviour, items regarding four teamwork components ( were developed. In study one, three ward-round scenarios, simulated by 69 students, were videotaped and rated independently by four trained raters. The instrument was tested for the embedded psychometric properties and factorial structure. In study two, the instrument was tested for construct validity with an external criterion with a second set of 100 students and four raters. Results: In study one, the factorial structure matched the theoretical components but was unable to separate Information Exchange and Team Cooperation. The preliminary version showed adequate psychometric properties (Cronbach’s α=.75. In study two, the instrument showed physician rater scores were more reliable in measurement than those of student raters. Furthermore, a close correlation between the scale and clinical performance as an external criteria was shown (r=.64 and the sufficient psychometric properties were replicated (Cronbach’s α=.78.Conclusions: The validation allows for use of the simulated teamwork assessment scale in undergraduate medical ward-round trainings to reliably measure

  16. Characteristics and clinical management of patients admitted to cholera wards in a regional referral hospital during the 2012 epidemic in Sierra Leone

    Directory of Open Access Journals (Sweden)

    Alexander Blacklock

    2015-01-01

    Full Text Available Background and objectives: In 2012, Sierra Leone suffered a nationwide cholera epidemic which affected the capital Freetown and also the provinces. This study aims to describe the characteristics and clinical management of patients admitted to cholera isolation wards of the main referral hospital in the Northern Province and compare management with standard guidelines. Design: All available clinical records of patients from the cholera isolation wards were reviewed retrospectively. There was no active case finding. The following data were collected from the clinical records after patients had left the ward: date of admission, demographics, symptoms, dehydration status, diagnoses, tests and treatments given, length of stay, and outcomes. Results: A total of 798 patients were admitted, of whom 443 (55.5% were female. There were 18 deaths (2.3%. Assessment of dehydration status was recorded in 517 (64.8% of clinical records. An alternative or additional diagnosis was made for 214 patients (26.8%. Intravenous (IV fluids were prescribed to 767 patients (96.1%, including 95% of 141 patients who had documentation of being not severely dehydrated. A history of vomiting was documented in 92.1% of all patients. Oral rehydration solution (ORS was given to 629 (78.8% patients. Doxycycline was given to 380 (47.6% patients, erythromycin to 34 (4.3%, and other antibiotics were used on 247 occasions. Zinc was given to 209 (26.2%. Discussion: This retrospective study highlights the need for efforts to improve the quality of triage, adherence to clinical guidance, and record keeping. Conclusions: Data collection and analysis of clinical practices during an epidemic situation would enable faster identification of those areas requiring intervention and improvement.

  17. THE MANAGEMENT OF THE MEDICINES IN WARD PHARMACY OF PRIMARY HOSPITALS%浅谈基层医院病区药品的使用管理

    Institute of Scientific and Technical Information of China (English)

    卢凤玲; 吴小萍; 鲁菊香

    2014-01-01

    Objective To discuss on the management of the medicines in ward pharmacy of primary hospitals and ex-plore effective measures to improve the quality of medicines management .Methods Based on the real situation , managing the quantity of medicines in inpatient pharmacy, including the setting of the reasonable quantity, the procedures of storing and de-livering, the quality control on the general medicines and the management of high -risk medicines, to improve the quality of management of the medicines in ward pharmacy .Conclusion The use of medicines in ward pharmacy of primary hospitals is becoming more and more standardized and rationalized by strengthening the management of the medicines in inpatient pharmacy .%目的:浅析基层医院病区药品管理的方式、方法,探讨提高药品管理质量的有效措施。方法根据本院的实际情况,通过对药品的数量(账目)管理,包括病区药品的基数合理设置、药品的入库、出库流程剖析,和对一般药品的质量管理,以及高危药品的管理,提高病区药品的管理质量。结论基层医院通过加强病区的药品管理,使病区药品是使用更趋于规范化、合理化。

  18. Perennial water stratification and the role of basal freshwater flow in the mass balance of the Ward Hunt Ice Shelf, Canadian High Arctic

    International Nuclear Information System (INIS)

    A pronounced perennial water stratification in Disraeli Fjord behind the Ward Hunt Ice Shelf on the north coast of Ellesmere Island is described. The ice shelf acts as a hanging dam at the mouth of the fjord and minimizes mixing between inflowing meltwater runoff and the seawater. Consequently, a 41-m-deep layer of low salinity water, interposed between a 2- to 3-m-thick fjord surface ice layer and deeper seawater, is impounded behind the ice shelf. Highly negative δ18O values and high tritium activity in the low salinity water indicate it is derived primarily from snow-meltwater. Highly negative δ18O values and high tritium values in a 5-m-thick basal ice layer in Hobson's Choice Ice Island, which broke off the East Ward Hunt Ice Shelf in 1982-83, might be evidence that basal accretion from freshwater flowing out of Disraeli Fjord below the ice shelf occurred prior to the calving. Using the known chronology of tritium occurrence in precipitation since 1952 and the measured levels in the basal ice, mean basal accretion rates of 96-141 mm yr-1 (water equivalent, w.e.) are calculated. The record of ablation and accumulation at the surface of the East Ward Hunt Ice Shelf for the period 1966-1982 shows an accumulated loss at the surface of 1.26 m (w.e.) at a mean annual rate of 74 mm yr-1. Therefore, despite many consecutive warm summers with considerable surface melting and runoff, the calculated basal accretion exceeds the surface loss and the ice shelf has increased, or at least maintained, its thickness. The thickening has been possible because of the feedback system created by the location of the ice shelf across the mouth of the fjord, the resultant water stratification and the outflow of freshwater below the ice shelf

  19. A reflection on choosing practice development as a framework to explore music as a therapeutic method to reduce anxiety in patients living with dementia in a ward setting

    OpenAIRE

    Alasdair Pithie

    2016-01-01

    Background: As a student nurse I chose to write my fourth year dissertation on the use of music as a therapeutic method to reduce anxiety in patients living with dementia. Music has been shown to have a positive effect on patients’ anxiety levels and improve their quality of life. A music therapy intervention could be beneficial but I realised I would need a framework that would enable me to implement the intervention in a ward setting, while offering practitioners and other participants a re...

  20. 医护联合查房的实践及效果%Effect of collaborative ward rounds of doctors and nursing

    Institute of Scientific and Technical Information of China (English)

    潘桂琼; 梁梅英

    2014-01-01

    Objective To investigate the effect of collaborative ward rounds of doctors and nurses.Methods The department of cardiovascular diseases was involved in the trial. The conventional nursing ward rounds from January to June 2012 were set as control group(before collaborative ward rounds)and the collaborative rounds were as the experiment group from July to December 2012(after collaborative ward rounds). The degree of satisfaction of doctors and patients with nurses in the department was investigated before and after the implementation.Result The level of satisfaction of doctors and patients with nurses after the implementation was significantly higher than that before the implementation(P<0.05).Conclusion Collaborative clinical rounds can improve the quality of holistic nursing and raise the level of satisfaction of doctors and patients with nurses.%探讨开展医护联合查房对提高整体护理质量的有效性。方法选择本院心血管内科作试点病区,将2012年1~6月实施传统护理查房设为对照组(实施前),2012年7~12月实施医护联合查房设为实验组(实施后)。比较实施前后医生及患者对护士工作满意度情况。结果实施前后医生及患者对护士工作满意度情况比较,均 P<0.05,实施医护联合查房后明显优于实施前。结论医护联合查房提高了整体护理质量及医生与患者对护士工作的满意度,同时也激发了护士学习的积极性。

  1. Implementing the care programme for the last days of life in an acute geriatric hospital ward: a phase 2 mixed method study

    OpenAIRE

    Verhofstede, Rebecca; Smets, Tinne; Cohen, Joachim; Costantini, Massimo; Van Den Noortgate, Nele; Deliens, Luc

    2016-01-01

    Background: To improve the quality of end-of-life care in geriatric hospital wards we developed the Care Programme for the Last Days of Life. It consists of 1) the Care Guide for the Last Days of Life, 2) supportive documentation and 3) an implementation guide. The aim of this study is (1) to determine the feasibility of implementing the Care Programme for the Last Days of Life in the acute geriatric hospital setting and (2) to explore the health care professionals' perceptions of the effects...

  2. The Prevalence of Accidental Needle Stick Injury and their Reporting among Healthcare Workers in Orthopaedic Wards in General Hospital Melaka, Malaysia

    OpenAIRE

    Bhardwaj, A.; Sivapathasundaram, N; Yusof, MF; Minghat, AH; Swe, KMM; Sinha, NK

    2014-01-01

    Abstract Background :Accidental needle-stick injuries (NSIs) are a hazard for health-care workers and general public health. Orthopaedic surgeons may be more prone to NSIs due to the prevalence of bone spikes in the operative field and the use of sharp orthopaedic instruments such as drills, saws and wires. A hospital-based cross sectional study was conducted in the orthopedic wards of Melaka General Hospital. The prevalence of NSIs was 32 (20.9%) and majority of it occurred during assisting ...

  3. Facilitating and inhibiting factors in change processes based on the lean tool ‘value stream mapping’: an exploratory case study at hospital wards

    DEFF Research Database (Denmark)

    Winkel, Jørgen; Edwards, Kasper; Birgisdóttir, Birna Dröfn;

    2015-01-01

    key hospital documents and interviewing participants in and around the VSM processes. Nine tape-recorded interviews were performed. The results tentatively point to the facilitating effect on the VSM process by emphasising involvement and decision-making among the participants, first line manager...... ergonomics. The aim of the present exploratory study is to report observations that seem to play significant roles as inhibitors and facilitators for proper intervention processes when using VSM. Seven hospital wards have been investigated in Denmark, Iceland and Sweden. Information was obtained by screening...

  4. Achieving Educational Goals in Neurology Ward from the Viewpoint of Clinical Clerkship at Kermanshah University of Medical Sciences in 2012

    Directory of Open Access Journals (Sweden)

    Nazanin Razazian

    2012-11-01

    Full Text Available In medical education, setting goals for clinical clerkship is the responsibility of educational groups. Taking the students' opinions into account, it is possible to study the efficacy of education in terms of learning and achieving educational goals. (1In periodontics and restorative departments of Shahed and Tehran University of Medical Sciences, it is reported that, achieving educational goals is not poss-ible (2. Also, some studies have reported the inadequacy of educational objectives in anesthesia clerkship from the viewpoint of medical students (3. In this descriptive-analytic study, 166 medical students of neurology wards at Imam Reza Hospital in Kermanshah during 2011- 2012 were selected via a survey to study the achievement rate of educational goals. We used a questionnaire to collect data. Reliability of the questionnaire (including content and face validity was obtained via consulting with ten faculty members of Kermanshah University of Medical Sciences.The mean age of the participants was 21.34 (±1.43 years. 60.5% of them were females. 3.6% were freshmen and 49.9% were sophomores. 79.5% knew the goals before the start of clinical clerkship and 76.5% took part in the justification session in which their responsibility and method of evaluation were presented. 78.3% of them received the emergency protocol of Neurology. Overall, the participants ranked the goal achievement as high (41.6%, well (45.2% and medium (23.3%. There was no statistically significantly association between achieving educational goals and age and clinical clerkship period. However, there was a statis¬tically significantly association between the increase rate of achieving educational goals and introducing the objectives at the beginning of clinical clerkship period (p=0.011, justification session at the beginning of clinical clerkship (p=0.019 being familiar with emergency protocols of Neurology (p=0.04 and the season (winter in comparison with fall and spring in

  5. N-point vertex functions, Ward-Takahashi identities and Dyson-Schwinger equations in thermal QCD/QED in the real time hard-thermal-loop approximation

    International Nuclear Information System (INIS)

    In this paper we calculate the n-point hard-thermal-loop (HTL) vertex functions in QCD/QED for n=2, 3 and 4 in the physical representation using the real time formalism (RTF). The result reveals that the n-point HTL vertex functions can be classified into two groups, a) those with odd numbers of external retarded indices, and b) those with even numbers of external retarded indices. The n-point HTL vertex functions with one retarded index, which obviously belong to group a), are identical to the HTL vertex functions that appear in the imaginary time formalism (ITF). All the HTL vertex functions belonging to group a) are O(g2T2) and satisfy among them the simple QED-type Ward-Takahashi identities, as in the ITF. Those vertex functions belonging to group b) never appear in the ITF, their existence being characteristic of the RTF, and their HTLs exhibit high temperature behavior that is O(g2T3), one power of T higher than usual. Despite this difference, we were able to verify that those HTL vertex functions belonging to group b) also satisfy among themselves the QED-type Ward-Takahashi identities, thus guaranteeing the gauge invariance of the HTLs in the real time thermal QCD/QED. As an application, we explicitly derive the HTL resummed Dyson-Schwinger equations for the physical fermion mass function and for the gauge boson polarization tensor in thermal QCD/QED. (author)

  6. Clinical Documentation and Data Transfer from Ebola and Marburg Virus Disease Wards in Outbreak Settings: Health Care Workers’ Experiences and Preferences

    Directory of Open Access Journals (Sweden)

    Silja Bühler

    2014-02-01

    Full Text Available Understanding human filovirus hemorrhagic fever (FHF clinical manifestations and evaluating treatment strategies require the collection of clinical data in outbreak settings, where clinical documentation has been limited. Currently, no consensus among filovirus outbreak-response organisations guides best practice for clinical documentation and data transfer. Semi-structured interviews were conducted with health care workers (HCWs involved in FHF outbreaks in sub-Saharan Africa, and with HCWs experienced in documenting and transferring data from high-risk areas (isolation wards or biosafety level 4 laboratories. Methods for data documentation and transfer were identified, described in detail and categorised by requirement for electricity and ranked by interviewee preference. Some methods involve removing paperwork and other objects from the filovirus disease ward without disinfection. We believe that if done properly, these methods are reasonably safe for certain settings. However, alternative methods avoiding the removal of objects, or involving the removal of paperwork or objects after non-damaging disinfection, are available. These methods are not only safer, they are also perceived as safer and likely more acceptable to health workers and members of the community. The use of standardised clinical forms is overdue. Experiments with by sunlight disinfection should continue, and non-damaging disinfection of impregnated paper, suitable tablet computers and underwater cameras should be evaluated under field conditions.

  7. Paying attention to the teaching ward round of interventional radiology%重视介入放射科教学查房工作

    Institute of Scientific and Technical Information of China (English)

    狄镇海; 谭中宝; 眭建; 李麟荪

    2012-01-01

    Interventional radiology is actually a newly - developed clinical medical subject. It has developed dramatically since it emerged in the field of medical science in 1970's. Therefore, the training of young physicians is very urgent and important. Teaching ward round is an important part in educating professional talents of interventional radiology. This paper aims to make a detailed description of the importance and the ways of teaching ward round of interventional radiology, and to make a discussion about how to improve the teaching quality.(J Intervent Radiol, 2012, 21; 605-607)%介入放射学是一门新生的学科,需要大批的年轻医师从事这一专业,所以,介入放射学教学不可忽视,教学查房是培养本专业实用人才的重要环节.本文就介入放射科的病房工作中教学查房的重要性、教学查房的方式方法以及如何提高教学查房质量进行阐述.

  8. Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients).

