Science topic

Hospitals - Science topic

Institutions with an organized medical staff which provide medical care to patients.
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What precautions should be taken if a patient is admitted as a case of dengue and malaria in hospital setting. Is giving mosquito net to the patient desirable to prevent further spread?
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Avoid getting further mosquito bites during the first week of illness. Virus may be circulating in the blood during this time, and therefore may transmit the virus to new uninfected mosquitoes, who may in turn infect other people. At present, the main method to control or prevent the transmission of dengue virus is to combat the mosquito vectors. The following link includes more information about that:
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A prospective study proposes to estimate etiological agents of RTI in a certain hospital. study duration six months. Patients from hospital admitted adult RTI cases will be included, PCR done from appropriate swabs and virus, bacteria etc recorded as per report.
Now the question is what formula to use to calculate how many RTI cases we need to include to get acceptable results? Example- may be in proposed 6 months 200 RTI cases will be admited. How many of them needed to be included as sample size?
Any formula there for this situation?
Or , can i estimate yearly adult RTI admitted cases for last three years (2019-21), get an average case burden/year and use that number to derive a sample size? Say 250 cases in 2019, 250 cases in 2020 and 250 cases in 2021. So average case burden of RTI in that hospital is 250/year, so in 6 month 125 cases expected. Can i use this 125 figure to derive a sample size?
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Hello Gourab,
If your aim is to identify degree of association of a given variable/characteristic with status (RTI vs. non-RTI), you'll need to decide: (a) what is the lowest, non-zero degree of association with (infection/intubation status, or whatever your RTI refers to) you would like your study to be capable of detecting, if it truly exists in the population; (b) how high a risk you're willing to take of altogether missing the correct judgment for a given candidate variable (both in terms of false positive and false negative conclusions); (c) whether you wish to make judgments about individual variables or instead simultaneously consider a set of variables; and (d) whether cost/effort constraints limit you to some specific ceiling number of cases.
Given these, you can use programs such as the freely available g*power to determine how many total cases would be required.
If, on the other hand, you simply want parameter estimates for individual variables/characteristics (e.g., mean value, or proportion) among RTI cases, then you'll need to decide: (a) how precise you'd like these estimates to be; (b) how much variance there is (in the RTI population) for each variable; (c) your accepted risk of being wrong (e.g., completely missing the true value in your resultant confidence interval). Given these, the usual formulae for simple random (probability) samples will help you determine an appropriate number of records to evaluate, especially for a finite population as yours is (approximately 250 cases per year). This assumes, of course, that it's too costly or too much effort to use a census sample. [Note: here's a link with formulas for simple random sample size determination: https://stattrek.com/sample-size/simple-random-sample]
Good luck with your work.
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I will soon start a project in which I will be responsible for the hygiene quality control of an entire hospital. I wonder if you could recommend some specific reading on this subject. Thank you very much.
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Hi, I am looking for surveys instruments to evaluate design of hospitals from a work environment perspective. Let me know if you have any tips.
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(PDF) Healthcare Evaluation (researchgate.net)
(PDF) Evaluation methods for hospital facilities (researchgate.net)
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With special reference to Hospitals and Healthcare Management.
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The application of artificial intelligence (AI) in hospitals yields many advantages but also confronts healthcare with ethical questions and challenges.
Artificial intelligence in hospitals: providing a status quo of ethical considerations in academia to guide future research - PubMed (nih.gov)
(PDF) ARTIFICIAL INTELLIGENCE IN HOSPITALS (researchgate.net)
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how can we organize doctor, patient and hospital keys and wallets?
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blockchain is a system for storing and sharing information that is secure because of its transparency. Each block in the chain is both its own independent unit containing its own information, and a dependent link in the collective chain, and this duality creates a network regulated by participants who store and share the information, rather than a third party. Blockchain has many applications in healthcare, and can improve mobile health applications, monitoring devices, sharing and storing of electronic medical records, clinical trial data, and insurance information storage.
Blockchain in Healthcare: A Patient-Centered Model (nih.gov)
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Family member with diabetic retinopathy and who has poor vision from blood being trapped in the eyes stayed at a hospital on two separate occasions and only received a sodium chloride saline IV bag and was able to see much better because the blood had mostly receded from the eyes. He also had a potassium sodium imbalance, high potassium of 5.4 and low sodium of 121. Is there a way to replicate this treatment at home to test and see or something similar to offer relief for this condition? He stayed at the hospital the third time but did not receive the IV solution and did not have an improvement what would be the reason for the blood to almost recede completely? Looking forward to your responses. Thank you and have a blessed day
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Thank you, he has been on a whole food plant based diet over 4 months now a1c is down to 7.9 sodium ses steady at 138 for a month now but potassium still at 6.0. he would be able to recover much quicker with temporary measure of elevating the blood from the eyes as he is not able to drive work or participate in sports anymore. I'm just not sure why the blood was almost gone from they're on 2 seperate hospital visits with only an IV saleen solution administered.
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Apart from blockchain and other well-known technologies, what cryptographic method is suitable for medical data safety and its sharing with various other hospitals and any research institution?
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Dear Khalid,
In present day scenario implementing the cryptographic techniques for medical data or any other domain comes with centralized scenario(typical client-server, cloud, fog and edge setup) and decentralized scenario(blockchain, peer-to-peer ledger based systems).
