Based on the WHO guidelines, patient safety is a key measure, contributing to the quality of medical care and is a global public healthcare priority. Evaluation of safety culture in healthcare gained increasing attention by the end of the 1990s, due to the publication of the report To err is human by the Institute of Medicine IOM. In response to the recommendations of the IOM, measures to improve patient safety have been introduced worldwide. In the US, a special law has been passed, requiring hospitals to report medical events and errors. In many European and other countries across the world, patient safety reporting systems have been adopted. In Bulgaria, so far, there is no reporting system for adverse events and medical errors. This fact motivated us to initiate this project. The aim of the project is to create a web-based platform to record and assess the level of hospital culture to ensure improvement of patient safety. Expected results are: Cross-cultural adaptation and validation in Bulgarian language of the Hospital Survey on Patient Safety Culture. Designing a model to develop a web-based platform for recording and analysing the level of hospital patient safety culture. Improvement of patient safety culture by raising staff awareness about errors in medical practice and building a culture of trust instead of culture of accusation. Promoting exchange of successful problem solving and decision-making patterns between health care providers.
RositsaDimova has completed his PhD from Medical University of Plovdiv, Bulgariaand she has a specialty of General Medicine. She is an Associate Professor at the Department of Health Management and Health Economics, Faculty of Public Health. She even did Undergraduate courses in Patient Safety and Primary Care in AAF, Sulzberger, Austria. Her scientific topics are: measurement and improvement of quality medical care; marketing in healthcare; patient safety culture; promotion and prophylactic of health care, patient-centered primary care. She is teaching healthcare management, health analyzes, healthcare quality management, health marketing. She has published more than 50 papers in reputed journals, attending at more than 20 of the international and national conferences and has been serving as an editorial board member of reputed journal
Terahertz waves within the band of frequencies from 0.1 to 10 THz have been used for various technologies in recent years. The region of THz radiation was underused due to the limited availability of sources and detectors, however, the recent development of various sources enabled to detect some kinds of diseases or to scan for weapons, explosives and biohazards. This rapid introduction of THz devices leads some public concern about possible adverse effect on human health. It has been previously reported that the exposure to THz waves increased genomic instability in human lymphocytes. On the other hand, another paper showed that the exposure to THz waves has not induced direct chromosomal damage and alteration of cell cycle kinetics. It is necessary to evaluate the influence on human body by the low-level and long-term exposure to THz waves. To investigate the athermal effects of THz waves, we constructed a device which can expose 0.3 THz wave to cells. In this study, we examined the production of cytokines in keratinocyte HaCaT cells by the exposure to 0.3 THz wave. The measurement of IL-1α in cellular lysate and supernatant was performed using a commercially available IL-1α ELISA kit. The IL-1α production was significantly increased with LPS and ionomycin treatment, however, no significant difference was observed among the exposure to the 0.3 THz wave, the sham-exposed control and the incubator control. The results suggest that 24-hour exposure to 0.3 THz wave might have no significant effect on the IL-1α production in HaCaT cells.
Eijiro Narita was received BEng from Doshisha University, Japan and BSc from Sussex University, UK. He is now a researcher at Laboratory of Applied Radio Engineering for Humanosphere, Kyoto University, Japan. He is credited as coauthor in several academic papers in the field of biological effect of electromagnetic field
Mindfulness is an attitude that brings complete attention to oneself, over the present experience and without judging (Kabat-Zinn, 1999; Marlatt y Kristeller, 1999) in addition to focusing on self-regulation of attention, acceptance of experiences (Bishop, 1004) and see things as they really are (Siegel, 2012). Actually, there exists several institutions/companies that promote the use of mindfulness as part of the training of students/workers because of the benefits found as a result of its practice.In the present study, an applied Mindfulness program was given to 66 students of Physiotherapy and 65 students of Medicine of the Faculty of Health Sciences in Rey Juan Carlos University in Madrid as part of the subject "General Psychology". By teaching different exercises (gradual reduction in activation, sensory awareness, yoga and stretching, bodyscan, visualization and breathing) students showed after 12 weeks of their practice a marked improvement in mindfulness ability measured with theMindful Attention Awareness Scale(MAAS; Barajas y Garra, 2014). In addition, based on the qualitative analysis of the discourses of individual reflections, the students noticed that after the practice of mindfulness: they paid more attention, they lived more in the present, they were more relaxed, they could handle both personal and academic stress better (associated with exams for example) and they noticed themselves more concentrated.They also mention that they consider mindfulness as a fundamental approach to teach their patients, because it would not only help them to reduce stress but also the painful and / or affective symptomatology they could have.
