Journal articles on the topic 'Day care centers Health aspects'
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Bakhsh, Abrar Bani. "Psycho-social aspect encountered by health professionals in work environment at primary health care centers in Dammam city." Journal of Nursing Education and Practice 11, no. 12 (July 30, 2021): 17. http://dx.doi.org/10.5430/jnep.v11n12p17.
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Background and objective: Psychosocial aspects may affect workers and the quality of care given. It has a negative impact in psychological state of the healthcare providers, such effects causes lack of healthcare quality and enforcing healthcare workers to leave work in primary centers. This study aims to explore the psychosocial aspect encountered by the health professionals as related to their work environment at primary healthcare centers in Dammam City.Methods: This study adopts a descriptive quantities research methodology cross-sectional and correlative design used. convenient subjects among 300 participants of health professionals.Results: A group of 300 health professionals were participated in this study. They included doctors, nurses, pharmacist, allied health personal, above half of them were females (54.3%), married (77%), diploma degree (50.7%). Nurses were the highest rate of health professionals (34%). In psychological aspect, the highest mean of employees were affected by their passion with client at work (Highest Mean: 3.78). The work for them was valuable and important (Highest Mean: 4.36). In social aspect, the researcher found that colleagues tend to hear each other and sharing problems concerning their work or life issues with each other more than with managers or supervisors (Highest Mean: 4.11). In relation to the work environmental aspect, the researcher found that the nature of their work situation needs them to complete their work quickly with extra speed (Highest Mean: 4.06). They work more than 8 hours per day (Highest Mean: 3.49), there is no variation in the work performed. The same task repeated daily (Highest Mean: 4.16). They were influenced by the state of their families and friends. They work a lot of time (Highest Mean: 3.91).Conclusions: The participants of this study mainly female, nurses and married staff members, participants mostly complain work environment which put them in emotional disturbed situation. The Psychosocial aspects sometimes potentiate healthcare providers experiences. They tend to overcome bad situation in their work places. The researcher found that most of the participant seek social support and help which is importance aspects for them to perform their jobs accurately as required. It is obvious that stress experience, pressure and exhaustion in work environment for period of time, will lead to bad services provided by healthcare staff members. The result of the study led us to consider the practice of healthcare professionals in their work environment in Dammam City in KSA. In fact, the adoption process and procedures followed to reach the significant results which enhanced the role of the healthcare staff members.
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Gray, Jennifer. "Public Health: Bush's Smallpox Vaccination Plan." Journal of Law, Medicine & Ethics 31, no. 2 (2003): 312–14. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00093.x.
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At the end of last year, President George Bush implemented a smallpox vaccination plan covering military operatives, health care workers, and “first-responders” (such as firefighters and police). The program is administered by the federal Department of Health and Human Services in conjunction with the states and follows the smallpox vaccination guidelines established by the Centers for Disease Control and Prevention (CDC) in September 2002. While inoculation is mandatory for military personnel, health care workers and first-responders are vaccinated on a voluntary basis. The Administration had hoped that 450,000 health care workers would be inoculated within the first month of the program. Toward the end of February, however, only about 1 percent of the anticipated recipients had been inoculated. In Connecticut, which was the first state to begin the nonmilitary component of the program, only three people received vaccinations on the first day.
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Valadez, Albert A., Christine Lumadue, Bibiana Gutierrez, and Sabina de Vries-Kell. "Las Comadres and adult day care centers: The perceived impact of socialization on mental wellness." Journal of Aging Studies 20, no. 1 (January 2006): 39–53. http://dx.doi.org/10.1016/j.jaging.2005.02.003.
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Lundqvist, L. O., M. Rask, B. David, and S. Agneta. "Quality in Community-Based day Center Services for People with Psychiatric Disabilities from the Attendees’ Perspective." European Psychiatry 41, S1 (April 2017): s790. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1512.
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Community-based day centers in Sweden are well-established arenas for psychiatric rehabilitation. Little is, however, known of the attendees’ perception of the quality of the service provided. Therefore, the aim of the study was to describe and investigate the quality of community-based day center services for people with psychiatric disabilities. A sample of 218 attendees (44% females) between 18 and 71 years old in 14 community-based day center services in Sweden completed the quality in psychiatric care–daily activities (QPC-DA) instrument. The results showed that people with psychiatric disabilities perceived the quality of community-based day center services as high and 87% perceived the overall quality as satisfactory. The highest ratings were found in encounter followed by support, daily activity-specific, secure environment, participation, and the lowest quality was found in secluded environment dimensions of the QPC-DA. Most notably, quality of service was rated higher by those with lower educational level, had waited shorter time to attend the center, and had better mental and physical health. However, particularly aspects of a secluded environment and participation (information) may be areas with potential for improvement. In conclusion, the results adhere to the importance of occupational balance, with periods of rest/privacy during the time at the center.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Tetley, Josephine. "Optimizing healthy ageing in disadvantaged communities: insights into older people’s use of health and social care services." Nursing Reports 2, no. 1 (September 19, 2012): 11. http://dx.doi.org/10.4081/nursrep.2012.e11.
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The European Year of Healthy Ageing recognizes that health care systems need to be improved and reorganized if services are to optimize the opportunities for people to stay healthy and well in their own homes for as long as possible. However, current services tend to be fragmented and insensitive to the needs of older people and their carers resulting in services being underused or refused leading to increased admissions into acute hospital care that could have been prevented. The main aim of the study reported in this paper was to identify the factors that affected older peoples’ decision and choice-making processes, when using or contemplating the use of care services. Using a constructivist methodology, this study used participant observation and 23 interviews in three study settings: an African Caribbean support service, day centers for people with memory and cognition problems and luncheon clubs for older people. An inductive analysis of the data revealed that when older community dwelling people found themselves struggling with certain aspects of their daily care needs; they used adapting, coping and seeking as strategies to manage. Additional issues of how well services were able to meet individual’s aspirations for care and support were identified through themes of match-mismatch, fair-unfair, independence-dependence. The findings reported in this study provide important insights as to how people’s needs are complex yet are negatively affected by rigid state controlled services that ultimately affect individual decisions to use or refuse services.
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Dey, Baishakhi, Anindya Mitra, Katakam Prakash, Amrita Basu, Supriya Ray, and Analva Mitra. "Gaps in Health Infrastructure in Indian Scenario: A Review." Indo Global Journal of Pharmaceutical Sciences 03, no. 02 (2013): 156–66. http://dx.doi.org/10.35652/igjps.2013.18.
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Health care management has really become a burning question of the day and the current health scenario of our rural India is a story of utter deprivation. On one side there are hi-tech medical facilities and use of state-of-art-medical technologies with five star deluxe facilities in a few urban centers’ but in the rural counterpart the stories of helplessness and callousness have become too apparent. The health care market is becoming out of reach for the economically backward and distressed mass of the society. In every nation it is the rural environments that present unique challenges for health care access. The morbidity and mortality levels in the country are still remarkably high indicating the still-unsatisfactory health indices which in turn are an indication of the limited success of the public health system in meeting the preventive and curative requirements of the general population of India. Social health issues, natural calamities and disasters, nutritional aspects have a cumulative effect on the wide disparities in the existing health infrastructure. Despite Indian excellence in several spheres of health care delivery, lack of proper infrastructure has limited the ability of the facilities to drive the health care standards in the vast majority of the country. Central as well as State Government all plays a pivotal role in one way or the other. Attempts have been made in this review to highlight on the current health picture of India, especially rural areas, disparities in health care management, underlying causes behind it and the suggested remedies. © 2011 IGJPS. All rights reserved.
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Weiss, Jacqueline, and Catherine Laroche. "The Role of Child Psychiatrists as Consultants to Day Cares." Canadian Journal of Psychiatry 34, no. 6 (August 1989): 589–93. http://dx.doi.org/10.1177/070674378903400618.
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An increasing number of mothers of preschool children in Canada (either by choice or economic necessity) have entered the workforce. It is estimated for example that 58–80% of mothers of preschool children are working. In Canada in 1986, 51.6% of women in the workforce had children under the age of five (1). It is beyond the scope and intent of this paper to discuss the merits (or possible harm) of day care per se. The aim of this paper is to discuss aspects of the quality of day care, and how this might be improved by child psychiatrists being involved in day care centres and in their organization. Few would doubt that the emotional climate and the development of trusting relationships to significant others, in the first year of life, are essential determinants of the healthy personality. Hence the quality of the day care experience of small children is an essential area of study for the child psychiatrist which is as yet insufficiently recognized. This paper discusses what has been learned from the literature and from experience as a consultation-liaison child psychiatrist to a day care centre. A case example illustrates some of the important issues.
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Wild, Claudia, Walter Peissl, and Hilda Tellioglu. "An Assessment of Picture Archiving and Communication Systems (PACS): The Case Study of the SMZO Project." International Journal of Technology Assessment in Health Care 14, no. 3 (1998): 573–82. http://dx.doi.org/10.1017/s0266462300011545.
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AbstractIn order to make rational decisions for further implementation of picture archiving and communication systems (PACS) in Viennese community hospitals, an assessment of the Sozialmedizinisches Zentrum Ost (SMZO) project was launched by the Viennese community hospital financing body. The aim of the technology assessment was to look at the experiences of day-to-day practice, organizational aspects of, and obstacles to developing the full potential of the PACS installation. The study analyzes the conditions for employment of digital radiology, gathers the experiences of national and international projects, and presents a view on critical points, from which options for further implementation can be derived. In the center of interest stood work organization, handling and user attitudes, perceptions of radiologists and clinicians, realism of expectations regarding economic efficiency, technical aspects, and influence of quality of medical care.