Having said that, I think first you have to identify the security or privacy goals needed for medical record or data sharing. When it is comes to security it may be authentication, authorization(access control), data provenance, integrity, data ownership, confidentiality, availability. As medical or health data is highly sensitive or confidential privacy is of utmost importance while sharing. In privacy you can explore data minimization, selective disclosure, anonymization, user controllability etc.
Once you have decided upon the security or privacy goals then delve into specific cryptographic technique or privacy preserving mechanism.
You can read these papers from Q1 journal
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Dear researchers, I am interested in the potential applications/benefits/barriers of implementing drone technology for transporting pathology samples from a hospital, clinic or a hub to a close-by lab from rural and remote areas of Australia.  I will appreciate pilot studies, literature sources, scientific studies, and relevant reports with such applications, and outcomes. You are welcome to share your own views, knowledge and experience with any relative mobile technologies, wireless systems and their integration.
Thank you!
Thenuja
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Thanks and appreciated Tomasx.
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Is there any who is working on Patient Level costing/step down costing method in hospitals.
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This is clinical costing derived from tracing resources used by an individual PATIENT during a CARE ACTIVITY, and calculating the expenditure on those resources using the actual costs incurred by the Health Care Provider.
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I need to guarantee the reliability of the data between health institutions to guarantee the continuity of long-term treatment, identifying the main asymptomatic diseases.
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But why do you want to use blockchain in the first place? It does not seem the obvious choice for your problem.
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How to get balance sheet information of listed companies in India. I need consolidated data for for three years for Hospital and Health Services sector. Please help. I tried moneycontrol.com but the information is not sufficient.
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Also me, i do not know
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I'm currently doing a research paper on the perception of patients on the quality of care received in a public government hospital, and I have to pretest a translated survey. I was told by my adviser that I could pretest my survey in a private hospital because these hospitals have similar demographics. Is this a valid way to pretest my survey since the two hospitals is different? My initial assumption was that I have to pretest also in a government hospital.
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My view is that you pretest in the same target population as your study population meaning public / government hospital.
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Sepsis is a pervasive problem in hospital and other care facilities that causes an alarming amount of preventable deaths. Please review the attached document for more information on this problem to generate awareness and develop more scientific interest in eliminating the problem.
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Thank you, @ ,Beth Ann Fiedler ,Beth Ann Fiedler your information on this life-threatening emergency in developed and developing countries is apt. The threat of antimicrobial resistance in developing countries and upsurge of patients with pneumonia, UTI, malnutrition, immunodeficiency related diseases just to mention but a few coming down with sepsis is alarming. Sepsis is an important public health challenge, therefore creation of massive awareness Campaign on sepsis, and partnership with public health professionals, clinical experts, patient's advocacy groups and the public will cause more people to survive sepsis or avoid it entirely.
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It is my passion to do and publish research materials. There are a lot of data in the hospital that needs attention from the research communities, managers and policy-makers. Problem is that there is no accredited Research Ethics Board on my area, my hospital is a level 1 health facility, and needs expenses which hinders my publication process as a freelance research or passionate to publish these data.
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Thank you and highly appreciated, Dr. Stephen-Schoenbaum
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Cephalexin is usually prescribed in our Hospital for the treatment of Typhoid fever and Typhus.Do Cephalexin really treat Typhoid fever and Typhus?
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As far as the action of the drug target cell wall of the bacteria, it may have no action against salmonella and generally first generation cephalosporin have poor action against g-ve
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What do You think: which risk is the highest in a smart hospital?
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Velibor Božić Cybersecurity threats, thanks to Healthcare IoT @Smart Hospital
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We are inviting researchers to be associate with us for a new project on hospital preparedness during a disaster
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lets discuss further
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Dear scientific community,
What is your view on adopting the Blockchain and Non-Fungible Token (NFT) technologies in Biological Sciences? and how it can transform the genome storage or genome bank (governments of many countries are planning)?
Also, how this technique can be adapted to the local level or, say at the hospital level, to store any particular portion of human DNA in the worst-case scenarios like accidents or any disasters.
Also is it possible to donate blood can be stored in the hospitals and it can be connected through the NFT and once the owner wants to sell it can (Anyhow the blood business is unethical but if it can be tokenised people might move more towards donating it, also the hospitals are making money out of taking blood freely)
Also, you can suggest on your behalf, what are the latest area (with respect to biological sciences) where these techniques can be applied.
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The discussion is about how the NFT and blockchain can be applied to the said area.
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Unlike other specialties that are limited to a particular organ or disease, family physicians are the only specialists qualified to treat most ailments and provide comprehensive health care for people of all ages — from newborns to seniors. This looks like:
  • Caring for patients regardless of age or health condition, sustaining an enduring and trusting relationship
  • Understanding community-level factors and social determinants of health
  • Serving as a patient's first contact for health concerns
  • Navigating the health care system with patients, including specialist and hospital care coordination and follow-up
  • Using data and technology to coordinate services and enhance care
  • Considering the impact of health on a patient’s family
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AAFP. has full description of family medicine scope.
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How can I measure the effect of nurse staffing on quality of care of patients in a hospital? What are the parameters to take into consideration? What are the indicators of the quality of care in relationship with the nurse staffing?
