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1
Afnan, Mohammed Abdullah Alharbi, and Ahmad AbdulJabbar Aljubailan Haneen. "Effect of patient population on the risk of heparin-induced thrombocytopenia." International Journal of Healthcare Sciences 11, no. 1 (June 2, 2023): 45–49. https://doi.org/10.5281/zenodo.7997080.
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<strong>Abstract:</strong> 744 patients from 3 different clinical settings were evaluated as follows: unfractionated heparin (UFH) during or after cardiac surgery (n=100), UFH after orthopedic surgery (n=100, = 205) and molecular weight heparin (LMWH ) after orthopedic surgery (n = 439). In the activation assay, the frequency of HIT-IgG formation varied from a minimum of 3.2% in orthopedic patients receiving LMWH to a maximum of 20% in cardiac patients receiving UFH; per antigen assay, the corresponding frequencies ranged from 7.5% to 50%. However, in patients who developed HIT-IgG and received UFH, the probability of HIT was higher in orthopedic patients than in cardiac patients (according to the activation assay: 52.6% vs. 5%; odds ratio 21.1). [95% CI, 2.2-962.8]; P = .001; nach Antigen-Assay: 34,5 % vs. 2,0 %; Odds Ratio, 25,8 [95 % KI, 3,2-1141]; P < 001). It is concluded that there is an unexpected dissociation between the frequency of HIT-IgG formation and the risk of HIT, which depends on the patient population. <strong>Keywords:</strong> orthopedic patients, cardiac patients, cardiac surgery, patient population. <strong>Title:</strong> Effect of patient population on the risk of heparin-induced thrombocytopenia <strong>Author:</strong> Afnan Mohammed Abdullah Alharbi, Haneen Ahmad AbdulJabbar Aljubailan <strong>International Journal of Healthcare Sciences</strong> <strong>ISSN 2348-5728 (Online)</strong> <strong>Vol. 11, Issue 1, April 2023 - September 2023</strong> <strong>Page No: 45-49</strong> <strong>Research Publish Journals</strong> <strong>Website: www.researchpublish.com</strong> <strong>Published Date: 02-June-2023</strong> <strong>DOI: https://doi.org/10.5281/zenodo.7997080</strong> <strong>Paper Download Link (Source)</strong> <strong>https://www.researchpublish.com/papers/effect-of-patient-population-on-the-risk-of-heparin-induced-thrombocytopenia</strong>
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Ghafar, Ali Mahmoudi, Mahmoudvand Hormuz, Adeli Mahin, Taghadosi Amin, and Bahmani Mahmoud. "Evaluation of Respect for Patient's Rights from the Viewpoint of Hospitalized Surgical Patinents in Shohada Ashayer Hospital of Khorramabad City, Iran in 2015-2016." International Journal of Current Pharmaceutical Review and Research 8, no. 1 (December 30, 2017): 49–52. https://doi.org/10.5281/zenodo.12678397.
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One of the most important branches of medical science, until past time, law and consequently to medical ethics. Patients'satisfaction of their rights, one of the most important indicators of effectiveness, efficiency, productivity and quality ofhealthcare services. The goal of this study was to Check the Observance of the rights of patients in surgical patientsadmitted to Shohaday Ashayer hospital in 2015-2016 from the perspective of patients. This cross-sectional studyincluded 800 patients admitted to Shohada Ashayer Hospital in 2015 and 2016. Respecting patient’s bill of rights fromtheir viewpoint was determined by a questionnaire using a Likert scale from one (strongly disagree) to five (stronglyagree). The results obtained in this study showed that the rate of patients' rights in all aspects of the %15.8 patient's viewwas poor, from the %67.4 patient's perspective was middle, and from the %16.8 patient's view was good. Most patients'satisfaction with their rights in respect to the axis of the right to choose and decide freely and the lowest levels ofsatisfaction was at the core of respect for patient privacy and confidentiality principle. Level of satisfaction in all axeswas significantly associated with age, type of substrate in the third axis, history of hospitalization in the fourth axis andduration of hospital stay in the second axis(P<0.O5). Between gender and place of residence and educational level foundno significant relaion(P>O.O5). In total, based on the obtained results and comparing them with the results of otherstudies, it may be concluded that respecting patient’s bill of rights from the viewpoint of patients is considered as optimaland to enhance the implementation of the Charter as well as patient satisfaction is essential that solutions be identifiedbarriers to implementation.
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Shams, Salima. "ENSEIGNEMENT AUX PATIENTS : Counselling pour les patients atteints d’un cancer de la bouche." Canadian Oncology Nursing Journal 34, no. 2 (April 30, 2024): 238–44. http://dx.doi.org/10.5737/23688076342238.
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L’objectif du présent article est de résumer les aspects centraux des soins aux patients atteints d’un cancer avancé de la bouche avec métastases dans la région de la tête et du cou. Ces patients sont traités par approche multimodale. L’intervention chirurgicale limite leur capacité de parler et d’avaler, tandis que la chimiothérapie et la radiothérapie peuvent entraîner nausées et vomissements, diarrhée, mucite, cystite, déshydratation, néphrotoxicité, dermatite, dépression médullaire et carences alimentaires entraînant une perte de poids. Il est possible de contrer ces effets toxiques à l’aide de mesures d’autosoins. Dans le cadre de leurs interventions d’enseignement, les infirmières en oncologie pourraient transmettre aux patients et aux familles les connaissances nécessaires à l’application de ces mesures d’autosoins. Mots-clés : cancer avancé de la bouche, cancer de la tête et du cou, counselling, mesures d’autosoins
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J, P. Singh, Kariwal Peeyush, B. Gupta S, and P. Shrotria V. "Patient Satisfaction Level in a Rural Tertiary Care Hospital, Bareilly." PJSR 8, no. 1 (June 1, 2015): 39–45. https://doi.org/10.5281/zenodo.8249686.
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The primary goal of the tertiary care hospital as a highest level of health care provision is to provide best possible health care to the patients. Patient satisfaction is one of the established yardsticks to measure success of the services being provided in the health facilities. The study was aimed to study satisfaction of outdoor patients regarding behavior of hospital’s personnel, provision of basic services & facilities in the hospital and also to find out the relation of bio-social variables with the level of satisfaction of hospital staffs. A hospital based cross sectional study was carried out in a tertiary care hospital, Bareilly during January - March 2014 among outdoor patients reporting for corresponding. Study subjects was selected by systematic random sampling method and interviewed using a pre-tested & semi-structured interview schedule. Data entry and analysis were done using the Epi- info statistical software. A total of 292 OPD patients were included in the study. Majority of them were satisfied with the services & facilities available as well as with the behavior of hospital staffs. Statistically significant relation was seen between behavior of doctors and class III & IV staffs with satisfaction level, gender & cleanliness, gender & behavior of doctors and class III/IV employees and also education & behavior of doctors.
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B N, Beena Ullala Mata, Rameshwara G N, Naveen Kumar G, and Raghavendra B. "Effects of Computerized Patient Records on Patients." Bonfring International Journal of Man Machine Interface 3, no. 3 (July 31, 2015): 25–29. http://dx.doi.org/10.9756/bijmmi.8068.
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Purnamasidhi, Cokorda. "Hematological profile of Patients in Udayana University General Hospital." International Journal of Medical Reviews and Case Reports 4, Reports in Microbiology, Infecti (2020): 1. http://dx.doi.org/10.5455/ijmrcr.hematological-profile-patients.
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OSUNMAKINDE, Bukola Toyin (RN DNA BNSc M.Sc. Nursing), and Mary Ayodeji (RN RM RPHN BNSc M.Sc. Nursing) GBENGA-EPEBINU. "Comparison of Nursing Care Satisfaction Among Orthopaedic Patients in Two Selected Teaching Hospitals in Osun State." International Journal of Academic Research in Business, Arts & Science ( IJARBAS.COM ) 2, no. 8 (August 19, 2020): 12–22. https://doi.org/10.5281/zenodo.5186427.
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The provision of quality health services is a crucial competitive advantage of health service providers. Nursing care plays a major role in the health care services. Orthopaedic patients require a greater level of care as a result of several possible complications, increased vulnerability, potential cardio-pulmonary compromise and requirement of general concerns. The study therefore compared nursing care satisfaction among orthopaedic patients in two selected teaching hospitals in Osun State. The study adopted the descriptive research design of the survey type. The population study comprised all patients scheduled for elective and emergency, Orthopaedics surgeries in Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife and Ladoke Akintola University Teaching Hospital (LAUTECH), Osogbo during the study period. All the available patients were recruited within two months of data collection. A standardized tool of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) was adapted for data collection. The instrument was validated by subjecting it to be reviewed by experts of nursing education and Tests & Measurement. The findings of the study revealed that 66.0% of the patients in OAUTHC had moderate level of satisfaction with nursing while 62.5% of the patients in LAUTECH also had moderate level of satisfaction with nursing. It was also revealed that there was no difference in patient’s level of satisfaction with nursing care in OAUTHC and LAUTECH. It was recommended among others that nursing care in the two hospitals (OAUTHC and LAUTECH) in Osun State should be adequately improved so as to achieve high level of the patient’s satisfaction with nursing care. <strong>Keywords</strong>: Comparison, patient satisfaction, nursing care, orthopaedic patients,
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MOHAMMED, AYED ALSEFRI, AYED ALSEFRI MORAD, and SALEM ALHARBI ABDULLAH. "Influence of the patient population on the risk of heparin-induced thrombocytopenia." International Journal of Life Sciences Research 10, no. 4 (December 22, 2022): 82–86. https://doi.org/10.5281/zenodo.7472536.