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Partington, LouAnn. "Songbird 101." Wildlife Rehabilitation Bulletin 29, no. 1 (June 30, 2011): 28–33. http://dx.doi.org/10.53607/wrb.v29.77.
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This paper provides tips on various aspects of organizing a songbird rehabilitation program. Whether one works in a large center with several volunteers or is a home–based rehabilitator, developing procedures, protocols, and policies helps one manage each day more productively and provides continuity of care for each songbird patient. This paper discusses policies to have in place, reference material to have on hand, physical preparation of the songbird rehabilitation area, managing daily care tasks efficiently while working with volunteers, as well as medical management, record keeping, and herd health issues.
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Sadarangani, Tina, Lydia Missaelides, Emily Eilertsen, Harini Jaganathan, and Bei Wu. "A Mixed-Methods Evaluation of a Nurse-Led Community-Based Health Home for Ethnically Diverse Older Adults With Multimorbidity in the Adult Day Health Setting." Policy, Politics, & Nursing Practice 20, no. 3 (August 2019): 131–44. http://dx.doi.org/10.1177/1527154419864301.
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Multimorbidity affects 75% of older adults (aged 65 years and older) in the United States and increases risk of poor medical outcomes, especially among the poor and underserved. The creation of a Medicaid option allowing states to establish health homes under the Affordable Care Act was intended to enhance coordinated care for Medicaid beneficiaries with multimorbidity. The Community-Based Health Home (CBHH) model uses the infrastructure of the Adult Day Health Center (ADHC) to serve as a health home to improve outcomes for medically complex vulnerable adults. Between 2017 and 2018, we used a sequential explanatory mixed-methods approach to (a) quantitatively examine changes in depression, fall risk, loneliness, cognitive function, nutritional risk, pain classification, and health care utilization over the course of 12 months in the program and (b) qualitatively explore the perspectives of key stakeholders (registered nurse navigators, participants, ADHC administrators, and caregivers) to identify the most effective components of CBHH. Using data integration techniques, we identified components of CBHH that were most likely driving outcomes. After 12 months in CBHH, our racially diverse sample ( N = 126), experienced statistically significant ( p < .05) reductions in loneliness, depression, nutritional risk, poorly controlled pain, and emergency department utilization. Stakeholders who were interviewed ( n = 40) attributed positive changes to early clinical intervention by the registered nurse navigators, communication with providers across settings, and a focus on social determinants of health, in conjunction with social stimulation and engagement provided by the ADHC. CBHH positions the ADHC as the locus of an effective health home site and is associated with favorable results. CBHH also demonstrates the unique capacity and skill of registered nurses in integrating health and social services across community settings. Continued exploration of CBHH among diverse populations with multimorbidity is warranted.
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Hammar, Lena, Marcus Johansson, Lena Dahlberg, Kevin J. McKee, and Martina Summer-Meranius. "Exhausted and trapped in isolation. Caring for a spouse with dementia during the Covid-19 pandemic." Innovation in Aging 5, Supplement_1 (December 1, 2021): 795. http://dx.doi.org/10.1093/geroni/igab046.2932.
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Abstract Even before the Covid-19 pandemic, spouse carers of persons with dementia (PwDs) found their care responsibilities overwhelming and had little time to focus on their own lives. To minimize the risk of being infected with Covid-19, older persons are recommended to self-isolate in their homes, while formal support such as respite care and day care centers are withdrawn. This study involved semi-structured interviews with 24 spouse carers of community-living PwDs, with the aim of describing their situation during the pandemic. The interviews were analyzed with qualitative content analysis. Results revealed that they commonly declined help because of the perceived risk of their spouse being infected with Covid-19 and thus also possibly causing their death. They described feelings of being trapped in their situation, as they experienced having no choice than take all responsibility for the care of their partner themselves, with cost of being unable to take necessary breaks. This was described as making an already strained situation almost unbearable, which led to conflicts with their partner. However, the spouses also described positive aspects due to strategic changes in health and social care provision to prevent the spread of the virus, such as greater staff continuity in home care services, and patient transportation service. These made the PwD less stressed and influenced their everyday life positively. It could be concluded that the extent burden during the Covid-19 pandemic calls for extensive development of tailored support to better tackle the rapid changes that can occur in a society.
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Marsa, Roya, Seyed Jalal Younesi, Somaye Barekati, Maryam Ramshini, and Hamed Ghyasi. "A Comparative Study on Stress, Anxiety and Depression Between Nursing-Home Elderly Residents and Home-dwelling Elderly People." Salmand 15, no. 2 (July 1, 2020): 176–87. http://dx.doi.org/10.32598/sija.13.10.500.
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Objectives: The increase in the aging population along with a variety of diseases and problems threatening their health and, on the other hand, socio-economic developments and changes in individual and family lifestyles, has increased the number of nursing homes. Considering the importance of the impact of living environment on various aspects of mental health, this study aimed to compare stress, anxiety and depression of the elderly living in nursing homes and those living at home. Methods & Materials: This is a descriptive comparative study with a cross-sectional design conducted in 2017. Using a convenience sampling method, 436 elderly people in Tehran including 218 home dwellers and 218 nursing-home residents were selected. Participants were evaluated through interview by the short-form version of Depression Anxiety Stress Scale (DASS-21). Comparisons between the two groups were made using independent t-test in SPSS v.20 software. Results: Mean and standard deviation of the DASS-21 score in elderly residents of nursing homes (37.75±11.34) was higher than in home dwellers (26.68±5.64). There were statistically significant differences in stress, anxiety and depression between the two groups (P≤0.05). Conclusion: Stress, anxiety and depression in the elderly living in nursing homes are more than in those living at home. Family participation in providing welfare and mental health care, supporting with appropriate insurance coverage, establishing day care centers, and supporting family caregivers can be very helpful to enhance their mental health.
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Khaliq, Nida, Zille Huma Mustehsan, Hania Rashid, Shafaq Khadija, Nazeeha Waseem, and Hafsa Waseem. "Contamination of Mobile Phones of Health Care Workers of PIMS Hospital Islamabad." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 2138–41. http://dx.doi.org/10.53350/pjmhs211562138.
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Introduction: Mobile phones are one of the most vital telecommunication devices and are used to stay in touch with both the social and professional aspects of our lives. They have also become an important tool for the rapid delivery of information in healthcare institutions, such as hospitals. However, with many benefits of mobile phone usage, also comes the drawbacks of hospital-associated pathogens surviving on these mobile phone screens. Objectives: To determine the frequency of contamination of healthcare worker’s mobile phones by different types of microorganisms. Methodology: A cross-sectional study was conducted from June 2020 till December 2020 at PIMS Hospital, a tertiary care hospital located in Islamabad, Pakistan. A total of 121 individual mobile phones were randomly sampled. A simple random sampling method was used. Informed consent was taken before taking a sample and a questionnaire was also utilized. Results: Among 121 samples collected from different department health workers mobile phone surfaces, 112 showed significant differences (92.56%) which were positively contaminated with microorganisms. Conclusion: To conclude, a high contamination rate of mobile phones was found with microorganisms. This could lead to serious nosocomial infections. Therefore, a standard guideline on the use of electronic devices and mobile phones should be implemented in hospitals and healthcare centres. Enforce the hygiene practices such as washing hands and cleaning mobile phones a few times a day. Keywords: Healthcare Worker, Mobile Phone, Microorganism, Contamination, Disinfectant
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Van Cleave, Janet H., Brian L. Egleston, Sarah Brosch, Elizabeth Wirth, Molly Lawson, Eileen M. Sullivan-Marx, and Mary D. Naylor. "Policy Research Challenges in Comparing Care Models for Dual-Eligible Beneficiaries." Policy, Politics, & Nursing Practice 18, no. 2 (May 2017): 72–83. http://dx.doi.org/10.1177/1527154417721909.
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Providing affordable, high-quality care for the 10 million persons who are dual-eligible beneficiaries of Medicare and Medicaid is an ongoing health-care policy challenge in the United States. However, the workforce and the care provided to dual-eligible beneficiaries are understudied. The purpose of this article is to provide a narrative of the challenges and lessons learned from an exploratory study in the use of clinical and administrative data to compare the workforce of two care models that deliver home- and community-based services to dual-eligible beneficiaries. The research challenges that the study team encountered were as follows: (a) comparing different care models, (b) standardizing data across care models, and (c) comparing patterns of health-care utilization. The methods used to meet these challenges included expert opinion to classify data and summative content analysis to compare and count data. Using descriptive statistics, a summary comparison of the two care models suggested that the coordinated care model workforce provided significantly greater hours of care per recipient than the integrated care model workforce. This likely represented the coordinated care model's focus on providing in-home services for one recipient, whereas the integrated care model focused on providing services in a day center with group activities. The lesson learned from this exploratory study is the need for standardized quality measures across home- and community-based services agencies to determine the workforce that best meets the needs of dual-eligible beneficiaries.