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Dili Koumai Ismael - there are lots of issues underlying your question...
i) How do you measure nurse staffing? Nurse-patient ratio (or equivalent) is a starting point but it rapidly gets more complicated when you consider that not all patients present the same 'demand' (have different needs both qualitatively and quantitatively). Within a unit that might 'average out' but it is unlikely to when comparing between units.
ii) How do you measure quality? There are many many candidate measures but in many respects it depends on the context you are working in and what is likely to be sensitive - anything from patient 'experience' / 'satisfaction' through to hard measures including risk of death are candidates. There is a large evidence on potentially nurse sensitive indicators that you might consult.
iii) THEN you have your study design - many studies in this area are large scale observational studies using cross-sectional data from many wards and many hospitals (see ) and there is a growing body of work using administrative data at a patient level (see ). Studies have also used administrative or survey data to look at care processes for example see https://www.ncbi.nlm.nih.gov/pubmed/31562161) and there are also studies using surveys to explore patient or nurse experiences / perceptions of quality (see for example https://www.ncbi.nlm.nih.gov/pubmed/22434089) Some smaller scale studies using direct observation of care have also explored the issue (see https://www.ncbi.nlm.nih.gov/pubmed/30918050) I'm selecting papers here that my research group have been involved in and there is an awful lot more out there, but I hope it gives you a start.
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Hello,
I have created a machine/deep learning to predict the Spatio-temporal distribution of parking occupancy rates in city A. Then I want to apply the developed model for scenario experiments, e.g., to know how a newly constructed hospital in block X influences parking occupancy. The presence of hospitals is considered in the modeling development process. My question is that can I directly do this, by making up an input variable corresponding to the tested scenario, to know the effects.
Support: the model learns the implicit relations between the presence of the hospital and the parking occupancy, it should be able to make the predictions.
Against: the model is constructed based on the data collected in city A. The additional hospital in block X creates a virtual city that is not city A and therefore, the approach is not valid.
Any replies or recommendations for related articles are appreciated.
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Yes, most of the people do the same. However., if you are obtaining some qualification certifications, this way is never preferred.
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I am planning to do a qualitative inquiry using a phenomenological approach. The planned dissertation is about how first year qualified nurses are constructing their professional identity within governmental hospitals. As I am also a 12 year experienced nurse working in one of the local hospital, I was considering to eliminate the cohort which are allocated in my hospital setting. I wish to have an opinion. Should I include them or exclude them?
Jeanette
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Studies which are phenomenological or qualitative in nature ought not to be generalised. So selecting sample from a researcher’s own setting certainly would not be a problem. the selection of the sample would not influence the results of the study per se, however, the idea of generalisations has to be then investigated.
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Aim of qualitative research study is to elucidate the migratory push factors determining locally born and educated registered nurses to migrate from the only tertiary level hospital located in the small island, modern metropolitan capital city. in a country maintaining fairly stable economic and political conditions..
Undoubtedly, in consideration of globalization, an escalation in the number of native RNs migrating from a ''destination nation' for nursing migration, has grabbed the attention of healthcare systems stakeholders in the midst of the COVID-19 pandemic, there is no empirical evidence available to provide answers toward the planning and implementation of policies and strategies to stem the flow of these limited human healthcare resources' out of the nation's public healthcare system.
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Migration of labor like healthcare workers depends on several pull and push factors
Pull factors are better opportunities available at the destination sites for career advancement, better remuneration at the destination sites, job security at the pulling site, presence of high technology to make the work more fulfilling and enjoyable, adequate holiday periods for workers at the destination sites, higher and better pensions at the pulling sites and many others.
The push factors includes poor working environment, lack of technology, poor pension, absence of job security, comparatively low salaries etc. are but a few..
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Who can help me and my 3 colleagues to visit gynecological department of hospitals in Istanbul from 19 till 24 of May. Thanks for any answer. 380677647766
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Hello. I hope to visiting of hospitals in Istanbul, someday.
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dear colleagues,
I need to know the best way to perform effective infection control rounds in the hospital.
what should I look for?
if I need a checklist, is there any standard checklist can I use for the beginning till I can make my own one?
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The infection control rounds are done daily by a Hospital infection control team, mainly with nursing officers who are posted in the designated areas on rotation basis with worksheets and check lists of elements of infection prevention practices.
Daily grade- based assessments or Weekly assessment is needed for improvements.
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Good afternoon,
I am about to begin a quantitative research however I am concerned that my sample size is quite small. My plan is to explore incivility levels among nurses in the hospital that I am currently employed using a certain questionnaire developed for this purpose, however the current number of nurses is no more than 60. I am expecting a very high response rate but will this small size be an issue?
Many thanks.
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Grigorios Marinakis It depends on the specific statistical technique that you are planning to use (e.g., t test, ANOVA etc.), the expected effect size, desired level of power, your desired alpha error risk, etc. The free G*Power program can help you determine the optimal sample size for various statistical procedures while taking into account those various parameters:
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I am writing a research paper on how to get rid of mercury (dispose) sphygmomanometers in hospitals. What can I include in this research?
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Hi
i totally agree with the answer given by Lin Leonid Mirzah Sir
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Hello,
I have two data sets -
1) 10 years of data on what percentage of the total patients in a hospital emergency room are diabetic
2) 10 years of data on what percentage of the total patients admitted in the same hospital are diabetic.
While I can easily compare the above data in the form of two linear trend lines (X-axis - years, Y-axis - Percentage of total patients being diabetic ), I wanted to ask how to statistically compare the two trend lines?
Thank you
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If your interest is in linear trend, then plot x-axis as year and Y-axis as % of patients then calculate the trend and identify slope values.
Rearrange the data monthly and you may repeat the same monthly-wise.
Then you will have 10 slopes values for both sets ..then attempt t-test based on slope. if you have subject details maybe you can calculate subject-wise slope as well.
best!!