    Science.gov (United States)

    Chiara, Mussi; Gianluigi, Galizia; Pasquale, Abete; Alessandro, Morrione; Alice, Maraviglia; Gabriele, Noro; Paolo, Cavagnaro; Loredana, Ghirelli; Giovanni, Tava; Franco, Rengo; Giulio, Masotti; Gianfranco, Salvioli; Niccolò, Marchionni; Andrea, Ungar

    2013-01-01

    To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82 ± 7 years, range 65-101). Falls were defined "accidental" (fall explained by a definite accidental cause), "medical" (fall caused directly by a specific medical disease), "dementia-related" (fall in patients affected by moderate-severe dementia), and "unexplained" (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause). According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury. PMID:23533394

  9. Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients

    Directory of Open Access Journals (Sweden)

    Mussi Chiara

    2013-01-01

    Full Text Available To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82±7 years, range 65–101. Falls were defined “accidental” (fall explained by a definite accidental cause, “medical” (fall caused directly by a specific medical disease, “dementia-related” (fall in patients affected by moderate-severe dementia, and “unexplained” (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause. According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury.

  10. Practice and Effect of Hierarchical Systematic Drug Knowledge Training in Geriatric Ward%老年病房药品知识培训实践

    Institute of Scientific and Technical Information of China (English)

    章洁; 陈向荣; 林静; 陈骊

    2016-01-01

    Objective Discussion on the practical effect of the systematic drug knowledge training in geri-atric ward.Methods Combined with the actual work of the department, 32 nurses were classified into different levels according to their professional titles.Results After training, the scores of theory test, doctors’satisfaction and patients’satisfaction were significantly improved ( P<0.05 ) .Conclusion Stratified systematic drug knowl-edge training improved the level of pharmacy knowledge in nurses of geriatric ward.%目的:探讨老年病房开展分层次系统化药品知识培训实践效果。方法结合科室工作实际,将32名护士按职称分组实施分层次系统化培训。结果培训后护士理论考试成绩、医师满意度、患者满意度明显提高( P<0.05)。结论分层次系统化药品知识培训能够提高老年病房护士药学知识水平。

  11. Ⅰ期临床试验病房规范化管理的探讨%Study of Standardized Management of Phase Ⅰ Clinical Trial Ward

    Institute of Scientific and Technical Information of China (English)

    李楠; 黄海涛; 王蓝天; 黄娟; 雍小兰

    2012-01-01

    目的:规范药物Ⅰ期临床试验病房的各项管理标准.方法:分析、总结Ⅰ期临床试验研究人员、受试者、试验药物、病房监护等方面的管理经验和体会.其中受试者管理包括受试者的招募、知情同意、筛选、入住、饮食、用药、观察及采血、出组,试验药物的管理包括试验药物的验收、存放、领用、使用和回收处理.结果:通过分析、总结Ⅰ期临床试验病房的各个管理环节中可能存在的问题,提出规范化、系统化的管理要求.Ⅰ期临床试验研究人员应经过系统化的GCP培训,严格按照试验方案执行;受试者应在全面知情同意后参加试验,并遵守病房各项规章制度;试验药物应按照要求妥善保管,在各个环节监控和记录试验药物的流向;病房监护应做到抢救设备定期维护,抢救药品定期更换,专人负责保管.结论:通过规范化流程和系统管理,能够有效地降低Ⅰ期临床试验存在的风险.%Objective: To standardize the management of phase I clinical trial ward. Methods: The experiences of management of phase I clinical trial ward were analyzed and summarized from the researchers, subjects, experimental drugs and guardianship of ward. The management of subjects included recruitment, informed consent, screening, check-in, diet, medications, observation and blood collection and removal. The management of experimental drugs included acceptance, deposit, receiving, use and reclamation. Results: Standardized and systematic management requirements were proposed by means of the analysis and summary of the problems of management of phase I clinical trial ward. Researchers should be trained with GCP systematically, and should implement the trial strictly according to study protocol. Subjects should take part in the trial after understanding the informed consent comprehensively, and comply with the rules of the trial. Experimental drugs should be kept as required

  12. Discussion on Risk Management in the Neonatal Ward%探讨风险管理在新生儿病房的应用

    Institute of Scientific and Technical Information of China (English)

    胡玉莲

    2015-01-01

    目的 探讨风险管理在新生儿病房的应用价值.方法 挑选在该院出生的新生儿180例,将180例新生儿通过电脑随机分成两组,每组有新生儿90例,其中一组新生儿在新生儿病房接受常规管理的护理,称为参照组;另一组新生儿在新生儿病房接受采用风险管理模式进行的护理,称为风险管理组. 结果 风险管理组新生儿意外发生率为3.33%(3/90),明显低于参照组新生儿意外发生率13.33%(12/90),风险管理组的护理质量评分为(97.65±2.04)分,明显高于参照组的护理质量评分(86.24±2.40)分,风险管理组新生儿家长对护理的总满意度为95.56%(86/90),明显高于参照组新生儿家长对护理的总满意度80.00%(72/90),差异有统计学意义(P<0.05). 结论 对新生儿病房采用风险管理模式进行护理,能有效降低新生儿意外发生率,提高护理质量及新生儿家长对护理的满意度,风险管理在新生儿病房中具有很大的应用价值.%Objective Discussion on the value of risk management in the neonatal ward. Methods Selected in 180 cases of newborns born in our hospital, 180 cases of neonatal by computer randomly divided into two groups of 90 cases each new-born, in which a group of newborns in the neonatal ward for routine management of care, called a reference group, another group of newborns in the neonatal ward for using risk management model of care, known as risk management group. Results Risk management newborns accident was 3.33%(3/90), significantly lower than the reference group of neonatal accident rate 13.33% (12/90), the risk management group rated the quality of care (97.65 ±2.04) points, significantly higher than the ref-erence group of nursing quality score (86.24 ±2.40) points, the risk management group of parents overall satisfaction with neonatal care was 95.56% (86/90), significantly higher than the reference group of parents overall satisfaction with neonatal care of 80.00% (72/90), the

  13. Clinical-Homeopathic Profile in the Pediatric Ward at the University Hospital – Brazil

    Directory of Open Access Journals (Sweden)

    Debora Alves dos Santos Fernandes

    2011-09-01

    Full Text Available Background: In 2004, the deployment of Homeopathy in the pediatric ward at the University Hospital of Gaffrée Guinle – UNIRIO (HUGG at the Federal University of the State of Rio de Janeiro was initiated in conjunction with both the Pediatric and Homeopathy Service. A research project approved by the HUGG Ethics and Research Committee was prepared to survey the most prevalent diseases. A team composed of medical students and doctors participating in the homeopathy course was formed and underwent training, enabling them to use the established protocols of action. A partnership was established with the Fluminense Federal University(Universidade Federal Fluminense – UFF, for the supply of drugs. In early 2009, the research project started, followed by homeopathic treatment in the pediatric ward. Aim: To demonstrate the diseases and treatment using homeopathic therapy on patients in the pediatric ward at the HUGG-UNIRIO-Brazil. Methodology: A sectional clinical study was carried out on patients participating in a research approved and registered by the Brazilian Research Ethics Committee, named,"The study of the effect of Homeopathic Treatment as an Adjunct Therapy on patients Hospitalized in the Pediatric Ward of HUGG". Criteria of Inclusion: Newborns up to the age of 16 of both sexes were admitted to the pediatric ward of HUGG, from May to October 2009. The diagnosis for admission being: respiratory, gastrointestinal and/or dermatologic diseases. A consent form had to be accepted and signed by the person responsible. Inclusion depended on the availability of having the appropriate homeopathic medicine in stock. Criteria of Exclusion: Cases of discontinuation of the homeopathic treatment or medical records not completed correctly. The medical records were analyzed individually. Microsoft Office Excel 2007 was used for data collection and analysis. Results: 32 patients admitted: 80% treated with

  14. 规范化护理查房在护理质量管理中的作用%Effect of standardized nursing ward round in the nursing quality management

    Institute of Scientific and Technical Information of China (English)

    吴建芳

    2015-01-01

    Objective:To explore the effect of standardized nursing ward round in the nursing quality management.Methods:20 patients were given standardized nursing ward round.Results:After nursing ward round,19 cases(95% ) patients grasped the disease knowledge.19 patients were satisfied,the satisfaction was 95% .After the implementation of standardized nursing ward round,the emergency ability,doctor-patient communication ability,professional skill master degree,team cooperation ability and nursing documents writing standards degree of nursing staff were significantly higher than those before standardized nursing ward round(P<0.05).Conclusion:The implementation of standardized nursing ward round obviously improves the disease cognition and satisfaction of patients,and improves the comprehensive quality of nursing staff.%目的:探讨规范化护理查房在护理质量管理中的作用。方法:20例患者给予规范化护理查房。结果:经过护理查房,掌握疾病知识19例(95.0%),满意19例,满意度95.0%。实施规范化护理查房后,护理人员应急能力、医患沟通能力、专业技术熟练掌握程度、团队合作能力和护理文书书写规范程度明显高于规范化护理查房前(P<0.05)。结论:实施规范化护理查房明显提高了患者对疾病的认知程度和满意度,提高了护理人员的综合素质。

  15. Effect of union ward rounds by doctors and nurses on the improvement of satisfaction degree for nursing work%医护联合查房对提高护理满意度的作用

    Institute of Scientific and Technical Information of China (English)

    程蕾; 程文丽; 谢平; 青晓; 何江; 李敬东

    2011-01-01

    Objective To explore the effect of union ward rounds by doctors and nurses on improving doctors' and patienta' satisfaction for nursing work.Methods The general surgery ward 2 was selecied as a control group, the general srurgery ward 3 as an experiment group in our hospital.We uaed conventional separate ward rounds by doctors and nurses in the control group, and used union ward rounds by doctors and nurses in the experimenl group.Then we compared doctots' and paients' satisfaction for the nursing work between the two groups.Results The doctors and patients in the experiment group had higher degree of satisfactian for the nursing work than that in the control group (P < 0.05).Condusion Union ward rounds by doctors and nurses could improve patients' and doctors' satisfaction of for nursing work, and therefore avoid the occurrence of medical care disputes.%目的 探讨医护联合查房对提高医患对护理工作满意度的作用.方法 选择本院普外二区作为对照组,普外三区作为实验组.对照组采用常规的医护分开查房方法.实验组采用医生与护士联合查房的方法,比较两个病区病人及医生对护理工作的满意度.结果 实验组病人及医生对护理工作的满意度高于对照组(均P<0.05).结论 医护联合查房能提高病人及医生对护理工作的满意度,密切医护患关系,有利于避免医疗护理纠纷的发生.

  16. The allocation of patients in an intensity-of-care based Internal Medicine ward: the ADOIT Tri-Co (Triage in the Corridor study

    Directory of Open Access Journals (Sweden)

    C. Bartolomei

    2013-05-01

    Full Text Available BACKGROUND Early warning scores based on simple physiological variables were originally derived to recognize the impending patients’ clinical deterioration and to prevent in-hospital deaths. However, they can also be used to allocate patients on admission. The hypothesis of a previously validated model, the Modified Early Warning Score (MEWS was tested. It could be used as a stratifying tool to identify medical patients whose baseline physiological measures predict a worse outcome, in order to assign them to an appropriate care level (e.g., High Dependence Units, special areas etc.. METHODS We considered all patients admitted to Internal Medicine wards over a week period, without any exclusion criteria. On admission, we calculated the MEWS and a 28-variables original Dependence Index (DI. The main outcomes of the study were: in-hospital mortality and a composite of mortality and admission to a higher care level (namely, transfer to ICU, Coronary Care Unit, CCU, or Emergency Medicine. A secondary end-point was the length of stay for discharged patients. RESULTS 22 Internal Medicine wards participated in the study. 597 patients were admitted, 329 females (55.4%; 95% CI 51.3-59.4 and 265 males (44.6%; 95% CI 40.6-48.7; female to male ratio was 1.24; p < 0.05. Women were older (mean age 76.2 years than men (73.3 years; a large proportion of patients (509/597 or the 85.2% were 65 or older. 522 patients were discharged, 44 died and 31 were transferred. The MEWS on admission predicted both death (Chi2 for trend 59.391, p < 0.00001 and the death and transfer composite end-point (Chi2 for trend 55.339; p < 0.00001; the DI worked well, too (risk of death, Chi2 for trend 53.052; p < 0.00001; risk of death or transfer, Chi2 for trend 66.030; p < 0.00001. These results were not influenced by either the wards dimensions or the hospitals complexity. CONCLUSIONS In this multicentric study we have confirmed that the MEWS, even when calculated once on admission

  17. The exposure of relatives to patients of a nuclear medical ward after radio iodine therapy by inhalation of 131I in their home

    International Nuclear Information System (INIS)

    From a model of iodine metabolism exhalation coefficients shall become derived to calculate 131I exhalation by patients after a radioiodine treatment. The validity of these exhalation coefficients shall be reviewed by whole body activity measurements of relatives of patients, who inhaled the radioiodine exhaled by the patients in their homes. The exposure of relatives to patients of a nuclear medical ward after release by exhalation of iodine-131 is investigated. Methods: Iodine 131I-activity of 17 relatives to patients who had to undergo a radioiodine therapy became measured in a whole body counter only a few days after release of the patient form the nuclear medical ward. The results of the measurements have been compared with the results of calculations according to the model of iodine metabolism. Results: The calculated values of incorporated radioiodine in the relatives of the patient at time of measurement (Amodel) correlate with the measured whole body activity (AGK) according to the regression: A model = AGK-47.3 (r2=0.959). This relation holds if 2.1 μg of iodine become exhaled per day of the 60 μg of iodine which are the daily intake of iodine by food. The exposure of all relatives did never exceed 100 μSveff. Using the same model parameters the effective dose equivalent of the relatives to our patients rises up to 6.5 mSv under ambulant radio therapy conditions. Conclusion: the daily exhalation of 131I is able to be calculated by a mathematical model of iodine metabolism. After staying of patients at least 3 days in a nuclearmedical ward the exposure of relatives to patients in their home does not exceed the value of 100 μSveff by inhalation of iodine-131. This are 10% of the limit of 1 mSveff according to the Recommendations of the Commission on Radiological Protection (ICRP 60). Radioiodine therapy outside of a hospital and 'iodine therapy tourisme' of German patients to other countries cannot be accepted. (orig.)

  18. Leadership competencies of ward head nurses%优秀病区护士长应具备的领导才能

    Institute of Scientific and Technical Information of China (English)

    胡笑霞; 王思琛; 陆亮; 朱明霞; 尹一桥; 霍惠兰; 陈婉华

    2014-01-01

    目的:通过临床护士分享亲身经历过的难忘病区护士长成功事件,归纳分析优秀病区护士长作为领导者应该具备的才能。方法:运用半结构访谈指引分别与广州两家“三甲”医院的两组临床护士进行约1小时的焦点小组访谈。访谈内容转录成文字后对书面资料反复阅读,进行资料编码,甄别各类资料之间的相互关系,然后归类到范畴,最后提炼出主题。结果:受访护士眼中的优秀病区护士长应具备爱护下属、公平对待、技术较强、包容接纳及沟通能力。结论:临床护士的主要着眼点是他们自己,认为最重要的是护士长对他们提供的实际关怀和帮助。病区护士长除了要在实务上进行分担和指导,还要懂得与下属的相处之道,并且还能站出来帮助下属争取权益。%Objective:To analyze personal experiences that were shared by clinical nurses, so as to identify leadership competencies of ward head nurses. Methods:Two focus groups interviews with nurses from two teaching hospitals in Guangzhou were conducted. The interviews were transcribed and coded and categorized before themes were identiifed using the content analysis approach. Results:From the points of view of clinical nurses, competent ward head nurses would need to be caring their subordinates, fair, professionally competent, receptive, and able to communicate. Conclusion:Clinical nurses viewed from meeting their own needs, they believed the most important leadership competencies were being able to help and care for them. Ward head nurses should not only actually help and coach, but also know how to relate to their subordinates, in addition to speaking up for them.