Lilian Velasco is a Professor of Clinical Psychology at the Universidad Rey Juan Carlos in Madrid, Spain. She has a degree in Psychology awarded by the Universidad Anahuac México, D.F. and the Diploma of Advanced Studies Research Aptitude in Clinical Psychology and Health of the Universidad Autónoma of Madrid, Spain UAM and PhD in Neuroscience and Pain in the Universidad Rey Juan Carlos, Madrid, Spain. She has over 15 years of experience as a teacher in various subjects and Master’s degree and a research career in Clinical Health Psychology. Her research focuses on Stress, Illness and Health, Gender and Health, Psychosocial processes related to chronic pain and Fibromyalgia, Emotional Processes and Skills in health Professionals, Social Intelligence as a communication tool for the health professions. She has also been practicing clinical psychology as a therapist since 2000 and has received and given several courses in third wave therapies such as EMDR, Mindfulness and Acceptance and Commitment Therapy, among others
Background :this study aimed to compare CT utilization in governmental hospital 6months before and after Iranian health care reform in equal 6 months for 92&93 Method :this is cross sectional study and data gathered from R&D department of shiraz university of medical sciences and for data analysis used excell2007 and calculated utilization index Results :the total number of CTscans in 92 was(31613)and in93 (35175). Average of inpatient admissions in 92 was (653)and for 93 (763)while the average utilization in 92 for out patient was (4615) and this average for 93 is (4600) and utilization Index for inpatient is (1/16)and also for out patient is( /98). Conclusion :results indicate increase for inpatient utilization after reform .it seems that inpatient health coverage by government increase the possibility of induced demand by service provider after Iranian health care reform are important reasons for this changes in utilization index.Its important tomonitoringall aspectsby applyingappropriaterules and preventwaste ofresourcesAnd expandingjusticefor utilization of services
We will update soon
Abstract Heavy metal contaminationis a long standingandverywell-knownpublichealthproblem, and its exposurecan cause damagetoseveralorgansofhumanbody, especiallyonthe central nervous system ofyoungchildrenand teenagers. The aimofthisarticleistoevaluate lead, cadmium, andmanganesecontamination in 125 childrenfrom 6 to 13 yearsold living in contaminatedareasduringtheperiodfrom 2006 to 2009 (São Vicente, Cubatão Downtown, Bertioga and Cubatão Pilões/Água Fria). Thisestuaryareaisthemostimportantexampleofenvironmentaldegradationbychemicalsfromindustrialsources.Thisisacross-sectionalstudythroughclinicalexaminationsand dental enameltests. All mothersfromthesechildrenlivedintheareasincebeforethepregnancy. Lead, cadmium, andmanganeselevels (μg/g) weremeasuredon dental enamelsamplesthroughgraphitefurnaceatomicabsorptionspectrometry, searching for theoccurrenceof heavy metals. The mean lead concentrationswere 139.48 μg/g in Cubatão Pilões/Água Fria, 170.45 μg/g in Cubatão Downtown, 213.52 μg/g in São Vicente, and 151.89 μg/g in Bertioga. The meancadmiumconcentrationswere 10.83 μg/g in Cubatão Pilões/Água Fria, 12.58 μg/g in Cubatão Downtown, 10.92 μg/g in São Vicente, and 14.57 μg/g in Bertioga. The meanmanganeseconcentrationswere 23.49 μg/g in Cubatão Pilões/Água Fria, 30.90 μg/g in Cubatão Downtown, 41.46 μg/g in São Vicente, and 42.00 μg/g in Bertioga. Dental surfaceenamelmaybeused as anefficientbiomarkerofpastenvironmentalexposureto lead, manganese, andcadmiumwhich are associatedtowellknownsourcesof heavy metal contamination. The resultssuggestthattheevaluatedchildrenwereexposedtosourcesof lead, cadmium, andmanganesesincebeforetheirconceptions.AlthoughBertiogainitiallywaschosenasacontrolareaofthisstudy, it wasalsowasverifiedtohave heavy metal contaminationonexaminedchildren.