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Hi all there,
Please, would you help me in getting more information about the desirable range regarding bed turnover rate (BTR) at hospitals?
As far as I know, the recommended range for average length of stay is from 3 to 5 days.
That for bed occupancy rate is from 80 to 85%.
So. what about BTR?
Thanks in advance
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Try reading my series of papers on hospital bed numbers and occupancy available at http://www.hcaf.biz/2010/Publications_Full.pdf
Hope this helps.
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How can i validate a questionnaire for hospitals' senior managers?
Hello everyone
-I performed a systematic review for the strategic KPIs that are most used and important worldwide.
-Then, I developed a questionnaire in which I asked the senior managers at 15 hospitals to rate these items based on their importance and their performance at that hospital on a scale of 0-10 (Quantitative data).
-The sample size is 30 because the population is small (however, it is an important one to my research).
-How can I perform construct validation for the items which are 46 items, especially that EFA and CFA will not be suitable for such a small sample.
-These 45 items can be classified into 6 components based on literature (such as the financial, the managerial, the customer, etc..)
-Bootstrapping in validation was not recommended.
-I found a good article with a close idea but they only performed face and content validity:
Ravaghi H, Heidarpour P, Mohseni M, Rafiei S. Senior managers’ viewpoints toward challenges of implementing clinical governance: a national study in Iran. International Journal of Health Policy and Management 2013; 1: 295–299.
-Do you recommend using EFA for each component separately which will contain around 5- 9 items to consider each as a separate scale and to define its sub-components (i tried this option and it gave good results and sample adequacy), but am not sure if this is acceptable to do. If you can think of other options I will be thankful if you can enlighten me.
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After the survey is completed..but it is better to increase the number of studied samples..so that the result will be bette
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I have just started in an exciting new Practice Development Nurse for Learning disability role and am looking for some resources to use on the wards and classroom settings.
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You are welcome. We published some results here, in case you are interested:
Patricia
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I remember reading that, after a BFHI implementation, breastfeeding rates depend on the hospital's pre-BFHI rates: The improvement in breastfeeding rates is smaller, the better the ratios were before implementation. Has anyone read anything similar? Do you remember the bibliographic reference?
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I think ,it will depend upon each case ,mothers can get help by breast feeding consultant
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I am looking for information about the first examples on the concept of the hospital as a place for assistance, teaching and research. My first known hospital with that scheme was the Allgemeines Krankenhaus (General Hospital) in Vienna. Has anyone some insights and information on this subject?
Thank you
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I´m a 1st year Phd student of physiotherapy interested in the field of respiratory physiotherapy and pulmonary rehab. I´m obligated to find a suitable place for my 1st internship. Preferably in the Europe - as I live in Czech republic. Next year I will look for some further destinations :). So I will behappy for the further countries inspiration for the next time, as well.
Thank you very much for any advice! :)
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Dear researchers,
I am analysing the relation between productivity and quality in hospitals, using performance indicators. The number of hospitals is not big, below 45 per year. Is it possible to broad research on multiple years using same hospitals more than one time? Certiainly, that will harm assumtion on independent observations. However, I am sure that that there is no (systemati or planning) intervention in order to change hospital performances.
What do you think about my approach?
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Has high performance concrete affected the construction of the radiology department in hospitals - for example, in its location?
The hospital's Proton Radiotherapy department would not have been possible without the development of dense concrete.
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Hi dear Ola.
Nanotechnology also plays an important role in the construction industry, in this regard, steel, glass and concrete industries play the largest role. The use of nanoparticles in the construction industry, the most important of which are carbon nanotubes and titanium dioxide, generally increases the mechanical properties of the samples in the main structures and in the joinery part, the application of nanocoatings in the interior and exterior of buildings is of special importance. The building's nano-coatings, while reducing water repellency and minimizing dirt absorption, make the building's facade UV-resistant. These nanocoatings in surfaces such as; Cement, brick, pottery, ordinary stone, tile, marble, wood, ceramic, glass, steel and concrete are used. Manufacture of reinforced concrete, self-repairing and self-cleaning, self-cleaning glass, fire resistant and energy controlling and thus saving energy consumption, use of nanoscience paints that prevent bacteria from penetrating into office buildings, residential buildings, hospitals Etc., giving them a long life, a bacterium-free environment, and a non-dirty and degradable nature are other important applications of nanotechnology in the construction industry. In this way, it is easy to recognize that we are facing a new world called nanotechnology. Nanoscience experts believe that after the production of steam engines, engines and the development of IT, the technology of this science will open new horizons to the human world. Nanotechnology is capable of shrinking materials to the point where they can be rebuilt to introduce new materials and technologies to the world.
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We evaluated the degree of increase in coronavirus infection after the holidays in Brazil, and we hope that the data can help prepare health teams to face the pandemic. Are there any surveys like that in your country? we can discuss this issue. Take care!
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Indeed, this is a fact, the number of infections increases after holidays, when people do not adhere to health guidelines, and this is clearly visible in our countries as well ... The risk lies not only in the high rates of infections but also in the possibility that the virus may be subjected to new mutations that may produce new strains of it that are faster widespread and more lethal to humans ... My sincere gratitude to everyone.
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How can SARS CoV 2 viability/infectivity assessment find in vitro models that perform better (eg. in term of sensitivity) than cytopathic Vero E6 assays? Are there cell models expressing ACE2 receptors for such task? Which the limits upto now? Aerosol sampling devices preserving viral viability/infectivity are available now.
