Academic literature on the topic 'Woden Valley Hospital'
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Journal articles on the topic "Woden Valley Hospital"
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Gatenby, Paul A. "Creation of an academic medical centre: Management and service delivery at the Canberra Clinical School." Australian Health Review 19, no. 1 (1996): 107. http://dx.doi.org/10.1071/ah960107.
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The Canberra Clinical School is attached to Woden Valley Hospital, the principalhospital in the Australian Capital Territory. The clinical school arose out of amemorandum of understanding signed between the University of Sydney and theACT Department of Health (as it then was) in March 1993. One of theaspirations of those who negotiated the memorandum of understanding was thatthe creation of the clinical school would lead to a cultural shift in attitudes towardschange within the health care system. This paper looks at the management structureof Woden Valley Hospital and at what the development of a clinical school inCanberra can achieve, particularly in relation to hospital and health servicemanagement.
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Hodge, J. V. "008. Industrial Disputes as Disasters: Experiences at Woden Valley Hospital." Prehospital and Disaster Medicine 10, S2 (September 1995): S43—S44. http://dx.doi.org/10.1017/s1049023x00501150.
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Ali, Louise. "Towards the New Millennium — Optical Disk Technology in Use at Woden Valley Hospital." Health Information Management 25, no. 4 (December 1996): 148. http://dx.doi.org/10.1177/183335839602500421.
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Hogan, Patricia, and Elaine Graham. "Steris System 1 Processor Australian Efficacy Trials Woden Valley Hospital: Canberra March 1993 to December 1993." Australian Infection Control 1, no. 1 (1995): 21–24. http://dx.doi.org/10.1016/s1329-9360(16)30382-0.
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Arul, Nandini, Irfan Ahmad, Justin Hamilton, Rachelle Sey, Patricia Tillson, Shandee Hutson, Radhika Narang, et al. "Lessons Learned from a Collaborative to Develop a Sustainable Simulation-Based Training Program in Neonatal Resuscitation: Simulating Success." Children 8, no. 1 (January 12, 2021): 39. http://dx.doi.org/10.3390/children8010039.
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Newborn resuscitation requires a multidisciplinary team effort to deliver safe, effective and efficient care. California Perinatal Quality Care Collaborative’s Simulating Success program was designed to help hospitals implement on-site simulation-based neonatal resuscitation training programs. Partnering with the Center for Advanced Pediatric and Perinatal Education at Stanford, Simulating Success engaged hospitals over a 15 month period, including three months of preparatory training and 12 months of implementation. The experience of the first cohort (Children’s Hospital of Orange County (CHOC), Sharp Mary Birch Hospital for Women and Newborns (SMB) and Valley Children’s Hospital (VCH)), with their site-specific needs and aims, showed that a multidisciplinary approach with a sound understanding of simulation methodology can lead to a dynamic simulation program. All sites increased staff participation. CHOC reduced latent safety threats measured during team exercises from 4.5 to two per simulation while improving debriefing skills. SMB achieved 100% staff participation by identifying unit-specific hurdles within in situ simulation. VCH improved staff confidence level in responding to neonatal codes and proved feasibility of expanding simulation across their hospital system. A multidisciplinary approach to quality improvement in neonatal resuscitation fosters engagement, enables focus on patient safety rather than individual performance, and leads to identification of system issues.
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Thakur, Shikha, and Dr Komal Lata Nagpal. "Urinary Tract Infection in Pregnant Women at Kathmandu, Nepal." Journal of Medical Care Research and Review 3, no. 9 (September 24, 2020): 454–58. http://dx.doi.org/10.15520/mcrr.v3i9.143.
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Background: Urinary tract infections “UTIs” are one of the frequently encountered problems during pregnancy. Untreated UTI can be associated with serious obstetric complications. Hence the management and prevention of UTI in pregnancy is the crucial factor for the sustained pregnant period. Hence the present study was designed to identify the pathogenic agents of UTI and its associated risk factors in antenatal mothers in two private hospitals at Kathmandu city.
Aim: The main objective of the study was to identify the etiological agent and associated risk factor in Urinary tract infection among pregnant women attending the antenatal care service visit in a selected hospital.
Study Design: Cross-sectional descriptive study.
Place and Time of Study: The study was carried out under the supervision of University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019.
Methods: The cross-sectional study was performed at the Norvic Hospital and Baidya and Banskota hospital from March 2019 to October 2019. In this cross-sectional study, a total of 510, clean catch midstream urine (MSU) samples were collected aseptically and analyzed using standard microbiology methods. Data for the factors associated with UTI were obtained by use of questionnaires and standard laboratory tests for selected underlying conditions concerning associated risk factors were collected using structured questionnaires and the sample was also processed for antimicrobial drug susceptibility testing.
Results: The study revealed 193/510(37.84%) UTI prevalence among patients attending two hospitals in Kathmandu valley. Escherichia coli was the most prevalent bacterial uropathogen with 119/193(61.6%) followed by Klebsiella pneumoniae 35/193(18.13%), Staphylococcus aureus 22/193 (11.39%), Proteus mirabilis 7/193 (3.6%), Enterococcus faecalis 2/193 (1.0%), Enterobacter aerogenes2/193(1.0%) Serratia odorifera 3/193(1.5%), Streptococcus species3/193(1.5%).