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<strong>Abstract:</strong> 744 patients from 3 different clinical settings were evaluated as follows: unfractionated heparin (UFH) during or after cardiac surgery (n=100), UFH after orthopedic surgery (n=100, = 205) and molecular weight heparin (LMWH) after orthopedic surgery (n = 439). In the activation assay, the frequency of HIT-IgG formation varied from a minimum of 3.2% in orthopedic patients receiving LMWH to a maximum of 20% in cardiac patients receiving UFH; per antigen assay, the corresponding frequencies ranged from 7.5% to 50%. However, in patients who developed HIT-IgG and received UFH, the probability of HIT was higher in orthopedic patients than in cardiac patients (according to the activation assay: 52.6% vs. 5%; odds ratio 21.1). [95% CI, 2.2-962.8]; P = .001; nach Antigen-Assay: 34,5 % vs. 2,0 %; Odds Ratio, 25,8 [95 % KI, 3,2-1141]; P < 001). It is concluded that there is an unexpected dissociation between the frequency of HIT-IgG formation and the risk of HIT, which depends on the patient population. <strong>Keywords:</strong> cardiac patients, heparin-induced thrombocytopenia, patient population. <strong>Title:</strong> Influence of the patient population on the risk of heparin-induced thrombocytopenia <strong>Author:</strong> MOHAMMED AYED ALSEFRI, MORAD AYED ALSEFRI, ABDULLAH SALEM ALHARBI <strong>International Journal of Life Sciences Research</strong> <strong>ISSN 2348-313X (Print), ISSN 2348-3148 (online)</strong> <strong>Vol. 10, Issue 4, October 2022 - December 2022</strong> <strong>Page No: 82-86</strong> <strong>Research Publish Journals</strong> <strong>Website: www.researchpublish.com</strong> <strong>Published Date: 22-December-2022</strong> <strong>DOI: https://doi.org/10.5281/zenodo.7472536</strong> <strong>Paper Download Link (Source)</strong> <strong>https://www.researchpublish.com/papers/influence-of-the-patient-population-on-the-risk-of-heparin-induced-thrombocytopenia</strong>
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Usha, Banerjee, Sharma Anchal, and Flinsi Maryline. "Safety Against Fall Every time (SAFE) (Fall prevention Campaign)." World Journal of Advanced Research and Reviews 19, no. 3 (September 30, 2023): 1140–45. https://doi.org/10.5281/zenodo.11890807.
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Falls are the second-leading cause of unintentional injuries or deaths worldwide. Inpatient falls result in significant physical and economic burdens for patients as well as for medical organizations. From January to November 2022, the number of fall incidents was 25. The causes identified were ineffective PFE, no hourly rounds, especially during night shifts, poor IPR with assigned patients, lack of awareness regarding disease conditions and medication administered, not giving effective PFE when the level of care changes, and not providing proper fall prevention education to the patient attendant. Group director nursing has initiated a campaign titled “SAFE” (Safety Against Fall Every time) in the month of November. The campaign was conducted till January 2023.Numerous campaign activities were planned to reduce the incidence of patient fall and to reinforce the compliance to fall prevention protocols. Various fun activities such as pocket charts, spin wheel, dart, quiz activities, poster competitions were planned to encourage participation of the staff in the campaign and to enhance learning. Daily audits were conducted to ensure correct assessment of vulnerable patients & AFRAT (Apollo fall risk assessment tool) monitoring. Daily briefing was held in all the three shifts on PFE & prevention of patient fall. Team leaders of the unit has been instructed to ensure hourly rounds specially during night shifts. The percentage of fall incidence in Jan to Nov 2022 was 62% which was reduced to 32% in Dec to Jun2023.Daily audits on hourly rounds, assessment of vulnerable patient, AFRAT scoring and patient & family education was continued to ensure a culture of safety among the staff nurses.
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Pauline, Joyce. "Patient Satisfaction with Care as Managed by the Physician Associate or the Doctor as Part of a Pilot Project in Ireland." Journal of Health and Medical Sciences 2, no. 2 (June 19, 2019): 218–23. https://doi.org/10.31014/aior.1994.02.02.40.
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Objective: The objective of this study was to examine if patients, visiting a hospital outpatient’s clinic, were satisfied about the care delivered when a PA instead of a doctor is the provider. Methods: The study methodology was a descriptive quantitative approach using an eight-item survey and an option to include free text comments. Results: There was no difference in satisfaction levels between consultations with doctors or PAs, as part of a pilot project introducing the PA role. Conclusions: In Ireland, patients are just as satisfied with the care they received from PAs and doctors. Findings are consistent with findings in other countries where the PA role is embedded. In meeting the patient's needs, an important aspect of care given by both doctor and PA seems to be keeping the patient informed and behaving in a professional manner.
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Saroj, Kumar Parida, Samal Akash, and Agrawal Subham. "Utilizing Patient-Reported Outcomes, a Comparison of Limb Salvage Vs. Amputation for Nonmetastatic Sarcoma Patients Results from Measurement Information Systems." International Journal of Pharmaceutical and Clinical Research 15, no. 3 (March 31, 2023): 294–301. https://doi.org/10.5281/zenodo.12696907.
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<strong>Objective: </strong>A scoring tool called the Patient-reported Outcomes Measurement Information System (PROMIS) enables comparisons between patients with uncommon disorders and those with more common illnesses or the general population. For nonmetastatic sarcoma patients, PROMIS results were compared between limb salvage and amputee patients to the general population. <strong>Methods: </strong>The analysis covered 130 patients. Amputation and limb salvage cohorts of patients were separated, as well as groups based on the length of follow-up (1 to 10 or 12+ months). <strong>Results: </strong>Seven PROMIS domains were examined, and patients who had just undergone surgery and those in the limb salvage group both received higher ratings. In comparison to the population, the limb salvage group also exhibited better emotional health. <strong>Conclusion: </strong>PROMIS values have improved in both patients and limb salvage patients. One year following surgery. Patients undergoing limb salvage have better emotional health than the general public.
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劉庭維, 劉庭維. "家屬拒絕病患插管案：從病人自主權至病人善終權". 月旦醫事法報告 93, № 93 (липень 2024): 081–103. http://dx.doi.org/10.53106/241553062024070093007.
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OSUNMAKINDE, Bukola Toyin (RN DNA BNSc M.Sc), and R. A. SALAWU (RN PhD FWACN) PROF. "Length of Stay as Correlate of Satisfaction with Nursing Care Among Orthopaedic Patients in Two Selected Teaching Hospitals in Osun State." Euro Afro Studies International Journal, (EASIJ.COM), 2, no. 2 (August 12, 2020): 23–31. https://doi.org/10.5281/zenodo.3980486.
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Prolonged length of stay (LOS) has many disadvantages for both hospitals and patients, including the satisfaction to nursing care received. This study explored the link between length of stay and satisfaction with nursing care among orthopaedic patients in two selected hospitals (OAUTHC and LAUTECH) in Osun State, Nigeria. It also identified the average length of stay of orthopaedic patients and determined patient’s level of satisfaction with nursing care. The study adopted descriptive survey research design. The population for the study comprised all patients scheduled for elective and emergency, Orthopaedics surgeries in OAUTHC and LAUTECH during the study period. Adapted Structured questionnaire were used to obtain information about the length of stay of surgical patients and their level of satisfaction with nursing care at the health facilities. The validity of the instrument was determined using face and content validity. The results showed that the average length of stay of patients at the two hospitals (OAUTHC and LAUTECH) in Osun State is 24 days and that the largest percentage (65.5%) of the patients at the two hospitals had moderate level of satisfaction with nursing care. Furthermore, the results also revealed that there is no significance relationship between the length of stay of patients and their level of satisfaction with nursing care (chi-square value χ<sup>2 </sup>= 55.86, df = 62 p>0.05) at the two hospitals in Osun State. The study therefore concluded that there is no link between the length of stay and the level of patient satisfaction with nursing care in the two hospitals in Osun State. <strong>Keywords</strong>: Length of Stay, Patient Satisfaction, Nursing Care, Orthopaedic Patients,
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Pereira, Ramos Alex, Barbosa Bandeira Lívia Liberata, Ramos Alice Maria Pereira, Ferreira Ramon Magro, Meireles Pinheiro Bárbara Luíza, Ramos Anita Maria Pereira, da Silva Raphael Barreto, and Rala de Paula Bruno Henrique. "Why is it difficult to enrol patients in clinical cancer research?" World Journal of Advanced Research and Reviews 6, no. 2 (May 30, 2020): 163–65. https://doi.org/10.5281/zenodo.4313160.
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Patient recruitments are a crucial part of clinical research, especially in the medical oncology field. Despite its significance, 2-3% of patients with cancer participate in clinical trials. Beyond the bureaucratic and financial barriers in most trials, the recruitment can be directly impacted by the study design, referrals and patient beliefs. Therefore, this study points out the difficulties related to the process of patient recruitments in oncology, followed by options that contribute to their improvement.
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AYELABOLA, Alice Odunlayo (RN RM BNSc PGDE), Rabin Olalekan (RN Ph.D) POPOOLA, Kolawole O. (Ph.D) AYODELE, and Folasade Rukayat ADEWONYIN. "Patients' Expression On Nursing Care in State Specialist Hospitals in Ondo State Nigeria." International Journal of Medicine, Nursing & Health Sciences (IJMNHS) ® 2, no. 1 (February 28, 2021): 16–27. https://doi.org/10.5281/zenodo.4732376.