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My Master Thesis is on development of corporate subculture in the dominant culture of public organization (hospital).
Is there any scheme or questionnaire that can be used to show correlation of developing corp.subcultures in dominant culture of the organization?
Thank you in advance!
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Researches have showed the cost-effectiveness of music experiences, as opposed to other types of experiences, in enhancing quality of life in the general public and for specific populations and age groups. It is hoped that inclusion of music in daily life enhance and maintain well-being of the people including patients with chronic diseases.
Given the positive effects of music on quality of life and reducing depression and anxiety in hospitalized patients, how can music therapy be promoted in hospitals?
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Thank you very much for sharing this question
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Thrombotic complications are frequent in COVID-19. There is evidence supporting the use of prophylactic dose low molecular weight heparin (LMWH) as prophylaxis for venous thromboembolism in critically ill patients. Indeed, all patients with COVID-19 that are admitted to hospital should receive prophylactic dose of LMWH. Dabigatran etexilate (Pradaxa) is an active direct thrombin inhibitor that inhibits clot-bound and circulating thrombin. Based on virtual screening results dabigatran etexilate is also a potential SARS-CoV-2 inhibitor. Therefore, dabigatran could be a new therapeutic option for the prophylaxis and treatment of COVID-19 associated thromboembolism, but further clinical research is mandatory.
What to you think?
Thank you all in advance!
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Dear,
Respectfully I believe it unlikely. tThat dabigratan will have effects if the D- dimer is at high levels or if there is an evident thrombosis.
However, the effect of the heparin as an anti-inflammatory seen by the first 30 articles published last year on the indication of heparin in Sars Cov 2. ]
All of them dealt with anti-inflammatory effect and ultimately inhibited the formation of interleukin 6
As a recognized anti protease, standard heparin should be the first option, but we recognize the superiority of LWMH in administration and follow-up.
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I conducted a semi-structure interview with individuals from 40 hospitals in the state. In these interviews, I ask 10 questions about whether or not they're engaging in specific LGBTQ-related equity efforts (e.g. Is staff trained in LGBTQ-related topics? Are you making efforts to hire individuals who identify as LGBTQ?)
I am doing Fuzzy Set Qualitative Comparative Analysis (fsQCA) with these data to determine what conditions (e.g. hospital type, funding, location of hospital, town/city political leaning, etc.) might lead to more or less LGBTQ-related equity efforts in a hospital.
QUESTION: Some of the interviews had to be cut short for various reasons (e.g. interviewee's child needed help, interviewee got an important phone call, etc.) If I did not prompt them with all of the questions, how do I determine membership score for the case? For instance, if I prompted 8 of the 10 questions and they said "yes, we are doing that" to 6 of the 8 prompts, would the score now be 6/8 (.75) instead of 6/10 (.6)? Is there a precedent for dealing with missing information in fsQCA?
Thank you in advance for you help
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I also want to know this?
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Does anyone use needle play in their hospital when working with children?
What are the benefits benefits?
What resources did you use to start this preparation? What materials do you currently use?
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No, thank you Dr.Francisco Javier Gala for the informations
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How can I assess the managerial capacity of a hospital?
Please suggest regarding methodology & tool.
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Hospital managers can have a special role in the health care and life science field because they can affect society's health with their decisions.INTRODUCTION Capacity planning decisions are important to any industry, especially to health care industry because not only it relates to the management of highly specialized and costly resources (i.e., nurses, doctors, and advanced medical equipment), but also it makes a difference between life and death in critical conditions. Kindly check the following RG link:
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Suppose that we want to evaluate (Glasgow Coma Scale) Remotely. So instead of letting the patients come to the big hospital, we have different clinics, and in each clinic, we have a digital investigation room prepared with different technology like IoT devices, AI system, etc. How can we propose a feasible smart system that evaluates the case remotely? So when the doctor in the main hospital makes the test remotely he can decide if the patient needs to come to the main hospital as he has Glasgow Coma or no need to come.
So the difficult thing is the motor side when we need to evaluate the movement of the hand or the shoulder.
May you please share your reviews about this problem, how we can execute it smoothly?
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Thanks Muhammad Ali for the link, very informative.
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I have a different view on this subject than other researchers.
The level of diastolic and central venous pressure, the presence or absence of diuresis, a symptom of a "white spot" and taking into account changes in these indicators after intravenous infusions are completely sufficient to diagnose hemodynamic disturbances, if interpreted correctly.
For correspondence: Kiladze Dzhumberi Georgievich, St. Petersburg City Children's Health Institution Hospital number 2 st. Maria Magdalene ", 199053, St. Petersburg. E-mail: db2@zdrav.spb.ru E-mail: djumbery.K@mail.ru tel.: + 7 965 761 99 79 Skype: Djumbery
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Respected Fabrizio Giuseppe Bonanno !
I will even say more, complex invasive and non-invasive methods of hemodynamic monitoring are not needed. If you send your own email address, I will send you a job. My email address is almost djumbery.k@mail.ru
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I did some population analysis profiling test for examining bacterial heteroresistance, but I'm not sure how to interpret the result.
It's turns out that as the start inoculum level increases the output survivor rate increases too.
(attached file : Colony counting for 1. bacteria-K.pneumoniae with 10 fold dilution, 2. start inoculum-1.5*10^6 CFU per 15ml LB agar with antibiotics, 3. AB-Cefotaxime with root 2 fold dilution)
I guess it's because of inoculum effect that the mass resistance increases as the concentration increases.
How do you deal with this problem in hospitals or research centers for antibiotic resistance?