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Cabrera, Ernesto Rojas, Aleida Verduguez-Orellana, Igberto J. Tordoya-Titichoca, Ccoya Sejas, Rebeca Ledezma, Ingrid Álvarez, Jhonny Limachi-Choque, Nimer Ortuño-Gutiérrez, Marisol Córdova Rojas, and Miguel Guzman-Rivero. "Intralesional Meglumine Antimoniate: Safe, Feasible and Effective Therapy for Cutaneous Leishmaniasis in Bolivia." Tropical Medicine and Infectious Disease 7, no. 10 (October 7, 2022): 286. http://dx.doi.org/10.3390/tropicalmed7100286.
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The standard of care for cutaneous leishmaniasis includes the intramuscular/intravenous administration of pentavalent antimonials that are toxic and poorly tolerated. Primary health care usually lacks trained health staff for the diagnosis and treatment of leishmaniasis in Cochabamba Bolivia. Taking these aspects into account, a Bolivian consortium set out to explore the intralesional administration of meglumine antimoniate to treat cutaneous leishmaniasis during primary care under programmatic conditions. A four-step strategy consisting of clinical training for intralesional treatment and the promotion and periodic follow-up of health staff was carried out. The training process was applied in situ to personnel of nine primary health care centres. The intralesional treatment was applied five times every other day. Clinical follow-up after six-months of treatment showed a 77% healing proportion and 5% of therapeutic failure among 152 enrolled patients. The drug volume used in the intralesional procedure was on average 1.7 mL/ulcer treated. In conclusion, the strategy used was successful and effective, accomplishing a healing proportion similar to the long standardized treatment with a reduced time of administration, no severe side effects, and it is feasible to conduct by trained health staff. Our study supports the current PAHO/WHO recommendation for the intralesional administration of pentavalent antimonials for the treatment of cutaneous leishmaniasis.
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Kusumantoro, Nugroho Cahyo, Dewi Kusuma Ningsih, and Muhammad Ricko Gunawan. "Hubungan motivasi ekstrinsik dan intrinsik perawat terhadap pendokumentasian asuhan keperawatan." Holistik Jurnal Kesehatan 15, no. 4 (April 20, 2022): 728–33. http://dx.doi.org/10.33024/hjk.v15i4.2323.
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Background: Documentation of nursing care is a professional requirement that must be accounted for, both in ethical and legal aspects. Motivation is something that encourages someone to behave in achieving a goal. The size of motivation depends on each person. Based on average data from 2016 to 2017 at the West Lampung District Health Center, it is known that of 36 nursing care actions that are in accordance with the SOP, an average of 22.2% documenting nursing care from assessment to evaluation was 58.56%.Purpose: To identify extrinsic and intrinsic in nursing motivation factors toward documenting nursing careMethod: A quantitative research with cross sectional design. This research was conducted from 25 June to 25 July 2019 at Health Center, West Lampung Regency. The population in this study were all nurses in health centers in the West Lampung Regency, Lampung Province, amounting to 104 respondents, while the side technique taken with the purposive sampling method was 63 respondents. Data collection by questionnaire, data analysis by univariate and bivariate (chi square).Results: There was a relationship between intrinsic motivation to document nursing care, p = 0.005 means that p <α (0.05), there was a relationship of extrinsic motivation to document nursing care, p = 0.007, meaning p <α (0, 05).Conclusion: There is a relationship between extrinsic motivation and intrinsic motivation to document nursing care at Health Center Barat Lampung Regency in 2019Keywords : Documenting; Extrinsic; Intrinsic; Nursing motivationPendahuluan: Dokumentasi asuhan keperawatan merupakan tuntutan profesi yang harus dapat dipertanggungjawabkan, baik dari aspek etik maupun aspek hukum. Motivasi adalah sesuatu yang mendorong seseorang untuk bertingkah laku dalam mencapai suatu tujuan. Besar kecilnya motivasi tergantung pada masing-masing orang. Berdasarkan data rata-rata tahun 2016 sampai 2017 pada Puskesmas Kabupaten Lampung Barat, diketahui bahwa dari 36 tindakan asuhan keperawatan yang sesuai dengan SOP rata-rata 22,2% pendokumentasian asuhan keperawatan dari pengkajian sampai dengan evaluasi sebanyak 58,56%.Tujuan: Mengidentifikasi faktor ekstrinsik dan intrinsik dalam motivasi keperawatan terhadap pendokumentasian asuhan keperawatanMetode : Penelitian kuantitatif dengan rancangan cross sectional. Penelitian ini sudah dilaksanakan tanggal 25 Juni sampai 25 Juli 2019 di UPTD Puskesmas Kabupaten Lampung Barat. Populasi dalam penelitian ini adalah seluruh perawat di puskesmas yang ada di Kabupaten Lampung Barat provinsi Lampung yaitu berjumlah 104 responden, sedangkan teknik samping yang diambil dengan metode purposive sampling yaitu 63 responden. Pengumpulan data dengan kuesioner, analisis data secara univariat dan bivariat (chi square).Hasil: Terdapat hubungan hubungan motivasi intrinsik terhadap pendokumentasian asuhan keperawatan, didapatkan p= 0,005 berarti p<α (0,05), Terdapat hubungan motivasi ekstrinsik terhadap pendokumentasian asuhan keperawatan, didapatkan p= 0,007 berarti p < α (0,05).Simpulan: Adanya hubungan antara motivasi ekstrinsik dan motivasi intrinsik terhadap pendokumentasian asuhan keperawatan di UPTD Puskesmas Kabupaten Lampung Barat tahun 2019.
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Kusumantoro, Nugroho Cahyo, Dewi Kusuma Ningsih, and Muhammad Ricko Gunawan. "Hubungan motivasi ekstrinsik dan intrinsik perawat terhadap pendokumentasian asuhan keperawatan." Holistik Jurnal Kesehatan 15, no. 4 (April 20, 2022): 728–33. http://dx.doi.org/10.33024/hjk.v15i4.2323.
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Background: Documentation of nursing care is a professional requirement that must be accounted for, both in ethical and legal aspects. Motivation is something that encourages someone to behave in achieving a goal. The size of motivation depends on each person. Based on average data from 2016 to 2017 at the West Lampung District Health Center, it is known that of 36 nursing care actions that are in accordance with the SOP, an average of 22.2% documenting nursing care from assessment to evaluation was 58.56%.Purpose: To identify extrinsic and intrinsic in nursing motivation factors toward documenting nursing careMethod: A quantitative research with cross sectional design. This research was conducted from 25 June to 25 July 2019 at Health Center, West Lampung Regency. The population in this study were all nurses in health centers in the West Lampung Regency, Lampung Province, amounting to 104 respondents, while the side technique taken with the purposive sampling method was 63 respondents. Data collection by questionnaire, data analysis by univariate and bivariate (chi square).Results: There was a relationship between intrinsic motivation to document nursing care, p = 0.005 means that p <α (0.05), there was a relationship of extrinsic motivation to document nursing care, p = 0.007, meaning p <α (0, 05).Conclusion: There is a relationship between extrinsic motivation and intrinsic motivation to document nursing care at Health Center Barat Lampung Regency in 2019Keywords : Documenting; Extrinsic; Intrinsic; Nursing motivationPendahuluan: Dokumentasi asuhan keperawatan merupakan tuntutan profesi yang harus dapat dipertanggungjawabkan, baik dari aspek etik maupun aspek hukum. Motivasi adalah sesuatu yang mendorong seseorang untuk bertingkah laku dalam mencapai suatu tujuan. Besar kecilnya motivasi tergantung pada masing-masing orang. Berdasarkan data rata-rata tahun 2016 sampai 2017 pada Puskesmas Kabupaten Lampung Barat, diketahui bahwa dari 36 tindakan asuhan keperawatan yang sesuai dengan SOP rata-rata 22,2% pendokumentasian asuhan keperawatan dari pengkajian sampai dengan evaluasi sebanyak 58,56%.Tujuan: Mengidentifikasi faktor ekstrinsik dan intrinsik dalam motivasi keperawatan terhadap pendokumentasian asuhan keperawatanMetode : Penelitian kuantitatif dengan rancangan cross sectional. Penelitian ini sudah dilaksanakan tanggal 25 Juni sampai 25 Juli 2019 di UPTD Puskesmas Kabupaten Lampung Barat. Populasi dalam penelitian ini adalah seluruh perawat di puskesmas yang ada di Kabupaten Lampung Barat provinsi Lampung yaitu berjumlah 104 responden, sedangkan teknik samping yang diambil dengan metode purposive sampling yaitu 63 responden. Pengumpulan data dengan kuesioner, analisis data secara univariat dan bivariat (chi square).Hasil: Terdapat hubungan hubungan motivasi intrinsik terhadap pendokumentasian asuhan keperawatan, didapatkan p= 0,005 berarti p<α (0,05), Terdapat hubungan motivasi ekstrinsik terhadap pendokumentasian asuhan keperawatan, didapatkan p= 0,007 berarti p < α (0,05).Simpulan: Adanya hubungan antara motivasi ekstrinsik dan motivasi intrinsik terhadap pendokumentasian asuhan keperawatan di UPTD Puskesmas Kabupaten Lampung Barat tahun 2019.
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Carvalho-Almeida, Therezinha T., Pedro Luis S. Pinto, Celma Maria S. Quadros, Domingas M. A. G. V. Torres, Hermínia Y. Kanamura, and Angélica Maria Casimiro. "Detection of Cryptosporidium sp. in non diarrheal faeces from children, in a day care center in the city of São Paulo, Brazil." Revista do Instituto de Medicina Tropical de São Paulo 48, no. 1 (February 2006): 27–32. http://dx.doi.org/10.1590/s0036-46652006000100006.