Conclusions: The high prevalence of urinary tract infection in pregnant women warrant the need to screen all pregnant women and treat those infected with appropriate antimicrobial regimens in order to reduce its complications. Urinary Tract Infection screening is essential in pregnant women.
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Nabi, Sahila, Syed Najmul Ain, Shazia Javaid, and Shayista Gull. "Attitude of pregnant women towards institutional delivery: a study in Khaag block-a tribal area of the Kashmir valley." International Journal of Research in Medical Sciences 9, no. 1 (December 28, 2020): 173. http://dx.doi.org/10.18203/2320-6012.ijrms20205838.
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Background: Motherhood is often a positive and fulfilling experience but for many women it is associated with suffering, ill health, and even death. Improving maternal health is one of the thirteen targets for the sustainable development goal 3 (SDG-3) on health adopted by the international community in 2015. Objective of the study was to find out the attitude of pregnant women towards institutional delivery in Khaag block of district Budgam.Methods: A cross-sectional, community-based study was conducted, in February 2018 to March 2018, to assess attitude of pregnant women towards place of delivery in a tribal area of Khaag area of district Budgam. For this study, 99 pregnant women were approached. Informed consent was obtained from the participants and the registered pregnant women were interviewed by a pre-designed questionnaire. Results: Mean age at the time of contact was 28 years with a standard deviation of 3.87 years. The maximum years of schooling were 10 years. It was found that the last delivery was conducted at hospital for about 76% of women but for the present pregnancy 88% of the women had decided to have it conducted at the hospital. Thus, the attitude of women towards institutional deliveries has changed positively (p=0.001).Conclusions: Percentage of institutional deliveries is still less in rural area of Khaag is Kashmir. For decreasing the maternal and infant mortality rates further, much is still to be done. Awareness needs to be generated among common masses for promoting institutional deliveries. Educating women folk will make them confident in decision making.
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Hashim, H. S. Mohd, C. Lim, N. I. Junazli, S. L. Choo, K. Y. Low, and M. Munisamy. "Is the Quality of Life in Breast Cancer Survivors the Same as Healthy Women? A Case Control Study Among Women in Klang Valley, Malaysia." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 103s. http://dx.doi.org/10.1200/jgo.18.48300.
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Background: One of the positive outcomes of improvements in cancer care is the increasing number of people who survive the disease. Worldwide, the number of cancer survivors will continue to increase, with a threefold increase predicted from 25 million in 2008 to 75 million in 2030. Breast cancer survivors have the highest survival rates compared other types of cancer. Following a diagnosis of breast cancer, issues that women often worry about include the possibility of cancer recurrence, challenges with reacclimatizing to daily life posttreatment completion and numerous other emotional and physical challenges. It is unknown whether over time the coping skills of these survivors enable them to have a similar quality of life (QOL) as other normal women. This study aimed to assess and compare the quality of life (QOL) among breast cancer survivors and nonbreast cancer survivors in the Klang Valley, Malaysia. Methods: This case-control study used the European Organization for Research and Treatment of Cancer - Quality of Life Questionnaire (EORTC-QLQ) to ascertain QOL within breast cancer survivors and nonbreast cancer survivors. Simple random sampling was used to identify i) participants from the case arm -from four cancer-related NGOs in the Klang Valley; and ii) participants from the control arm - from women attending Kuala Lumpur Hospital. 176 number of participants were involved in this study with a 1:1 ratio. Result: There was no significant difference in quality of life (QOL) between breast cancer survivors and nonbreast cancer survivors in the Klang Valley, Malaysia. The longer the period of survival (5 years and above), the higher the QOL levels in breast cancer survivors. Conclusion: In conclusion, women with breast cancer especially those who had survived more than 5 years, had similar quality of life (QOL) levels as women who did not suffer from the disease. Women with breast cancer may have developed additional coping skills which could be taught to other patients living with cancer or even those with other chronic illnesses.
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Salam, Samia, Saba Mushtaq, Khalid Mohi-ud-Din, Irfan Gul, and Asifa Ali. "Maternal and fetal outcome in pregnancy with heart disease in tertiary care hospital in India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 9 (August 28, 2017): 3947. http://dx.doi.org/10.18203/2320-1770.ijrcog20174041.