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Nursing care is what patients encounter during their stay in hospitals, complaints of poor attitude, lack of adequate care, carefree attitude among healthcare workers toward patients appear to be on the increase in government hospitals. The study aimed to explore patients’ expression on nursing care in state specialist hospitals, Ondo State, Nigeria. The study adopted descriptive phenomenological design to investigate patients’ expression on nursing care while on admission. A study population of patients who spent over 2 to 4 weeks on admission and have experienced and interacted with nurses while receiving care. Purposive sampling technique was used in selecting 20 participants for this study across the two State Specialist Hospitals at saturation point. The researcher with the help of interview guide conducted an in-depth face to face interview with the participants. The qualitative process of data collection involves interviews, documentation, and observations, using a reliable and valid recording instrument. The data collected were analyzed using MAXQDA. Data analysis strategies consisted of using qualitative software, key words, phrases, and codes, which contributed to identifying three themes and ten subthemes (a) Patients expectations (b) Patients experience and (c) patients satisfaction. The findings indicated that majority of the participants had expected nurses to be kind, cheerful, responsive, honest and friendly, and not to be harsh and rude. Most of the participants have positive experiences with the nurses but some respondents have negative experience. Participant also expressed their satisfactions with nursing care. In conclusion, some patients encountered rude or carefree nurses who showed lack of empathy and they were not satisfied with the care rendered. Efforts should be geared towards providing prompt care to all patients irrespective of their disease condition and status. <strong>Keywords</strong>: Patients, Patients’ Expression, Nursing Care,
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Ali, Mohamed, Khaled Morsy, Mai Helal, and Rasha Ahmed. "Role of blood lactate clearance in trauma patients." International Journal of Surgery and Medicine 6, no. 2 (2020): 1. http://dx.doi.org/10.5455/ijsm.blood-lactate-clearance-trauma-patients.
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Avdiaj, Armando. "Needs of patients undergoing hemodialysis." Perioperative Nursing (GORNA), E-ISSN:2241-3634 7, no. 1 (August 22, 2018): 75–777. https://doi.org/10.5281/zenodo.1401851.
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According to estimates, the number of patients undergoing hemodialysis is expected to increase dramatically within next years due to the ageing of population and prevalence of other co morbidities such as diabetic mellitus, coronary artery disease, hypertension and several others. <sup>1-5</sup> However, the exact number of patients seems to vary globally which is attributed to various obstacles such as inadequate data registries or failure to adopt a common and widely accepted methodology that will permit meaningful comparative research. <sup>1-5</sup> Importantly, available evidence illustrates that hemodialysis as a method of renal replacement implies a heavy emotional burden for individuals and their family while several needs of patients emerge on surface. <sup>1-5</sup> First and foremost, patients need elaborate information regarding their disease including fistula or any other vascular access for hemodialysis machine in order to manage long-term treatment and accept the new demanding reality of life. According to patients' reports, the knowledge of kidney disease, the care of vascular access, treatment options, and medications were the most important educational needs.<sup>6</sup> In Greek population, more informed about hemodialysis were single patients, University graduates, employees, younger patients and those having very good relations with nursing staff, doctors and other patients.<sup>5</sup> A sincere relation between health professionals and hemodialysis patients is a valuable tool for both sides. Indeed, a stable relation between these two parties promotes changes in regard to health-related behavior. Meanwhile, an effective relation not only strengthens patients' self-care but also enables them to adhere to the therapeutic regimen. <sup>2-5</sup> It is essential for health professionals who provide care to this sensitive population to evaluate adherence to dietary and fluid limitations. Interestingly, non adherence to treatment is a major issue for hemodialysis patients which is associated with increased morbidity and mortality, multiple interventions and prolonged hospitalizations.<sup>2-6 </sup>Adherence to therapeutic recommendations and the proposed diet were associated with higher score of quality of life in 320 Greek hemodialysis patients, out of whom 57,2% were men. <sup>7 </sup>Other significant factors affecting non adherence to fluid and diet include age, marital status, and family and friend support. <sup>1</sup> Research has given rise to a large amount of problems associated with the painful procedure of hemodailysis that limits normal life. Machine dependency is often experienced by this complex population since hemodialysis is the only choice to achieve life maintenance. Dependency on dialysis machine is associated with gender, education level, job, place of residence, degree of information, adherence to treatment guidelines, relations with nursing staff, change in body image, difficulties in social and family environment, concealment of problem, and need for help in daily activities.<sup>8 </sup> It is imperative to familiarize patients with this demanding and time consuming procedure as well as to encourage expression of their feelings. During recent decades, there is growing recognition of social support -issues in hemodialysis patients. <sup>9,10</sup> Social support is a modifiable psychosocial factor associated with patients’ perception of quality of life. Interestingly, the more support hemodialysis patients have from their significant others, family and friends, the better quality of life they have. <sup>9</sup> Additionally more, providing support that meets the needs of patients and address their specific concerns, seems to relieve them from anxiety and depression.<sup>10,11</sup> An one point increase of the support from friends seems to reduce by 57% the probability of having high levels of anxiety. It is also shown that an one point increase of the support from significant others, family and friends reduces by 77%, 71% and 56% respectively the probability of experiencing high levels of depression.<sup> 10 </sup>In 395 Greek hemodialysis patients, the total score of quality of life was 2.5 and 4.4 points lower for patients with moderate and high levels of depression, respectively, compared to patients with low levels of depression.<sup>11</sup> The above findings underline the need for early and appropriate evaluation of problems arousing from mental dimension. Finally, age plays a vital role in defining patients' needs as advanced age is associated with cognitive and physical impairment and worse quality of life. <sup>2‑5</sup> Given that hemodialysis represents a staggering economic burden on the healthcare system of each country, a key challenge confronting health care professionals is to discern patients' needs.
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Silva, Dulciléia Martins da, Carla Viana Dendasck, and Euzébio de Oliveira. "The Social Worker’s Attendance to Cancer Patients." Revista Científica Multidisciplinar Núcleo do Conhecimento 05, no. 08 (November 26, 2017): 39–51. http://dx.doi.org/10.32749/nucleodoconhecimento.com.br/health/patient-oncological.
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Lorna, Galleguillos. "Monkeypox and Immunosuppressed Neurological Patients: What can we Advise Vaccination in Multiple Sclerosis and Neuromyelitis Optica Patients?" J Biomed Res Environ Sci 3, no. 10 (October 14, 2022): 1177–79. https://doi.org/10.37871/jbres1573.
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Monkeypox is a zoonotic viral disease that was identified in 1958 in research monkeys that came from Singapore. It is an orthopoxvirus that belongs to the Poxviridae family [1]. This viral infection was restricted to Africa but in the last year the cases started raising not only in Africa but in the rest of the world [1,2]. This is why it became a disease of interest; it is important to acknowledge its epidemiological behavior, risks and vaccines, especially in a world that was recently struck by COVID-19, challenging physicians in the way of treating and vaccinating their immunosuppressed patients.
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Jamil, Waqas, Abdullah Alahwal, Ravinder Suman, Megan Whitwell, Farah Naz, and Thomas Beech. "Do Patients Correctly Use Steroid Nose Spray? A Patient-Reported Survey of the Nasal Spray Technique and Patient Compliance." Journal of Clinical Otorhinolaryngology 3, no. 4 (November 4, 2021): 01–05. http://dx.doi.org/10.31579/2692-9562/033.
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Background:Correct nasal spray techniqueand patient compliance are the two mostimportant factors in the use of steroid nose spray. Objectives:To find out if patientsuse steroid nasal spray with a correctspray technique and if they are compliant in using the spray. Design: Patient-reported survey Participants: 100 participants (1 excluded) Main outcome measures 1) Nasal spray technique 2) Patient compliance Results: Out of 99 participants included in this study only one patient used steroid nose spray with a completely correct spray technique. 40% of patients received guidance instructions from the prescriber about the spray technique. 70% of patients reported using their spray regularly and 53% of patients were found using the correct dosage of the spray. Conclusions: Wrong spray technique and patient noncompliance is common and can be corrected. This survey emphasizes the importance of giving written and verbal instructions about the use of spray to the patients.
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Urvashi, Sethia. "Changes in Lipid Profile in Diabetic Patients and Normal Patients from West Bengal Region." International Journal of Toxicological and Pharmacological Research 12, no. 12 (December 31, 2022): 18–26. https://doi.org/10.5281/zenodo.7537247.
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Glycated haemoglobin (HbA1c) is a routinely used marker for long-term glycaemic control. Apart from functioning as an indicator for the mean blood glucose level, HbA1c also predicts the risk for the development of diabetic complications in diabetes patients. Many studies have proposed HbA1c to be used as a biomarker of both glycaemic control and dyslipidemia in type 2 diabetes mellitus. Hence based on above reported findings the present study was planned for Assessment of Changes. Total 40 cases were enrolled in the present study. The present study was planned in Department of General medicine, ICARE Institute of Medical Sciences and Research & Dr. Bidhan Chandra Roy Hospital, Haldia, West Bengal, India. The study was conducted from the duration one year.The cases were divided in two study groups as Diabetic patients and normal patients of 20 cases each. The data generated from the present study concludes that there is significant correlation was observed between HbA1c and various parameters of lipid profile, and there is no standardized protocol to compare the results of various other studies hence more structured and long term studies on larger no of patients are needed to validate HbA1c as a marker of dyslipidemia. Diabetic dyslipidemia or atherogenic dyslipidemia is characterized by low HDL, high TG and high small dense LDL. Early screening of diabetic patients for dyslipidemia and early intervention is required to minimize the risk of future cardiovascular mortality.