  19. Characteristics associated with falls among the elderly within aged care wards in a tertiary hospital: a retrospective case-control study

    Institute of Scientific and Technical Information of China (English)

    CHEN Xue-li; LIU Yun-hu; Daniel KY Chan; SHEN Qing; Huong Van Nguyen

    2010-01-01

    Background Falls are the most frequently reported adverse events in inpatient settings. We conducted a retrospective case-control study of inpatient falls within aged care wards in a tertiary hospital to investigate the associated characteristics of elderly patients suffering from falls and fall-related characteristics.Methods Consecutive retrospective cross-sectional design spanned July 2006 to December 2008. Patient group: Information on all aged care inpatients who suffered from 1 or more falls was extracted from Incident information Management System (IIMS). Further details about the particular admission(s) were obtained from patients' medical records, e.g., patients' characteristics and circumstances surrounding the falls. Randomly selected aged care patients who did not suffer from a fall and who were discharged from the hospital in the same period served control group. Characteristics among patients with single fall and recurrent falls, as well as non-fallers were compared. Results Of the 438 falls evaluated, 71.9% occurred in patients' room and 18.9% in patients' bathroom/toilet. The common activities were moving/transferring and taking shower/toileting, respectively, 70.3%, 12.1% while occurring falls; and time of falls had a high peak during 9:00-11:00 a.m. Many were unassisted while falling. The common contributing factors for fall were intrinsic factors. Patients with recurrent falls were more likely to have lower Mini-Mental State Examination (MMSE) score. Logistic regression analysis showed length of stay longer than five weeks, dementia and stroke were independent risk factors for recurrent falls; and living in hostel/nursing home preadmission, needing assistance with mobility, cognitive impairment, stroke, incontinence and arthritis/osteoporosis were independent risk factors for fall.Conclusions In an aged care ward, falls are independently associated with recurrent factors. Cognitive impairment/dementia was a strong risk factor for falls, and main

  20. 不同阶段心理干预对层流病房患者的影响%The influence of patients in different stage of psychological intervention in laminar ward.

    Institute of Scientific and Technical Information of China (English)

    吴玉梅

    2011-01-01

    目的:通过对入住层流病房患者在不同时期恐惧、焦虑、睡眠等心理状况分析并开展针对性的心理干预,以达到早日康复的目的.方法:对27例入住层流病房患者分别于入住前、入住后3 d和出层流病房前应用自制恐惧自评量表、焦虑自评量表、睡眠自评量表评估患者心理状况并针对性进行心理干预.结果:恐惧量表评分中,患者出层流病房前评分明显低于入住层流病房前、入住层流病房后3 d,同时入住层流病房后3日低于入住层流病房前.焦虑量表评分中,患者于出层流病房前评分明显低于入住层流病房前、入住层流病房后3 d,但入住层流病房前与入住层流病房后3 d之间无明显统计学差异.睡眠量表评分,患者入住层流病房后3 d评分明显高于入住层流病房前及出层流病房前,存在统计学差异,而入住层流病房前评分高于出层流病房前,存在统计学差异.结论:不同时期层流病房患者有不同的心理特征及心理变化,开展针对性心理干预是促进康复的重要手段之一.%Objective:Through the check - in laminar ward in different periods of patients with fear, anxiety, and sleeping psychological condition analysis and carrying out the pertinence psychological intervention,to achieve the purpose of recover at an early date. Methods:Apply the scale of fear, anxiety, and sleeping to assess the 27 patients' psychological condition and carrying out the pertinence psychological intervention before check in, in 3 days and out of the laminar ward before. Results:In fear rating scale,patients in the ward score was significantly lower than the laminar before check - in laminar ward and stay in 3 days,significant differences exist. In anxiety rating scale,patients out of the laminar ward before score was significantly lower than the laminar before check - in laminar ward and stay in 3 days,but there was no significant differences between before check

  1. The Leader of the Band: A Case Story of Community Music Therapy on a Hospital Ward for People Who Have Dementia

    Directory of Open Access Journals (Sweden)

    Patrice Dennis

    2014-03-01

    Full Text Available This case story was undertaken as part of a research project investigating music therapy to aid relationships between people with dementia and their family members. Involving family members in the music therapy process was found to be valuable in fostering a sense of community between residents, family members, and care staff (Dennis, 2012. However, a sense of community was also fostered by the interactions of the residents themselves as they participated in music therapy over a ten month period. Music making became a natural part of the environment, an important medium for individual expression, shared communication, enhancing social events, and demonstrating mutual care and love. We demonstrate this through our case story of Jack whose music making permeated the dementia ward to invite the active participation of others, and led to the development of caring relationships.

  2. 医院病区噪声控制的研究现状%Research on Noise Control in Hospital Ward

    Institute of Scientific and Technical Information of China (English)

    王钰美; 冯国和; 张伟

    2014-01-01

    医院应保持安静舒适的环境,国内外研究发现,噪声已成为医院病区主要的环境污染之一,来源于人员、设备、施工等方面的噪声严重影响了患者的睡眠质量,导致血压升高、心率加快,增加心律失常、失眠、疼痛和焦虑等的发生率。%Hospitals should have a silent environment. Domestic and international research found that noises from patients and personnel, equipment as well as construction had become one of the major environment pollutions for hospital wards, which could increase blood pressure and heart rate and cause arrhythmia, insomnia, pain and anxiety.

  3. mu-Squared Dependent Deviation of the Non Perturbative ZA,MOM from the True Axial Renormalisation Constant, Implied by Ward Identity

    CERN Document Server

    Boucaud, Ph; Yaouanc, A Le; Micheli, J; Pène, O; Rodriguez-Quintero, J

    2015-01-01

    It is recalled why, as already stated in a previous paper, there seems to be an inconsistency in identifying the non perturbative ZA,MOM as the renormalisation of the axial current, or equivalently, in setting as normalisation condition that the renormalised vertex=1 at p^2 = mu^2 at some renormalisation scale mu, where p is the momentum in the legs. Indeed, unlike the vector case, the Ward-Takahashi (WT) identity for the axial current is shown to imply both the renormalisation scale independence of ZA and a mu2 dependence of ZA,MOM. This mu^2 dependence is simply related to certain invariants in the pseudoscalar vertex and can persist in the chiral limit due to the spontaneous breaking of chiral symmetry (pion pole). It is seen clearly in the mu^2 dependence of some lattice calculations of ZA,MOM/ZV,MOM near the chiral limit.

  4. Usage Pattern and Serum Level Measurement of Amikacin in the Internal Medicine Ward of the Largest Referral Hospital in the South of Iran: A Pharmacoepidemiological Study

    Science.gov (United States)

    Namazi, Soha; Sagheb, Mohammad Mahdi; Hashempour, Mohammad Mahdi; Sadatsharifi, Arman

    2016-01-01

    Background: The inappropriate use of aminoglycosides has harmful effects such as the development of resistant pathogens and the incidence of nephrotoxicity and ototoxicity. Therefore, drug utilization evaluation of these drugs may improve their usage remarkably. The aim of this study was to assess the usage pattern of amikacin in an internal medicine ward. Methods: This cross-sectional study was conducted in the Internal Medicine Ward of Nemazee Teaching Hospital, Shiraz, Iran, in 2011. The guideline for amikacin use was approved by the institutional Pharmacy and Therapeutics Committee, and the study criteria were developed to assess several parameters involved in amikacin therapy such as appropriateness of drug use, dosage, duration of therapy, toxicity monitoring, and serum concentration assay. Serum concentration was assayed using a Cobas Mira AutoAnalyzer. Clinical and paraclinical parameters such as glomerular filtration rate, culture, microbial sensitivity, white blood cell count, and fever were collected. Results: Sixty-three patients were evaluated. Fifty-seven percent of the patients needed dose readjustment; however, it was not performed for 89% of them. Culture between 48 and 72 hours after amikacin administration was not controlled for 79% of the patients. In 19% of the patients, optimum therapeutic effect was not achieved. The mean±SD of the trough and peak concentrations was 7.63±5.4 μg/mL and 15.67±7.79 μg/mL, respectively. Forty-five percent of the trough and 38% of the peak levels were within the therapeutic range. The overall adherence of amikacin usage to the guideline was only 48%. Conclusion: To achieve appropriate treatment and prevent toxic effects, we recommend that pharmacokinetic dosing methods, amikacin guideline, and serum monitoring be considered. PMID:27217603

  5. Study of the outcome of suicide attempts: characteristics of hospitalization in a psychiatric ward group, critical care center group, and non-hospitalized group

    Directory of Open Access Journals (Sweden)

    Kemuyama Nobuo

    2010-01-01

    Full Text Available Abstract Background The allocation of outcome of suicide attempters is extremely important in emergency situations. Following categorization of suicidal attempters who visited the emergency room by outcome, we aimed to identify the characteristics and potential needs of each group. Methods The outcomes of 1348 individuals who attempted suicide and visited the critical care center or the psychiatry emergency department of the hospital were categorized into 3 groups, "hospitalization in the critical care center (HICCC", "hospitalization in the psychiatry ward (HIPW", or "non-hospitalization (NH", and the physical, mental, and social characteristics of these groups were compared. In addition, multiple logistic analysis was used to extract factors related to outcome. Results The male-to-female ratio was 1:2. The hospitalized groups, particularly the HICCC group, were found to have biopsychosocially serious findings with regard to disturbance of consciousness (JCS, general health performance (GAS, psychiatric symptoms (BPRS, and life events (LCU, while most subjects in the NH group were women who tended to repeat suicide-related behaviors induced by relatively light stress. The HIPW group had the highest number of cases, and their symptoms were psychologically serious but physically mild. On multiple logistic analysis, outcome was found to be closely correlated with physical severity, risk factor of suicide, assessment of emergent medical intervention, and overall care. Conclusion There are different potential needs for each group. The HICCC group needs psychiatrists on a full-time basis and also social workers and clinical psychotherapists to immediately initiate comprehensive care by a medical team composed of multiple professionals. The HIPW group needs psychological education to prevent repetition of suicide attempts, and high-quality physical treatment and management skill of the staff in the psychiatric ward. The NH group subjects need a

  6. Prevalence and risk factors of metallo β-lactamase producing Pseudomonas aeruginosa and Acinetobacter species in burns and surgical wards in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Simit H Kumar

    2012-01-01

    Full Text Available Introduction: The production of Metallo-β-lactamases (MBLs is one of the resistance mechanisms of Pseudomonas aeruginosa and Acinetobacter species. There is not much Indian data on the prevalence of MBLs in burns and surgical wards. Materials and Methods: A total of 145 non-duplicate isolates of carbapenem-resistant Pseudomonas aeruginosa and Acinetobacter species, isolated from pus/wound swabs and endotracheal secretions from burns and surgical wards, were tested for MBL production by modified ethylene diamine tetra acetic acid (EDTA disc synergy and double disc synergy tests. Results: Prevalence of MBLs was 26.9% by both the above tests. All MBL-positive isolates were multidrug resistant. Only 6.06% (2/33 P.aeruginosa and 16.67% (1/06 Acinetobacter species were susceptible to piperacillin-tazobactam and netilmycin, respectively. These patients had multiple risk factors like >8 days hospital stay, catheterization, IV lines, previous antibiotic use, mechanical ventilation, etc. Graft application and surgical intervention were significant risk factors in MBL-positive patients. Overall mortality in MBL-positive patients was 34.21%. Conclusion: Emergence of MBL-producing Pseudomonas aeruginosa and Acinetobacter species in this hospital is alarming, which reflect excessive use of carbapenems and at the same time, pose a therapeutic challenge to clinicians as well as to microbiologists. Therefore, a strict antibiotic policy and implementation of proper infection control practices will go a long way to prevent further spread of MBLs. Detection of MBLs should also become mandatory in all hospitals.

  7. Characteristics and dying trajectories of adult hospital patients from acute care wards who die following review by the rapid response team.

    Science.gov (United States)

    Coombs, M A; Nelson, K; Psirides, A J; Suter, N; Pedersen, A

    2016-03-01

    A third of patients reviewed by rapid response teams (RRT) require end-of-life care. However, little is known about the characteristics and management of these patients following RRT review. This paper presents results of a retrospective, descriptive audit that explored the dying trajectory of adult ward inpatients who died outside of intensive care following RRT review. The study setting was a 430-bed tertiary New Zealand hospital during 2013. RRT, inpatient databases and hospital notes were used to identify 100 consecutive adult inpatients who died subsequent to RRT review. Outcome measures included time from RRT review to death, place of death, pre-existing co-morbidities and frequency of medical review. Results demonstrated that patients were old (median 77 years, IQR 63-85years), emergency admissions (n=100) and admitted under a medical specialty (n=71). All but one of the cohort had pre-existing co-morbidities (mean 3.2, SD 1.7), almost a third (n=31) had cancer and 51% had 1-4 previous inpatient admissions within the previous 12 months. The mean length of stay prior to RRT review was 4.9 days (SD 5.5) during which patients were frequently reviewed by senior medical staff (mean 6.8 times, SD 6.9, range 0-44). Twenty per cent of patients died after their first RRT review with a further 40% receiving treatment limitation/palliation. Fifty-two per cent of patients had a pre-existing DNAR. Eighty per cent of patients died in hospital. Whilst the RRT fulfils an unmet need in decision-making at end of life, there is a need to understand what RRT, instead of ward-based or palliative care teams, offers dying patients. PMID:27029659

  8. Effects of exercise on heart rate, QT, QTc and QT/QS2 in the Romano-Ward inherited long QT syndrome.

    Science.gov (United States)

    Vincent, G M; Jaiswal, D; Timothy, K W

    1991-08-15

    Patients with the Romano-Ward inherited long QT syndrome have an incompletely defined cardiac sympathetic system abnormality, and exhibit ventricular arrhythmias during exercise, fear and anxiety. Treadmill and bicycle exercise were used to modulate cardiac autonomic activity in 27 Romano-Ward subjects and 27 normal controls. The heart rate, and the QT, QTc and QT/QS2 (ratio of electrical to mechanical systole) intervals were compared. Subjects with long QT were compared with normals. Those with a long QT interval had the following results: similar resting heart rates; lower rates during moderate (151.6 vs 169.6 beats/min, p = 0.04) and maximal (155.9 vs 182.1 beats/min, p = less than 0.001) exercise; an abnormal QT cycle-length relationship, with failure of the QT to shorten normally with increasing heart rate; an increase in QTc versus a decrease in normals; supine rest QT/QS2 ratio of 1.12 vs 0.93, p = 0.001; and an exercise QT/QS2 that increased by 30%, from 1.12 at rest to 1.45, versus 15%, in normals, from 0.93 to 1.07, p = 0.001. The lower heart rates and excessively prolonged QT/QS2 ratios during exercise further support an abnormality of, or abnormal cardiac response to, sympathetic activity. A QT/QS2 greater than 1.0 at rest, an exercise QT/QS2 ratio greater than 1.17, and an increase in QTc during moderate exercise may be helpful diagnostic findings in patients with borderline long QTc intervals at rest. PMID:1872278

  9. Transmission of endemic ST22-MRSA-IV on four acute hospital wards investigated using a combination of spa, dru and pulsed-field gel electrophoresis typing.