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I would like to recommend this chapter. I hope it helps out.
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BMJ now mentions that "Long Covid" symptoms occur:
-Covid foot
-rashes
-numb hands/feet after sleeping
Covid symptoms are still occurring 6 months after infection in "mild cases that have NOT gone to hospital
PHOSP-Covid at Leicester Uni to study log term effects
see fb "Long Covid Support Group"
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£18.5 million to tackle ‘Long-COVID’ in the community. Imperial College & 2 other study centres.
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The radioisotopes that are used in oncology hospitals to treat people with cancer ... as the radiation comes out of the patient’s body through diarrhea or sweating, so it requires drinking water a lot .. and also where patients lie in the hospital for two days .. And the basins in the hospital must Be highly efficient to avoid radiation leakage .. I hope to help me with more studies or research on the subject for the purpose of completing my research. Thank you very much.
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For questions on reactivity it would be best to use Pb (lead) to block the rays or even neutralize the radioactivity before you dispose it.
I am not sure if you could dilute it. It is rare to reuse anything in a hospital... (There would not be anything which would imply reuse?)
Maybe search nuclear medicine or radiology.
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we are doing an assessment of communicable disease surveillance system in our region, there are nearly 300 health facilities (primary health care centers and hospitals), I would like to select a number of health facilities to ask them about the communicable disease surveillance system, How can I calculate the number of health facilities that I should choose to perform this study.
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If I have rightly construed, you wish to conduct study from PHC & Hospitals. For proper representation, multistage sampling would be appropriate in which PHC, CHC, secondary care & tertiary care hospitals as health institutions. So, state, district, block & sector wise systematic random sampling could be considered which would represent PHC CHC & hospitals.
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Cultured skin technique
only the patients own cells used
no animal products
life-saving for severe burns
mortality with ABSI score about 60-80% without treatment
mortality 10% with treatment
Does one just stand and watch patients die while knowing you could have saved most of them?
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For what reasons is the hospital banning the skin cell therapy?
Is there a relevant regulatory framework (cf. the EU Cell and Tissue Directive and ATMP Regulation)?
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Dear Colleagues,
How do you analyze the availability of drug care?
In the Russian Federation, accessibility analysis is usually based on two components:
1. Content analysis of the State Register of Medicines. All medicines registered in the country may be available to patients in any hospital. However, this method alone is not enough, since
A) Some expensive drugs may have low hospital margins.
B) Generic policies, procurement under an international name may have an impact on the availability of expensive branded drugs.
2. In-depth interviews, work with focus groups. Ask patients, doctors, experts - about the availability of certain drugs.
How do you determine the availability of medicines in your country? What methods are used?
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Good question, Kind regards
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What are the available extraction methods?
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SPE, LLE or more modern approaches (check my papers): DLLME and application of DESs for sample preparation.
Regards
GB
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I am a candidate student in phd nursing. Doing my dissertation under the title"
Improving the Patient Safety Process in Brain and spinal injuries Ward Rofeideh Rehabilitation Hospital".
To assess patient safety, I need Accreditation procedures in a rehabilitation hospital.
also i need sample Nursing report in rehabilitation hospital .
thanks a lot
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Avoid ambiguous wording that may confuse the next nurse when writing your end-of-shift study. Filling the end-of-shift report with any piece of relevant information relating to the condition of the patient is vital. Checking the end-of-shift report directly with the patient, his or her accompanying family members. Even though bedside reporting is not performed before each shift, many nurses have concerns about the end-of-shift report.
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I am a candidate student in phd nursing. Doing your dissertation under the title"
Improving the Patient Safety Process in Brain and spinal injuries Ward Rofeideh Rehabilitation Hospital".
To assess patient safety, I need Accreditation procedures in a rehabilitation hospital.
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good luck with your PhD Shoeleh Rahimi .
I think you may take this as an example
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There are lots of misinformation in the area of clinical coding, and this has been affecting effective medical research and efficient healthcare system. Many hospitals are using provisional diagnosis as the diagnosis to code, after the discharge of patients from the hospital. This has raised many questions and I will appreciate the experts to bring in their suggestions here.
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By definition, the two variants are different. Provisional diagnosis (or tentative diagnosis) is based upon the availability of sources of information, but subject to change. As the course of patient care progresses, and more facts emerge, the provisional diagnosis is changed to reveal the present reality. And the provisional diagnosis may change to become the final diagnosis and it is coded accordingly.
on the other hand, the Principal diagnosis (Main Diagnosis) is the condition established after careful study, to be chiefly responsible for occasioning the admission of patient to the hospital for care. During a given episode of care, it is possible that a patient is treated for just a single condition or multiple diagnoses. In a situation where you have multiple conditions, the attending physician has the duty to determine which of these is the principal diagnosis. Criteria like how much of hospital resources was consumed, the length of stay, and the severity of the condition are used to choose which of the multiple diagnoses qualifies to be the principal diagnoses.
Therefore, for coding purposes, the discharge summary written and duly authenticated by the attending physician is consulted by the coder (please note that coding is done after the patient might have been discharged via the different modes of disposition). Where you have a single condition identified, as provisional, and no new facts emerge until the patient is discharged, that same condition will be assigned the ICD code. But if there is a change, the amended condition recorded by the attending physician is coded. In a situation where there are multiple diagnosis, the physician must indicate the one that qualifies to be principal, and the other are indicated either as secondary diagnoses or complications (whichever be the case). The coder assigns the ICD-10 codes to all the diagnoses as indicated. Where there is not enough information, the coder shall prepare a physician query (in line with policy of the facility), requesting for further details that will aid in identifying the diagnoses rightly and in assigning correct codes to them.