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Background: Cardiac disease is an important cause of maternal mortality and morbidity both in antepartum and postpartum period. The overall incidence of heart disease in pregnancy is <1%. Objective of present study was to determine maternal outcome in pregnant women with heart diseases in terms of fetal complication, maternal complication and Mode of delivery.Methods: This study was conducted in the Department of Obstetrics and Gynaecology at Government Lalla Ded Hospital, an associated of Government Medical College, Srinagar which is the sole tertiary care referral centre in the valley. 90 women with heart disease which were previously established or diagnosed during pregnancy were enrolled in the study.Results: In 90 women pregnancies was complicated by heart disease in the study. The prevalence of heart disease amongst all pregnancies found in hospital was 4.3%. The principal cause of cardiac lesion was Rheumatic heart disease (RHD) (56.6%) while congenital heart disease was seen in 13.3%. Among the women who had RHD, mitral stenosis seen in 21 (23.3%) was most common lesion and Multiple cardiac lesions 21 (24.4%) women. Among the women with congenital cardiac disease, mitral valve prolapse was most common constituting 5 (5%) cases. Cardiomyopathy was the most common constituting 7 (7.3%). Heart failure developed in 10 (11.1%) whose NYHA class changed from class I/II to class III/IV. Majority of the women delivered by caesarean section 33 (36.7%) while (35.6%) had a normal vaginal delivery with spontaneous onset of labour. 7% had assisted instrumental vaginal delivered. 9% women had first trimester abortion. There were 4 maternal deaths. 85.6% live births were observed in these women. No baby had congenital heart disease. 72.8% babies born weighed more than 2kg.Conclusions: This study concluded that pre- pregnancy diagnosis, counselling, appropriate referral, antenatal supervision and delivery at equipped centre improve the pregnancy with heart disease outcome for both mother and baby.
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Abdul Manaf, Zahara, Nuruljannah Johari, Mei Lee Yee, Yee Ng Sim, Yin Chua Kai, and Teng Loke Wai. "Nutritional Status and Nutritional Knowledge of Malay Pregnant Women in Selected Private Hospitals in Klang Valley." Jurnal Sains Kesihatan Malaysia 12, no. 2 (December 30, 2014): 53–62. http://dx.doi.org/10.17576/jskm-2015-1202-08.
Full textDissertations / Theses on the topic "Woden Valley Hospital"
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Ali, Irena Malgorzata, and n/a. "The impact of information provided by medical libraries on clinical decision making : A study of two hospitals." University of Canberra. Information, Language & Culture Studies, 1996. http://erl.canberra.edu.au./public/adt-AUC20060530.115422.
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A quantitative survey was conducted in two Canberra hospitals that aimed
at ascertaining the impact of information provided by medical libraries on
clinical decision making. Specifically, this research study investigated
clinical, cognitive and quality value of information provided by the medical
librarians to the management of patients and doctors' ability to handle
clinical cases differently as a result of such information. Furthermore, the
relative value of information received from the library was assessed by
comparing it to the value of information received from other sources in
dealing with clinical problems.
The research involved medical specialists and registrars affiliated with these
hospitals. Doctors were asked to select any clinical situation which they
frequently or currently encounter and for which further information would
be useful to them. Once their information requests were identified, they
were then asked to present such requests to the hospital library. In order to
avoid any special treatment, participants were urged not to identify
themselves to the library staff as partaking in the study. It was important
that participants did not search for the information themselves. The doctors
were asked to evaluate the material provided by the library in relation to
clinical care and, thereafter, complete a short questionnaire. This research
took place between October 1994 and March 1995. The questionnaires were
sent to 288 doctors. This represented the total population of specialists and
registrars affiliated with both hospitals at the time of the study. Analysis of
the results is based on a 34% useable response rate.
Medical specialists were by far the higher number of respondents (70%) as
compared with registrars (30%). Eighty-one per cent of the doctors said that
the information provided by the library refreshed their memory and 82% said
that it would contribute to better quality of medical care. Eighty-six per cent
indicated that some of this information was new to them and 99% said that
the information provided was up to date. Ninety-four per cent said that the
information provided by the library was of clinical value to them.
As the result of the information provided by the library 75% of respondents
would either definitely or probably handle some aspects of the clinical
situation differently than they would have done it otherwise. The level of
importance of the change for the optimal care of patients was assessed with
54% regarding it as important, 42% as moderately important.
Specifically, as the result of the information provided, the doctors were
able to change the following:
diagnosis 10%,
choice of lab tests 20%,
choice of other diagnostic investigations 24%,
choice of drugs 27%,
choice of other management 58%,
reduce length of hospitalisation 10%,
post-operative care of patients 25%,
advice given to patients 47%. On the basis of the received information the doctors were able to avoid
the following:
hospitalisation of patients 11%,
risk of hospital acquired infection 8%,
surgical intervention 19%,
tests or other investigation 23%,
additional out-patient visits 12%.
Discussions with colleagues were reported to be most valued sources of
information for the purpose of clinical decisions (59%), followed by diagnostic
imaging (49%), librarian (45%), lab tests (42%) and patients' medical records
(30%). The librarian's role as contributing to the process of clinical decisions was
rated highly with 88% ranking it as either important or moderately important.
The results of significance p test statistic performed at 0.05 significance level
suggested that, for this study, there was a significant relationship between the
frequency of library use and doctors' ability to change the choice of laboratory
tests, diagnostic investigations, and the choice of prescribed drugs.
The results of this research study demonstrate that medical librarians can
positively contribute to clinical management of patients by providing timely and
accurate information. Further research is recommended in order to determine
the impact of the whole range of library services on health care outcomes.
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Larkin, Christine M. A., and N/A. "Social work and racism : a case study in ACT Health." University of Canberra. Education, 1994. http://erl.canberra.edu.au./public/adt-AUC20060815.160708.