    LENUS (Irish Health Repository)

    Creamer, E

    2012-11-01

    The transmission of meticillin-resistant Staphylococcus aureus (MRSA) between individual patients is difficult to track in institutions where MRSA is endemic. We investigated the transmission of MRSA where ST22-MRSA-IV is endemic on four wards using demographic data, patient and environmental screening, and molecular typing of isolates. A total of 939 patients were screened, 636 within 72 h of admission (on admission) and 303 >72 h after admission, and 1,252 environmental samples were obtained. Isolates were typed by spa, dru and pulsed-field gel electrophoresis (PFGE) typing. A composite dendrogram generated from the three sets of typing data was used to divide isolates into \\'dendrogram groups\\' (DGs). Ten percent of patients (92\\/939) were MRSA-positive; 7 % (44\\/636) on admission and 16 % (48\\/303) >72 h after admission (p = 0.0007). MRSA was recovered from 5 % of environmental specimens (65\\/1,252). Most isolates from patients (97 %, 85\\/88) and the environment (97 %, 63\\/65) exhibited the ST22-MRSA-IV genotype. Four DGs (DG1, DG4, DG16 and DG17) accounted for 58 % of ST22-MRSA-IV isolates from patients. Epidemiological evidence suggested cross-transmission among 44\\/92 patients (48 %) but molecular typing confirmed probable cross-transmission in only 11 instances (13 %, 11\\/88), with the majority of cross-transmission (64 %; 7\\/11) occurring on one ward. In the setting of highly clonal endemic MRSA, the combination of local epidemiology, PFGE, spa and dru typing provided valuable insights into MRSA transmission.

  10. 细节管理在病房药品管理中的应用%Application of details management in ward drug administration

    Institute of Scientific and Technical Information of China (English)

    翟凤仪; 刘冬兰; 刘美玲; 江美霞

    2013-01-01

    目的:探讨细节管理在病房药品管理中的应用效果。方法对病房药品管理实施细节管理,包括规范药品的储存、保管方法,及时开展新药知识学习,加强用药管理,设置规范的护理标识和优化用药流程等措施。结果细节管理后,药品混放和延迟发药发生率较细节管理前降低;护士用于检查药物的时间明显缩短(均P<0�001)。结论细节管理是保证用药质量和安全的有效措施。%Objective To investigate the effect of detail management in ward drug administration.Methods Details management for ward drug management were applied,including the standardization of the drug storage,storage method,to carry out new knowledge learning,to strengthen the drug management,to set up the standardized nursing medication process identification and optimization measures.Results details management,the incidenues of drug mixed and delayed delivery were lower;the time of checking drug was significantly shorter(P<0�001).Conclusions The details management are the effective measures to ensure drug quality and safety.

  11. Safety Management of Satndby Drug in the Hospital Ward%医院病区备用药品安全管理

    Institute of Scientific and Technical Information of China (English)

    李红霞; 崔东云

    2014-01-01

    Objective To discuss the safety management of standby drugs in the ward .Methods The problems were examined and analyzed , and then the hidden risks of the standby drug management were summa-rized , also the measures were put forward .Results The nurses'knowledge and awareness of drug safety manage-ment were improved , their senses of responsibility were enhanced , the spare drugs management was standardized , and the wastes of resources were reduced .Conclusion Through the appropriate intervention of pharmacy person-nel, the pharmacist will cooperate with nurse to manage the drug in the ward , and the spare drugs management will be scientific , institutionalization and standardization , the ability of nurse to use drug use safely is improved , and the management quality is also improved .%目的:探讨病区备用药品安全管理。方法通过检查分析,发现问题及分析问题,总结病区备用药品管理中的安全隐患和风险,提出整改措施。结果护理人员对药品安全管理的认识及知识的掌握得到提高,责任心增强,备用药品管理规范,药物资源浪费减少。结论药学人员适当介入,与护理人员相互配合,病区备用药品形成科学化、制度化、规范化的管理,护士安全用药能力提高,降低用药安全风险,有效提高病区备用药品管理质量。

  12. Notes on the inherently safe core design meeting with the DOE-RRT, AI, GE, W-ARD, EPRI, and ETEC (at AI, Canoga Park, California, November 7-8, 1978)

    International Nuclear Information System (INIS)

    The primary purpose of the meeting was to familiarize large LMFBR design managers with the capabilities of the Inherent Secondary Shutdown Systems (articulated rod and absorber balls) and to obtain inputs from them. The other purpose of the meeting was for the ISSS designers (AI, GE, and WARD) to present current work status, future plans, and schedules for their respective ISSS tasks

  13. Participatory watershed management to decrease land degradation and sediment transport in Kagera and Nyando catchments of Lake Victoria basin

    OpenAIRE

    Kenge, James Gunya

    2009-01-01

    Attention to participatory watershed management is increasing across the developing world as soil erosion continues to degrade agricultural land; reservoirs and irrigation infrastructure are clogged with sediment. The realization of the importance of watersheds is crucial for sustainable utilization especially in developing countries where rural livelihoods and economies are highly dependant on the exploitation of natural resources. The Lake Victoria basin is characterized by high population ...

  14. The A-test: Assessment of functional recovery during early rehabilitation of patients in an orthopedic ward - content, criterion and construct validity

    Directory of Open Access Journals (Sweden)

    Vukomanović Aleksandra

    2014-01-01

    Full Text Available Background/Aim. The A-test was designed for assessment of functional recovery during early rehabilitation of patients in an orthopedic ward. This performance-based test consists of 10 items for assessing basic activities by a six level ordinal scale (0-5. Total scores can range from 0 to 50, i.e. from inability to perform any activity despite the help of therapists to complete independence and safety in performing all activities. The aim of this study was to examine the A-test validity. Methods. This prospective study was conducted in an orthopedic ward and included 120 patients [60 patients with hip osteoarthritis that underwent arthroplasty and 60 surgically treated patients with hip fracture (HF] during early inpatient rehabilitation (1st-5th day. Validity was examined through 3 aspects: content validity - floor and ceiling effect, range, skewness; criterion validity - concurrent validity [correlation with the University of Iowa Level of Assistance Scale (ILAS for patients with hip osteoarthritis, and with the Cumulated Ambulation Score (CAS for patients with HF, Spearman rank correlation] and predictive validity [the New Mobility Score (NMS 4 weeks after surgery, Mann-Whitney U test]; construct validity - 4 hypotheses: 1 on the fifth day of rehabilitation in patients underwent arthroplasty due to hip osteoarthritis, the A-test results will strongly correlate with those of ILAS, while the correlation with the Harris hip score will be less strong; 2 in patients with HF, the A-test results will be significantly better in those with allowed weight bearing as compared to patients whom weight bearing is not allowed while walking; 3 results of the A-test will be significantly better in patients with hip osetoarthritis than in those with HF; 4 the A-test results will be significantly better in patients younger than 65 years than in those aged 65 years and older. Results. The obtained results were: low floor (1% and ceiling (2% effect, range 0

  15. The survey of drug safety management in neonatal wards in Xiaogan City%孝感市新生儿病区药品安全管理现状调查

    Institute of Scientific and Technical Information of China (English)

    王艳华; 左琳; 陆敏; 肖晓玲

    2013-01-01

    Objective: To understand the drug safety management status in neonatal ward in Xiaogan city, and to strengthen drug management in neonate ward of the city. Methods:The current situation of drug management in neonate ward, which was in medical institutions of secondary and above in Xiaogan city, was surveyed by self-designed questionnaire, inquiring for data, and examination. Results: About 26.67% of the wards met all the requirements of pharmaceutical administration. The wards in which high risk medicine, emergency medicine, and general medicine management met the requirements were 40.00%, 33.33%, and 46.67% respectively. There had problems like mixing placement of various drugs, no marks, without special management, failure to stockpile drugs in neonate wards. Drug management and mastery knowledge and skills of nurses in neonatal wards had statistical differences in different level hospitals; level Ⅲ hospitals were better than level Ⅱ hospitals (P<0.01 or P<0.05). Conclusion: The drug safety management situation in neonatal wards in Xiaogan area is not optimistic. Managers should pay close attention and take effective measures to actively intervene the management of drugs in neonatal wards to ensure newborn drug administration safety.%目的:了解孝感市新生儿病区药品安全管理现状,为加强本市新生儿病区药品管理提供科学依据.方法:自行设计调查问卷,采取实地查看、查阅资料、抽考护士等方式,对孝感市15家医疗机构的新生儿病区药品管理的现状进行调查,并将所得资料与数据进行统计学处理.结果:药品管理全部符合要求的病区仅占26.67%,其中急救药品、高危药品、普通药品管理符合要求的病区分别占40.00%、33.33%、46.67%;存在各类药品混放、无标识、无专人管理、未按要求储存等问题;不同级别医院新生儿病区药品管理及护士对用药知识与技能的掌握差异有统计学意义,三

  16. Create high-quality ward,continuously improve the quality%创建优质病区,持续改进质量

    Institute of Scientific and Technical Information of China (English)

    林桂梅

    2015-01-01

    目的:为深化优质护理内涵,提升护理服务水平,按照优质护理服务要求,开展“以患者为中心”的整体护理,探索医护一体护理模式,责任护士与主管医生固定,共同分管一定数量的患者,护士所管患者≤8人,白班实行8 h在班责任制整体护理,夜班由2名护士负责所有患者的护理工作,使护理工作连续、有效地进行。创建优质病区以来,不良事件发生率降低,通过386份患者满意度调查,满意度97.23%。提高服务质量是医院发展永恒的主题,医护同参与是优质护理病区持续改进质量的关键。%To deepen the connotation of quality of nursing,and improve the level of nursing service,in accordance with the requirements of high quality nursing service,we carried out the "patient-centered" holistic nursing care,explored the development mode of medical nursing,responsibility nurse and the doctor in charge were fixed,they jointly in charge of a certain number of patients,the number of patients under nurse was less than or equal to 8,the responsibility system of 8 hours holistic nursing care was carried out in the day shift,and in night shift,2 nurses were in charge of nursing work in all the patients,so that ensure the nursing work continuously and effectively.Since the creation of high-quality ward,the rate of adverse events was reduced.By 386 patients satisfaction survey,satisfaction was 97.23%.To improve the quality of service was the eternal theme of the development of hospital.The doctors and nurses involved in common was the key of continuous improvement of quality in high quality of nursing ward.

  17. Development of a multi-sensor elevation time series pole-ward of 86°S in support of altimetry validation and ice sheet mass balance studies

    Science.gov (United States)

    Studinger, M.; Brunt, K. M.; Casey, K.; Medley, B.; Neumann, T.; Manizade, S.; Linkswiler, M. A.

    2015-12-01

    In order to produce a cross-calibrated long-term record of ice-surface elevation change for input into ice sheet models and mass balance studies it is necessary to "link the measurements made by airborne laser altimeters, satellite measurements of ICESat, ICESat-2, and CryoSat-2" [IceBridge Level 1 Science Requirements, 2012] and determine the biases and the spatial variations between radar altimeters and laser altimeters using different wavelengths. The convergence zones of all ICESat tracks (86°S) and all ICESat-2 and CryoSat-2 tracks (88°S) are in regions of relatively low accumulation, making them ideal for satellite altimetry calibration. In preparation for ICESat-2 validation, the IceBridge and ICESat-2 science teams have designed IceBridge data acquisitions around 86°S and 88°S. Several aspects need to be considered when comparing and combining elevation measurements from different radar and laser altimeters, including: a) foot print size and spatial sampling pattern; b) accuracy and precision of each data sets; c) varying signal penetration into the snow; and d) changes in geodetic reference frames over time, such as the International Terrestrial Reference Frame (ITRF). The presentation will focus on the analysis of several IceBridge flights around 86 and 88°S with the LVIS and ATM airborne laser altimeters and will evaluate the accuracy and precision of these data sets. To properly interpret the observed elevation change (dh/dt) as mass change, however, the various processes that control surface elevation fluctuations must be quantified and therefore future work will quantify the spatial variability in snow accumulation rates pole-ward of 86°S and in particular around 88°S. Our goal is to develop a cross-validated multi-sensor time series of surface elevation change pole-ward of 86°S that, in combination with measured accumulation rates, will support ICESat-2 calibration and validation and ice sheet mass balance studies.

  18. Can patients with moderate to severe acute respiratory failure from COPD be treated safely with noninvasive mechanical ventilation on the ward?

    Directory of Open Access Journals (Sweden)

    Yalcinsoy M

    2016-05-01

    Full Text Available Murat Yalcinsoy,1 Cuneyt Salturk,2 Selahattin Oztas,2 Sinem Gungor,2 Ipek Ozmen,2 Feyyaz Kabadayi,2 Aysem Askim Oztim,2 Emine Aksoy,2 Nalan Adıguzel,2 Ozlem Oruc,2 Zuhal Karakurt2 1Department of Pulmonary Medicine, Inonu University Medical Faculty, Turgut Ozal Medical Center, Malatya, 2Department of Pulmonary Medicine, Sureyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey Purpose: Noninvasive mechanical ventilation (NIMV usage outside of intensive care unit is not recommended in patients with COPD for severe acute respiratory failure (ARF. We assessed the factors associated with failure of NIMV in patients with ARF and severe acidosis admitted to the emergency department and followed on respiratory ward.Patients and methods: This is a retrospective observational cohort study conducted in a tertiary teaching hospital specialized in chest diseases and thoracic surgery between June 1, 2013 and May 31, 2014. COPD patients who were admitted to our emergency department due to ARF were included. Patients were grouped according to the severity of acidosis into two groups: group 1 (pH=7.20–7.25 and group 2 (pH=7.26–7.30.Results: Group 1 included 59 patients (mean age: 70±10 years, 30.5% female and group 2 included 171 patients (mean age: 67±11 years, 28.7% female. On multivariable analysis, partial arterial oxygen pressure to the inspired fractionated oxygen (PaO2/FiO2 ratio <200, delta pH value <0.30, and pH value <7.31 on control arterial blood gas after NIMV in the emergency room and peak C-reactive protein were found to be the risk factors for NIMV failure in COPD patients with ARF in the ward.Conclusion: NIMV is effective not only in mild respiratory failure but also with severe forms of COPD patients presenting with severe exacerbation. The determination of the failure criteria of NIMV and the expertise of the team is critical for treatment success. Keywords: noninvasive mechanical ventilation

  19. SWOT分析法在特需病房护理管理中的应用%Application of SWOT analysis method in nursing management in special wards

    Institute of Scientific and Technical Information of China (English)

    曹何琼; 郑春霞; 吴丽英; 魏燕旋

    2012-01-01

    目的 探讨在特需病房护理管理中如何运用SWOT分析法进行分析,制订个性化措施,评价临床护理质量.方法 运用SWOT分析法对特需病房护理管理的内部优势因素(strenths)、弱点因素(weaknesses)和外部机会因素(opportunities)、威胁因素(threats)进行调查并按一定的次序排列成矩阵形式,运用系统分析的方法把各因素相互匹配加以分析,从中得出相应的结论,制订相应对策.于SWOT分析法应用到特需病房的护理管理前选择30例患者,应用后选择40例患者,进行应用前后的效果比较.结果 实施SWOT分析法后基础护理、Ⅰ级护理、健康教育质量、患者满意度及病房管理等评分明显优于实施前.结论 SWOT分析法直观,使用简单,具有平衡性和系统性,适用于特需病房的临床护理管理.%Objective To explore how to apply SWOT analysis method for analysis in nursing management in special wards,to develop individualized measures,and to evaluate the clinical quality of care. Methods Using SWOT analysis method to investigate the internal strengths factors,internal weaknesses factors,external opportunities factors,and external threats factors and arranged as a matrix in accordance with a certain order,and used systems analysis methods to analyze the factors matching each other,to dr aw the appropriate conclusions,and to develop appropriate countermeasures.30 patients before and 40 patients after the application of SWOT analysis method were selected for effect comparison. Results After the implementation of SWOT analysis method primary care,I-level care,health education quality,satisfaction degree of patients and ward management score were better than those before the implementation. Conclusions SWOT analysis method was intuitive and simple to use.It possesses balance and systematieness,which is suitable for clinical care management.