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The protozoan Cryptosporidium sp. has been frequently detected in faeces from children with persistent diarrhoea. This work achieved to investigate an outbreak of cryptosporidiosis, in a day care center, attending children of high socio-economic level, between 0 and six years old. The outbreak was detected through the network of public health, when stool samples, not diarrhoeic, were examined at the Parasitology Service of the Adolfo Lutz Institute. Among the 64 examined children, 13 (20.3%) showed oocysts of Cryptosporidium sp. in the faeces examined by Kinyoun technique: seven children one year old, three, two years old and three, three years old. Among the 23 examined adults, only a 22 years old woman, possibly having an immunocomprometiment, was positive. Clinical and epidemiological aspects were investigated by questionnaires, highlighting the occurrence of the outbreak in a very dry period.
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Juffermans, Jorine, and Joost J. L. M. Bierens. "Recurrent Medical Response Problems during Five Recent Disasters in the Netherlands." Prehospital and Disaster Medicine 25, no. 2 (April 2010): 127–36. http://dx.doi.org/10.1017/s1049023x00007858.
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AbstractObjectives::The aim of this qualitative, retrospective review is to identify and analyze the occurrence of recurrent problems in 20 processes that cover all relevant aspects of disaster health during the response phase. Consequently, an attempt is made to determine if there are generic themes of coherences in these problems.Methods::Eight after-action reports of five consecutive disasters in the Netherlands, between 1996 and 2005, were integrally analyzed in a structured manner. The analysis was confined to processes from the start of the event up to and including the initial stages of hospital admission.Results::Problems during all five disasters arose with eight processes: (1) submission of information to the ambulance dispatch center (ADC); (2) provision of information by the ADC to disaster response personnel; (3) scaling-up of prehospital response; (4) communication; (5) logistics; (6) registration; (7) multidisciplinary cooperation; and (8) preparation. Three generic themes of coherence were identified: (1) processes in which exchange of information among medical personal plays a major role are more likely to be affected by problems than processes in which this is less relevant; (2) processes in which disaster circumstances differ from day-to-day health care, or do not figure in day-to-day health care, are more likely to give rise to problems than processes that remain essentially similar; and (3) the existence of a protocol or disaster plan governing a process does not prevent problems.Conclusions::The method used enables a systematic analysis of the problems in health-related processes following five consecutive disasters. The analysis confirms that the majority of problems are repeated. The identified themes of coherences are in agreement with case reports and expert opinions. They are now supported with a higher level of evidence.
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Moyer, Cheryl A., Leilanya O. Vishnu, and Seema S. Sonnad. "PROVIDING HEALTH INFORMATION TO WOMEN." International Journal of Technology Assessment in Health Care 17, no. 1 (January 2001): 137–45. http://dx.doi.org/10.1017/s0266462301104125.
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Objectives: We were interested in health coverage in women's magazines in the United States and how it compared with articles in medical journals, women's health interests, and women's greatest health risks.Methods: We examined 12 issues of Good Housekeeping (GH) and Woman's Day (WD) and 63 issues of the New England Journal of Medicine (NEJM) and the Journal of the American Medical Association (JAMA). We tallied the most common health questions of women presenting to the University of Michigan's Women's Health Resource Center (WHRC) during the same period.Results: Less than a fifth of the magazine articles dealt with health-related topics. Of those, a third dealt with diet, with the majority emphasizing weight loss rather than eating for optimal health. Few of the articles cited research studies, and even fewer included the name of the journal in which the study was published. In JAMA and NEJM, less than one-fifth of original research studies dealt with women's health topics, most commonly pregnancy-related issues, hormone replacement therapy, breast and ovarian cancer, and birth defects. At the same time, the most common requests for information at the WHRC related to pregnancy, fertility, reproductive health, and cancer.Conclusion: The topics addressed in women's magazines do not appear to coincide with the topics addressed in leading medical journals, nor with women's primary health concerns or greatest health risks. Information from women's magazines may be leading women to focus on aspects of health and health care that will not optimize risk reduction.
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Donalisio, Rubén, and Roxana Bettina Banda Noriega. "Gestión integral de residuos de establecimientos de salud en Tandil." Revista Estudios Ambientales - Environmental Studies Journal 1, no. 1 (December 30, 2013): 86–107. http://dx.doi.org/10.47069/estudios-ambientales.v1i1.1067.
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Se definen los establecimientos de salud como:
Todo Hospital, sanatorio, clínica, policlínico, centro médico, maternidad, sala de primeros auxilios y todo aquel establecimiento donde se practique cualquiera de los niveles de atención humana o animal, con fines de prevención, diagnóstico, tratamiento y rehabilitación, y en aquellos centros donde se realiza investigación (CEPIS, 1998)
Como resultado de estas actividades se generan lo que se define como Residuos de Establecimientos de Salud (RES); y son “aquellos desechos generados en los centros de atención de salud durante la prestación de servicios asistenciales, incluyendo los generados en los laboratorios” (CEPIS, 1998). Dada la importancia que implican para la salud de la población y el ambiente, en este trabajo se explora el estado de la gestión de los residuos de establecimientos de salud en Tandil. Para ello se caracterizaron los establecimientos de salud, se describió la gestión de residuos y se identificaron los aspectos más significativos de acuerdo al marco legal vigente en la provincia de Buenos Aires. Se analizaron y discutieron los indicadores sobre generación de residuos, kg/camaxdía y kg/pacientexdía; y se estimaron valores para diferentes casos. La información se obtuvo a partir de entrevistas del tipo semi- estructurada a los administradores de los establecimientos; y de documentación básica. Del trabajo se desprende que no es posible generalizar una Gestión Integral de Residuos de Establecimientos de Salud (GIRES) sobre el partido de Tandil, ni establecer indicadores globales. Entre las dificultades encontradas se destaca falta de información en estadísticas oficiales sobre la atención de los establecimientos privados, información que serviría para inferir datos de generación en Tandil. Con respecto a las empresas de transporte y tratamiento, se ha notado una clara división del mercado. Finalmente no se mantienen registros tal como se establece en el artículo 21 de la Res. 450/94 del OPDS.
Abstract
Health facilities are defined as:
Any hospital, nursing home, clinic, medical center, maternity, emergency room and any setting where is practiced any level of human or animal health, for prevention, diagnosis, treatment and rehabilitation, and in those centers performing research (CEPIS/PAHO /WHO, 1998)
As a result of these activities are generated Healthcare Waste that are defined as "those wastes generated in health care facilities for the provision of care services, including those generated in laboratories" (CEPIS/PAHO/ WHO, 1998).Given the importance that involve the health of the population and the environment, this paper explores the current management of health care waste in Tandil. To accomplish this task, first are characterized the health facilities, is described the waste management and are identified the most significant aspects according to the legal framework in the province of Buenos Aires. Were analyzed and discussed the indicators on waste generation, kg / bed per day and kg / patient per day, and estimated values for different cases. The information was obtained from semi-structured interviews conducted to facility managers, and from basic documentation. As a result emerge that it isn't possible to generalize a healthcare waste management on Tandil, or establish a global indicator. Among the difficulties encountered stand out the lack of official statistical information of healthcare from private healthcare facilities, that serve to infer waste generation in Tandil. Regarding to the companies that provide transport services and treatment, there has been a clear division of the local market. Finally no records are kept by the healthcare facilities as it is established in article 21 of Resolution 450/94 of OPDS.
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Pérez Fuentes, Mª del Carmen, Mª del Mar Molero Jurado, Mª Jesús Osorio Cámara, and Isabel Mercader Rubio. "PROPUESTA DE INTERVENCIÓN COGNITIVA EN PERSONAS MAYORES: PROGRAMA DE ESTIMULACIÓN COGNITIVA E INTELIGENCIA EMOCIONAL PARA MAYORES." International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología. 1, no. 1 (September 10, 2016): 477. http://dx.doi.org/10.17060/ijodaep.2014.n1.v1.395.