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A Feminist Action Research methodology was used as a
collaborative process with five ACT Health social workers
based at the Community Health Centres and four at the
Woden Valley Hospital. The primary purpose of the study
was to investigate, both through critical reflection and
action in their work setting, the participants' relevance
or otherwise to Aboriginal people in the ACT and region.
Behind this is the question of how encapsulated social
work is by racism. The impetus for the study arose from
my unresolved concerns regarding these issues, having
been a social worker in ACT Health for 6 years, to 1990.
Decisions on how to proceed involved a process of ongoing
consultation between the participant social workers and
myself. Exploratory meetings were held in March and
April, with an ongoing program being held 2-3 weekly from
June to September, followed by a review in December. Most
gatherings were specific to the Woden Valley Hospital or
Community Health settings. However two half-day workshops
were held for all the participants. All the sessions from
June were taped. Aboriginal leaders were consulted, as
were several managers in ACT Health.
The phenomena of institutional, cultural and personal
racism were addressed by the social workers through
discussion, exercises, and anti-racist initiatives in
their work setting. They found that significant time
restraints presented an example of institutional racism
working against their good intentions. Another dimension
arose from implicitly racist education in social work
courses when most of the participants undertook their
undergraduate courses in the 1960s and 1970s. Aspects
related to professionalism such as its language and
separation of a personal and professional self were
indicative of cultural racism. Stories of personal racism
were shared, in the context of raised awareness leading
to changing those attitudes and behaviours.
The fact that the study took place in 1993 - a watershed
year for Aboriginal/white relations in Australia - seemed
to lead to greater momentum for the project. The social
workers found that participation in this study increased
their knowledge of, and their confidence - both actual
and potential - in interaction with Aboriginal people.
However, they also understood these to be just small
steps towards greater justice for the indigenous people.
An outcome of the project has been involving some
colleagues in similar anti-racist actions to those the
social workers participated in during the time of the
study. The action research project has continued on in
different ways, beyond 1993, despite my withdrawal as
'the researcher' who took the initiative.
Books on the topic "Woden Valley Hospital"
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Des murs et des femmes: Cent ans de psychiatrie et d'espoir au Beau-Vallon. Namur (Belgique): Presses Universitaires de Namur, 2014.
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Puccini, Beatriz Cicala. Consciência política e humanização do parto a luta pelo direito à formação de obstetrizes na Universidade de São Paulo. Brazil Publishing, 2021. http://dx.doi.org/10.31012/978-65-5861-345-9.
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In today's globalized world, violence is structural and connected to the still unmet demands of society. Brazil has one of the highest violence rates, aided by the chronic socio-economic inequality which our political model insists on reproducing and deepening. Violence against women has pride of place in this picture. In the Europe of XVIII century, women's vocation for motherhood was praised, aligned with philosophical values and discourses of the time, giving rise to unconditional love as a true myth founder of the ideology in the bourgeois economy of early capitalism. The idea of a paradigmatic body is anchored in a dualism that is both physiological and anatomic and in which ethical, moral, psychological and socio-cultural aspects will unveil. The transition from home childbirth to hospital childbirth initiates the phase of maternity and childhood protective public policies. A consequence, however, was shutting out feminine participation, preventing its main role in childbirth and resulting in us boasting one of the highest indexes of unnecessary C-sections in the world. The modern woman has gained a lot in autonomy. She has freed herself from moral, social and legal ties, nevertheless she is and always will be the owner of the biological body that is capable of generating a new life and guarantee the preservation of human species. The humanization of birth and the health of mother and child is pressing in the country, along with international reference organizations in this area, as the author of the present work defends and proves.
Book chapters on the topic "Woden Valley Hospital"
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Idowu, Peter Adebayo, Jeremiah Ademola Balogun, and Olumuyiwa Bamidele Alaba. "Data Mining Approach for Predicting the Likelihood of Infertility in Nigerian Women." In Cognitive Analytics, 1001–27. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2460-2.ch051.
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According to WHO, there are 60 - 80 million infertile couples worldwide with the highest incidence in some regions of Sub-Saharan Africa. The social stigma of infertility weighs especially heavily on women, who bear the sole blame for barren marriages in many developing countries and may face divorce as a result. Interviews were conducted with gynecologists at one of the Teaching Hospitals in Nigeria in order to identify likelihood variables for infertility. 14 risk factors were identified and data collected from 39 patients from the hospital was pre-processed and the variables used to formulate the predictive model for the likelihood of infertility in women using three different decision trees algorithms. The predictive model was simulated using WEKA environment. The results revealed that C4.5 algorithm had the highest accuracy of 74.4% while the least performance was for the random tree algorithm with a value of 53.8%. This chapter presents a predictive model which can assist gynecologists in making more objective decisions concerning infertility likelihood.
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Idowu, Peter Adebayo, Jeremiah Ademola Balogun, and Olumuyiwa Bamidele Alaba. "Data Mining Approach for Predicting the Likelihood of Infertility in Nigerian Women." In Handbook of Research on Healthcare Administration and Management, 76–102. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0920-2.ch006.