  20. Paradoxos da humanização em uma maternidade no Brasil The paradoxes of humanized childbirth care in a public maternity ward in Brazil

    Directory of Open Access Journals (Sweden)

    Carmen Susana Tornquist

    2003-01-01

    Full Text Available A Maternidade do Hospital Universitário em Florianópolis, Santa Catarina, Brasil, procura seguir as recomendações da Organização Mundial da Saúde no sentido da humanização da assistência ao parto, entre elas: o incentivo ao parto vaginal, ao aleitamento materno, ao alojamento conjunto, à presença de acompanhante e à redução do excessivo intervencionismo tecnológico no processo do parto. Neste artigo, são analisadas as diferenças relativas ao público que a ela acorre: mulheres de classes médias e de grupos populares. A análise busca observar as diferenças entre estas usuárias no que tange à escolha de acompanhante e experiências de dor e de amamentação.The maternity ward of the University Hospital in Florianópolis, Santa Catarina, Brazil, attempts to follow World Health Organization guidelines for humanized childbirth care, including the encouragement of non-surgical delivery, breastfeeding, rooming-in, extended family visitation, and reduction of excessive technological intervention in the delivery process. The study focuses specifically on the choice of delivery procedure and on family presence during labor/childbirth, as well as women's experience with labor and breastfeeding.

  1. Description of an educational programme developed to support registered nurses during clinical supervision of student nurses in medical and surgical wards in a training health facility: Namibia

    Directory of Open Access Journals (Sweden)

    Hanna Neshuku

    2015-12-01

    Full Text Available This paper describes an educational programme interventions developed to support registered nurses during the clinical supervision of student nurses in the medical and surgical wards of a training hospital in the Oshana region, Namibia. The programme developed contained the purpose and goals of the programme, programme objectives, programme structure, processes and approaches. The programme catered for the following themes: Managerial challenges, educational challenges and non-conducive environment as was experienced by registered nurses and student nurses in order to support them during clinical supervision. It includes the activities to address managerial challenges as identified to be affecting the clinical supervision of student nurses; this is to address educational challenges identified during clinical supervision of student nurses. Furthermore, the programme contains activities focused on providing registered nurses with knowledge and skills on clinical supervision, in order to increase their understanding and competence about the clinical supervision of student nurses. Another activity included interventions for enhancing positive interpersonal relationships and good communication skills to improve effective interactions between registered nurses and student nurses. This study made it possible for the development of an educational programme that enable the registered nurses to receive the much needed information pertaining to the clinical supervision of student nurses, and served as a guide and support tool when carrying out clinical supervision of student nurses. In conclusion the study was justified as an original contribution to the existing body of knowledge in general health nursing science.

  2. The Luttinger-Ward functional approach in the Eliashberg framework: a systematic derivation of scaling for thermodynamics near the quantum critical point

    Energy Technology Data Exchange (ETDEWEB)

    Benlagra, A; Pepin, C [Institut de Physique Theorique, CEA, IPhT, CNRS, URA 2306, F-91191 Gif-sur-Yvette (France); Kim, K-S, E-mail: adel.benlagra@mailbox.tu-dresden.de [Asia Pacific Centre for Theoretical Physics, Hogil Kim Memorial Building, 5th floor, POSTECH, Hyoja-dong, Namgu, Pohang 790-784 (Korea, Republic of)

    2011-04-13

    Scaling expressions for the free energy are derived, using the Luttinger-Ward (LW) functional approach in the Eliashberg framework, for two different models of the quantum critical point (QCP). First, we consider the spin-density-wave model for which the effective theory is the Hertz-Moriya-Millis theory, describing the interaction between itinerant electrons and collective spin fluctuations. The dynamics of the latter are described using a dynamical exponent z depending on the nature of the transition. Second, we consider the Kondo breakdown model for QCPs, one possible scenario for heavy-fermion quantum transitions, for which the effective theory is given by a gauge theory in terms of conduction electrons, spinons for localized spins, holons for hybridization fluctuations, and gauge bosons for collective spin excitations. For both models, we construct the thermodynamic potential, in the whole phase diagram, including all kinds of self-energy corrections in a self-consistent way, at the one-loop level. We show how the Eliashberg framework emerges at this level and use the resulting Eliashberg equations to simplify the LW expression for the free energy. It is found that collective boson excitations play a central role. The scaling expression for the singular part of the free energy near the Kondo breakdown QCP is characterized by two length scales: one is the correlation length for hybridization fluctuations, and the other is that for gauge fluctuations, analogous to the penetration depth for superconductors.

  3. Nurse managers' perceptions related to their leadership styles, knowledge, and skills in these areas-a viewpoint: case of health centre wards in Finland.

    Science.gov (United States)

    Vesterinen, Soili; Suhonen, Marjo; Isola, Arja; Paasivaara, Leena; Laukkala, Helena

    2013-01-01

    The purpose of this study was to explore nurse managers' perceptions related to their leadership styles, knowledge, and their skills in these areas in health centre wards in Finland. The data were collected from nurse managers (n = 252) in health centre hospitals in Finland using a structured questionnaire (response rate 63%). Six leadership styles-visionary, coaching, affiliate, democratic, commanding, and isolating-were reflected on. Almost all respondents in every age group considered four leadership styles-visionary, coaching, affiliate, and democratic-to be very important or important. Nurse managers estimated their knowledge and skills in leadership styles to be essentially fairly sufficient or sufficient. Nurse managers' abilities to reflect, understand, and, if necessary, change their leadership style influence the work unit's success and employees' job satisfaction. Nurse managers, especially new nurse managers, need more theoretic, evidence-based education to cope with these expectations and to develop their professional abilities. Together with universities, health care organizations should start planning nurse manager education programmes that focus on strategic issues, leadership, job satisfaction, challenging situations in leadership, change management, work unit management (e.g., economy, efficiency, and resources), and how the nurse managers consider their own wellbeing. PMID:23691356

  4. Examination of acute treatment strategies in 314 patients with putaminal hemorrhage from the view point of functional prognosis in kaifukuki rehabilitation wards

    International Nuclear Information System (INIS)

    We examined the influence of acute treatment strategies for putaminal hemorrhage from the view point of the functional prognosis in Kaifukuki rehabilitation wards. Subjects were 314 patients with putaminal hemorrhage for inpatient rehabilitation in our hospital. For all patients, Functional Independence Measure (FIM), Barthel Index (BI), Independence of Gait (IOG) was measured on admission and discharge, respectively. We examined the functional prognosis, according to method of treatment, age, volume of hematoma, CT classification, side of damage, sex, and hospitalization waiting period. A significant difference was admitted with FIM, BI, and IOG in the age, the volume of hematoma, the hospitalization waiting period, and the CT classification (p<0.05). The functional prognosis was excellent in the conservative treatment than in the surgical treatment. The hospitalization waiting period was significantly a long term in the surgical treatment (p<0.05). In the analysis where the age is arranged the volume of hematoma, the surgical treatment was more excellent than the conservative treatment, in the patients less than 70 years old and the volume of hematoma with 60 ml or more. The functional prognosis of putaminal hemorrhage was excellent in the conservative treatment, but the stereotactic hematoma evacuation is recommended to the limited case as a surgical treatment. Early rehabilitation is a pressing need for the improvement of the functional prognosis. Especially, it is indispensable to shorten the hospitalization waiting period in the surgical treatment. (author)

  5. A reflection on choosing practice development as a framework to explore music as a therapeutic method to reduce anxiety in patients living with dementia in a ward setting

    Directory of Open Access Journals (Sweden)

    Alasdair Pithie

    2016-05-01

    Full Text Available Background: As a student nurse I chose to write my fourth year dissertation on the use of music as a therapeutic method to reduce anxiety in patients living with dementia. Music has been shown to have a positive effect on patients’ anxiety levels and improve their quality of life. A music therapy intervention could be beneficial but I realised I would need a framework that would enable me to implement the intervention in a ward setting, while offering practitioners and other participants a reasonable level of control and ownership. Discussion: Practice development was chosen because it is a person-centred framework, encouraging the learning of all those involved as well as those facilitating. It is inclusive and allows staff to adapt to the way new practices are introduced in a project. Change management theory was also considered as a framework but lacked many of the person-centred qualities required. Conclusions and implications for practice: Practice development provides the required characteristics for a project to introduce music into a care setting. Given that the methods of the project rely heavily on the involvement of staff and patients’ families, it is important to offer them a sense of ownership and control as an encouragement to take an interest and pride in its success. Furthermore, student nurses can benefit from being introduced to practice development because it will offer them a change theory that is person centred and inclusive.

  6. The utility of intensified environmental surveillance for pathogenic moulds in a stem cell transplantation ward during construction work to monitor the efficacy of HEPA filtration.

    Science.gov (United States)

    Nihtinen, A; Anttila, V-J; Richardson, M; Meri, T; Volin, L; Ruutu, T

    2007-09-01

    A 12-week environmental study was performed to ensure that the patient rooms of an SCT ward with high-efficiency particulate air (HEPA) filtration remained uncontaminated by moulds during close-by construction work. The sampling included measuring the ventilation channel pressure, particle count measurements, air sampling, settled dust analysis and fungal cultures from the oral and nasal cavities of the patients. No changes in the air pressure occurred. Median particle counts in patient rooms were 63-420 particles/l. The mean particle count of the outside air was 173,659 particles/l. Patient room air samples were negative for aspergilli in 32 of 33 cases. All samples of the outside air were positive for moulds. Aspergillus fumigatus was isolated at the beginning of excavation works at the construction area and in two of 33 dust samples from patient rooms. All 70 nasal samples were negative. Of 35 mouth samples, one sample was positive for A. niger in a patient with a previously diagnosed aspergillus infection. During a median follow-up of 214 days, no invasive aspergillus infections were diagnosed in the 55 patients treated during the construction period. In conclusion, the HEPA filters seemed to have performed well in preventing an aspergillosis outbreak. PMID:17589532

  7. Effects of Civic Education on Women’s Political Participation in Gatanga Ward in Gatanga Constituency, Murang’a County- Kenya

    Directory of Open Access Journals (Sweden)

    Anthony Kamau Wainana

    2013-10-01

    Full Text Available Kenyan women comprise 52 percent of the population (according to 2009 national census and 60 percent of the country's registered voters but are represented in very limited numbers as elected officials. The dominance of patriarchic structures in Kenyan politics and society is well illustrated by the low number of women among the members of parliament. This paper examines the effects of civic education (CE on women’s political participation in Gatanga Ward in Gatanga Constituency in Murang’a county-Kenya mainly political knowledge. Results of the study reveals that the majority of respondents support women’s political participation in public life in the society. Also, women’s supports the right of women to have equal educational opportunities, as well as equal participation in civil societies, volunteer societies, and political participation. Finally, empirical results are that civic education is associated with women’s political participation. The study recommends that civic education should be carried out to sensitize women on their role in politics and participation in other leadership positions. It further recommends that women should be considered for political appointment at the County and National level to facilitate gender balance.

  8. Isolation, identification and antimicrobial susceptibility of Pantoea (Enterobacter agglomerans isolated from consumed powdered infant formula milk (PIF in NICU ward: First report from Iran.

    Directory of Open Access Journals (Sweden)

    Jalal Mardaneh

    2013-09-01

    Full Text Available Pantoea agglomerans is a Gram-negative rod in the Enterobacteriaceae family. It is reported as both commensal and opportunistic pathogen of animals and humans. This organism is potential candidates as powdered infant milk formula-borne opportunistic pathogen. The aim of our study was to perform isolation, identification and antimicrobial susceptibility pattern of Pantoea (Enterobacter agglomerans strains isolated from consumed powdered infant formula milk (PIF in NICU ward.A of total 125 powdered infant formula milk (PIF samples were purchased from hospital drug stores between June 2011 to March 2012. P. agglomerans was isolated according to FDA method. For final confirmation, biochemical tests embedded in the API-20E system were used. The drug susceptibility test was performed using the disc diffusion method according to CLSI guidelines.Out of the 125 samples investigated, 8 (6.4% samples were positive for P. agglomerans and these were uniformly susceptible to tigecycline, chloramphenicol, cefepime, levofloxacin, minocycline and colistin. Fifty percent of isolates were resistant to cefotaxime, moxifloxacin, cotrimoxazole and ticarcillin.Controlling the primary populations of P. agglomerans during the PIF production process and preventing post processing contamination, by using suitable microbiological guidelines, is accessible. Sanitary practices for the preparation of infant formula in both the home and hospitals should be carefully controlled.