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Urvashi, Sethia. "Changes in Lipid Profile in Diabetic Patients and Normal Patients from West Bengal Region." International Journal of Toxicological and Pharmacological Research 12, no. 12 (December 31, 2022): 18–26. https://doi.org/10.5281/zenodo.7537257.
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Glycated haemoglobin (HbA1c) is a routinely used marker for long-term glycaemic control. Apart from functioning as an indicator for the mean blood glucose level, HbA1c also predicts the risk for the development of diabetic complications in diabetes patients. Many studies have proposed HbA1c to be used as a biomarker of both glycaemic control and dyslipidemia in type 2 diabetes mellitus. Hence based on above reported findings the present study was planned for Assessment of Changes. Total 40 cases were enrolled in the present study. The present study was planned in Department of General medicine, ICARE Institute of Medical Sciences and Research & Dr. Bidhan Chandra Roy Hospital, Haldia, West Bengal, India. The study was conducted from the duration one year.The cases were divided in two study groups as Diabetic patients and normal patients of 20 cases each. The data generated from the present study concludes that there is significant correlation was observed between HbA1c and various parameters of lipid profile, and there is no standardized protocol to compare the results of various other studies hence more structured and long term studies on larger no of patients are needed to validate HbA1c as a marker of dyslipidemia. Diabetic dyslipidemia or atherogenic dyslipidemia is characterized by low HDL, high TG and high small dense LDL. Early screening of diabetic patients for dyslipidemia and early intervention is required to minimize the risk of future cardiovascular mortality.
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Anan, Udombhornprabha, Kanchanakhan Naowarat, and Phongmanjit Pichai. "Medical Outcomes Study (MOS) with Short-Form Health Survey and Chronic Venous Disease Thai Patients." International Journal of Medical Reviews and Case Reports 3, no. 6 (January 9, 2019): 290–96. https://doi.org/10.5455/IJMRCR.Chronic-Venous-Disease-Thai-Patients.
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Objective Medical outcomes study, 14-item short-form health-survey for chronic venous insufficiency (MOS CIVIQ14) used in medical screening were reliable subsequent to reliability test. A cut-off score less than 75 to support primary screening of chronic venous disease (CVD) suggested in other study may cause false negative. The analysis of MOS CIVIQ14 Thai version used for 120 participants interviews in hospital during clinical trial recruitment, included 42 CVD patients attempted as ad hoc analysis of MOS CIVIQ14 score. Interviews data of a 12-item short-form health-survey (MOS SF12) were compared. Result The inter-scale correlation and internal consistency reliability, Cronbach's alpha coefficients, of MOS CIVIQ14 score were 0.914(global score), 0.867(physical/pain score), 0.787(psychological score). MOS CIVIQ14 and MOS SF12 scores were correlated for physical/pain and global score with Pearson correlation coefficient, 95%CI of 0.713(0.663 to 0.790), p<0.001 and 0.745(0.640 to 0.819), p<0.001 but not for psychological score of -0.062(-0.197 to 0.091), p=0.501. Global score of MOS CIVIQ14 significantly correlated four leg symptoms with Correlation Matrix(CM) of 0762, 0.723,0.765, 0.787, all P<0.001 except for psychological score. High incidence of CVD noted regardless of MOS CIVIQ14 reflecting high mean(SD), median global index score of 84.7(12.6), 87.8 despite suggested lower cut-off score in some study.
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Koch, Amelie, Nikoloz Gambashidze, and Matthias Weigl. "Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland." Monitor Versorgungsforschung 16, no. 06 (December 2, 2023): 74–78. http://dx.doi.org/10.24945/mvf.06.23.1866-0533.2567.
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Background: Proactive involvement of patients in the design of safe care is a WHO-defined goal of the current decade. This paper investigated (a) which patient involvement activities and measures are implemented in German health care facilities for patient safety, and (b) which recommendations for action can be derived for our health care facilities. Aim and method: A literature and Internet search was conducted on institutional practices and organizational activities in Germany to improve patient safety with the involvement of patients. Interviews with five experts were conducted who advised our approach. An agenda for future research projects and first recommendations for clinical practice was formulated afterwards. Results: The evidence base on established measures to incorporate patient perspectives into the strategic promotion of patient safety in healthcare facilities in Germany is scarce and inconsistent. Patient surveys and the use of patient advocates are common. It remains unclear how patient councils as well as self-help groups have the potential to contribute to the promotion of patient safety in practice. Conclusions and agenda: An agenda is proposed. A more in-depth empirical survey and description of the situation in Germany, taking into account the experience of experts from clinical practice, is necessary to obtain a complete picture of the currently established measures for patient involvement, to uncover potential for realization and to define necessary framework conditions.
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Md, Rajib, Hoque Majedul, Akter Bijly Rabia, Ferdous Hossain Md., and Kazim Rafi Iftear. "A study on anti-diabetic prescription along with patients in Bangladeshi perspective." World Journal of Advanced Research and Reviews 20, no. 3 (December 30, 2023): 1705–12. https://doi.org/10.5281/zenodo.12787189.
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Diabetes is the main cause for inability and premature death in Bangladesh. As a part of treatment, Patients may have lifestyle changes, medications, surgery or other medical procedures. The aim of current research is to seek out therapy pattern for diabetes treatment in Bangladesh. A cross sectional study was performed in the government and private hospitals situated in Dhaka. 144 prescriptions of diabetic patients are collected from BIRDEM and BIHS Diabetic Center has 77 Male patient (53.47%) and female patient number 67 (46.53%). Most prescription drugs have captured Sitagliptin 34.02%, Linagliptin 20.83%, Metformin Hydrochloride 20.13%, Gliclazide 25%. Other results of this studies are described throughout the study and discussion. This research result focused on prescription pattern, lifestyle and awareness of patients. Those who are affected and plagued by the diabetes disease should be more responsive to this aspect, because little negligence is often the main reason for their life threat.
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Ivanka, Atanasova Stoyanova. "The role of the nurse in patients with pacemakers: Practices and interventions in preoperative and postoperative intensive care." World Journal of Advanced Research and Reviews 23, no. 3 (September 30, 2024): 2764–72. https://doi.org/10.5281/zenodo.14974406.
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<strong>Background</strong>: The pacemaker is a device implanted under the skin of the chest or abdomen to help control abnormal heart rhythms. This device sends electrical impulses to the heart muscle to maintain a suitable rhythm and heart rate. <strong>Introduction</strong>: Patients undergoing implantation of cardiac pacemakers require specialized medical care. Nurses play a key role in the care of patients with cardiac pacemakers, especially in the preoperative and postoperative periods. This review focuses on the practices and interventions performed by nurses to improve outcomes and care in managing and monitoring patients with pacemakers. <strong>Methods</strong>: This article presents the fundamental aspects of caring for patients with pacemakers in the preoperative and postoperative periods. The review covers processes of assessment, observation, and interventions related to patient status, pacemaker function, and associated complications. Results: Nurses play a key role in monitoring patients with pacemakers, including monitoring device function and identifying potential problems or complications. Nursing interventions include pain management, infection control, educational programs for patients and their families, and support for the psychological well-being of patients. <strong>Conclusion</strong>: Care for patients with pacemakers in the preoperative and postoperative periods requires specialized knowledge and skills from nurses. Understanding the practices and interventions in this area can improve outcomes and the quality of care for these patients.
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Kovalenko, V. "Early physical rehabilitation in intensive care unit and its impact on Post-COVID syndrome manifestations." Inter Collegas 11, no. 3 (September 30, 2024): 17–22. https://doi.org/10.5281/zenodo.14478693.