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According to WHO, there are 60 - 80 million infertile couples worldwide with the highest incidence in some regions of Sub-Saharan Africa. The social stigma of infertility weighs especially heavily on women, who bear the sole blame for barren marriages in many developing countries and may face divorce as a result. Interviews were conducted with gynecologists at one of the Teaching Hospitals in Nigeria in order to identify likelihood variables for infertility. 14 risk factors were identified and data collected from 39 patients from the hospital was pre-processed and the variables used to formulate the predictive model for the likelihood of infertility in women using three different decision trees algorithms. The predictive model was simulated using WEKA environment. The results revealed that C4.5 algorithm had the highest accuracy of 74.4% while the least performance was for the random tree algorithm with a value of 53.8%. This chapter presents a predictive model which can assist gynecologists in making more objective decisions concerning infertility likelihood.
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Brooks, Jane. "Nursing presence." In Negotiating nursing, 93–128. Manchester University Press, 2018. http://dx.doi.org/10.7228/manchester/9781526119063.003.0004.
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Military success in war was contingent on men sustaining a determination to fight. Persuading men to continue fighting or returning them to combat after illness or injury depended on maintaining their morale. The use of female nurses in upholding this resolve was integral to the war effort. The chapter explores the value of the presence of women in hospital wards and in social environments on active service overseas. It considers the occasional antipathy of military authorities and male colleagues to the location of female nurses in war zones. However, it is argued through the provision of expert clinical care, domestic acumen and the use of their ‘female-selves’, nurses were able to salvage men in readiness to return to battle. Nursing sisters thus created a space for themselves in frontline duties. However, the chapter argues, this was not without its difficulties. As single, white women in far-flung places, this position situated nurses in a liminal place between the respectable European colonial wife and the ‘biohazardous’ local women. The chapter acknowledges these difficulties, but also demonstrates how the nurses negotiated their way through these contradictions to their advantage and for those in their care.
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"Mi Lengua Madre." In Hispanic Women/Latina Leaders Overcoming Barriers in Higher Education, 169–84. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3763-3.ch008.
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This chapter will examine the effects of language development among Hispanic women and how such learning is shaped by multicultural and bilingual practices while navigating institutions of higher education. Unfortunately, new immigrants have been discouraged from using their native tongue and stop teaching it to their children; it is argued that it might create confusion if the child is not exclusively immersed in the new culture and language. Much of the research has been focused on the sociological aspect of the acquisition of English rather than on the value of maintaining their mother tongue or on the importance of a simultaneous development of a diversified sociolinguistic fund of knowledge. Due to the fact that the dominant language in the United States is English in its most important sectors—government, corporations, education, hospitals—it is not surprising that the focus is on English acquisition rather than other-language maintenance. Pew Research reported that 95% of Hispanics who continue speaking Spanish at home and those who are first-born generation indicated that it is to them important that future generations learn their mother tongue.
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Ivanovich Vechorko, Valeriy, Evgeny Mikhailovich Evsikov, Oksana Alekseevna Baykova, Natalya Vadimovna Teplova, and Dmitriy Aleksandrovich Doroshenko. "Frequency of Hyperglycemia in Patients with Covid-19 Infection and Pneumonia." In Biotechnology to Combat COVID-19 [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.96306.
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Diabetes mellitus can increase the risk of death in COVID-19 by 12 times, according to the portal of the us Centers for disease control and prevention. Coronavirus-infected diabetics are six times more likely to need inpatient treatment, and diabetes is the second most severe complication in COVID-19 after cardiovascular diseases. The state of carbohydrate metabolism in patients with COVID-19 has not been sufficiently studied in clinical studies. Isolated studies indicate that viral infection may be accompanied by an increase in the concentration of glycated hemoglobin in patients with viral pneumonia. To assess the frequency of hyperglycemia and diagnosis of newly diagnosed diabetes mellitus in patients with COVID-19 and acute lung damage aged 41–80 years, who were hospitalized in a repurposed infectious diseases hospital in Moscow with a diagnosis of pneumonia. In the observational study analyzed laboratory and clinical diagnostic data of 278 patients who had, according to the anamnesis and the medical conclusions of impaired glucose tolerance and manifested forms of diabetes, including 163 men and 115 women, aged 41–80 years, admitted to the hospital for diagnosis and treatment in the period from 12.04.2020 on 10.11.2020 of diagnoses according to ICD-10: U07.1 Coronavirus infection. In the selected groups of patients, the initial and subsequent fasting blood glucose levels were analyzed after 8 hours without food intake on a stationary automatic analyzer and using portable glucose, meters using diagnostic test strips. The concentration of glucose and ketones in the urine was determined by a semi-quantitative method. We evaluated the dynamics of indicators when detecting pathological values of glucose concentration. Glucose levels above 6.4 mmol/l were taken as pathological. In patients aged 41–80 years who were hospitalized with covid-19 infection and pneumonia, fasting hyperglycemia was diagnosed in 31–47%, glucosuria in 1.9–6.1%, ketonuria – 20.4-46.2% of cases, in different age groups. In 16.6–31.3% of cases in patients with covid-19,after treatment and regression of changes in the lungs, normalization of glucose levels was observed, but in 14.8–16.7% of the changes persisted, and in 9–13% of them, after an additional study, newly diagnosed diabetes mellitus was diagnosed. Hyperglycemia was significantly more often detected in patients with arterial hypertension of 2–3 degrees of severity and with a tendency to reliability, in patients with obesity of 2–3 degrees. Lipid metabolism disorders (hypertriglyceridemia and hypercholesterolemia), which are characteristic of changes in carbohydrate metabolism in patients with impaired glucose tolerance and diabetes, were significantly more often diagnosed in patients with covid-19 than in the group of patients with acute and chronic lung pathology without proven infection with this virus, but only in the group of patients aged 41–60 years. Covid-19 infection complicated by pneumonia occurs in individuals aged 41–80 years with a high incidence of hyperglycemia and ketonuria. The incidence of newly diagnosed diabetes mellitus in such patients is 9–13%.