  9. Application of Nurse Hierarchical Management in Nursing Management of Wards%护士层级管理在病房护理管理中的应用

    Institute of Scientific and Technical Information of China (English)

    娄景霞

    2015-01-01

    Objective To explore the effect of nurse level management in ward nursing management. Methods To carry out the full responsibility integrated care management model, the implementation of the head nurse - Senior Nurse - primary responsibility nurse - assistant nurse level management model. In addition, the continuous scheduling mode, to provide ef-fective nursing service for patients. Before and after the implementation of nurse level management, the quality of nursing and satisfaction degree were evaluated by questionnaire survey. Results The scores of basic nursing, disinfection and isola-tion, nursing documents writing, ward management, rescue apparatus and drug administration were (89.5±2.2), (93.8±2.7), (91.6±3.2), (91.8±2), (95.2±2.6), and basic nursing, disinfection and isolation, nursing documents writing, ward management, rescue instruments and Drug Administration (96.9±2.4)、(95.4±2.9)、(96.7±2.6)、(96.5±1.3)、(96.5±2.8), the difference was sig-nificant (P<0.05);The satisfaction degree, satisfaction degree, satisfaction degree of nurses, satisfaction degree of nurses and satisfaction degree were 82.33%, 84.33%, 74.67%, 77%, respectively. The satisfaction degree of doctors and nurses were 92.67%, 90.67%, 92%and 85%respectively, and the difference was significant (P<0.05). Conclusion The nurse level management in the ward, can effectively improve the clinical nursing quality and nursing work satisfaction, is worthy of promotion.%目的:探讨护士层级管理在病房护理管理中的应用效果。方法病房进行级全责一体化护理管理模式,实施护士长-高级责任护士-初级责任护士-助理护士层级管理模式。另外,进行连续排班的方式,为住院患者提供有效的护理服务。在实施护士层级管理前后,采用问卷调查的方式评价护理质量以及满意度。结果实施前基础护理、消毒隔离、护理文书书写、病房管理、抢救仪器与药

  10. Management mode optimization of ward base drug administration and evaluation of its effects%病区基数药品配备管理模式优化及其效果评价

    Institute of Scientific and Technical Information of China (English)

    丁怡; 张梅玲; 刘正跃; 杨樟卫

    2015-01-01

    目的:评价住院药房实施配送服务对病区基数药品配备的影响,了解被调查病区护士对药品存储管理的认知度,优化病区基数药品管理。方法通过改进病区药品配送服务流程,分别统计2012年和2014年流程优化前后某医院病区的基数药品品种、配备数量等;以问卷形式分析病区护士对基数药品的认知程度和药品管理情况。结果在药品配送流程优化后,护士从药房获得药品的时间从90 min下降至20 min;病区配备的基数药品从2012年的16个大类、237个品种,下降到2014年的13个大类、209个品种;问卷调查结果表明,病区护士对药品管理的认知程度有待提高。结论通过优化药品配送流程,减少病区药品存储,既可增加护士为患者服务的时间,又可降低病区基数药品管理面临的风险。%Objective To evaluate the implementation of hospital pharmacy distribution for inpatient pharmacy services , with impact on understanding investigation for ward nurse awareness of the drug storage management ,and to optimize ward base drug administration .Methods By improving the drug delivery service process in a hospital ward ,the statistical base vari-ety and number of the base drugs were counted two years in 2012 and in 2014 respectively ;with a questionnaire analysis in ward nurses on base drug awareness and drug management situation .Results After the drug distribution process optimization , time that nurses receive medicines from pharmacies decreased from 90 min to 20 min;base ward drugs from 2012 of 16 catego-ries ,237 varieties ,down to 2014 of 13 categories ,209 species .Questionnaire survey results showed that the ward nurse awareness of drug administration should be improved further .Conclusion By optimizing the drug distribution process ,reduced storage ward medicines can increase the time nurses for patients and services as well as reduce the risk faced by the ward base drug

  11. 医护联合查房在精神科临床实践中的应用%Application on nursing ward rounds with doctor in psychiatric clinical practice

    Institute of Scientific and Technical Information of China (English)

    樊建民

    2011-01-01

    目的 探讨医护联合查房在精神科的临床应用效果.方法 自2005年以来在我院开展了医护联合查房,并对患者满意度、意外事件、患者或家属投诉3个方面进行了开展前后的对比.结果 开展医护联合查房后患者满意度提高(χ2=85.369,P=0.000),各类意外事件发生率、投诉率下降.结论 医护联合查房促进了"交流一协作-互补"型医护关系的建立,提高了患者满意度,减少了意外事件发生,提升了护士自身价值感.%Objective To discuss the impact on nursing ward rounds with doctor in psychiatric clinical practice.Methods Since 2005,our hospital has carried out the nursing ward rounds with doctor,it has compared with the three aspects of patient satisfaction,accidents,complaints of patients or their families foreand-aft.Results Patient satisfaction was improved(χ2=85.369,P=0.000),and varioustypes accidents and complaints dropped after the nursing ward rounds with doctor.Conclusions Nursing ward rounds with doctor promoted establishing"communication-collaboration-complement"relationship between nurses and doctors,improved patient satisfactions,reduced accidents,improved self-sense of worth of nurses.

  12. Seroprevalence of hepatitis B surface antigen and anti HCV antibody and its associated risk factors among pregnant women attending maternity ward of Felege Hiwot Referral Hospital, northwest Ethiopia: a cross-sectional study

    OpenAIRE

    Molla, Sefinew; Munshea, Abaineh; Nibret, Endalkachew

    2015-01-01

    Background Viral hepatitis is a life-threatening liver disease that has become important public health issue in developing countries including Ethiopia. This study was undertaken to determine the seroprevalence of HBsAgs and anti-HCV antibodies and what socio-demographic factors are associated with sero-positivity of Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) infections among pregnant women attending maternity ward of Felege Hiwot Referral Hospital, northwest, Ethiopia. Methods Hospi...

  13. 基于医院船烧伤病房医疗救治能力的优化研究%Research on the optimization of burn ward medical treatment capacity onboard the hospital ship

    Institute of Scientific and Technical Information of China (English)

    魏冰; 田丽丽; 罗晶; 王全玉; 刘庆晖

    2014-01-01

    目的:为提高医院船烧伤病房医疗救治能力提供科学的参考数据。方法采用搜索法与梯度法相结合的方式分析和优化医院船烧伤病房医疗装备人员配备。结果本研究实现了为医院船管理者提供模拟烧伤病房医务人员配置的参考数据。结论在未来的医院船实战训练及执行各类医疗救援任务中,本研究可以提供科学的参考数据,提高医院船的工作效率。%Objective To provide scientific evidence data for the staffing of burn ward onboard the hospital ship .Methods Staffing of burn ward onboard the hospital ship was analyzed and optimized through the search method combined with the gradient meth -od.Results The research could provide scientific evidence data for the staffing and management of burn ward onboard the hospital ship.Conclusion In future practical field training and the execution of various medical support service onboard the hospital ship , this research could provide good evidence data and improve the working efficiency of the hospital ship .

  14. Analysis of a new model in nursing care ward round in the hand surgery department%手外科护理业务查房新模式的探析

    Institute of Scientific and Technical Information of China (English)

    齐常萍

    2013-01-01

    Objective To analyze the effect of a new model in the nursing care ward round in the hand surgery department.Methods The implementation of nursing care ward round in the hand surgery department was retrospectively analyzed.Results The comprehensive quality of nurses were increased obviously when the new model ward round was implemented.Patients were more satisfied with the work of nursing care.The evaluation of new model ward round by nurses was higher than before.Conclusions The new model of nursing ward round showed a great help for increasing the comprehensive quality of nurses,the responsibility awareness of nurses and the nursing quality.It presented an significant application value by developing new nursing care technique and helping establish harmonious relationship between the nursing staff and patients.%目的 探析护理业务查房新模式在手外科病房的临床应用效果.方法 对2010年1月至2012年12月手外科病房实施护理业务查房新模式进行回顾性分析.结果 护理业务查房新模式实施后,手外科护士的综合素质水平明显提高,患者对护理工作的满意度明显提高,护理人员对新的查房模式效果评价与以往查房效果比较差异有统计学意义.结论 护理业务查房新模式对提高护士综合素质,增强护士责任意识,提高护理质量,拓展护理新技术新业务,促进护患关系和谐发展,具有显著的应用价值.

  15. 香薰中药消毒液对病房常见菌的抑制作用研究%Research of inhibition effect by aroma Chinese herb disinfectant for common bacteria in ward

    Institute of Scientific and Technical Information of China (English)

    梁玉玲; 戴卫波; 陆丹倩

    2015-01-01

    目的:观察香薰中药消毒液对病房常见菌的抑制作用。方法用K-B纸片扩散法观察香薰中药消毒液对金黄色葡萄球菌、铜绿假单胞菌、大肠杆菌、肺炎链球菌及肺炎克雷伯菌等病房常见菌的抑制作用。观察香薰中药消毒液对病房消毒后1h和通风后1h的消毒效果。结果香薰中药消毒液对金黄色葡萄球菌、铜绿假单胞菌、大肠杆菌、肺炎克雷伯菌有较好的抑制作用,尤其对金黄色葡萄球菌和大肠杆菌最为敏感。用于病房消毒,在消毒1h后及通风1h后仍保持较好的消毒效果,杀菌率均达75%以上,并且消毒效果与0.5%过氧乙酸相当。结论香薰中药消毒液对病房常见菌有较好的抑制作用,并且气味芳香,值得推广。%Objective To observe inhibition effect by aroma Chinese herb disinfectant for common bacteria in ward. Methods K-B disk diffusion method was applied to observe inhibition effect by aroma Chinese herb disinfectant for common bacteria in ward, such as staphylococcus aureus, pseudomonas aeruginosa, escherichia coli, streptococcus pneumonia, and klebsiella pneumonia. Disinfection effects of aroma Chinese herb disinfectant in 1 h after ward disinfection and ventilation were observed. Results Aroma Chinese herb disinfectant provided good inhibition effects for staphylococcus aureus, pseudomonas aeruginosa, escherichia coli, and klebsiella pneumonia, and it is especially sensitive to staphylococcus aureus and escherichia coli. It also can maintain good disinfection effect in 1 h after ward disinfection and ventilation, with sterilizing rates all above 75%. Its disinfection effect is similar to that of 0.5%peroxyacetic acid. Conclusion Aroma Chinese herb disinfectant can provide good inhibition effect for common bacteria in ward, with fragrant smell. It is worth promoting.

  16. Epidemiologic surveillance and analysis of Pseudomonas aeruginosa isolated from burn wards%烧伤病房铜绿假单胞菌的流行性分析

    Institute of Scientific and Technical Information of China (English)

    孙珍; 向军; 宋菲; 郇京宁

    2011-01-01

    目的 监测不同来源、不同时期铜绿假单胞菌(PAE)的同源性,明确PAE在烧伤科的流行情况,以指导临床合理应用抗菌药物.方法采用重复序列聚合酶链反应(REP-PCR)技术,对烧伤科32株临床分离到的PAE进行基因分型,并用K-B纸片扩散法进行药物敏感试验.结果32株PAE共分为7个基因型,其中A型13株,B型7株、C型6株、D和E型各2株、F和G型各为1株,A和C型菌株在不同来源、不同时期均分离到;32株PAE中,23株为多药耐药、8株为泛耐药菌株,对庆大霉素、哌拉西林、哌拉西林/他唑巴坦、氨曲南、头孢哌酮、头孢哌酮/舒巴坦、头孢吡肟、美罗培南的耐药率均>90.0%,对头孢他啶和环丙沙星的耐药率最低为25.0%.结论烧伤病房多年来存在PAE多型菌株流行,其对常用抗菌药物呈多药耐药或泛耐药,头孢他啶和环丙沙星是目前烧伤患者PAE感染的首选药物.%OBJECTIVE To survey the bacterial genotypes from different sources and periods and evaluate ■ prevalence within the burn wards. We carried out this investigation of Pseudomonas aeruginasa as well as drug susceptibility test to perfect the guidance for antibiotics application. METHODS Thirty-two strains of P. Aeruginosa isolated from the wound secretion and blood samples were collected from burn patients hospitalized in our department. The strains were typed by the repetitive extragenic palindromic PCR (REP-PCR) for genotype analysis) and tested by K-B for drug susceptibility analysis. RESULTS Totally 32 strains of P. Aeruginosa were divided into 7 genotypes by REP-PCR, including 13 strains type A. 7 strains type B, 6 strains type C respectively; and for type D, E, 2 strains for each, for type F, G, only one for each. We could test the type A and the type C from different sources and periods. Drug susceptibility test revealed that 23 strains were multi-drug resistant Acinetobacter baumannii (MDR), 8 strains were pan-drug resistant

  17. Dose rate monitoring and mapping in the eastern part of the 23 wards of the Tokyo metropolitan area after the accident of Fukushima Daiichi Nuclear Power Plant

    International Nuclear Information System (INIS)

    Our concern for radioactivity or radiation has become higher after the accident of Fukushima Daiichi Nuclear Power Plant. It is important that we know the personal radiation dose. Environmental radiation dose rate monitoring and mapping in the eastern part of the 23 wards of the Tokyo metropolitan area was performed after the accident. Monitoring of the dose rate was measured in the outdoor and the room of the wooden mortar 2-story house at northern Sumida-ku, Tokyo. The dose rate was measured twice a day after the explosion accident on March 15 using Myrate pocket survey meter. The maximum dose rate was 1 μSv/h which measured on March 15, 2011. However the radioactive nuclides did not fall out then. It rained on March 21 and 22, then the radionuclide fell out on the ground surface. There are not large fluctuations of the dose rate afterwards by November 25, 2011. Energy spectrum was measured by using the gamma ray spectrometer to estimate sources of radiation nuclides. Radioactive tellurium 132, iodine 132 of tellurium daughter, iodine 131, cesium 134 and cesium 137 were detected by response matrix method (Minato, 2011). The radioactivity of iodine 131 was detected 12 kBq/m2 on March 23, however, the radioactivity decreased remarkably after one week. The radioactive nuclei fell out just after accident outbreak, and few radioactive nuclei fall out at present. The radioactive cesium was already absorbed and immobilized on the surface of concrete, asphalt or soil. Dose rate mapping performed in the eastern part of the 23 wards of the Tokyo metropolitan. The measurement range is approximately 10 km east-west and 15 km north-south. The measurement points are 566. Distribution of the dose rate tends to gradually become low in the northeast part towards the southwestern part. However there is locally higher value. Such that place is the slope of levees which faces to the northeast or the super levees which are planted trees in. Dose rate values accord roughly with the

  18. Administración de la alimentación enteral en salas generales de internación Nutrition delivery in general wards

    Directory of Open Access Journals (Sweden)

    MV Bertona

    2009-12-01

    associated with more complications, increased duration of hospital stay, and greater associated costs. The objective of this study is to establish the rate of inadequate delivery of prescribed enteral feedings by nasogastric tube and the reasons for inadequate delivery in hospitalized patients. A descriptive observational cross-sectional prospective study was performed from July 2008 through February 2009. The study included 43 patients hospitalized at Argerich Hospital in the Clinical Medicine, General Surgery and Neurosurgery wards, who were receiving enteral nutrition by nasogastric tube as the only route of feeding. Overall delivery of enteral nutrition by nasogastric tube was found inadequate in 79.10% of cases (CI 95%: 64-90%. Nursing staffand patient-related causes were the most common reasons for discontinuing enteral feeding (35.85% and 30.19%, respectively. Patient-related causes included gastrointestinal intolerance and nasogastric tube removal. According to the results of this research, we conclude that the implementation of specific protocols should be promoted in every ward since they are a simple and effective approach and their use is clearly associated with an improvement in enteral nutrition delivery in hospitalized patients.

  19. Identification of a novel KCNQ1 mutation associated with both Jervell and Lange-Nielsen and Romano-Ward forms of long QT syndrome in a Chinese family

    Directory of Open Access Journals (Sweden)

    Liu Jing

    2008-04-01

    Full Text Available Abstract Background Long QT syndrome (LQTS is a cardiac disorder characterized by prolonged QT intervals on electrocardiograms (ECG, ventricular arrhythmias, and sudden death. Clinically, two inherited forms of LQTS have been defined: autosomal dominant LQTS or Romano-Ward syndrome (RWS not associated with deafness and autosomal recessive LQTS or Jervell and Lange-Nielsen syndrome (JLNS associated with deafness. Methods A Chinese family with both RWS and JLNS was identified. Family members were diagnosed based on the presence of a prolonged QT interval as seen on a 12-lead ECG and a medical history of syncope, palpitation, and deafness. Mutational studies in the KCNQ1 potassium channel gene were performed using direct DNA sequence analysis and restriction length polymorphism analysis. Results The proband in the Chinese family and her brother had previously been diagnosed with JLNS, and two other members were affected with RWS. The proband was also affected with atrial fibrillation. A single nucleotide substitution of C to T at nucleotide 965 of KCNQ1 was identified, and the mutation resulted in the substitution of a threonine residue at codon 322 by a methionine residue (T322M. The novel heterozygous T322M mutation was identified in two patients with RWS, one member with borderline QTc, and two normal family members. The two JLNS patients in the family carried the homozygous T322M mutation. The T322M mutation was not found in 200 Chinese normal controls. Conclusion Our results suggest that T322M is a novel mutation that caused RWS with high intrafamilial variability in the heterozygous carriers and typical JLNS in the homozygous carriers within this Chinese family. The T322M mutation is the first mutation identified for JLNS in the Chinese population.