We will update soon
Adverse perinatal outcomes, which include preterm birth and delivery of low birth weight infants, signify the mortality and morbidity of infants in the neonatal period and is a major health issue of the global community. Even if periodontal disease is one of the possible risk factor of adverse perinatal outcomes, there is a conflicting result on the effect of non-surgical periodontal therapy on these adverse effects. Objective This meta-analysis was conducted to investigate the effectiveness of non-periodontal therapy on prevention of adverse perinatal outcomes in pregnant mothers with periodontitis. Methods Relevant articles search was done using Medline, EMBASE and advanced Google scholar from January 2017 to September 2017. Clinical trial studies with the objective of periodontal treatment on pregnant mothers were included in the study. RevMan 5.3 was used to analyze the effect of periodontal therapy on adverse perinatal outcomes. The pooled effect was calculated to determine the effectiveness of the intervention on prevention/reduction of adverse perinatal outcomes. The heterogeneity of the studies was assed using I2, where random effect would be used if the I2 was above 50% (where there is moderate or substantial heterogeneity). The risk of bias with in studies was evaluated using the Cochrane risk of bias assessment tool. Result During article search, 135 articles were found and finally eight articles met the inclusion criteria. Out of 52 articles, ten met the inclusion criteria. There were 3347 participants (1669 in the intervention group and 1678 in the control group) in the included articles with age range of 18 to 35 years. The pooled effect showed that there was a significant reduction on the incidence of low birth weight child in mothers with periodontal therapy during her ANC follow up time with OR of 0.59(95%CI: o.14, 3.41;p=0.03). The effect of periodontal therapy on perinatal outcome also showed that there was no significant effect on preterm birth (OR=0.84; 95%CI: 0.56, 127), still birth (OR=0.68, 95%CI: 0.14, 3.41) and preterm low birth weight (OR=0.90; 95%CI: 0.54, 1.49). The heterogeneity (I2) was 64% (Preterm birth), 38% (preterm low birth weight) and 0% for low birth weight. The funnel plot of the included studies showed there was no bias on the studies. There was no recorded adverse effect on the participants. Conclusion During pregnancy periodontal therapy has a potential of reducing adverse perinatal outcomes. Periodontal therapy has a significant effect on the reduction of low birth weight children. However, there was no significant reduction on the incidence of PTB, PTLBW and stillbirth.
Will Update soon
Background:Low Back Pain LBP is one of the common health problems among the garment workers that causes workers absenteeism from the work. The purpose of the study is to identify the association between occupational factors and LBP among the female garment workers in Bangladesh. Materials and Methods:A cross-sectional study was conducted with 487 female garment workers from three compliant garment factories of Bangladesh. Face-to-face interview on four different LBP measures along with questions on socio-demographic, occupational, and physical factors were used to collect the data. Result: The prevalence rates for LBP lasts for at least one day during the last six months, chronic pain, intense pain, and seeking medical care for LBP were found 63.04percent, 38.60percent, 13.76percent, and 18.89percent, respectively among the female garments workers. The multivariate logistic regression analysis indicates that duration of employment >5 years, regular weight bearing and extended weekly working hours >48 hours are positively associated with LBP. Besides, age, BMI, family income, marital status and number of children are also found positively associated with the LBP measures. Conclusion: The prevalence of LBP among female garment workers in Bangladesh is found high. The duration of employment >5 years, regular weight bearing and extended weekly working hours >48 hours play a significant role in developing LBP among the female workers. Factories need to consider training programs on the appropriate technique of weight bearing. It is also important to conduct regular screening programs to identify LBP, especially with married, overweight/obese and older age group to reduce the occurrence of LBP.
Will update soon
Working women have ever increasing pressure to develop a career in health service organizations while perusing their career in senior positions. A cross-sectional mixed-methods study was designed and assessed the various factors influencing on career progression of working women in Kathmandu. Total 110 female employees involved in health care organizations in managerial roles were interviewed for quantitative survey while 15 were conducted in-depth interviews. Range of factors were identified in the career progression such as individual factors: career preferences (89%), individual's investment on education (77.3%) and individual's skill, tenure hard work had played significant role in advancing their career. Because of responsibilities of both home and workplace career goal of working women was changed after marriage (27.1%) and after having children (52%). Family support along with investment on education could be contributing for career progression. They face discrimination (35%), sexual harassment (44.6%) and lacks support from other employees, lacks mentoring and coaching in workplace which negatively influences Nepalese women career progression in health service organization. Interplay between the socio-cultural and organizational level factors was evident in in-depth interviews and described their employing organization as a reflection of Nepalese society at large. Working women in Nepal is juggling between the societal norms, obligations towards the families and expectations of the organization and constant struggle to maintain a balance between work and family life. They undergo through perceived gender roles, work-family commitment and stereotype against woman. The problems and difficulties of women are multi-dimensional therefore, they require further probing.