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Abstract:COGNITIVE INTERVENTION PROPOSAL IN OLDER PEOPLE: COGNITIVE STIMULATION AND EMOTIONAL INTELLIGENCE PROGRAM FOR OLDER PEOPLEOur current sociodemographic reality, with a large number of older persons and other variables, leads to some changes in the population’s demands for socio-health care. Thus, there is a demand for the stimulation of cognitive capacities, and this type of activities is carried in practically all the Day-Care Centers and Active Ageing Programs. In recent years, within Psychology of Ageing, the study of the emotional changes undergone by older individuals—the study of the so-called “Emotional Ageing”—has also reached a peak. Thus, the present project has the aim of combining both aspects, cognitive stimulation and the education of emotions. The general goal is to design and implement a Program of Cognitive Stimulation and Emotional Intelligence for older people with no cognitive impairment, in the center of the City of Almería. It would only allow us to assess and analyze the relation between different concepts, such as Quality of Life, Emotional Intelligence, Life Satisfaction, Attention and Daily Memory, and also to confirm the improvement in the cognitive tasks of the program (time and correct responses) and the benefits for the above-mentioned variables of introducing both aspects—including the New Technologies—to the older people of the center of Almería. This would also improve their activity and social integration, as well as provide them with equal opportunities. [Acknowledgements: This work was carried out with the collaboration of the Proyecto Almería Urban].Keywords: Emotional Intelligence, Older People, Quality of Life, Life Satisfaction, Cognitive Stimulation.Resumen:La realidad sociodemográfica actual, con un elevado número de personas de edad avanzada y demás variables, conlleva algunos cambios en cuanto a las demandas de la población en atención socio-sanitaria. Así, aparece una demanda relacionada con la estimulación de las capacidades cognitivas, existiendo prácticamente en todos los Centros de Día y Programas de Envejecimiento Activo este tipo de actividades. En los últimos años, ha cobrado auge también, dentro de la Psicología de la Vejez, el estudio de los cambios emocionales que experimentan los individuos de edades avanzadas, el estudio del denominado “Envejecimiento Emocional”. Así, el presente proyecto pretende conjugar ambos aspectos, la estimulación cognitiva junto con la educación de las emociones. Teniendo como objetivo general elaborar e implementar un Programa de Estimulación Cognitiva e Inteligencia Emocional para personas mayores sin deterioro cognitivo, del centro de la Ciudad de Almería. Permitirá, no sólo, evaluar y analizar la relación entre diferentes conceptos como son Calidad de Vida, Inteligencia Emocional, Satisfacción Vital, Atención y Memoria Cotidiana; sino también, constatar la mejora en las tareas cognitivas del propio programa (tiempo y aciertos) y los beneficios para la Calidad de Vida, Inteligencia Emocional, Satisfacción Vital, Atención y Memoria Cotidiana, de acercar ambos aspectos, incluyendo las Nuevas Tecnologías, a las personas mayores del centro de Almería, mejorando también la actividad e integración social de estas, así como, la igualdad de oportunidades[Agradecimientos: Este trabajo cuenta con la colaboración del Proyecto Almería Urban].Palabras clave: Inteligencia Emocional, Mayores, Calidad de Vida, Satisfacción Vital, Estimulación Cognitiva.
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Tsapanou, Angeliki, Panagiota Zoi, Faidra Kalligerou, Patra Blekou, and Paraskevi Sakka. "The Effect of Prolonged Lockdown Due to COVID-19 on Greek Demented Patients of Different Stages and on Their Caregivers." Journal of Alzheimer's Disease 83, no. 2 (September 14, 2021): 907–13. http://dx.doi.org/10.3233/jad-210702.
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Background: The impact of the new coronavirus disease (COVID-19) is deteriorating as time passes and the virus keeps spreading, with people with dementia and their caregivers being affected significantly. Objective: The aim of this study was to examine the effect of prolonged isolation because of the COVID-19 pandemic on people with dementia and their caregivers. Methods: Caregivers answered online questions regarding their own physical and psychological burden, and of the person they take care of. Participants were mostly members of online seminars of the Athens Alzheimer’s Association. Questions referred to their own burden, the overall decline of the persons they take care of, and changes in specific domains as well. Further, participants were asked about any changes between the two major lockdown periods. Analysis was performed including the total sample and then, by three different stages of dementia. Results: A total of 339 caregivers took part in the study. Results indicated significant decline, both in an overall aspect of the people with dementia, and in specific domains (mostly communication and mood). Regarding the caregivers, they reported having significantly increased physical and psychological burden, and also, noticing an overall change between the two lockdown periods in their own burden. Analysis by dementia-stage group indicated that significant decline occurred both in the middle-stage and the late-stage group. Conclusion: An urgency for further support of both the people with neurodegenerative disorders and their caregivers is needed. Collaboration among care workers, online programs, governmental support, and day-care centers should be planned to ensure continuity of care for those in need during the pandemic.
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Asher, Archana D., Varsha Y. Godbole, and Kedar G. Mehta. "Comparison of pre training and post training knowledge of hypertension among medical officers of Narmada district of Gujarat, India." International Journal of Advances in Medicine 6, no. 5 (September 23, 2019): 1559. http://dx.doi.org/10.18203/2349-3933.ijam20194179.
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Background: Hypertension is a major risk factor contributing to cardiovascular and cerebrovascular diseases and death. Medical officers play an important role in Indian public health care system. The objective of this study was to evaluate the impact of training program on knowledge about hypertension among medical officers working in government health centres in Gujarat, India.Methods: A one day training program was conducted for medical officers of various Primary Health Centres (PHCs) and Community Health Centres (CHCs) in Narmada district of Gujarat. This training focussed on screening, diagnosis and management of hypertension, essential and secondary hypertension, lifestyle modifications, various anti-hypertensive drugs and practical aspects of examining a patient with hypertension. Impact of the training program was evaluated by a questionnaire consisting of 10 questions which was used as a pre-test and a post-test.Results: A total of 30 medical officers (18 male and 12 female) attended the training. The mean age of participants was 37.4 years and average clinical experience was 11 years. The pre-test mean score of participants was 4.52 and post-test mean score was 8.44. This improvement in the post-test mean score was found to be statistically significant. On comparison of questions answered incorrectly in pre-test and post-test, we found that there was a significant reduction in the number of questions answered incorrectly in the post-test.Conclusion: There was a significant improvement in the knowledge of medical officers regarding screening, diagnosis and management of hypertension as a result of their training.
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Borel-Derlon, Annie, Jenny Goudemand, Dominique Desprez, Fabienne Volot, Yves Gruel, Sophie Bayard, Catherine Chatelanaz, et al. "Wish-Qol Study - Assessment of Health-Related Quality of Life (HRQoL) and Health-Economic Aspects in Patients with Von Willebrand Disease (VWD) in France: Results of the Women Cohort." Blood 128, no. 22 (December 2, 2016): 1395. http://dx.doi.org/10.1182/blood.v128.22.1395.1395.
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Abstract Background: Von Willebrand disease (VWD) is the most common inherited bleeding disorder with a prevalence of 1% in the general population. VWD results from a deficiency in or a dysfunction of von Willebrand factor which is a protein that is necessary for normal platelet adhesion and protection of factor VIII from proteolysis in the circulation. Nevertheless, prevalence of the most symptomatic forms such as bleeds requiring replacement treatment and /or hospitalization is about 0.01%. Although VWD affects both genders, there is a higher proportion in females than in males.VWD seems to be more symptomatic in women because of their reproductive life. Women with VWD have an increased bleeding risk in numerous situations including anemia, menorrhagia, bleeding during pregnancy, postpartum hemorrhage and impairments in their quality of life (QoL).The prevalence of menorrhagia in women with VWD is 74-92%. According to the Francecoag Network, the referral-based prevalence of moderate-to-severe VWD patients is about 1,750 cases in France. Aim: Since the disease and its treatment can affect every-day life of patients and their families, a French HRQoL Study (WiSH-QoL) exploring this impact started 22 months ago. Methods: This non-interventional 5-year study evaluates patients HRQoL and costs of care in France. At least 350 patients will be followed for 24 months in minimum 30 centers. HRQoL is assessed with the generic SF-36 and the disease-specific VWD-QoL questionnaires. Bleeding severity was measured using the Tosetto Bleeding Score (BS). Results: Since October 2014, 245 patients have been included. We present here the first interim analysis with a focus on the female group. At the first interim analysis, data from 140 patients were documented: 91 adults with a median age of 40.0 years [18.3-78.0] and 49 children with a median age of 10.1 years [2.9-17.5]. VWD Types were already identified for 122 (87%) of these patients: 33 with VWD type 1 (27%) including 5 type 1 Vicenza; 76 type 2 (62%) and 13 type 3 (11%). The median Tosetto bleeding score reported for 124 patients (males and females) was +7 ranging from -1 to +28. From the 95 female patients, 70 were aged ≥18 years, 21 were adolescents between 8-17 years and 4 were girls below 4 years of age. Median age was 29.4 (range 4.3-78.0) years. A total of 25 women had type 1 VWD (31%), 49 had type 2 VWD (60%), and 7 had type 3 VWD (9%), for 14 patients VWD type is undetermined. The median Tosetto bleeding score of the female group was +8 ranging from -1 to +28. Out of 95 patients, 45 patients (47.4%) have received a concomitant treatment due to menorrhagia, such as iron therapy, oral contraceptive, levonorgestrel intrauterin system: 5/21 patients in the group between 8 and 17 years and 40/70 in the group ≥18 years. Out of the 60 women of childbearing potential defined as age between 15-50 years, 6 women were pregnant at time of inclusion. A total of 46 patients, aged 18 years or more have had obstetrical history prior to study inclusion. The mean number of childbirth was more than 2 i.e 2.39 range (1-8) per woman, 75% of these deliveries were natural delivery and 25% were caesarean section. Out of 108 deliveries, 28 (26%) were experienced with post-partum hemorrhages. Conclusions: With the results of the WiSH-QoL study, the first prospective study of von Willebrand disease conducted in France, especially the VWD-specific evaluation of HRQoL and treatment satisfaction a deeper insight will be gathered into the patients' daily life, their perception of well-being and their specific health care needs. With the additional domain 'pregnancy' included in the French version of the VWD-QoL questionnaire for female adult patients, it will possible to better understand how women may be affected by VWD during childbearing years. Disclosures Borel-Derlon: LFB: Other: Reference expert and national coordinator for VWD; Octapharma: Research Funding; NovoNordisk: Other: Expert for scientific committee; Shire - Baxalta: Research Funding. Chatelanaz:LFB Biomedicaments: Employment. Doriat-Robin:LFB Biomedicaments: Employment. von Mackensen:SOBI: Research Funding; Shire: Research Funding.