  20. Experience of Quality Care Ward to Implement APN Scheduling%在优质护理病房实行APN排班的体会

    Institute of Scientific and Technical Information of China (English)

    刘颖

    2014-01-01

    目的探讨在优质护理病房实行APN排班模式的可行性。方法改革传统排班,根据学历、职称、工作能力的不同,将科室护理人员合理搭配后实施APN排班模式,为患者提供连续的整体服务。结果APN排班模式减少了交接班次数,实现了护士双班制值班,保障了护理安全,做到让患者满意、护士满意、医生满意。结论APN排班模式是可行的,使护理人力资源使用更加合理,而且实现了科室护士的分层级管理,有助于优质护理服务工作的推进。%Objective To investigate the feasibility of the implementation of quality care ward APN scheduling model. Methods Reform the traditional scheduling methods, depending on education, job title, ability to work, the department wil implement APN scheduling nurses with a reasonable model for the patient to provide continuous service as a whole. Results APN scheduling mode reduces shift times to achieve a double-shift nurse on duty to ensure the safety of care, so that patient satisfaction, nurse satisfaction, physician satisfaction. Conclusion APN scheduling model is feasible to make nursing a more rational use of human resources, but also to achieve a hierarchical management department nurses to help promote quality care work.

  1. Simple interventions can greatly improve clinical documentation: a quality improvement project of record keeping on the surgical wards at a district general hospital

    Science.gov (United States)

    Glen, Peter; Earl, Naomi; Gooding, Felix; Lucas, Emily; Sangha, Nicole; Ramcharitar, Steve

    2015-01-01

    Clinical documentation is an integral part of the healthcare professional's job. Good record keeping is essential for patient care, accurate recording of consultations and for effective communication within the multidisciplinary team. Within the surgical department at the Great Western Hospital, Swindon, the case notes were deemed to be bulky and cumbersome, inhibiting effective record keeping, potentially putting patients' at risk. The aim of this quality improvement project was therefore to improve the standard of documentation, the labelling of notes and the overall filing. A baseline audit was firstly undertaken assessing the notes within the busiest surgical ward. A number of variables were assessed, but notably, only 12% (4/33) of the case notes were found to be without loose pages. Furthermore, less than half of the pages with entries written within the last 72 hours contained adequate patient identifiers on them. When assessing these entries further, the designation of the writer was only recorded in one third (11/33) of the cases, whilst the printed name of the writer was only recorded in 65% (21/33) of the entries. This project ran over a 10 month period, using a plan, do study, act methodology. Initial focus was on simple education. Afterwards, single admission folders were introduced, to contain only information required for that admission, in an attempt to streamline the notes and ease the filing. This saw a global improvement across all data subsets, with a sustained improvement of over 80% compliance seen. An educational poster was also created and displayed in clinical areas, to remind users to label their notes with patient identifying stickers. This saw a 4-fold increase (16%-68%) in the labelling of notes. In conclusion, simple, cost effective measures in streamlining medical notes, improves the quality of documentation, facilitates the filing and ultimately improves patient care. PMID:26734440

  2. Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran.

    Science.gov (United States)

    Heydari, Behrooz; Khalili, Hossein; Karimzadeh, Iman; Emadi-Kochak, Hamid

    2016-01-01

    In this study demographic, clinical, paraclinical, microbiological, and therapeutic features of patients with community-acquired acute bacterial meningitis admitted to a referral center for infectious diseases in Iran, have been evaluated. Medical records of adult (> 18 years) individuals with confirmed diagnosis of community-acquired bacterial meningitis during a 4-year period were retrospectively reviewed. All required data were obtained from patients' medical charts. Available findings about antimicrobial susceptibility of isolated bacteria from CSF and/or blood were also collected. Kirby-Bauer disc diffusion method was used to determine their antimicrobial susceptibility profile. Details of medical management including antibiotic regimen, duration, patients' outcome, and possible sequelae of meningitis were recorded. The most commonly isolated microorganism from CSF or blood of patients was Streptococcus pneumonia (33.33%) followed by Neisseria meningitidis (27.78%) and Haemophilus influenza (16.67%). The most common antimicrobial regimen was ceftriaxone plus vancomycin (69.44%) followed by ceftriaxone plus vancomycin plus ampicillin (11.11%). Neurological sequelae of meningitis including cranial nerve palsy, deafness, and hemiparesis were identified in 4 (11.11%), 2 (5.56%), and 1 (2.78%) subjects, respectively. Regarding mortality, only 3 (8.33%) patients died from bacterial meningitis and the remaining 33 individuals discharged from the hospital. In conclusion, findings of the current study demonstrated that the mean incidence of acute bacterial meningitis in a referral infectious diseases ward in Iran was 9 episodes per year. The majority cases of community-acquired acute bacterial meningitis admitted to our center had negative CSF culture and classic triad of meningitis was absent in them. PMID:27610176

  3. THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz

    2013-11-01

    Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

  4. Design of patient rooms and automatic radioiodine-131 waste water management system for a thyroid cancer treatment ward: ‘Suandok model’

    International Nuclear Information System (INIS)

    The great benefit of 131I radionuclide treatment for differentiated thyroid cancer (DTC) was acknowledged by the long survival rate. The main requirements for 131I therapy in hospital were treatment facilities and a radiation safety plan that assured radiation protection and safety to patient, hospital worker, public, and environment. Objective: To introduce the concepts and methods of radiation safety design for a patient’s room in a 131I treatment ward and a system of radioactive waste water management in hospital. Methods: The design was based on principles of external and internal radiation protection for unsealed source and radioactive waste management. Planning for treatment facilities was concluded from clinical evidence, physical and physiological information for 131I, radiation safety criteria, hospital resources and budget. The three phases of the working process were: construction, software development, and radiation safety assessment. Results: The 131I treatment facility and automatic radioactive waste water management system was completely implemented in 2009. The radiation waste water management system known as the ‘Suandok Model’ was highly recommended by the national regulator to hospitals who desire to provide 131I treatment for thyroid cancer. In 2011, the Nuclear Medicine Division, Chiang Mai University was rewarded by the national authority for a very good radiation practice in development of safe working conditions and environment. Conclusion: The Suandok Model was a facility design that fulfilled requirements for the safe use of high radiation 131I doses for thyroid cancer treatment in hospital. The facility presented in this study may not be suitable for all hospitals but the design concepts could be applied according to an individual hospital context and resources. People who use or gain benefit from radiation applications have to emphasise the responsibility to control and monitor radiation effects on individuals, communities and the

  5. Searching for the Human Herpes 6, 7 (PCR in CSF of Children Admitted to the Pediatric Ward of Hazrat Rasool Hospital of Tehran

    Directory of Open Access Journals (Sweden)

    F. Ebrahimi Taj

    2011-04-01

    Full Text Available Introduction & Objective: The role and frequency of HHV-6 and HHV-7 in central nervous system (CNS diseases of our children are unclear. The aim of this study was to search for the presence of HHV-6 & HHV-7 DNA-s in CSF samples in children with meningoencephalitis. Materials & Methods: In a cross- sectional study (2007-2009 done in the pediatric ward in Hazrat Rasoul hospital, Tehran ,Iran ,150 CSF samples were obtained from children with meningoencephalitis. The conventional and BACTEC Ped Plus medium; Latex agglutination tests; and in some cases bacterial PCR assay were used. We examined the DNA-s of HHV-6 & HHV-6 quantitavively by real time - PCR in the CSF samples. Results: Cases were 91 (60.7% male; 59 (39.3% female; 1-180 months old. Fever (>38.5 C was observed in 74%; irritability in 70% and convulsion in 53% of cases. All herpes viruses were detected in 18 (12% cases, HHV-6 DNA was detected in 6 cases and HHV-7 DNA detected in 2 cases with no correlation with age, sex and clinical signs. Conclusion: HHV-6 & HHV-7 were found in nearly 6% of all studied cases. HHV-6 was slightly more frequent than HHV-7 and its incidence is lower .Our data indicates that herpes viruses are not uncommon causes in children with meningoencephalitis. Our findings are different from those of previous studies perhaps due to the epidemiologic and geographic variations (differences in methods and age groups should be added to this. (Sci J Hamadan Univ Med Sci 2011;18(1:37-41

  6. Pathogen distribution and drug resistance in a burn ward: a three-year retrospective analysis of a single center in China.

    Science.gov (United States)

    Cen, Hanghui; Wu, Zhenbo; Wang, Fan; Han, Chunmao

    2015-01-01

    To investigate the spread of multiple-resistant strain in a burn ward to inform clinical administration of antibiotic drugs, burn wound treatment and decision-making for infection control. A 3-year retrospective analysis was conducted. Specimens from wounds, blood, catheter, sputum, urine and stool collected from inpatients of the Second Affiliated Hospital of Zhejiang University of Medicine between January 1, 2011 and December 31, 2013 were cultured and strains were identified by automatic bacteria analysis. Sensitivity to 30 commonly used antibiotics was assessed by K-B disk diffusion. A total of 2212 strains of pathogenic bacteria or fungi were isolated (33.9% Gram-positive and 52.7% Gram-negative bacteria and 13.4% fungi), including 1466 from wound extracts, 128 from blood culture, 335 from urine culture, 5 from stool culture, 153 from sputum culture and 125 from catheters. The most frequently detected pathogens in wound secretions were Staphylococcus aureus, Pseudomonas aeruginosa and Acinetobacter baumannii. The Gram-positive bacteria Staphylococcus epidermidis, Enterococcus faecalis and Enterococcus faecium, and the Gram-negative bacteria Escherichia coli, Klebsiella pneumoniae, Enterobacter cloacae, Stenotrophomonas maltophilia, Proteus mirabilis were also frequently detected. The most frequently detected strains of fungi were Candida albicans; tropicalis, glabrata and parapsilosis, and all were highly sensitive to itraconazole, fluconazole and voriconazole but resistant to ketoconazole. Attention should be paid to MRSA, multi-resistant A. baumanni, ESBL-producing enterobacteriaceae and Carbapenem-resistant P. aeruginosa. Understanding the distribution of bacterial infections in Chinese hospitals will be crucial to reduce hospital-acquired infection and drug resistance. PMID:26770555

  7. Food hygiene on the wards

    OpenAIRE

    Steuer, Walter

    2007-01-01

    A problem that is often overlooked or simply not given enough attention: the food served to patients from the kitchen is not sterile. If food is allowed to stand at room temperature for a long time, both in the case of food cooked for lunch and of food intended for supper which has been previously chilled, there is the possibility of massive spore germination or of dangerous toxin formation. Therefore regulations on how to handle food and beverages (e.g. tea) must be set out in the infection ...

  8. Mobility at a medical ward

    DEFF Research Database (Denmark)

    Kanstrup, Anne Marie; Christiansen, Ellen

    2006-01-01

    The paper reports from the MINI-project in which the authors are currently designing a mobile e-learning service for physicians in clinical training. The paper presents results from the analysis trying to grasp what mobility means in this specific context and which design challenges and decisions...

  9. Light Atmosphere in Hospital Wards

    DEFF Research Database (Denmark)

    Stidsen, Lone Mandrup

    At the moment, the future of hospital design is a subject of interest and thereby also a subject of discussion. It is a fact that new hospitals have an increased focus on user perspectives and an interest for improving the physical environment in such a way it supports the user needs...... and preferences and thereby the experience of an admission to the hospital. Recent literature such as ‘Hospitals of the senses’ and ‘Healing Architecture’ presents research and design solutions focused on senses and experience of the design. The Danish Regions ask for ‘Evidence Based Design’ to future prove...... the hospitals by research base the design of the buildings. The present PhD project expands the existing knowledge of lighting research by focusing on the experienced light atmosphere. The project uses multi strategies of methodology based on a flexible design to elaborate on the sociocultural aspect of light...

  10. Mealtimes in a neurological ward

    DEFF Research Database (Denmark)

    Beck, Malene; Martinsen, Bente; Poulsen, Ingrid;

    2016-01-01

    AIMS AND OBJECTIVES: To examine the environment surrounding hospital meals for patients with neurological diseases. BACKGROUND: A determined effort has been made to optimise the nutrition of hospitalised patients. However, the organisation of mealtimes and their relational and aesthetic aspects...... challenged by the design of the physical space and institutional structures. CONCLUSION: This study contributes to our understanding of the environment surrounding hospital meals for patients with neurological diseases. Based on this study, it can be concluded that meals were at a high risk of being served...... as a mindless task without the recognition that mealtimes are sensed with the whole body of the patient and not only by the mouth. RELEVANCE TO CLINICAL PRACTICE: The importance of the mealtime environment must be acknowledged because it serves as a communicative aspect for neurological patients by...

  11. Life on the British Ward

    Directory of Open Access Journals (Sweden)

    Sreedhar Krishna

    2009-07-01

    Full Text Available Literally invalid/We sit for hours/The day passes/Daily purposes/ -He phones his wife/She mixes cake/ -Cannot be yours/A small, dumb place/Lacking context/White with a blind contradiction of connection/The sitting room/Hums with boredom/A crippled euphemistic kingdom/Of pills or 'medication'/Meals cooked and crockery washed'/Neighbours': drama mimics life/Has Max left Steph?/Is Skye expecting?/A concept forms unbidden:/This is what 'care' means/ Talk to me!/It doesn't matter what you say -/What are the children doing?/Have they opened the new Arcade?/How did Hillary Clinton do in the primaries?/Is Tescos cheaper than Waitrose?/I will wear a pair of reliable shoes to the wedding/Let's play charades/I will finish the crossword, then play chess/Will you come with me to Bravissimo?/Do you remember The Rolling Stones at Knebworth?/Did you prefer Paul McCartney or John Lennon?/I will tell you off-by-heart my favourite poem;/I haven't always been a lemon./The doctor's care ends this nightmare.