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Shorter, Edward. "Nerves Redux." In How Everyone Became Depressed. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199948086.003.0015.
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We might have thought that the concept of nerves ended in 1957 when the United States Post Office Department initiated a fraud proceeding against John Winters of New York City, who had been promoting a product called Orbacine containing bromide and niacin for “every-day nervousness and its symptoms.” Although Winters’ claims went a bit beyond nerves, the Post Office wanted an end to the whole business and Orbacine disappeared. But the concept of nerves had enemies other than the Post Office. Three in particular had tried to do away with it: psychoanalysis, psychopharmacology, and the DSM series. All failed to kill it completely, and the concept lingers on because of its obvious face value: Our patients clearly have a nervous illness or something resembling it. They do not have a “mood disorder.” In medicine the nervous syndrome, the condition that dare not speak its name, has taken on various allures. Once upon a time, hysteria was the equivalent of a nervous diagnosis in women. There were physicians who had little patience with calling their former hysteric patients “depressed”: They remained hysteric! Jacques Frei, a member of the department of psychiatry of the University of Lausanne in Switzerland, noted in 1984 “the importance that depressive symptomatology has taken today as a call for help among female hysterics. . . . It seems that the hysterical woman today has a better chance of a hearing if she presents with a depressive picture, even evoking suicidal ideas.” Although hysteria today is discredited as a diagnosis, it is interesting that older clinicians such as Frei saw it as a diagnosis that trumped depression; he even argued that his patients at Cery Hospital were modeling their symptoms to conform to the new diagnoses. The 1950s and 1960s saw alternative diagnoses to the nervous syndrome come and go, fragments of clinical experience that seemed to make sense to individual physicians but were not more widely taken up because their originators did not have prestigious academic appointments. Take “the housewife syndrome” that Palma Formica proposed in 1962.
Conference papers on the topic "Woden Valley Hospital"
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Elsaleh, Sahar, Ghada Farhat, and Shaikha Al-Derham. "Factors affecting Ceasarean Section among Women in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0191.
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Background: Cesarean section (CS) delivery is one of the top concerns when it comes to women in maternity age, given the fact that CS rates are on the rise globally and especially in Qatar. Many socioeconomic, demographic, clinical and institutional factors that are likely to play a role in that increase. The aim of this study is to investigate factors that may affect the CS delivery in Qatar. Objective: Identify the factors playing a major role in the increase of CS rates among women in Qatar and determine the significance of the strength of their effect on the issue. Methodology: Using Multiple Indicator Cluster Survey (MICS) 2012. The study focused on the women’s questionnaire with a final sample of 761 women aged 19- 49 years whom have had given birth in their lifetime before the survey after applying an inclusion criteria to the 5809 women in the dataset. IBM SPSS 26 was used to perform descriptive analysis to describe our data, bivariate analysis to assess the associations between variables, multivariate analysis to adjust for external confounders within these associations, and multilevel analysis to assess the significance of variations within levels of the clustered dataset. To investigated factors of: age of women, frequency of watching TV, level of school, antenatal care by whom, assistance at delivery by whom, place of delivery, and weight of baby. Results: The study found that the odds ratio of CS for mothers less than 25 is lower by 54.4% than women 35 years and above with (p-value = 0.020; 95% CI 0.235 -0.883). Furthermore, the type professional who assisted the birth specially nurses, plays a significant role for the outcome of whether they experience CS or not; the odds ratio of that is 51.8% than any other professional with. One of the other significant associations with CS rates was the place of birth (p-value = 0.000; 95% CI 0.207- 0.634) as mothers who give birth governmental hospitals have CS rates lower by 63.8% than those who deliver in private hospitals. Conclusion: The study found a significant association between age of women, frequency of TV watching, assistance at birth, and place of birth with the outcome of the study which is undergoing CS delivery or not. These results can be used as evidence-base for further research on cesarean section delivery in Qatar.
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Киреева, Виктория, Viktoriya Kireeva, Ю. Усольцев, Yu Usolcev, Ж. Капустенская, Zh Kapustenskaya, Е. Кожевникова, et al. "Intermediate results 2016 of a search study of translational diagnostic methods Mitochondrial dysfunction in patients with chronic myocardial ischemia and/or head Brain." In Topical issues of translational medicine: a collection of articles dedicated to the 5th anniversary of the day The creation of a department for biomedical research and technology of the Irkutsk Scientific Center Siberian Branch of RAS. Москва: INFRA-M Academic Publishing LLC., 2017. http://dx.doi.org/10.12737/conferencearticle_58be81ec94893.