Corresponding Author: Soniya Rijal has completed her Masters of Health Care Management from National Open College, Nepal affiliated to Pokhara University, Nepal. She is the Program Manager of Child Development Society, a national non-government organization working in the sector of health, women empowerment, education, protection to ensure right of the child.
Background: Medication errors cause serious problems for patients, their families and the health system. Initial and natural results of medical errors increase hospital length of stay as well as costs. The aim of this research was to determine reasons of medication errors and the barrios of error reporting from nurse’s perspectives. Materials and Methods: This study was a descriptive and cross-sectional study which was conducted in Sina hospital, Tabriz, Iran at 2016. One hundred twenty four nurses were included in the research. Data were collected using a standardized questionnaire. Statistical analyses were performed using SPSS software, version 16.0. Results: The most important reasons of medication errors from nurse’s perspectives include illegible medication orders, work-related fatigue, noises in the ward, and shortage of nursing staff. Furthermore, influencing factors which prevent error reporting were emphasis of managers to the wrongdoer, regardless of other factors involved in the mistake, and the lack of clear definition of medication error. Conclusion: Given the importance of patient safety, the following can lead to improvement in hospital safety. Establishing an effective system for reporting and recoding errors, minimizing barriers of error reporting by establishing a positive relationship between manager and staff, developing positive reactions toward error reporting, and establishing retraining courses on drug information for nurses
Will update soon
Abortion is one of the means of birth control that is an important part of reproductive health. Reproductive health, in turn, is an important determining factor of the public welfare. The aim of the research was to assess the abortion service accessibility and readiness of relevant clinics for providing services to women in Georgia. Based on the objectives of the study, a triangulation approach has been used, within which the study quantitative and qualitative components have been combined. In the frames of the qualitative survey, the focus groups were held in the regions and the results were used in the quantitative study instrument development and creation of the final report. The quantitative study was conducted by a survey method and the method of face to face interviews was used. The study involved 100 health facilities over Georgia. The survey findings have shown that the condition of amenities and protection of sanitary norms in health facilities providing abortion services is diverse.Also, there have been revealed servicerelated problems, such as incomplete delivery of abortion services, problem of implementing the protocol requirements in the practice, lack of medical staff quality control mechanism, , violation of customer rights, problem of territorial accessibility and financial affordability of abortion services, women’s low awareness of family planning services, and other. Therefore, the educational activities of medical staff are not systematic. These problems hinder the quality of service and access to health care, resulting in violation of the patient’s rights. In addition, the delayed and/or poor quality services result in the decrease in the indicators of the Quality Adjusted Life Years (QALY) and increase in the indicators of the Disease Adjusted Life Years (DALY), which reflect the country's overall level of health care. It is important to raise the client’s awareness and to reduce the geographic barriers of delivery of services through the improvement of the referral service
Sheila G. has completed his Ph.D at the Georgia State Medical University and postdoctoral studies from Saint - Petersburg University. At present,she is full professor of Tsereteli State university. Shelia G. has published more than 46 papers in reputed journals . She has participated in more than 21 international conferences and congresses(such as AMEE; FIAPAC; FIGO; ESC and etc.) Also in several international projects (for example, as a head of working group of 530519–TEMPUS-2012-1-UK-TEMPUS-JPCR program ePBL-net –Establishment of the Supra-Regional Network of the National Centres in Medical Education focused on PBL).