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<strong>Cite in Vancouver style as:</strong> Kovalenko V. Early physical rehabilitation in intensive care unit and its impact on Post-COVID syndrome manifestations. Inter Collegas. 2024;11(3):17-22. https://doi.org/10.35339/ic.11.3.kov Archived: https://doi.org/10.5281/zenodo.14250339 <strong>Abstract</strong> <strong>Background.</strong> The COVID-19 pandemic has caused a global health crisis, notably through long COVID, which significantly affects the quality of life of patients’ post-discharge from hospital care. Long COVID is characterized by prolonged symptoms such as fatigue, cognitive impairments, depression, and anxiety. Early physical rehabilitation is a crucial component of patient recovery; however, the optimal frequency and intensity of rehabilitation interventions remain unclear. <strong>Aim.</strong> To evaluate the effects of various physical rehabilitation regimens on functional status, cognitive functions, psychosocial state, and manifestations of post-COVID syndrome in patients who underwent severe COVID-19. <strong>Materials and Methods.</strong> 102 patients with confirmed COVID-19 requiring treatment in an Intensive Care Unit (ICU) were included in the study. They were divided into groups based on the number of rehabilitation sessions per day: Group I received one session, while Group II received two. Physical rehabilitation included changing the body position in bed, verticalization and breathing exercises. We assessed average values for physical functional status, cognitive functions, and psychosocial condition at discharge, along with post-COVID symptom severity 5–7 days after discharge. <strong>Results. </strong>Increasing the number of rehabilitation sessions led to better psychosocial outcomes and reduced manifestations of post-COVID syndrome. However, in the short-term, increasing session frequency did not yield statistically significant improvements in cognitive functions or physical status. <strong>Conclusions.</strong> Early physical rehabilitation in ICU is vital for reducing manifestations of post-COVID syndrome in severe COVID-19 patients. Enhanced physical activity not only improves mental health but also helps alleviate physical symptoms. Future research should focus on the long-term effects of rehabilitation and a holistic approach to supporting patient recovery. <strong><em>Keywords: </em></strong><em>mobilization of patients, early activation of patient, COVID-19, ICU.</em> <strong>Цитуйте українською у стилі Ванкувер:</strong> Коваленко ВО. Рання фізична реабілітація у відділені інтенсивної терапії та її вплив на прояви постковідного синдрому. Inter Collegas. 2024;11(3):27-22. https://doi.org/10.35339/ic.11.3.kov [англійською]. Архівовано: https://doi.org/10.5281/zenodo.14250339 <strong>Актуальність. </strong>Пандемія COVID-19 призвела до глобальної кризи в системі охорони здоров'я, зокрема через постковідний синдром (Long COVID), що значно впливає на якість життя пацієнтів після виписки зі стаціонару. Цей синдром характеризується довготривалими симптомами, такими як втома, когнітивні порушення, депресія та тривога. Рання фізична реабілітація є важливою складовою відновлення пацієнтів, однак питання про оптимальну частоту та інтенсивність реабілітаційних заходів залишаються відкритими. <strong>Мета.</strong> Оцінка впливу різних режимів фізичної реабілітації на функціональний статус, когнітивні функції, психоемоційний стан та прояви постковідного синдрому у пацієнтів, які перенесли тяжку форму COVID-19. <strong>Матеріали та методи. </strong>У дослідження було включено 102 пацієнта з підтвердженим діагнозом COVID-19, які потребували лікування у Відділені Інтенсивної Терапії (ВІТ). Вони були розподілені на групи у залежності від кількості сеансів фізичної реабілітації на добу: перша група проходила один сеанс, друга – два сеанси. Фізична реабілітація включала зміну положення тіла у ліжку, вертикалізацію та дихальні вправи. Нами оцінювалися середні значення показників фізичного функціонального статусу, когнітивні функції, психоемоційний стан пацієнтів на час виписки, а також показник прояву симптомів постковідного синдрому через 5–7 днів після виписки. <strong>Результати. </strong>Дослідження показало, що збільшення кількості занять фізичної реабілітації призводить до кращих показників психоемоційного стану у пацієнтів, а також зменшує прояви постковідного синдрому. Однак у короткостроковій перспективі збільшення кількості сеансів реабілітації не призвело до статистично значущих поліпшень когнітивних функцій та фізичного функціонального статусу.Висновки. Рання фізична реабілітація у відділенні інтенсивної терапії є ефективним засобом для зниження проявів постковідного синдрому у пацієнтів, які перенесли важку форму COVID-19. Інтенсивна фізична активність не тільки покращує психоемоційний стан, але й сприяє зменшенню фізичних симптомів. <em><strong>Ключові слова: </strong>мобілізація пацієнта, рання активізація пацієнта, COVID-19, ВІТ.</em>
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Joel, Juno J., Jomy Thomas, Samaga L N, and Shastry C S. "Significance of Patient Counseling on Attitude and Practice Behavior in Patients with Diabetes Mellitus." International Journal of Pharma Research and Health Sciences 5, no. 3 (2017): 1690–94. http://dx.doi.org/10.21276/ijprhs.2017.03.01.
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Maliheh, Khosravizad. "Study the lifestyle of patients with chronic kidney failure." International Journal of Medical Reviews and Case Reports 3, no. 11 (November 13, 2019): 802–7. https://doi.org/10.5455/IJMRCR.Study-lifestyle-patients-chronic-kidney-failure.
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Background and Purpose: human knowledge about the cause of diseases and mortality is not complete, but what is known is the number of contributions of these diseases to a great extent to the choice of lifestyle choices. chronic kidney failure is a chronic kidney failure, which includes a range of various Pathophysiological processes. In the past, chronic kidney disease was a health issue, but now it has become a global health threat. It is one of the problems of the human community and the world today, which encompasses a number of community people every day. The main purpose of this paper is to study the lifestyle of patients with chronic kidney failure: nutritional behaviors, tobacco, alcohol and drugs, physical activity, sleep patterns, health care patterns, sexual activity, recreation and social relations. method of work: present study is a descriptive study that the sample of study involving 66 patients with chronic kidney failure is selected as available 2 sampling method. to collect the data from the researcher's questionnaire, it was used after determining the validity (content)and reliability (Alpha test of Bach) The questionnaire was in three categories of demographic information, disease - related information and the information sector related to different lifestyles. descriptive and inferential statistics were used to analyze data. findings: from 66 patients studied by 68/18 % of men, average age of 21 / 15 +- 59 years, 42 / 92 % married, 31 / 82 % were retired and 45 / 45 % had secondary education or high school education. the mean of BUN and Cr and Cr, respectively, f / 17 +- 62 and 6 +- respectively, mean the weight of 14 +- 9 +- 45 and the mean of the body mass index was / +- 0.36 and 23 +- 36. 67 / 66 % of patients with the first rate of 5 are chronic kidney failure and the average filtration rate was 67 / 11 / l / min. the most common risk factors in disease are: nutrition pattern, physical activity and exercise, sleep and sleep, disposal of urine and feces, sexual activity, entertainment and social relations. result: lifestyle education can improve physical, emotional, social, social and public health performance as well as reducing restrictions on the role of patients, hence the attention and care of patients is essential in reforming and maintaining a balanced lifestyle because it can cause bad complications in the style of life.
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Rao, Salla Surya Prakasa, Sweta Raman, Manem Raveena, and Manem Nikitha. "Cognitive functions in patients with chronic renal failure patients." Asian Pacific Journal of Health Sciences 3, no. 3 (July 2016): 191–93. http://dx.doi.org/10.21276/apjhs.2016.3.3.29.
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Gergova, Polya, Stela Georgieva, and Eleonora Mineva-Dimitrova. "Analysis of nurses' role in transition care for patients with oncology diseases at Georgi Stranski University Hospital, Pleven, Bulgaria." Journal of Biomedical and Clinical Research 18 (April 9, 2025): 117–27. https://doi.org/10.3897/jbcr.e134034.
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Despite the advances in diagnostic technologies, oncology diseases in Bulgaria are detected at advanced stages. Nurses play a key role in planning, coordinating and delivering complex care. This review aimed to evaluate the role of nurses in the transition care for oncology patients and give recommendations for its updates according to the existing transition care models. In five oncology departments, we studied 67 patients and 49 nurses using a direct individual self-administered questionnaire. Data was processed with Microsoft Office Excel 2019 и SPSS v.26. A significant number of nurses affirmed providing information to the patients within their competence (77.6%), but only orally in two-thirds of cases (65.3%). Moreover, in most cases, it happens on discharge when the patient is agitated and cannot remember all the recommendations. After discharge, the patients would seek advice from an oncologist (76.1%), with only one would ask a nurse. Patients rely on the help of their families (64.2%) to cope with the disease. Nurses should play a crucial role in improving the quality and safety of care. Intervention programs for the prevention of oncology diseases should be prepared.
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PADURARU, Marius Ionuţ, Diana PADURARU, Teodora ALEXA-STRATULAT, Anca NEAGU, Marius NEAGU, Vlad AFRASANIE, Lucian MIRON, Alexandru Bogdan CIUBARA, Magda ANTOHI, and Anamaria CIUBARA. "Anxiety and Fear in Cancer Patients." BRAIN. Broad Research in Artificial Intelligence and Neuroscience 11, no. 3 Sup.1 (January 10, 2020): 197–206. https://doi.org/10.18662/brain/11.3Sup1/136.
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Anxiety is a highly prevalent disorder in cancer patients, butit is often underdiagnosed in this setting. Receiving diagnosis of cancerleads the establishment of several psychological dynamics: fear of dying,uncertainty, loss of control, change in interpersonal relationships and selfimage. Several clinically significant studies have supported the belief thatcancer patients are more apt to suffer from anxiety, stress, depression andother emotional challenges. The study focuses on anxiety among cancerpatients. It aims at investigating cancer and symptoms the disease has onthe anxiety level of patients.
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Omar, Mohammed A. Alrashedi, Mohammad Almaqati Adil, abdulaziz bin hassan Majed, eid alotaibi Khaled, Abdulazez Alabodi Saad, Dawas Aldajani Thamer, Suwailem Alotaibi Meshal, Ali Al Abdullah Nasser, and Saleh Mohammad Alsaad Mustafa. "A Measurement of the Quality of Health Care Based on Its Performance." INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND BIO-MEDICAL SCIENCE 02, no. 12 (December 13, 2022): 639–45. https://doi.org/10.5281/zenodo.7432740.