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Ernawati, Aeda. "ANALISIS IMPLEMENTASI PROGRAM PENANGGULANGAN GIZI BURUK PADA ANAK BALITA DI PUSKESMAS JAKENAN KABUPATEN PATI." Jurnal Litbang: Media Informasi Penelitian, Pengembangan dan IPTEK 15, no. 1 (July 22, 2019): 39–50. http://dx.doi.org/10.33658/jl.v15i1.131.
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ENGLISHCommunity Health Center in Jakenan has implemented a malnutrition prevention program but the number of malnutrition cases is still high. The purpose of the study was to describe the implementation of a malnutrition prevention program at the Community Health Center (Puskesmas) of Jakenan, Pati Regency. The research used qualitative approach. The focus of this research was on the aspects of input, process and output of the program. Data collection was conducted by using interview, field event observation and document-observation. Informants were selected through purposive sampling. This study results showed: Regarding the input aspect, Puskesmas Jakenan had lack of the number of nutrition officers. Meanwhile, the facilities, and infrastructures were sufficient. However, the funding for recovery program has not been sufficient yet. The program has been running but there were several obstacles, namely: 1) the lack of nutrition workers, 2) inadequate knowledge and skills of Integrated Health Care (Posyandu) cadres, 3) low awareness of the community regarding nutrition issues. The program output showed that many toddlers have not yet to improve their nutrition status due to congenital defect. The intervention of malnutrition can be focused on: (1) the addition of nutrition officers; (2) the quality improvement of Posyandu cadres through training; and (3) Intensification of the first 1000-day program. INDONESIAPuskesmas Jakenan sudah melaksanakan program penanggulangan gizi buruk tetapi kasus gizi buruk masih tinggi. Tujuan penelitian untuk menggambarkan implementasi program penanggulangan gizi buruk di Puskesmas Jakenan Kabupaten Pati. Penelitian menggunakan metode kualitatif. Fokus penelitian pada aspek input, proses dan output pelaksanaan program penanggulangan gizi buruk. Data dikumpulkan dengan wawancara, observasi kejadian lapangan, dan observasi dokumen. Penentuan informan menggunakan teknik sampling purposif. Hasil penelitian terkait input menunjukkan jumlah petugas gizi di Puskesmas Jakenan masih kurang. Sarana dan prasarana secara umum cukup, namun belum tersedia dana yang cukup untuk program pemulihan. Program penanggulangan gizi buruk sudah berjalan, tetapi masih ada kendala yaitu: 1) petugas gizi yang kurang, 2) pengetahuan dan keterampilan kader Posyandu yang belum memadai, 3) kesadaran masyarakat tentang masalah gizi rendah. Output program menunjukkan masih banyak Balita yang belum meningkat status gizinya karena adanya penyakit bawaan. Upaya perbaikan penanganan gizi buruk dapat dilakukan melalui: 1) penambahan petugas gizi; 2) peningkatan kualitas kader Posyandu melalui pelatihan; 3) penanganan gizi buruk melalui program 1000 hari pertama kehidupan dimulai sejak bayi dalam kandungan.
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Ikeda, Andrea J., John R. Fergason, and Jason M. Wilken. "Clinical Outcomes with the Intrepid Dynamic Exoskeletal Orthosis: A Retrospective Analysis." Military Medicine 184, no. 11-12 (February 23, 2019): 601–5. http://dx.doi.org/10.1093/milmed/usz004.
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Abstract Introduction Severe lower limb injuries have a negative impact on many aspects of an individual’s life. One rehabilitative option for patients who have undergone limb salvage is the Intrepid Dynamic Exoskeletal Orthosis (IDEO). The IDEO is a custom-made dynamic response device which is used to restore function for patients with a wide variety of injuries. Clinical outcomes were routinely collected on patients fit with IDEOs at the Center for the Intrepid, Brooke Army Medical Center. The purpose of this retrospective study was to analyze the clinical outcomes collection process and the patient outcomes collected as part of routine clinical care. Methods The Brooke Army Medical Center IRB approved this study and granted waivers of informed consent and HIPAA authorization. Electronic medical records were reviewed over an 18-month period from July 2014 to January 2016. Records were examined to obtain the date of IDEO delivery, date of outcomes form completion, responses on the forms, and to verify diagnosis or injury. Data gathered included wear time, IDEO comfort, pain with and without the IDEO, Lower Extremity Functional Scale scores with and without the IDEO, and global rating of change questions for everyday activities and high impact activities. Wilcoxon signed-ranked tests were used to compare pain and function with vs. without the IDEO. Results During the 18-month period, new IDEOs were delivered to 156 unique patients. Outcomes forms were collected as part of routine clinical care from 90 of these 156 patients (58%). An additional nine forms were collected from patients who received their IDEOs prior to July 2014. In all, 99 outcomes forms were collected. Mean follow-up time from IDEO delivery to outcomes form completion was 35 ± 31 days for the original 90 patients. The most common patient diagnoses were fracture, nerve injury, arthritis, and fusion. Responses on the forms indicated that patients were generally comfortable wearing their IDEOs (8.3 ± 1.3 on a 0–10 scale) and wore them most of the day (10.7 ± 3.4 hours per day). Improvement in pain (from 5.2 ± 2.9 to 1.7 ± 1.6 points on a 0–10 scale) and Lower Extremity Functional Scale scores (from 29.7 ± 16.6 to 59.5 ± 13.6 points) with the IDEO were both more than the minimal clinically important difference and were statistically significant (p < 0.001). Conclusion This descriptive retrospective study demonstrated that it was feasible to collect clinical outcomes data which were relevant for characterizing the effects of IDEO use and enabled quantification of improvements in self-reported function and walking pain with the IDEO. Due to the retrospective nature of this study, limitations include missing data and the lack of any performance measures to complement the self-reported data. Clinical outcomes collection continues as a routine part of clinical care and there remains an ongoing aim to collect information on all patients to obtain an accurate assessment of devices and services and ultimately better serve our patients.
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Nafstad, Per, Jørgen A. Hagen, Leif Øie, Per Magnus, and Jouni J. K. Jaakkola. "Day Care Centers and Respiratory Health." Pediatrics 103, no. 4 (April 1, 1999): 753–58. http://dx.doi.org/10.1542/peds.103.4.753.
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Gill, Frances Loretta. "3247 Implementing an Interdisciplinary, Student-Run Consult Service for Homeless Patients: The Critical Role of Community Partnerships." Journal of Clinical and Translational Science 3, s1 (March 2019): 91. http://dx.doi.org/10.1017/cts.2019.210.
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OBJECTIVES/SPECIFIC AIMS: Elucidate the unique challenges associated with hospital discharge planning for patients experiencing homelessness. Assess the impact of robust community partnerships and strong referral pathways on participating patients’ health care utilization patterns in an interdisciplinary, student-run hospital consult service for patients experiencing homelessness. Identify factors (both patient-level and intervention-level) that are associated with successful warm hand-offs to outside social agencies at discharge. METHODS/STUDY POPULATION: To assess the impact of participation in HHL on patients’ health care utilization, we conducted a medical records review using the hospital’s electronic medical record system comparing patients’ health care utilization patterns during the nine months pre- and post- HHL intervention. Utilization metrics included number of ED visits and hospital admissions, number of hospital days, 30-day hospital readmissions, total hospital costs, and follow-up appointment attendance rates, as well as percentage of warm hand-offs to community-based organizations upon discharge. Additionally, we collected data regarding patient demographics, duration of homelessness, and characteristics of homelessness (primarily sheltered versus primarily unsheltered, street homeless versus couch surfing, etc) and intervention outcome data (i.e. percentage of warm hand-offs). This study was reviewed and approved by the Tulane University Institutional Review Board and the University Medical Center Research Review Committee. RESULTS/ANTICIPATED RESULTS: For the first 41 patients who have been enrolled in HHL, participation in HHL is associated with a statistically significant decrease in hospital admissions by 49.4% (p < 0.01) and hospital days by 47.7% (p < 0.01). However, the intervention is associated with a slight, although not statistically significant, increase in emergency department visits. Additionally, we have successfully accomplished warm hand-offs at discharge for 71% percent of these patients. Over the next year, many more patients will be enrolled in HHL, which will permit a more finely grained assessment to determine which aspects of the HHL intervention are most successful in facilitating warm hand-offs and decreased health care utilization amongst patients experiencing homelessness. DISCUSSION/SIGNIFICANCE OF IMPACT: Providing care to patients experiencing homelessness involves working within complex social problems that cannot be adequately addressed in a hospital setting. This is best accomplished with an interdisciplinary team that extends the care continuum beyond hospital walls. The HHL program coordinators believe that ED visits amongst HHL patients and percentage of warm hand-offs are closely related outcomes. If we are able to facilitate a higher percentage of warm hand-offs to supportive social service agencies, we may be able to decrease patient reliance on the emergency department as a source of health care, meals, and warmth. Identifying the factors associated with successful warm hand-offs upon discharge from the hospital may assist us in building on the HHL program’s initial successes to further decrease health care utilization while offering increased interdisciplinary educational opportunities for medical students.
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Vogt, Richard L. "Giardiasis in day care centers." Journal of Pediatrics 106, no. 5 (May 1985): 857–58. http://dx.doi.org/10.1016/s0022-3476(85)80374-7.
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Crosson, Francis J., Steven B. Black, Cynthia E. Trumpp, Moses Grossman, Chinh T. Lé, and Anne S. Yeager. "Infections in day-care centers." Current Problems in Pediatrics 16, no. 3 (March 1986): 129–84. http://dx.doi.org/10.1016/0045-9380(86)90020-4.