Finally, to directly answer the question, both the provisional or the principal diagnoses can have ICD-10 codes assigned.
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Hello,
I'm interested to do some machine learning analysis on a dataset collected from hospitals, related to symptoms typically experienced by patients who had undergone COVID-19.
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Dear @Aouraghe Ibtissame, I hope that this repository serve you well.
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I am checking the association of cold with hospital admissions. I can easily check the association of mean daily temperature (as an exposure variable) on admissions as it'a linear. However, i want to check the coldspell variable association ( a categorical variable with values 1= yes (coldspell) 2= no.. So i want to check the effect of cold spells on outcome. Here are the sample plots that i want to get (i.e. ¨Figure 2 and 3).
I am using following in crosspred for linear plots. What changes should i make?
predglm<-crosspred(cb.temp, modelA, model.link="log", ci.level = 0.95) plot(predglm,"overall",xlab="Temperature (C)", ci="l", col=3, ylim=c(0.6,1.4), lwd=2, ci.arg=list(col=1,lty=3), main="Overall effect of temperature")
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You could try the following if you code cold spell as 1 and non-cold spell as 0.
pred.all<-crosspred(cb.temp,modelA,at=0:1,cumul=T,cen=0)
plot(pred.all,"slices",var="1")
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Geriatric patients come to the hospital with a variety of comorbidities to their actual primary condition. Some of these are related to their ability to live on their own, mobility, self care, etc. Of particular interest is their sense of themselves in the world, meaning they have attached to their experiences and sense of relevance. As a person focused on the spiritual resources the geriatric person may have, i am interested in how spiritual support helps geriatric patients process what is happening to them.
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This is a great question with unique challenges. I express the idea of unique because every persons life is different. I believe we can address this in general.
As an individual and unique person, God has instilled in each of us a desire for a spiritual connection. (He has created in us a spirit, a soul and a body) The spiritual part of us is at different levels of maturity. (Some dead, and some highly advanced based on its close connection to our creator.)
A chaplain or spiritual assistant in geriatrics should in the assessment process be able to start to understand the needs of the person when writing the "Story" of the patient. This will give a foundation to understand the patient and develop a plan to assist them to cope with their situation.
In a hospital setting you may not have the time for longer term spiritual help from a chaplain. In the short term, I believe nurses and doctors should be well versed in how to connect to the spiritual side of their patients. It is not just about medications and vital signs. Their metal health is strongly connected to their spirituality and their ability to heal quickly.
The end result is to give the patient a more global perspective to enable them to see the bigger picture that will increase the quality of their life. (God is in control of this life and every aspect of our life.) The many promises in God's word will encourage and at times restore their faith. The patients contributions to this life are to be celebrated by putting them in the perspective of eternity. Every day is a gift from God and is to be celebrated!
Being able to connect on a spiritual level normally provides the cognitive resources for the patient to better accept their position and even their physical conditions.
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If you were to propose a metric with which to assess the degree to which a hospital or clinical unit avoids unnecessary and/or false alarms (and thus decreases the probability of desensitation and inadequate or delayed responses to alarms), what would you propose?
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I know that Philips is a lider in this field. For the followers of your research question, this is fine story!
A holistic approach to alarm management strategy and reducing alarm fatigue
The case study by Philips is presented.
By the way, I was reading your article Measuring Alarm System Quality in Intensive Care Units .
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Dear All,
I am trying to extract E. Coli DNA from pure culture (initially obtained from hospital sample) for nanopore sequencing. I amusing Gene-Spin Genomic DNA isolation kit. However, the 260/230 ration very poor (<1.1) every time! The 260/280 ration varies between 1.5 - 1.8.
Please suggest if I am using the preferred kit or need to change the protocol.
The protocol is:
Thanks so much!
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Cheers
Saurabh
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I need hospital Data with include COVID-19 patients. I want to run my approach but I need hospital Data. Please if anybody has this data send it to me. I am thanks a lot full
best regards
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I am intertesting
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I'm carrying out a retrospective cohort clinical study,
Some patients have visited the hospital twice because of recurrence, with few months in between, but with different symptoms, complications, and cyst size in each time. Even the primary outcome is different in each visit.
What should I do?
Should I consider only the latest visit?
Or treat them like 2 different patients?
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Greetings Sebawe,
I would consider conducting separate reporting for the secondary cyst, this way your main analysis will only include patients primary cysts and if there is sufficient data for patients with recurrence, you can carry out additional analysis (logistic regression or just chi square) to investigate factors contributing to this recurrence. If data on recurrence is limited, then I think narrative reporting for these cases will be enough. Also, adding a yes/no variable in your main analysis for recurrence is a must, regardless if you include recurrence as a separate patient (which is not recommended) or have them in separate analysis.
Nevertheless, clinical insight in this scenario is a must.
Hope this helps.
Good luck!
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Dear Malek Masmoudi,
Could you please provide me a pdf copy of the paper of Ichraf Jridi entiteled:
Modelling and simulation in dialysis centre of Hedi Chaker Hospital
March 2020 In book: Operations research and simulation in healthcare Publisher: SPRINGER.
Looking forward to hearing from you ASAP.
Sincerely, yours.
Professor Mohamed Ben Hmida
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Dear Richard,
Thank you for your assistance.
I asked first, but she did not have a copy, she said.