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Purpose of the study. To rate prognostic properties of changes in mitochondrial DNA concentration in the blood plasma of patients with chronic cerebral ischemia and ischemic heart disease in relation to the disease and the effectiveness of the therapy. Materials and methods. The study involved patients suffering from coronary heart disease (CHD) and chronic cerebral ischemia (CCI) with stable and unstable atherosclerotic plaques, who have signed informed consent to the data processing within the framework of scientific research. The patients were admitted to the hospital for examination and treatment of CHD and CCI in Cardiology and Neurology Unit of the Hospital of ISC SB RAS. The subjects underwent laboratory and instrumental examination and analysis of the level of free circulating serum mitochondrial DNA by real-time PCR (copies/ml). The examination results considered as satisfactory were compared with the mtDNA levels before and after the treatment. Results. The average value of the mtDNA levels before and after the treatment in patients of neurological and cardiological profile were significantly different: 1 093 686 copies/ml vs 418 046 copies/ml, respectively (p = 0.02). Unlike women, men mtDNA levels statistically significantly (p = 0.03) decreased after the treatment. We revealed statistically significant differences in mtDNA level indicators before and after the treatment, depending on the definition of the series (p = 0.0010) for rank test Kruskal – Wallis test. The results of the proposed research will help to identify prognostic factors of destabilization of cell damage and plaques in endothelial dysfunction, atherosclerosis and its complications, to conduct clinical test of the method for predicting and diagnostics of cellular damage in chronic ischemia on a background of atherosclerosis.
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Anifowose, Titilayo. "Significance of cultural heritage assets in the definition of urban morphology. A case of Egba-Ake in South-West Nigeria." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/fxzs7229.
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This study defined morphological importance of cultural heritage assets and formation of Egba-Ake town. Cultural heritages include man’s physical imaginative products which can be touched and seen include buildings, crafts, tools, ivory, cowries, paintings, textiles, pestles, mortars, food, wooden objects, tombs & grave goods, temples, dresses, pottery & potsherd pavements, monuments, books and artifacts. Morphology are factors that influence city/community formation which are determined by synthetic and natural determinants. Cultural heritage assets are whatever is valued by people today that was also cherished by former generations. This research explored the importance of cultural heritage assets in relation to urban fabrics formation of Egba-Ake. Qualitative method was adopted in this study, in-depth interviews and personal observation was used for data collection while Nvivo words tree and satellite imagery was used to analyze collected data. Ake’s palace and Itoku market is located at the center around which the Egba-Ake evolved. Ake’s Palace (political and cultural hub of the town) and Itoku market (the economic heritage of the town) was used to preserve various aspects of Egba-Ake cultural heritage. Ela festival (new yam festival) is annually celebrated cultural activity in Egba-Ake. This finding is relevant to policy makers as it allows the support of potential common structures for heritage administration in Egba-Ake. Effect of heritage in EgbaAke morphology is the new palace of Alake (the cultural ruler) of Egba-Ake were renovated and new once built a few years ago with modern architectural designs, furniture and fittings. This has made the Alake’s Palace to meet ‘international standards’. Social amenities and infrastructures like electricity supply, water systems, hospitals, good roads, administrative offices, schools; communication networks, etc. are now a major feature in Egba-Ake town. Further studies will enhance the implementation issues which may arise from the creation of a framework for cultural heritage management, with emphasis on risk management and risk reduction of cultural heritage.
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Nakka, Thejeswar, Prasanth Ganesan, Luxitaa Goenka, Biswajit Dubashi, Smita Kayal, Latha Chaturvedula, Dasari Papa, Prasanth Penumadu, Narendran Krishnamoorthy, and Divya B. Thumaty. "Epithelial Ovarian Cancer: Real-World Outcomes." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735369.