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<strong>Background</strong>: In recent years, the healthcare system has undergone rapid transformation. Nonetheless, a recent Quality and Patient Safety Report highlighted declining levels of patient safety and quality culture among healthcare professionals. This highlights the importance of assessing care quality and patient safety from the perspectives of both patients and healthcare professionals. <strong>Objectives</strong>: The purpose of this study was to investigate (1) patients' and healthcare professionals' perspectives on overall quality of care and patient safety standards at two tertiary hospitals, as well as (2) which demographic characteristics are related to overall quality of care and patient safety. <strong>Methods</strong>: A cross-sectional research design was used. The Revised Humane Caring Scale and the Healthcare Professional Core Competency Instrument were used to collect data on two items: overall quality of care and patient safety. Questionnaires were distributed to (1) patients (n = 600) and (2) healthcare professionals (nurses and physicians) (n = 246) in three departments (medical, surgical, and obstetrics and gynecology) at two tertiary hospitals between the end of 2018 and the beginning of 2019. The data was analyzed using descriptive statistics and binary logistic regression. <strong>Results</strong>: The questionnaires were completed by 367 patients and 140 healthcare professionals, representing response rates of 61.2% and 56.9%, respectively. Overall, healthcare professionals rated quality of care (M = 4.36; SD = 0.720) and patient safety (M = 4.39; SD = 0.675) slightly higher than patients (M = 4.23; SD = 0.706), (M = 4.22; SD = 0.709). The study found a link between hospital variables and overall quality of care (OR = 0.095; 95% CI = 0.016-0.551; p = 0.009) and patient safety (OR = 0.153; 95% CI = 0.027-0.854; p = 0.032) among healthcare professionals. Furthermore, an association was discovered between the admission/work area and the participants' perspectives on the quality of care (patients, OR = 0.257; 95% CI = 0.072-0.916; p = 0.036; professionals, OR = 0.093; 95% CI = 0.009-0.959; p = 0.046). <strong>Conclusions</strong>: Patients and healthcare professionals both rated the quality of care and patient safety as excellent, with only minor differences indicating a high level of patient satisfaction and competent healthcare delivery professionals. Such perspectives can offer valuable and complementary insights into how to improve the overall standards of healthcare delivery systems.
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Essmat, A. Mansour, N. Pandaan Isabelita, and Roco Irene. "Medication adherence & compliance among Saudi hypertensive patients." International Journal of Novel Research in Healthcare and Nursing 9, no. 3 (September 13, 2022): 9–18. https://doi.org/10.5281/zenodo.7075037.
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<strong>Abstract:</strong> background: Chronic diseases are usually need to patient’s adherence and compliance to be controlled especially if it needs long-life medication as well as life style modification. Hypertension is one of the chronic diseases and one of the most common among adult worldwide and it needs meticulous control and follow up to avoid or at least delay the occurrence of serious complications. Aim of the study: The aim of the current study was to assess compliance to medication among Saudi hypertensive patients. Material and methods: This study was cross-sectional study. The data were collected randomly using simple random sampling method from 514 participants from Saudi hypertensive patients. Two tools were be used to collect the data, first one is sociodemographic and disease related data, tool two is Hill-Bone Compliance to High Blood Pressure Therapy Scale (HB-HBP) Results: Descriptive statistics displayed a compliance to hypertension medication total score among 86.4% and only 13.6% reported non-compliance. Highly educated males who are working and who have health insurance were more likely to adhere to hypertension medication. In addition, the results revealed that those who were married, educated, working and have health insurance were more likely to keep their medical appointments. Conclusion: Majority of participants were adhere and comply to medication, keeping appointments and salt use, There are some demographic and disease related variables affect the participants compliance and adherence. <strong>Keywords:</strong> adherence, compliance & hypertensive patients. <strong>Title:</strong> Medication adherence & compliance among Saudi hypertensive patients <strong>Author:</strong> Essmat A. Mansour, Isabelita N Pandaan, Irene Roco <strong>International Journal of Novel Research in Healthcare and Nursing</strong> <strong>ISSN 2394-7330</strong> <strong>Vol. 9, Issue 3, September 2022 - December 2022</strong> <strong>Page No: 9-18</strong> <strong>Novelty Journals</strong> <strong>Website: www.noveltyjournals.com</strong> <strong>Published Date: 13-September-2022</strong> <strong>DOI: https://doi.org/10.5281/zenodo.7075037</strong> <strong>Paper Download Link (Source)</strong> <strong>https://www.noveltyjournals.com/upload/paper/Medication%20adherence%20&%20compliance-13092022-2.pdf</strong>
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AK, Mohiuddin. "Patient Relationship Management: Patient Care with CRM Approach." Journal of Clinical/ Pharmaco-Epidemiology Research 1, no. 1 (March 9, 2019): 4–19. https://doi.org/10.5281/zenodo.2588245.
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<em>In the business world, customer relationship management is utilized to hold customer reliability so as to expand income. Healthcare associations can fabricate a similar sort of relationship with patients, and it can likewise offer progressively unmistakable advantages. The principal advantage is by utilizing a similar hospital a patient's treatment history ought to be moderately outstanding by the association. Intermittently, extraordinary hospitals utilize distinctive patient data frameworks which are not constantly perfect with one another. On the off chance that a patient continues changing the hospital, his or her medical record can be dissipated around different destinations. In a perfect world, if the patient is treated by a similar doctor in each visit, that doctor will get progressively comfortable with the patient, which could enhance treatment. The most unmistakable advantage, be that as it may, is time. In the event that the patient goes to a similar doctor inevitably, there is no requirement for long registration toward the start of each visit. In spite of the fact that a developing collection of proof backings the utilization of cell phone short message service (SMS) for increasing physical movement, sustenance, and smoking suspension, past investigations were constrained by an attention on center to upper pay populaces, and have not focused on transcendently country networks outside the healthcare conveyance framework. Hospital websites are considered as a fitting framework for trading data and building up correspondence between patients, hospitals, and medical staff. Website character, website contact intelligence, shopping accommodation, just as consideration and service are the variables to the extent the patient relationship management is concerned. In healthcare situations, patients are considered as the primary customers; in this way, the term Patient Relationship Management (PRM) is utilized in these unique situations. PRM permits healthcare focuses to have a superior understanding into the requirements of patients while giving them better consideration. Thusly, PRM gives a chance to utilize information and data to comprehend customers and to make an incentive with them. The requirement for PRM developed when associations comprehended that it was less exorbitant to keep their present customers, while pulling in another customer would be more-expensive for an association than keeping their present customers.</em>
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El-Khawas, Khaled, Danielle Richmond, Lara Zwakman-Hessels, Salvatore L. Cutuli, Alessandro Belletti, Thummaporn Naorungroj, Hussam Abdelkarim, Natalie Yang, and Rinaldo Bellomo. "Radiologically and clinically diagnosed acute pulmonary oedema in critically ill patients: prevalence, patient characteristics, treatments and outcomes." Critical Care and Resuscitation 23, no. 2 (June 7, 2021): 154–62. http://dx.doi.org/10.51893/2021.2.oa2.
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BACKGROUND: Acute pulmonary oedema is a life-threatening syndrome diagnosed based on radiological and clinical findings. However, to our knowledge, no studies have investigated this syndrome in critically ill patients. OJECTIVE: To describe the prevalence of radiologically and clinically diagnosed pulmonary oedema (RCDPO) in critically ill patients, characteristics of diagnosed patients, and treatments and outcomes in this patient population. METHODS: We conducted a retrospective study using natural language processing to identify all radiological reports of pulmonary oedema among patients who had been admitted to single tertiary intensive care unit (ICU) over a 1-year period (January 2015 to January 2016). We reviewed clinical data, discharge diagnosis, treatment and outcomes for such patients, and used multivariable logistic regression analysis to identify the association of RCDPO with various outcomes. RESULTS: Out of 2001 ICU patients, we identified 238 patients (11.9%) with RCDPO. Patients with RCDPO were more acutely ill, had more chronic liver disease and had more chronic renal failure than critically ill patients who did not have RCDPO. They were typically admitted with acute cardiovascular disease; were more likely to receive invasive mechanical ventilation and continuous renal replacement therapy; had longer duration of ICU and hospital stay; were more likely to die in hospital; and, if discharged alive, were more likely to be admitted to a chronic care facility. In total, 46 RCDPO patients (19.3%) died in hospital. On multivariable analysis, only age and continuous renal replacement therapy were independently associated with mortality. In contrast, invasive mechanical ventilation was associated with a 2.5 times greater odds of radiological resolution. CONCLUSION: RCDPO affected about one in eight ICU patients. Such patients were sicker and had more comorbidities. The presence of RCDPO was independently associated with higher risk of death. Invasive mechanical ventilation was the only intervention independently associated with greater odds of radiological resolution.
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Pranaw, Kumar, and B. Shah Nilesh. "Efficacy of Electroconvulsive Therapy (ECT) in Psychiatric Patients." International Journal of Current Pharmaceutical Review and Research 15, no. 09 (September 30, 2023): 84–89. https://doi.org/10.5281/zenodo.11649256.