So I asked Malek Masmoudi who is the editor of the book, and I still wait for a replay.
Could help me to get a pdf copy of this paper?
Sincerely yours.
Pr Mohamed Ben Hmida
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I am doing nursing research on clinical protocols for proning in the US and outside the US. Would anyone be willing to share their proning protocol from their hospital's Clinical Standard Operating Procedures Manual?
Thanks all!
Stacey
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Hi Stacey and Anika, please have a look at this link I find it can help you, but it is not a protocol model for my country, they said we can use it to help peoples in this time of the pandemic.https://www.evergreenhealth.com/documents/Coronavirus/covid-19-lessons-learned.pdf
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Why do people prefer to travel long distance for medical attention even though there is a specialist hospital in their environment. What is their level of awareness about their illness?
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If you want to measure social awareness u can refer my article on
Emotional intelligence from my article list.
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What are the differences between Hospital Acquired -MRSA and Community Acquired –MRSA ?
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I agree with manal Hadi Kanaan and Barbara
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Every discharge summaries serve as the primary documents communicating a patient's care plan to the post-hospital care team. Majorly, the discharge summary is the only form of communication that facilitates the patient to the next setting of care. In line with this. It has been discovered that out of every 5 patients case folders, in different units of the government's hospitals, only 2 are found with fully completed discharged summaries. This irregularities can affect proper decision making in healthcare system.
What are the basic steps that can be taken to ensure that all doctors are taking discharge summary completion as important as life?
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It isn't the prescribers, it is the discharge planners who fail to send the appropriate information to the appropriate follow up agency.
I often have to call the in-patient hospital and ask someone to tell me what meds were ordered, if a LAI was given/when/dose, copy of labs, etc. It is really sad. All I seem to get is papers with "how to quit smoking", "what to do if suicidal", etc. instead of information, that I need.
We need a universal EHR so we can tap into labs, medications, consults from specialists, test results, etc. Nothing is integrated and it is sad. Also, REASON for admission.
When I work out-patient ER Psych, I write a fast letter letting the ER and Psych provider know my concerns, copy of my brief assessment, and petition/cert.
I hope your research has an impact.
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Dear Psychiatrist, what would be the mental condition of a normal person with positive COVD-19 when he is not taken admission in any hospital ?
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i will agree, Ilena Dwika Musyafira statement and further, Although we are aware that complete physical healing may not occur in this lifetime, we also know that God has a plan and a purpose for our lives. God has promised us His strength. He will never give you a trial you are unable to handle. As children of God, we can call upon His power at any time.
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hello I'm in the process of starting my masters thesis, and I would like to research on hospital process Mining area.(i have case-id, activity name, resource, timestamps and cost ) I need good topics for my research . Can you suggest some advanced topics? thank you
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You can design recommendation system which helps in improving the usability of resources and recommends resources based on the data available. It will be helpful for the society if you contact to hospital , consider their requirement and accordingly design the system.
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Hi, we are trying to determine what hospitals are doing to conserve PPE (personal protective equipment) during the Covid-19 pandemic. If you happen to work at a medical school or hospital and are aware of their policies or practice (or have friends who do), please consider filling this out. We are generically looking for US hospitals, but other locations are welcome.
Thank you!
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Great and all the best
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I am a technician at Brigham and Women's Hospital seeking an estimate of the total number of microglia in the mouse retina. So far, I have not been able to find this in the literature. Can anyone provide insight, or a paper to reference?
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Hi everyone,
I am conducting a study for association of cold season temperature with hospital admissions. I want that for a decreasing temperature and hospital admission if
RR > 1 it means less risk
RR < 1 means more risk...
Does RR works in reverse for decreasing temperature.
Let' say we have RR 0.87 for a GLM model of cold season temperature with total hospital admission.
Can we say that " with each 1 degree celsius decrease in temperature there is an increasing risk of 0.87 times? How does it workds? Can someone please explain about it more?
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This is an alternative calculation. You can put the value and check. For example, for one unit decrease in x is associated with exp(-2.5-0.14*1) / exp(-2.5-0.14*2) = 1.15 times risk of hospital admission on average.
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As we know the aggressiveness of corona virus appear in high mortality in short period of time, so what about high cure rate in relative to high death in hospitals?
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Mortality rate of COVID-19 in hospitalized patients versus home care.
Mortality rate of COVID-19 patients has varied widely globally from less than 1% in Singapore to >18% in France.
Simply because COVID-19 patients needing to be admitted to the hospital (10-20%) are often more sick or critical, they have higher mortality, worse being in those needing ICU care (>50%). COVID-19 patients staying at home are either asymptomatic or have mild symptoms, and can be admitted to the hospital if they need so, mortality of home-isolated patients s very low(<1%).
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Sewage water for hospitals and centers used for quarantine in COVID- 19 cases.. where it go?
May be virus transmitted through it to affect another person ?
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Nice thought
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I'm currently conducting research looking at the information needs of hospital patients. My research questions are:
a) what are patients' experiences of receiving information in acute hospital?
b) what are patients' early information needs?
I'm using Braun & Clarke's (2006; 2019) reflexive method of thematic analysis, which states that themes represent "patterns of meaning across a dataset", rather than being organised as answers to specific questions. While I have a number of themes that meet these criteria, I believe it would also be clinically relevant to have sections entitled "most useful sources of information", and "most important information topics". However I'm worried that these may be viewed as "under-developed themes". If anyone has any guidance on this it would be greatly appreciated.
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