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Abstract Introduction Ovarian cancer is the third most common cancer and the second most common cause of death among gynecological cancers in Indian women. Ovarian cancer is heterogeneous, among them, epithelial ovarian cancer (EOC) is the most common. Primary cytoreductive surgery along with six to eight cycles of a combination of platinum and taxanes chemotherapy is the cornerstone of first-line treatment in EOC. This study was done to find clinicopathological factors affecting survival outcomes with first-line therapy in EOC in a real-world setting. Objectives This study was aimed to find factors affecting progression-free survival (PFS) and overall survival (OS) with first-line treatment in EOC. Materials and Methods We conducted a single-center retrospective study. We screened all the patients diagnosed with ovarian cancer from January 2015 till December 2019. We locked data in August 2019. Eligible patients were histologically confirmed EOC who underwent primary cytoreduction or received more than or equal to two cycles of chemotherapy or both. Patients who had received first-line treatment at another hospital were excluded. Results Patients demographics and clinical characteristics: between January 5, 2015 to August 31, 2019, 435 patients with a diagnosis of ovarian malignancy were registered at our center. Among them, 406 (82%) had EOC, 290 (64%) newly diagnosed, and fulfilling eligibility criteria were included in the final analysis. The median age of the cohort was 53 years (range: 21–89 years) and 157 patients (54%) were >50 years of age (the Eastern Oncology Cooperative Group Performance status was ≥ 2 in 124 patients [43%]; median duration of symptoms was 3 months; and stage III/IV: 240 [83%]). Grading of the tumor was available in 240 patients of which 219 (91%) were of high grade. Subtyping was available in 272 patients (94%) of which the serous subtype was the most common constituting 228 patients (79%).Treatment Most patients received chemotherapy (n = 283 [98%]) as the first modality of treatment (neoadjuvant/adjuvant and palliative). As neoadjuvant (NACT) in 130 patients (45%) and as adjuvant following surgery in 81 patients (29%). The most common chemotherapy regimen was a combination of carboplatin and paclitaxel in 256 patients (88%). Among 290 patients 218 (75%) underwent cytoreductive surgery. Among them, optimal cytoreduction was achieved in 108 patients (52%). Optimal cytoreduction rate (OCR) with upfront surgery and after NACT was 44 and 53%, respectively (Chi-square test: 0.86; p = 0.35).Survival The median follow-up of the study was 17 months (range: 10–28 months) and it was 20 months (range: 12–35 months) for patients who were alive. At last, follow-up, 149 patients (51%) had progressed and 109 (38%) died. The estimated median PFS and OS were 19 months (95% CI: 16.1–21.0) and 39 months (95% CI: 29.0–48.8), respectively. On multivariate analysis, primary surgery (HR: 0.1, 95% CI: 0.06–0.21; p-value: <0.001) and early-stage disease (HR: 0.2, 95% CI: 0.1–0.6; p-value 0.04) were associated with superior PFS and primary surgery (HR: 0.1, 95% CI: 0.09–0.2; p-value: <0.001) was associated with superior OS. Conclusion Primary surgery (upfront or interval) was associated with improved survival. Newer agents like bevacizumab, poly-ADP (adenosine diphosphate)-ribose polymerase inhibitors and HIPEC should be incorporated precisely into first line of therapy to improve outcomes.
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Lowe, G. D. O. "EPIDEMIOLOGY AND RISK PREDICTION OF VENOUS THROMBOEMBOLISM." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642965.
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Uses of epidemiology. Venous thromboembolism continues to be an important cause of death and disability in Western Countries. Its epidemiology may provide clues to etiology, e.g. the increased incidence in oral contraceptive users, and the low prevalence at autopsy in Central Africa or Japan compared to the U.S.A. A second use is the monitoring of time-trends: the diagnosis of pulmonary embolism increased during the 1970s, although the case fatality decreased. A third use is the identification and quantification of risk factors: these could be modified in the hope of prevention, or else used to select high risk groups for selective prophylaxis, e.g. during acute illness. Prevention is the only feasible approach to reducing the burden of venous thromboembolism, since most cases are not diagnosed, and since the value of current treatment is debatable.Case definition. Presents problems: clinical diagnosis is unreliable, and should if possible be supported by objective methods. Autopsy studies are performed on selected populations, at a decreasing rate; the frequency of thromboembolism depends on technique; and pathologists cannot be blinded and are open to bias. It can also be difficult to judge whether a patient dying with pulmonary embolism died from pulmonary embolism. 125I-fibrinogen scans indicate minimal disease, and now present ethical problems in screening due to risks of viral transmission. Venography is invasive and is not readily repeatable, which limits its use as a screening method. Plethysmography merits wider evaluation, since it is non-invasive, and sensitive to major thrombosis.Community epidemiology. Data on the community epidemiology are limited. The risk increases with age. When age is taken into account, there is little sex difference. Overweight in women, use of oral contraceptives and blood group A increase the risk: smoking, varicose veins, blood pressure, cholesterol and glucose do not, on current evidence. Long-term follow-up of patients with proven thromboembolism shows an increased risk of malignancy, hence occult cancer may also be a risk factor. Polycythaemia and certain congenital deficiencies (e.g. antithrombin III) are also well-recognised risk factors, although uncommon.Hospital epidemiology. Data on hospital epidemiology are derived largely from autopsy prevalence, and from short-term incidence of minimal thrombosis detected by 125I—fibrinogen scanning. Old, immobile and traumatised patients are most at risk. Previous thromboembolism, polycythaemia, antithrombin III deficiency, hip and leg fractures, elective hip and leg surgery, hemiplegia, paraplegia, and heart failure carry high risks, and merit consideration for routine prophylaxis. The risk in elective surgery precedes the operation, and increases with age, overweight, malignancy, varicose veins, non-smoking, and operative factors (duration, approach, general anaesthesia, intravenous fluids). Diabetics appear to have no extra risk. Combinations of clinical variables can be used to predict high risk groups for selective prophylaxis, but combination indices require further study. Laboratory variables may increase the predictability of deep vein thrombosis, but the results of published studies are conflicting, and the cost-effectiveness of laboratory prediction should be evaluated.