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Richardson, Virginia E., Holly Dabelko, and Tom Gregoire. "Adult Day Centers and Mental Health Care." Social Work in Mental Health 6, no. 3 (February 21, 2008): 41–58. http://dx.doi.org/10.1300/j200v06n03_03.
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Crawford, Florence, and Sten H. Vermund. "Hepatitis A in Day Care Centers." Journal of School Health 55, no. 9 (November 1985): 378–81. http://dx.doi.org/10.1111/j.1746-1561.1985.tb04152.x.
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Buluba, Salome E., Neema E. Mawi, and Edith A. M. Tarimo. "Clients’ satisfaction with HIV care and treatment centres in Dar es Salaam, Tanzania: A cross-sectional study." PLOS ONE 16, no. 2 (February 22, 2021): e0247421. http://dx.doi.org/10.1371/journal.pone.0247421.
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Background HIV is a major global public health challenge, claiming the lives of over 32 million people so far. The satisfaction of HIV-affected clients with the quality of their HIV services at treatment centres is crucial for quality improvement. This article assesses clients’ satisfaction with different aspects of the overall care experience and seeks to determine if the type of health facility ownership is a predictor of satisfaction. Methods A cross-sectional study involving 430 respondents was conducted between September and October 2019. Purposeful and convenient sampling techniques were used to select health facilities and potential respondents, respectively. A pre-tested, interviewer-administered questionnaire was used to collect data. Binary logistic regression was used to assess the association between type of health facility and clients’ satisfaction based on the six assessed aspects of care, and p˂0.05 was considered statistically significant. Results The general clients’ satisfaction with HIV/AIDS services at care and treatment centres was 92.3%. Respondents from public health facilities were most satisfied with privacy and confidentiality (100%), physical environment (100%), counseling (99.5%) and drug availability (99.5%); respondents from private health facilities were most satisfied with the time spent in the facility (95.9%); while respondents from faith-based health facilities were most satisfied with staff-patient communication (99.2%). However, after adjusting for confounders, only one aspect of care, that of “time spent in the facility,” showed significant association with the type of health facility. Conclusion Generally, clients’ satisfaction with HIV/AIDS services at care and treatment centres in the Ubungo District, Dar es Salaam was high. This finding should encourage health care providers to maintain high-quality services to sustain clients’ satisfaction.
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Kopjar, Branko, and Thomas Wickizer. "How Safe Are Day Care Centers? Day Care Versus Home Injuries Among Children in Norway." Pediatrics 97, no. 1 (January 1, 1996): 43–47. http://dx.doi.org/10.1542/peds.97.1.43.
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Objectives. The study's objective was to examine and compare injury rates of children ages 6 months to 6 years in day care centers and homes. More specifically, we tested the hypothesis that the injury rate is lower in day care centers than at homes, as suggested by previous studies. Methods. A comprehensive prospective injury registration was carried out in Stavanger, Norway, during 1992. We obtained data from this system to identify injuries occurring in day care centers, homes, and other places during 1992. Exposure-adjusted incidence rates were calculated to compare the risk of injury at day care centers, homes, and other places. We also obtained data from medical records on use and costs of medical care. In addition, a parent questionnaire was developed and used to gather data on the amount of injury-related restricted activity. Results. Among 9454 children ages 6 months to 6 years in Stavanger, 770 injuries occurred during 1992: 96 in day care centers, 472 at home, and 202 at other places. For children ages 6 months to 2 years, the rate of injuries was significantly lower in day care centers than at home (1.2 and 2.5, respectively, per 100 000 children-hours), but for children ages 3 to 6, the rates of injuries were similar in day care centers and at home (1.3 and 1.5, respectively, per 100 000 children-hours). The great majority of children attending day care centers were from 3 to 6 years of age. No significant differences were found in the severity of the injuries. Conclusions. For children ages 3 to 6 years, which included most of the children attending day care centers in Stavanger, Norway, day care centers were not found to be safer than homes. We think continuing attention should be paid to injury control in day care centers.
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Sellström, Eva, Sven Bremberg, and Albert Chang. "Injuries in Swedish Day-Care Centers." Pediatrics 94, no. 6 (December 1, 1994): 1033–36. http://dx.doi.org/10.1542/peds.94.6.1033.
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In the developed countries, an increasing number of children are enrolled in day-care centers. When parents leave their child in a day-care center they expect high standards of health and safety. Accidental injuries are a major threat in this age group. In a comparable institution that serves children, the school, the risk of injury is higher than in the home environment.1-2 Thus, safety in day-care centers cannot be taken for granted. A few studies of injuries in day-care centers have been reported, from the Nordic countries2,3-5 and from the US.6-10 Most of these studies, however, have been small and most lack information on time of exposure. Information about the risk of injury in Swedish day-care centers might be of interest as enrollment has been high for a long time. In Sweden, within the frame of a national injury program,11 a number of local hospital- and health center-based injury report systems have been set up. All have a basic common coding. These systems enable compilation of injuries in day-care centers on a national basis. The aim of our study was to analyze child injuries in day-care centers as reported in 10 local injury registry systems in Sweden regarding incidence, type, and mechanism of injury. METHOD Data were compiled from 10 local injury registry systems, covering 1- to 2-year periods. The earliest registers were from the years 1983 to 1984 and the latest from 1991. These systems were set up in all medical institutions at a predefined level, covering all individuals in a total or a part of a county.
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FENSTER, DIANE LIND. "HIV and Day Care." Pediatrics 89, no. 4 (April 1, 1992): 690. http://dx.doi.org/10.1542/peds.89.4.690.
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To the Editor.— I read with interest the article in Pediatrics by Morrow et al on children with HIV in day care centers.1 The tone of the article is patronizing: the authors suggest that if parents were better educated, they would accept the presence of HIV-infected children in their day care centers. I agree that increased education of parents and day care providers is highly desirable. In keeping with the decline of paternalism in medicine,
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GILLISS, CATHERINE L., BONNIE HOLADAY, CATHERINE C. LEWIS, and ROBERT H. PANTELL. "A Health-Education Program For Day-Care Centers." MCN, The American Journal of Maternal/Child Nursing 14, no. 4 (July 1989): 266???269. http://dx.doi.org/10.1097/00005721-198907000-00011.
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CRAWFORD, FLORENCE G., and STEN H. VERMUND. "Parasitic infections in day care centers." Pediatric Infectious Disease Journal 6, no. 8 (August 1987): 744–49. http://dx.doi.org/10.1097/00006454-198708000-00010.
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Eaton Jones, Suzanne E., Christine B. Armstrong, Christine Bland, Emmaneul B. Walter, and Dennis A. Clements. "VARICELLA PREVALENCE IN DAY-CARE CENTERS." Pediatric Infectious Disease Journal 14, no. 5 (May 1995): 404. http://dx.doi.org/10.1097/00006454-199505000-00021.
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Castillo-Mariqueo, Lidia, and Lydia Giménez-Llort. "420 - Translational modeling of psycho-motor function in normal and pathological aging with special concerns on the effects of isolation." International Psychogeriatrics 32, S1 (October 2020): 136. http://dx.doi.org/10.1017/s1041610220002732.
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Time factor and human support are major constrains in the management of the COVID-19 pandemic and they enhance the challenges to adapt the lifestyles and intervention programs, with greater impact on the elderly people, especially those who are the most physically or cognitively frail. The restrictive confinement and the closing of the day centers has left those whose frailty requires permanent rehabilitation programs at home. In the case of Alzheimer’s disease (AD) and other dementias, non-professional home care may not be enough to cover the needs and demands of these complex disorders. On the other hand, as elder people, these patients can be particularly affected by social isolation, which can cause changes in behavior and decrease functional performance in the basic activities of daily life, worsening their BPSD and cognitive impairment. In this context, and under the gaze of normal and pathological aging, we are developing a functional model of psycho-motor evaluation that allows us to study psycho-motor function, including motor learning and memory. Its translational value relays in the modeling of tests used in clinical settings. Here we present the very first results. We have selected the gold standard C57BL/6 mice together with the triple transgenic model of AD (3xTg-AD) to apply our psycho-motor protocol. We have included a series of measurements that make possible to differentiate several dimensions of basal motor learning, and the learning associated with fragile situations. We have found common as well as distinctive features between the sample of normal and AD-pathological aging, and under the isolation scenario. Among all, we can highlight the gender factor and the level of physical activity as a protective mechanism when indicators of frailty are present. Particularly, the 3xTg-AD mice show greater deterioration in physical aspects, but they retain their motor learning capacity comparable to the controls. On the other hand, higher performance in tests of exercise tolerance and muscle strength stand out in these mice, where genotype and gender appear to be determinant factors in overall physical performance: This generates new hypotheses of underlying biological protection mechanisms in translational scenarios relevant for the rehabilitation of geriatric and AD-patients.
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Rey-Salmon, Caroline, Paul de Boissieu, Jean-Paul Teglas, and Catherine Adamsbaum. "Abusive Head Trauma in Day Care Centers." Pediatrics 146, no. 6 (November 10, 2020): e2020013771. http://dx.doi.org/10.1542/peds.2020-013771.