  12. Genome-wide association meta-analyses identified 1q43 and 2q32.2 for hip Ward's triangle areal bone mineral density.

    Science.gov (United States)

    Pei, Yu-Fang; Hu, Wen-Zhu; Hai, Rong; Wang, Xiu-Yan; Ran, Shu; Lin, Yong; Shen, Hui; Tian, Qing; Lei, Shu-Feng; Zhang, Yong-Hong; Papasian, Christopher J; Deng, Hong-Wen; Zhang, Lei

    2016-10-01

    Aiming to identify genomic variants associated with osteoporosis, we performed a genome-wide association meta-analysis of bone mineral density (BMD) at Ward's triangle of the hip in 7175 subjects from 6 samples. We performed in silico replications with femoral neck, trochanter, and inter-trochanter BMDs in 6912 subjects from the Framingham heart study (FHS), and with forearm, femoral neck and lumbar spine BMDs in 32965 subjects from the GEFOS summary results. Combining the evidence from all samples, we identified 2 novel loci for areal BMD: 1q43 (rs1414660, discovery p=1.20×10(-8), FHS p=0.05 for trochanter BMD; rs9287237, discovery p=3.55×10(-7), FHS p=9.20×10(-3) for trochanter BMD, GEFOS p=0.02 for forearm BMD, nearest gene FMN2) and 2q32.2 (rs56346965, discovery p=7.48×10(-7), FHS p=0.10 for inter-trochanter BMD, GEFOS p=0.02 for spine BMD, nearest gene NAB1). The two lead SNPs rs1414660 and rs56346965 are eQTL sites for the genes GREM2 and NAB1 respectively. Functional annotation of GREM2 and NAB1 illustrated their involvement in BMP signaling pathway and in bone development. We also replicated three previously reported loci: 5q14.3 (rs10037512, discovery p=3.09×10(-6), FHS p=8.50×10(-3), GEFOS p=1.23×10(-24) for femoral neck BMD, nearest gene MEF2C), 6q25.1 (rs3020340, discovery p=1.64×10(-6), GEFOS p=1.69×10(-3) for SPN-BMD, nearest gene ESR1) and 7q21.3 (rs13310130, discovery p=8.79×10(-7), GEFOS p=2.61×10(-7) for spine BMD, nearest gene SHFM1). Our findings provide additional insights that further enhance our understanding of bone development, osteoporosis, and fracture pathogenesis. PMID:27397699

  13. Hospital admissions of HIV-infected patients at a Lisbon reference centre: comparison among previously known and in-ward HIV-diagnosed patients

    Directory of Open Access Journals (Sweden)

    A Miranda

    2012-11-01

    Full Text Available Comparison of hospital admission causes for previously known (group A and HIV-infected patients diagnosed during in-ward stay (group B, from 2009 to 2011. Retrospective evaluation of demographic, epidemiologic, clinical, immunologic, virologic and treatment parameters at time of admission. 1167 patients were admitted; of those 617 (52,9% were HIV-infected: 92% HIV-1 and 8% HIV-2. 83% had previously known HIV infection and 15% were diagnosed during hospital stay (missing data in 2%. 66% were male, mean age was 46 years and 52% were Portuguese. The most frequent transmission routes were heterosexual exposure (36% and iv drug use (29%. Mean length of hospital stay was 17 days (group A and 28 days (group B (p = 0,004. At admission, the mean TCD4+ count was 280 cells/mm3 in group A, and 132 cells/mm3 in group B (p<0,001. The majority of group B patients had clinical or immunological AIDS criteria at admission (84% while group A presented a 71% rate for the same parameter (p=0,011. In group A, 52% of patients were on antiretroviral therapy but of those only 33% presented undetectable HIV plasma RNA, non-adherence being an important cause of therapeutic failure identified in 40% of cases. Respiratory infection was the principal cause of hospital admission in both groups (33% in group A vs. 35% in group B. The most prevalent nosological entities were community acquired pneumonia in group A (18,1% vs. 11,5%-p=0,118 and Pneumocystis jirovecii pneumonia in group B (4% vs. 18%-p<0,001. Mycobacterium tuberculosis was frequently identified as an agent of opportunistic infection (10% in group A vs. 24% in group B-p=<0,001. HCV coinfection was a comorbidity found in 37% in group A vs. 11% in group B (p<0,001. Other relevant comorbidities were psychiatric disturbances (16% vs. 3%-p=0,001 and neoplastic conditions (11% vs. 0%-p=0,001, mostly present in group A. Mortality rate was not significantly different between groups (10% group A vs. 11% group B (p=0

  14. The Impact of Cannabis Use on the Dosage of Antipsychotic Drugs in Patients Admitted on the Psychiatric Ward at the University Hospital of the West Indies

    Directory of Open Access Journals (Sweden)

    P Thomas

    2015-03-01

    Full Text Available Objective: To assess the impact of cannabis use on the efficacy of antipsychotic drugs in male subjects presenting to the University Hospital of the West Indies (UHWI with psychotic episodes. Methods: Male subjects, 18–40 years old, admitted to the psychiatric ward of the UHWI between February 2013 and May 2013, diagnosed with schizophrenia, schizophreniform disorder and who tested positive for ∆9-tetrahydrocannabinol were recruited for the study. On day one, consenting subjects were assessed using the Brief Psychiatric Rating Scale (BPRS. Patients were prescribed seven days of an oral antipsychotic medication (haloperidol, chlorpromazine, risperidone, quetiapine, olanzapine. Medicated subjects were then reassessed using the BPRS on days three and seven. Statistical analysis involved the use of Student’s t-test and repeated measure analysis of variance. Results: In total, 20 subjects were recruited (mean age = 26.00 ± 5.96 years. Subjects were grouped based on the daily chlorpromazine equivalent (CPZE dose given on day one into CPZE1 (CPZE dose of 100–300mg; n = 8 and CPZE2 (CPZE dose of 400–1250 mg; n = 12. There was no significant difference in the total BPRS score between the groups on day one (CPZE1 = 41.38 ± 16.47 versus CPZE2 = 49.42 ± 25.58; p = 0.44; similar findings were obtained for the positive (26.75 ± 9.27 versus 31.83 ± 17.30; p = 0.46 and negative (14.63 ± 7.73 versus 17.58 ± 9.74; p = 0.48 symptom component on the BPRS. For subjects in CPZE1, there was no significant decrease in total BPRS score [F(2,21 = 0.07, p = 0.93] over the study period. For CPZE2, significant reduction in total BPRS scores was achieved [F(2,33 =7.12, p = 0.01], contributed by significant decrease in the positive [F(2,33 = 5.64, p = 0.02 and negative [F(2,33 = 7.53, p = 0.01 symptom components of the BPRS. Conclusion: The findings of this study purport that male cannabis users presenting with psychotic disorders may not achieve optimal

  15. Increasing the frequency of hand washing by healthcare workers does not lead to commensurate reductions in staphylococcal infection in a hospital ward

    Directory of Open Access Journals (Sweden)

    Kerr Kevin G

    2008-09-01

    Full Text Available Abstract Background Hand hygiene is generally considered to be the most important measure that can be applied to prevent the spread of healthcare-associated infection (HAI. Continuous emphasis on this intervention has lead to the widespread opinion that HAI rates can be greatly reduced by increased hand hygiene compliance alone. However, this assumes that the effectiveness of hand hygiene is not constrained by other factors and that improved compliance in excess of a given level, in itself, will result in a commensurate reduction in the incidence of HAI. However, several researchers have found the law of diminishing returns to apply to hand hygiene, with the greatest benefits occurring in the first 20% or so of compliance, and others have demonstrated that poor cohorting of nursing staff profoundly influences the effectiveness of hand hygiene measures. Collectively, these findings raise intriguing questions about the extent to which increasing compliance alone can further reduce rates of HAI. Methods In order to investigate these issues further, we constructed a deterministic Ross-Macdonald model and applied it to a hypothetical general medical ward. In this model the transmission of staphylococcal infection was assumed to occur after contact with the transiently colonized hands of HCWs, who, in turn, acquire contamination only by touching colonized patients. The aim of the study was to evaluate the impact of imperfect hand cleansing on the transmission of staphylococcal infection and to identify, whether there is a limit, above which further hand hygiene compliance is unlikely to be of benefit. Results The model demonstrated that if transmission is solely via the hands of HCWs, it should, under most circumstances, be possible to prevent outbreaks of staphylococcal infection from occurring at a hand cleansing frequencies Conclusion Although our study confirmed hand hygiene to be an effective control measure, it demonstrated that the law of

  16. Implementation and evaluation of an educational programme to support registered nurses during clinical supervision of student nurses in medical and surgical wards in a training health facility, Namibia

    Directory of Open Access Journals (Sweden)

    Hanna Neshuku

    2015-12-01

    Full Text Available The purpose of this paper is to provide an account of the implementation and evaluation of the educational programme was to support registered nurses in the Oshana region, Namibia educationally, in order to enable them to provide effective clinical supervision of student nurses The researcher selected to conduct a workshop because during a workshop it is possible to have two-way communication that encouraged the exchange of ideas and facts with the aim of sharing valued information among one another. The duration of the workshop was two days. The workshop was attended by registered nurses (registered nurses from a training institution and training health facilities from the Oshana Region. Participants were selected using a criterion sampling method (registered nurses who were supervising second and third year nursing students during clinical practice; those registered nurses were from medical and surgical wards at training heath facilities in the Oshana Region and had been working there for a year or more. There were no limitations on the number / sample size; the researcher allowed all participants who turned up to attend the workshop resulted in seventeen participants attended the workshop. The programme was implemented in three phases which in turn was divided into sessions. The orientation phase provided an introduction to the workshop where aspects related to the purpose, goals, and objectives of the workshop and logistical arrangements of the implementation of the programme were discussed. The working phase consisted of three sessions which is corresponding to the programme objectives. The implementation of each session was based on the specific objective activities of that session and it was expected to produce an outcome that would help the registered nurses during the execution of their clinical supervisory duties of nursing students During the termination phase two qualitative evaluations were done firstly, the evaluation of the

  17. Effects of the construction of team spirit on ward nursing quality%团队精神建设对病房护理质量的影响

    Institute of Scientific and Technical Information of China (English)

    雷启蓉; 颜丹; 李文华

    2013-01-01

    目的:探讨在病房实施团队精神建设对护理质量及患者满意度的影响。方法:通过确立团队目标、建立团队制度、加强成员之间的沟通、建全团队激励机制、构造学习型团队等方法来提高护理质量和病人满意度,实施前后每月分别对护理质量各项指标进行检查评分,统计分析。结果:实施团队精神建设活动后,患者满意度提高;护理质量指标中,除急救器材管理和消毒隔离两项外,其余各指标均有明显提高,差异具有统计学意义(P<0.05)。结论:实施团队精神建设活动后能有效提高患者的满意度和护理质量。%Purpose:To explore the effects of implementation of team spirit in wards on nursing quality and patient satisfaction.Method:By methods of establishing a group goal, a system of team building, strengthening the communication between its members, building a team incentive mechanism, constructing the learning-type team, we aim to improve the nursing quality and patient satisfaction. Indicators of nursing quality are examined, scored and analyzed statistical y before and after each month. Result:After the implementation of the construction f team spirit activities, patient satisfaction has improved. Except the first aid equipment management as wel as disinfection and isolation, other indicators of nursing quality are obviously higher, meanwhile the difference is statistical y significant (P<0.05). Conclusion:The enforcement of the construction f team spirit activity can effectively improve patient satisfaction and nursing quality.

  18. Effects of the total quality control concept on nursing quality management in orthopedics wards%全面质量管理理念在骨科病区护理质量管理中的作用

    Institute of Scientific and Technical Information of China (English)

    赵龙桃; 柳琴; 李宏; 吴润莉; 李黎

    2012-01-01

    Objective To explore the effect of the total quality control concept on nursing quality management in orthopedics wards. Methods The total quality control concept was applied in the whole progress and whole orientation of nursing quality management in orthopedics wards through establishing a nursing quality control group. Results Compared with before,the nursing quality and the satisfaction of patients were improved (Pwards,ensure nursing safety and impove the satisfaction of patients.%目的 探讨全面质量管理理念在骨科护理质量管理中的作用.方法 通过成立护理质量控制小组,应用全面质量管理理念对骨科病区护理质量进行全过程和全方位的控制和管理.结果 实施全而质量管理后护理质量和患者满意度均提高(P<0.01);护理质量在全院的排序位置提前.结论 利用全面质量管理理念,能充分调动护士的积极性和主动性,提高骨科护理质量,确保护理安全,进一步提高了患者满意度.

  19. ICU病人转到康复过渡病房家属心理状况变化调查分析%Investigation on the psychological change of ICU patients' family after the patients transported to rehabilitation ward

    Institute of Scientific and Technical Information of China (English)

    沈锡珊; 吴爱霞; 钱孝言

    2012-01-01

    Objective To analyze the psychological change of ICU patients'family after the patients were transported to rehabilitation ward. Methods 76 cases of ICU patients'family were selected and divided into observation group,these patients were transported to rehabilitation ward.73 families without the patients being transported selected and divided into control group.Their psychological changes were observed.Results The scores of subjective well - being and life quality in observation group were significantly higher than those in control group ( P < 0.05 ) ; the scores of HAMD and HAMA of observation group were lower than those of control group ( P < 0.05 ).Conclusions The psychological status of ICU patients' family was improved significantly after the patients were transported to the rehabilitation ward.%目的 分析ICU病人转到康复过渡病房家属心理状况的变化.方法 取2008至2012年76例转入康复过渡病房的患者家属作为观察组,同期未转入康复过渡病房的73例患者家属作为对照组,观察两组心理状态变化.结果 观察组对象的主观幸福感及生活质量评分明显高于对照组(P<0.05);转运后,观察组的HAMD评分(25.21±3.32)、HAMA评分(19.45 ±2.23)明显低于对照组(P<0.05).结论 ICU患者转入康复过渡病房后其家属的心理状态明显改善.

  20. Prevalencia de malnutrición en los servicios médicos y quirúrgicos de un hospital universitario Prevalence of malnutrition in medical and surgical wards of a university hospital

    Directory of Open Access Journals (Sweden)

    A. Vidal

    2008-06-01

    Full Text Available Introducción: La malnutrición es frecuente en los hospitales y se asocia a peores resultados clínicos. Existen datos contradictorios sobre si la prevalencia de malnutrición es mayor en los servicios médicos o quirúrgicos. Estudiamos la prevalencia de este trastorno en pacientes de ambos tipos de servicio. Métodos: Se evaluó el estado nutricional de 189 pacientes de servicios médicos y quirúrgicos mediante la Valoración Global Subjetiva, y se recogieron datos sobre su sexo, edad, estancia hospitalaria, mortalidad, patología y servicio de ingreso. Las variables cualitativas se compararon mediante chi-cuadrado, y las variables cuantitativas independientes mediante el test t de Student. Consideramos significativa una p Introduction: Malnutrition is frequently found in hospitals, where is related to poor outcomes. There are contradictory data about if prevalence of malnutrition is greater in surgical or medical patients. The aim of this study is to know the prevalence of malnutrition in both groups of patients. Methods: The nutritional status of 189 patients from medical and surgical wards was assessed with Subjective Global Assessment, and data about sex, age, length of hospital stay, mortality, diseases, and wards of admission were collected. Qualitative variables were compared with chi-square test, and independent quantitative variables with Student's t test. P < 0.05 was accepted as significative. Results: The prevalence of malnutrition was 40.2%. Malnourished patients have lost 7.3% of their weight, 67.1% referred a diminished oral intake, and 53.9% anorexia. Malnutrition was significatively associated to male sex, greater length of stay, and cancer. Prevalence and severity of malnutrition were similar in medical and surgical wards, and malnourished patients just differed in diseases (chronic diseases in medical; surgical procedures and cancer in surgery. Conclusions: Malnutrition is equally prevalent in medical and surgical wards