INTRODUCTION In recent years, global initiatives to address the AIDS epidemic have produced promising advances through access to effective treatment programs. However, lack of adherence to antiretroviral therapy is a problem for pediatric patients. OBJECTIVE Explore antiretroviral therapy adherence in children and adolescents living with HIV/AIDS in Cuba and examine its relationship with psychosocial, individual and treatment factors. METHODS A qualitative study was carried out of 21 caregivers of children and adolescents with HIV/AIDS. Demographics and information on treatment regimen were collected by chart review. In-depth interviews were conducted to assess adherence and examine its relationship with psychosocial, individual and treatment factors. Interviews were transcribed and the information was grouped by factor category. Adherence was analyzed in relation to these three sets of factors. RESULTS Caregivers interviewed reported adequate adherence in 17 of the 21 children. Lack of adherence was linked primarily to psychosocial factors such as additional responsibility taken on by the caregiver while grappling with his or her own illness, the presence of untreated psychological symptoms in the caregiver, perceived difficulties with family support, the child’s age, and assigning treatment responsibilities to the child without taking into account his/her psychological maturity. CONCLUSIONS The study revealed a high level of antiretroviral therapy adherence. It reconfirmed the fundamental importance of the caregiver and family support for therapeutic success in children and adolescents living with HIV/AIDS. These results, as well as the factors identified in cases of nonadherence, can contribute to a framework for assessment and specialized interventions to optimize pediatric antiretroviral adherence
I am Marta Castro, MD, PhD. I am currently work at Epidemiology Unit at Pedro Kouri Institute. I am physician with a specialization in psychiatry and Masters and PhD in Epidemiology. I currently a research in the Epidemiology Unit at the Pedro Kouri Institute of Tropical Medicine (IPK), in Havana, Cuba where I works on social epidemiology projects related to HIV, dengue and arbovirus, and TB. My recent projects include the design, implementation and evaluation of community based dengue and arbovirus prevention and control programs with special attention to understanding social determinants of dengue and promoting social participation. I have also conducted qualitative research with young people living with HIV in Cuba.
This study was conducted to evaluate the possible anthelmintic activities of the decoction and the nonpolar constituents of the aerial part of Ruellia tuberosa Linn. against Eudrilus eugeniae or African Night Crawler earthworms as test organism which are of anatomic and physiological resemblance to the intestinal roundworm parasites of human beings. The in vitro anthelmintic assay of each extract was done by determining the time of paralysis and death of the test organisms at three concentrations (3, 25, 50 mg/mL). The hexane-soluble extract (RTH) showed better results compared to the decoction (RTD) at all concentrations employed. All the fractions of RTH showed significantly higher anthelmintic activities (111.43, 48.19, and 62.3 minutes, respectively) compared to their mother extract (164.56 minutes) at 3-mg/mL concentration. Moreover, RTH5 showed a comparable activity with the positive control mebendazole at 3- mg/mL concentration. Remarkably, fraction RTH4 exhibited the best anthelmintic activity at 3- mg/mL concentration for it showed the strongest anthelmintic activity than the rest of the test solutions tested. The study demonstrated the promising anthelmintic activity of the nonpolar constituent of the ethanolic extract of R. tuberosa Linn.
Jeanne Phyre B. Lagare is a licensed Chemist,who graduated fromMindanao State University-Iligan Institute of Technology in Bachelor of Science in Chemistry last April 2014. Currently working as a Research Assistant of a research project funded by DOST and a part-time lecturer in the Chemistry Division of Caraga State University.
Abstract Globally Breast cancer incidence is increasing and mortality ratio because of breast cancer is also increasing in developing countries because of unavailability of screening and diagnostic facilities as well people are not aware from the risk factors and early symptoms so that timely intervention will lead to increase survival. Due to advance in detection and treatment, increasing number of women are diagnosed with surviving breast cancer each year one of the largest group of cancer survival. The study aim to asses health related quality of life in patients of breast cancer who usually come for follow up after getting treatment. The study was conducted in HOLY Family Hospital Rawalpindi .The study was completed in three month duration. It was cross sectional descriptive study based on quantitative method. A total of 78 female patients participated with breast cancer treatment and came for follow-up were included in the study ,the mean age was 44.3 year with a range from 25-55 year ,majority of patients were in 40-50 year of age. Overall rating of quality of life was 9.0% responds very bad, 39.7% Bad, 41% neither good nor bad, and 10.3% responds good. Out of 78 respondents 40% were dissatisfied with their general health. In this study quality of life assessed with different treatment modalities of breast cancer and out of that patient with partial mastectomy respond 50% bad and 50% of neither good nor bad, while 13% responds very bad and 33.3% bad of complete mastectomy. Radiotherapy treatment responds 25% very bad while 50% nor good nor bad while chemotherapy responds 40% bad quality of life. Out of 78 almost 55% responds after complaint of treatment are pain, while 25% of complained weight gain, hair fall and slight fever, fatigue. In conclusion subjects participated in study experienced decrease quality of life in parameter of specific social and physical health
Will update soon