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Utriainen, Pekka, and Eeva Widstrom. "Economic aspects of dental care in Finnish health centers." Community Dentistry and Oral Epidemiology 18, no. 5 (October 1990): 235–38. http://dx.doi.org/10.1111/j.1600-0528.1990.tb00066.x.
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Saputra, Maman, Lenie Marlinae, Fauzie Rahman, and Dian Rosadi. "PROGRAM JAMINAN KESEHATAN NASIONAL DARI ASPEK SUMBER DAYA MANUSIA PELAKSANA PELAYANAN KESEHATAN." Jurnal Kesehatan Masyarakat 11, no. 1 (September 11, 2015): 32. http://dx.doi.org/10.15294/kemas.v11i1.3462.
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<p>Jaminan kesehatan nasional (JKN) mulai beroperasi sejak 1 Januari 2014. Pelaksanaan jaminan kesehatan di Kabupaten Tabalong, masih mengalami beberapa permasalahan seperti SDM pelaksana pelayanan kesehatan yang masih belum mencukupi baik dari segi kuantitas, distribusi dan kualitas. Penelitian ini bertujuan untuk melakukan evaluasi program JKN dari aspek SDM pelaksana pelayanan kesehatan di Kabupaten Tabalong periode Januari-Juni 2014. Penelitian ini menggunakan <em>mix method </em>dengan desain urutan pembuktian <em>sequential explanatory</em>. Subjek penelitian berasal dari Dinas Kesehatan Kabupaten Tabalong, RSUD H. Badaruddin, Puskesmas Kelua dan BPJS Kesehatan. Hasil evaluasi konteks, informan memahami mengenai batasan JKN, <em>roadmap</em> dan hambatan program. Hasil evaluasi input SDM pelaksana pelayanan kesehatan, kuantitas masih mengalami kekurangan 136 orang. Distribusi di Puskesmas Kelua sudah sesuai dengan standar ketenagaan di puskesmas tetapi kuantitasnya masih belum sesuai standar rasio per 100.000 jumlah penduduk. Distribusi di RSUD H. Badaruddin berdasarkan standar ketenagaan kesehatan di rumah sakit sudah sesuai, kecuali untuk dokter spesialis. Penilaian kualitas SDM di Puskesmas Kelua belum menggunakan standar Kepmenkes Nomor 857 Tahun 2009. Sedangkan di RSUD H. Badaruddin masih menggunakan penilaian Daftar Penilaian Pelaksanaan Pekerjaan (DP3). Hasil evaluasi proses, kuantitas sudah meningkat tetapi masih mengalami kekurangan 82 orang. Distribusi di Puskesmas Kelua tidak ada perubahan. Distribusi di RSUD H. Badaruddin mengalami penambahan tenaga keperawatan. Penilaian kualitas SDM di Puskesmas Kelua tidak ada perubahan. Penilaian SDM di RSUD H. Badaruddin menggunakan Penilaian Prestasi Kerja Pegawai (PKP). Evaluasi output menunjukkan belum ada perubahan kuantitas, distribusi dan kualitas dari hasil evaluasi proses. Pelaksanaan JKN di Kabupaten Tabalong sudah berjalan, baik dari aspek peraturan perundangan, kepesertaan, pelayanan kesehatan, keuangan dan tata kelola organisasi. Ada beberapa hambatan seperti peraturan daerah masih kurang dan kurangnya jumlah SDM pelaksana pelayanan kesehatan. Oleh karena itu, perlu adanya upaya penambahan kuantitas dan pemerataan distribusi SDM pelaksana pelayanan kesehatan oleh Pemerintah Daerah dan upaya memaksimalkan jumlah dan kualitas SDM pelaksana pelayanan kesehatan yang tersedia.<strong><em></em></strong><strong></strong></p><p align="center"> </p><p><em>National health insurance (JKN) started operating on January 1, 2014. The implementation of health insurance in Tabalong, still have some problems such as health services workforce are still not enough in terms of quantity, distribution and quality. This study aims to evaluate the JKN program of </em><em>health services </em><em>workforce aspects in Tabalong period January to June 2014. This study used a mixed method design </em><em>with</em><em> sequential explanatory. Study subjects were from the Department of Health Tabalong, H. Badaruddin Hospital, </em><em>Kelua </em><em>Health Center and BPJS Health. The results of the evaluation context, informants understand the JKN restrictions, roadmap and program obstacle</em><em>s</em><em>. The results of the evaluation of</em><em> health services</em><em> workforce inputs, the quantity is still deficient 136 people. Distribution in Kelua Health Center is appropriate with the standard for personnel in health centers but the quantity is still not appropriate </em><em>with the </em><em>ratio per 100,000 of population standard. Distribution in H. Badaruddin hospital</em><em> </em><em>based health workforce standards in hospitals is appropriate, except to specialists. Assessment of the quality of human resources in </em><em>Kelua </em><em>Health Center </em><em>not </em><em>using Kepmenkes No. 857 of 2009</em><em> </em><em>standard. While in H. Badaruddin</em><em> </em><em>hospital still use assessment Implementation Assessment Work List (DP3). The results of the evaluation process, the quantity has increased but is still deficient 82 people. Distribution in Kelua Health Center no change. Distribution in H. Badaruddin hospital</em><em> </em><em>have additional </em><em>for </em><em>nursing staff. Assessment of the quality of human resources in the </em><em>Kelua </em><em>Health Center no change. Assessment of human resources in H. Badaruddin hospital</em><em> </em><em>using Employee Job Performance Assessment (PKP). Evaluation of the output shows no change in the quantity, distribution and quality of the results of the evaluation process. Implementation JKN in Tabalong already running, both from the aspect of legislation, participation, health care, financial and organizational governance. There are several obstacles such as local regulation are still lacking and the lack of </em><em>workforce</em><em> for the services of health.</em><em> </em><em>Therefore, efforts are needed to increase the quantity and distribution of health workforce by local government and maximizing the amount and quality of available health workforce.</em></p>
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Battaglia, Sam G., and W. R. Kiser. "Day Care Injuries." Pediatrics 98, no. 5 (November 1, 1996): 1005. http://dx.doi.org/10.1542/peds.98.5.1005.
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We would like to commend Kopjar and Wickizer1 for their recent article dealing with the safety of day care centers in Norway. With the increasing prevalence of two-career homes and single-parent homes, the need for day care is indeed great and unlikely to decrease in the near future. Given this trend, studies such as the one carried out by these authors are pertinent, poignant, and deserving of thorough evaluation. As primary care physicians, we have a responsibility to be informed regarding the safety of those day care facilities that our patient-families may choose to utilize.
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Setyawan, Febri Endra Budi. "Gambaran Karakteristik dan Kepuasan Peserta BPJS Kesehatan dalam Pemanfaatan Pelayanan Kesehatan di FKTP Kota Malang." ARTERI : Jurnal Ilmu Kesehatan 1, no. 3 (May 30, 2020): 262–68. http://dx.doi.org/10.37148/arteri.v1i3.103.
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The rules regarding the increase in Social Insurance Administration Organization (BPJS) Health fees recently affected the occurrence of 800 thousand BPJS Health participants who dropped out of class. The level of satisfaction of BPJS Health participants utilizing health services at the First Level Health Facilities (FKTP) was still below the target. The satisfaction of the participants of the BPJS of Health when getting health services in FKTP will have a strong influence on their loyalty and the quality of health services in general. This study conducted to describe the characteristics and satisfaction of BPJS Health participants in the utilization of health services in FKTP Malang. This study wass a descriptive study an observational survey approach to describe the characteristics and satisfaction of BPJS Health participants. This study involved 49 BPJS participants in FKTP Malang at the Primary Care Clinic and Community Health Center by using systematic random sampling. Results: The results showed that in both types of FKTP groups, 100% of participants stated that they preserved their chosen health services. All participants of the Subsidy Aid Recipient (PBI) checked their health at the Community Health Center, while at the primary care clinic, the majority of participants (75%) were Wage Recipient Workers (PPU). The level of satisfaction of BPJS participants in primary care clinic was more dominated by biological aspects (84.85%), while psychological aspects were more felt by participants in Community Health Center. In conclusion, The conclusion of this study shows that PBI participants checks their health more at Community Health Center and they felt more satisfy on biological aspects at Primary Care Clinic. BPJS Health participants' satisfaction in both FKTP groups needs to be improved through a comprehensive holistic approach with promotive, preventive, curative and rehabilitative efforts.
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Louhiala, Pekka J., Nüna Jaakkola, Risto Ruotsalainen, and Jouni J. K. Jaakkola. "Day-care centers and diarrhea: A public health perspective." Journal of Pediatrics 131, no. 3 (September 1997): 476–79. http://dx.doi.org/10.1016/s0022-3476(97)80083-2.
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Crowley, Angela A. "Health services in child day-care centers: A survey." Journal of Pediatric Health Care 4, no. 5 (September 1990): 252–59. http://dx.doi.org/10.1016/0891-5245(90)90109-j.
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Cohen-Mansfield, Jiska, Steve Lipson, Kathy S. Brenneman, and L. Gregory Pawlson. "Health Status of Participants of Adult Day Care Centers." Journal of Health & Social Policy 14, no. 2 (September 26, 2001): 71–89. http://dx.doi.org/10.1300/j045v14n02_05.
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Kim, Kyung Hyo. "Infection in Children Attending Day Care Centers." Korean Journal of Pediatric Infectious Diseases 9, no. 1 (2002): 27. http://dx.doi.org/10.14776/kjpid.2002.9.1.27.
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