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AbstractAim: The aim of the present study was to evaluate the efficacy of electroconvulsive therapy (ECT) in psychiatricpatients.Methods: The Prospective cohort study was conducted in the Department of Psychiatry, Lokmaanya TilakMunicipal Medical College and General Hospital, Mumbai, Maharashtra, India for the period of One year. Sampleconsists of patients are started on ECT for various indications and attending the psychiatry OPD or admitted inward was included over a period of one year (n=144).Results: Out of Total of 144 patients 74 (51.39%) patients was of Schizophrenia, 45 (31.25%) patients was ofMDD, 19 (13.19%) patients was of BMD in Mania, 6 (4.17%) patients was of OCD and PANSS scale, HAM-D17 item scale, YMRS scale, Y-BOCS scale was applied respectively before the start of ECT (Baseline score) andEnd score was taken after one week of last ECT. Change of 51.53 Mean point (PANSS), 13.78 Mean point (HAMD 17 item), 28.52 Mean point(YMRS) and 2.83 Mean point (Y-BOCS) occurred during the course of ECT.Conclusion: The present Prospective cohort study was conducted in a tertiary care hospital to study the efficacyof ECT. ECT has been considered the most effective intervention for different psychiatry diseases but not incommon practice, there may be variety of factors that contribute to the low and uneven rate of ECT use. Perhapsthe most important considerations are the stigma associated with receiving the treatment on the part of patientsand in recommending or administering the treatment on the part of professionals. In the study we find Change of51.53 Mean point(PANSS) occurred during the course of ECT in Schizophrenia group, Change of 13.78 Meanpoint (HAM-D 17 item) occurred in MDD group, Change of 28.52 Mean point (YMRS) occurred in BMD inMania group and only Change of 2.83 Mean point occurred in OCD group. Indicating good acute response to theECT in Schizophrenia (51.53 Mean point PANSS), MDD (13.78 Mean point HRSD 17 items), BMD in Mania(28.53 Mean point YMRS) and poor response in OCD (2.83 Mean point Y-BOCS) symptoms.
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Pranaw, Kumar, and B. Shah Nilesh. "Safety of Electroconvulsive Therapy (ECT) in Psychiatric Patients." International Journal of Current Pharmaceutical Review and Research 15, no. 08 (August 30, 2023): 116–21. https://doi.org/10.5281/zenodo.12543454.
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AbstractAim: The aim of the present study was to evaluate the safety of electroconvulsive therapy (ECT) in psychiatricpatients.Methods: The Prospective cohort study was conducted in the Department of Psychiatry Lokmaanya TilakMunicipal Medical College and General Hospital, Mumbai, Maharashtra, India for the period of One year.Sample consists of patients are started on ECT for various indications and attending the psychiatry OPD oradmitted in ward was included over a period of one year (n=144).Results: Out of 144 Patients All Patients show 30-45 minutes of Confusional state after the Procedure, Someform of Anterograde Amnesia ( deficits in acquisition and retension of newly learned material) during thecourse of ECT which mostly persist till 2nd week of last ECT, Some form of Retrograde Amnesia ( poor recallof information learned before the ECT) during the course of ECT which mostly persist till 1st week of lastECT, Some form of forgetting and unable to recall previously learned information, during the course of ECTwhich mostly persist till 2nd week of last ECT.Out of 144 patients 10(6.94%) patients show signs of Prolonged post-ECT Amnesia during the course of ECTwhich last for less then 24 hours, personal identity of patients is not lost during this period. None of the patientsshow Global Amnesia. Out of 144 patients 16 (11.11%) shown Bladder incontinence during the procedure,11(7.64%) complains of Nausea on the day of procedure, 6(4.17%) Vomitted on the day of procedure,21(14.58%) complained of Bodyache, 22 (15.28%) complained of Headache, 14 (9.72%) suffer from Fever onday of procedure and 1 (0.69%) suffer from Cortical Blindness but recovered within 24 hr. None of the patientdied during the procedure.Conclusion: The present Prospective cohort study was conducted in a tertiary care hospital to study the safetyand of ECT. ECT has been considered the most effective intervention for different psychiatry diseases but not incommon practice, there may be variety of factors that contribute to the low and uneven rate of ECT use. Perhapsthe most important considerations are the stigma associated with receiving the treatment on the part of patientsand in recommending or administering the treatment on the part of professionals. This study design to breaksome barrior, fear of safety and stigma associated with it. Since only one patient suffer from serious side effect(cortical blindness) in the study that also resolve in 24 Hr. Side effects are temporary and resolve after thecourse of ECT like anterograde amnesia, retrograde amnesia and forgetfulness. Some patient shown post ECTprolonged amnesia. Other side effect like headache, nausea, vomiting, bodyache, fever can occur after theprocedure. Hence ECT is a safe procedure and its therapeutic effects outweigh the adverse effect of theprocedure
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Panda, Sanjib Kumar. "Incidence of Parasitic Infection’s related to Stool among the patient’s attended OPD (Out Patients Department) and IPD (Indoor Patients Department) of Hi-Tech Medical College and Hospital – 2011." Journal of Medical Science And clinical Research 05, no. 05 (June 2, 2017): 22560–63. http://dx.doi.org/10.18535/jmscr/v5i5.208.
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Sartip Tahir, Bahez, and Bahar Nasradeen Majeed. "QUALITY OF LIFE OF PEDIATRIC CANCER PATIENTS UNDERGOING CANCER THERAPY IN SULAIMANI CITY, IRAQ (PATIENT’S REPORT)." Journal of Sulaimani Medical College 11, no. 3 (September 21, 2021): 359–70. http://dx.doi.org/10.17656/jsmc.10321.
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Yuvaraju.M*, Priyanka R. "FLEX SENSOR BASED GESTURE CONTROL WHEELCHAIR FOR STROKE AND SCI PATIENTS." INTERNATIONAL JOURNAL OF ENGINEERING SCIENCES & RESEARCH TECHNOLOGY 6, no. 5 (May 25, 2017): 543–49. https://doi.org/10.5281/zenodo.345697.
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The design of wheelchair in a real time system to make a simple hand gesture recognition method to be used in rehabilitation of people who have mobility issues particularly Spinal Cord Injury (SCI) and some of the Stroke Patients. The idea is to implement a low cost control device called Hand Gesture or by using touch sensor for the patients to control the wheelchair and they can survey themselves for their basic needs and they need not to depend on others to guide those patients. The system was developed to indicate the directions for the patients to move on the flat surface and also measure the patient heart beat pulse. If the patient able to use their hand or finger means by using a Gesture control method or else flex sensor helps to move in a desired directions.
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Gazala, Khan. "The Impact of Healthcare Accreditation on Patients' Satisfaction: A Literature Review." International Journal of Health Sciences and Pharmacy (IJHSP) 4, no. 1 (May 28, 2020): 49–56. https://doi.org/10.5281/zenodo.3862791.
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Patient satisfaction had been the center of many research studies globally. However, very few studies published had analyzed the impact of healthcare accreditation on patients’ satisfaction. Objective: To review and analyze the impact of hospital accreditation on patients’ satisfaction. Method: A comprehensive searches were conducted in the online databases of goggle scholars and research gate. Results: This review revealed that the hospital accreditation impacted on patients’ satisfaction in several departments. Conclusions: The hospital accreditation has a positive impact on patients’ satisfaction in several departments.
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Maria, Vargiami, and Goula Maria. "THE DOCTOR-PATIENT RELATIONSHIP." Health and Research Journal 3, no. 2 (July 2, 2017): 104–11. https://doi.org/10.5281/zenodo.822293.
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<strong>Abstract</strong> The relationship between the doctor and the patient is a particular type of human relation. On one hand, the word «patient» states that a person is at a disadvantage, because of his/her illness, and therefore is automatically at a disadvantageous position compared to the doctor. On the other hand, the patient has the opportunity to inform him/herself from online sources, to communicate with other patients, to participate as equal and to choose consciously his/her treatment plan. There are many different types of patients depending on their personality and interaction with their doctor. These types constituted a research field in the 80’s which lead to the analysis of patients’ psychology. After an historical flashback, patients are put in categories according to their reaction to their illness. In addition, the verbal way of approaching patients by their doctor, the patients’ expectations and their encouragement by professionals to participate more actively concerning their health care is underlined. As a result, this is the beginning of a new era, where the patient has requirements concerning both the medical and the human aspect of the doctor-patient relationship.
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Eka, Ernawati, and Lusiani Milawati. "Studi Fenomenologi: Pelaksanaan Patient Center Care Perspektif Pasien dan Perawat di RS dr. Dradjat Prawiranegara Serang." Faletehan Health Journal 6, no. 3 (November 24, 2020): 83–90. https://doi.org/10.5281/zenodo.4287796.
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Nursing service is one of the requirements that must be implemented in a health care service provider in Indonesia. Patient-centered care (PCC) is an approach that fosters patient-centered health care. It is an approach to fostering reciprocal relationships between service providers and patients. The aim of the study was to determine the phenomenon of the implementation of PCC in the perspective of patients and nurses. The design in the study used a descriptive narrative qualitative design. The results of the study found the themes that emerged from patient participants consisted of: lack of health information received and treatment that lacked care in care; patients are not familiar with their condition and suggestions with traditional medicine; family support needed by patients. While the themes that emerged from nurse participants consisted of: Less recognition of PCC and less optimal nursing care; special team for patient referrals / referrals to the next level; delivering health information from health workers. This study concluded that it was necessary to increase the understanding of PCC to service providers and patients. So that hospitals can form a special referral system for patients to further services.
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Dr., Nabeel Ahmed Dr. Maaz Moin Khan Dr. Muhammad Haris Rafiq. "PRIMARY PERITONITIS IN IMMUNOCOMPROMISED PATIENTS." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 11 (November 27, 2018): 13454–61. https://doi.org/10.5281/zenodo.1581268.
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<em>This study is basically conducted to recognize the primary peritonitis in immunocompromised patients, for the purpose all patients admitted to the (ICU) intensive care unit of the Hospital from 1 January 2016 to 31 July 2017 with a diagnosis of primary peritonitis were retrospectively included. The medical record of the patients was gathered from the data recordings of the Department of Critical Care and Emergency and the Departments of Surgery. APACHE II (Acute Physiology and Chronic Health Evaluation II) was the main source in the calculation for every patient at the time of admission. Antimicrobial treatment management before and after the diagnosis of peritonitis was studied. According to the above-mentioned details of methods, 120 were included and the results concerning mortality, etiology of peritonitis and microbiological data were in accordance with previous studies. According to the APACHE II score (P = 0.005), age (P = 0.002), the existence of enterococcus in the peri-operative samples (which is defined P = 0.02) and the period between diagnosis and surgery (P = 0.04) were prognostic about the death within thirty days after peritonitis diagnosis. There was no prominent difference was shown in the mortality rate in patients whose post-operative antibiotic treatment was changed following results of intra-operative peritoneal cultures versus patients having inappropriate treatment (P = 0.96). The same observations were noted for anti-enterococcal treatment. This study concentrates on the importance of significant treatment of surgery and represents modern antibiotic treatment impact. The mortality and morbidity linked with the existence of enterococcus which basically not inspired by the treatment with an antibiotic would represent to advised the pro-inflammatory role of Enterococcus. Therefore, the studies of potential randomize are required to analyze the actual contribution ofthe contribution of enterococcal antibiotic coverage in this background.</em>
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Kim, Seong-Min, Yeun-ju Kim, Seong-Min Choi, and Ki Baek Lee. "Device Application to Improve Patient Safety and Image Quality during Chest CT Examination of Unconscious Patients." Korean Society of Computed Tomographic Technology 25, no. 1 (March 30, 2023): 11–19. http://dx.doi.org/10.31320/jksct.2023.25.1.11.
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This study was to analyze the effect on patient safety and image quality improvement by lowering the arm and applying a self-made device during chest CT examinations of unconscious patients. From April 1 to September 30, 2022, 78 patients (male: 42, female: 36, mean age: 67 years old) among intensive care unit patients who underwent chest CT scan were retrospectively reviewed. The patients were classified into three positions as follows: both arms raised (A position), both arms straight out using the self-made device (B position), and both arms straight out to the side (C position). For radiation dose comparison, dose length product (DLP) values were measured and compared to each other. For image quality evaluation, image noise, signal to noise ratio (SNR), contrast to noise ratio (CNR), and contrast to dose ratio (CNRDR) values were compared, and qualitative evaluation was also performed. The average DLP value of the B position was significantly lower than that of the C position, and it was relatively higher than that of the A position, but there was no significant difference statistically.(p=0.051) In the quantitative evaluation, it was evaluated that the B position maintains a quality quite similar to that of the A position despite the lowering of the both arms. In addition, in the qualitative evaluation, an average score was obtained between A and C. In conclusion, it was confirmed that the use of the self-made device for rapid and safe chest CT examination of unconscious patients is useful in improving patient dose and image quality.
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Magin, D. "QUALITY ASSESSMENT OF DENTAL SERVICES BY PATIENTS IN GERMANY." Sciences of Europe, no. 131 (December 27, 2023): 46–49. https://doi.org/10.5281/zenodo.10434530.
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In recent years there has been a rise in patients’ expectations and requirements regarding the quality of dentalcare. This is the result of the continuously increasing competition in the health services market, respectively withindental practices. This article studies and analyses the factors which form the quality assessment of dental servicesby patients in Germany. These include the frequency for visiting a dental office, the access to the practice, itsorganisation and the waiting times. What has also been analysed is the quality of dental services received and thedental procedures for which patients most often make co-payments in Germany.
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Widjaja, Herry Prabowo Krestiyanto. "Assessment of Patient Satisfaction Among Pregnant Patients in The Out-Patient Department of Obstetrics and Gynecology Section at Metropolitan Medical Center Manila." Jurnal Manajemen Kesehatan Indonesia 8, no. 3 (December 27, 2020): 148–52. http://dx.doi.org/10.14710/jmki.8.3.2020.148-152.
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ABSTRACT Patient satisfaction reflects the quality of an institution’s delivery of health care services. Patient satisfaction is a critical factor in improvement or complete recuperation to wellness because satisfied patients will mean better compliance to treatment or follow up. As reported in the 2017 Annual OPD census of the Department of Obstetrics and Gynecology, there were 2617 total patient consultations. Majority of these (2138 or 81.7 %) were obstetrical cases. The average number of consultations per day (for Obstetrics and Gynecology patients combined) is 91. Therefore, the Out-Patient Clinic plays an important role in prenatal care specifically the prevention of adverse maternal and neonatal morbidity and mortality. This study aimed to assess the level of patient satisfaction among obstetrical patients in the Out Patient Department of the Obstetrics and Gynecology Section at Metropolitan Medical Center from July 1, 2018 to July 31, 2018 and to see the relationship between socio-demographic characteristic and the level of patient satisfaction. This is a descriptive, cross sectional study. The level of patient satisfaction assessed as to physical facilities, interaction between doctor and patient, interaction between nurses and patient, and registration service. There were sixty three subjects in this study. Sixty three were satisfied with inclusion criteria. The validated questionnaire was the pretested questionnaire which was 96 % valid and reliable by Cronbach’s analysis. Statistical analysis was done which showed respondents were generally satisfied. There were significant relationship association between socio-demographic characteristics and level of patient satisfaction with P value < 0.05.Key Word : Patient Satisfaction, Socio Demographic Characteristic
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Sawsan, Alseid, Elmahjoubi Eman, and Rghebi Nabila. "Evaluation of Over-the-Counter Counselling Practices by Libyan Community Pharmacists." Alq J Med App Sci 4, no. 2 (June 30, 2021): 126–36. https://doi.org/10.5281/zenodo.5046338.
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Background and objectives: Community pharmacy is a unique hybrid of professionalism and business and dealing with dispensing medicines to outpatient. The pharmacist in community pharmacies plays a crucial role in promoting, maintaining and improving the health of the community; since he/she answers questions about prescription and Over- The- Counter (OTC) drugs and gives advice about home health care supplies and durable medical equipment. Involvement of pharmacists in Over- The- Counter (OTC) counselling will increase the patient ability to understand the risks and benefits of (OTC) drug. The primary aims of this study to assess knowledge, attitudes and perceptions of Libyan community pharmacists and patients toward Over-The-counter (OTC) counselling. Secondary to identify the problems that hinder OTC pharmacy practice. Methods: Two different questionnaires were designed; the first one was distributed to 100 patients and the second designed to pharmacists (n=103) surveyed their knowledge, basic skills, focusing on patients` reasons for visiting community pharmacies and for self-medication. All participants were selected randomly. Results: The results showed that 62% of the community pharmacists assured that they counsel patients before dispensing OTC medication and 59% of them were focused on symptoms and sings of minor ailments. Social and cultural differences among the patients, heavy work load lack of time was the most barriers hindering the pharmacist- patient communication. On the other hand, 29% of pharmacy customers answered that time saving and 11% of them said cost saving were the most reasons for visiting community pharmacies but 8% of them for seeking medication information. Conclusion: The study showed the awareness of Libyan pharmacists towards delivering effective communication skills about OTC was not satisfactory and sufficient knowledge on OTC was still lacking. In addition, the public had negative attitude towards the pharmacists and low expectations from the pharmacy profession. The study recommends a need for training programs for pharmacists in order to nurture the relationships they have with patients.
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al-bajalan, Sarwer. "THE ASSOCIATION OF THE NEUROLOGICAL SYMPTOMS OF COVID-19 INFECTION WITH PATIENT HOSPITALIZATION IN IRAQI KURDISH PATIENTS." Journal of Sulaimani Medical College 14, no. 4 (December 21, 2024): 365–76. https://doi.org/10.17656/jsmc.10484.
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Background Coronavirus disease-2019 (COVID-19) can affect multiple organs, including central and peripheral nervous systems, with various neurological manifestations Objectives To determine the frequency of neurological manifestations in patients with COVID-19 infection and identify their association with hospitalization. Materials and Methods An observational cross-sectional study was conducted on 351 COVID-19-infected patients in Sulaimaniyah, Iraq. The frequency of the neurological symptoms was determined and correlated with the hospitalization rate. Results The specific neurological symptoms were more predominant in hospitalized patients (98.2%) than non- hospitalized (93.4%) (p=0.052). Insomnia (72%), confusion (38.1%), urinary incontinence (14.9%), fecal incontinence (8.9%), and seizures (6.0%) were associated with hospitalization (p=0.008, p=0.003, p=0.003, p=0.023, and p=0.027, respectively). While, loss of smell, feeling of debility, loss of balance and hypersomnia were significantly observed in non-hospitalized patients (p≤0.05). The nonspecific neurological symptoms did not significantly differ between groups (p=0.240). However, headache (75.4%), fatigue (72.1%) and backache (68.3%) were associated with non-hospitalization (p<0.001), while constipation (32.75%) and vomiting (24.4%) were associated with hospitalization (p=0.002 and p=0.015, respectively). The most common symptom among patients was neurological (n=204, 58.1%) associated with less hospitalization. Conclusion There was a significant association between neurological symptoms (insomnia, confusion, urine/fecal incontinence, seizures, constipation, and vomiting) and the rate of hospitalization. Loss of smell, weakness/ debility, loss of balance, hypersomnia, headache, fatigue, and backache were more common in non-hospitalized patients.