In recent years, the province's health sector has applied and applied many scientific and technical advances in health, information technology (IT) into its activities. As a result, it has brought about great achievements in professional work, especially in disease prevention and treatment, and IT application is also one of the breakthroughs of the provincial health sector. Our study objectives: showing Achievements in cancer treatment in Bai Chay hospital-Quang Ninhand presenting Lessons from other countries such as Japan in cancer treatment. By using methods of cross-sectional descriptive study. For Research period: from June 2019 to May 2020, Our study results and conclusions: We see from above figure that the highest ratio of 40% belong to health status in stage 1 (with not influence). And then, the lowest ratio of 12.9% is belonging to patients in stage 1 with very much influence, and so on.
Then, Patients living quality at levels of no effect, little influence, great influence and great influence all accounts for about 25%.
1) Early recognition of critically ill COVID-19 patients and intervention guided by intensivists in Jiangsu Province, China resulted in lower mortality compared to Hubei Province. An early warning system identified high-risk patients who were closely monitored.
2) Early interventions for patients with respiratory distress included high-flow nasal cannula oxygen therapy, prone positioning, and restrictive fluid management to prevent disease progression.
3) A clinical expert-guided hierarchical management strategy was implemented to provide guidance and timely communication across regions in Jiangsu Province.
Lower mortality of covid 19 by earlyrecognitiongisa_legal
1. Researchers in Jiangsu Province, China found that early recognition of critically ill COVID-19 patients and critical care-guided early intervention were key to reducing mortality compared to other areas of China.
2. They established an early warning system to identify high-risk patients and closely monitored them. Once signs of critical illness appeared, intensivists would intervene early with measures like HFNC oxygen therapy and restrictive fluid management.
3. A hierarchical clinical management structure was set up to provide guidance across the province and allow for timely interventions. Rational allocation of staff and supplies also supported effective control and treatment of the virus.
Change in Practice of using Inhalers for Outpatients have Chronic Obstructive...AI Publications
Objectives: To evaluate changes in the practice of using inhalers for outpatients have chronic obstructive pulmonary at Nam Dinh General Hospital after the intervention. To compare the effectiveness between intervention methods of direct consultation (DC) and direct counseling method incorporating information technology (DC – IT). Subject and method: Intervention study on two groups of patients, 30 patients have chronic obstructive pulmonary in each group with similar characteristics who were treated at Nam Dinh General Hospital from October 2019 to May 2020. Two research groups analyzed and compared the practice of patients at two times, the first time (T1) before the intervention and the second time (T2) after the intervention was 3 months with 3 consecutive interventions (each intervention was 1 month). One group intervened with the direct consultation method; one group intervened with the direct counseling method incorporating information technology. Data were collected by the observational method, using the inhaler procedure and entered and processed on SPSS 20.0 software. Results: The group of patients was intervened with the direct counseling method about practice using inhalers increased after the intervention, the average point of inhaler practice before the intervention was 6.50 ± 1.63 and after the intervention was 8.57 ± 0.63 with p <0.05. The group of patients who intervened with direct counseling method incorporating information technology about using an inhaler increased after the intervention from 6.70 ± 1.29 (before the intervention) to 8.80 ± 0.61 (after intervention), with p <0.05. The efficiency index of using the inhaler dose of (DC – IT) group was higher than the DC group at 63%. Conclusion: The average of the two groups increased significantly after the intervention. However, the intervention method of DC – IT was more effective than the DC method.
Analysis on the Characteristics of Malignant Tumors treatment in Chongqing (M...semualkaira
To analyze the characteristics of malignant tumors treatment in Chongqing (main urban area, including 10 million people) from 2020-2021.
1.2. Methods: We collected and analyzed the data of special medical insurance for malignant tumors treatment (reflect malignant tumors treatment directly) in Chongqing (main urban area) managed by the Chongqing University Cancer Hospital from 2020 to 2021.
Analysis on the Characteristics of Malignant Tumors treatment in Chongqing (M...semualkaira
We collected and analyzed the data of special medical insurance for malignant tumors treatment (reflect malignant tumors treatment directly) in Chongqing (main urban area) managed
by the Chongqing University Cancer Hospital from 2020 to 2021
Research paper 2020 of assessment of Financial Toxicity in Tunisian cancer patient using Compressive Score of Financial Toxicity. Journal Club Presentation. Its include FT in North Africa Population.
The Future of Nursing Theory Discussion.docxwrite4
This document discusses a study on liver health literacy and health status among adults with hepatitis C virus (HCV) infection in rural Taiwan. The study found a high prevalence (16.4%) of HCV among adults in rural areas, with many (73.8%) unaware of their infection status. Those with HCV infection had lower health literacy, unhealthy lifestyles, and more comorbidities and abnormal liver/renal function. The findings suggest a need for efforts by clinicians and providers to increase access to HCV testing and treatment to work towards global elimination of HCV by 2030.
1) Early recognition of critically ill COVID-19 patients and intervention guided by intensivists in Jiangsu Province, China resulted in lower mortality compared to Hubei Province. An early warning system identified high-risk patients who were closely monitored.
2) Early interventions for patients with respiratory distress included high-flow nasal cannula oxygen therapy, prone positioning, and restrictive fluid management to prevent disease progression.
3) A clinical expert-guided hierarchical management strategy was implemented to provide guidance and timely communication across regions in Jiangsu Province.
Lower mortality of covid 19 by earlyrecognitiongisa_legal
1. Researchers in Jiangsu Province, China found that early recognition of critically ill COVID-19 patients and critical care-guided early intervention were key to reducing mortality compared to other areas of China.
2. They established an early warning system to identify high-risk patients and closely monitored them. Once signs of critical illness appeared, intensivists would intervene early with measures like HFNC oxygen therapy and restrictive fluid management.
3. A hierarchical clinical management structure was set up to provide guidance across the province and allow for timely interventions. Rational allocation of staff and supplies also supported effective control and treatment of the virus.
Change in Practice of using Inhalers for Outpatients have Chronic Obstructive...AI Publications
Objectives: To evaluate changes in the practice of using inhalers for outpatients have chronic obstructive pulmonary at Nam Dinh General Hospital after the intervention. To compare the effectiveness between intervention methods of direct consultation (DC) and direct counseling method incorporating information technology (DC – IT). Subject and method: Intervention study on two groups of patients, 30 patients have chronic obstructive pulmonary in each group with similar characteristics who were treated at Nam Dinh General Hospital from October 2019 to May 2020. Two research groups analyzed and compared the practice of patients at two times, the first time (T1) before the intervention and the second time (T2) after the intervention was 3 months with 3 consecutive interventions (each intervention was 1 month). One group intervened with the direct consultation method; one group intervened with the direct counseling method incorporating information technology. Data were collected by the observational method, using the inhaler procedure and entered and processed on SPSS 20.0 software. Results: The group of patients was intervened with the direct counseling method about practice using inhalers increased after the intervention, the average point of inhaler practice before the intervention was 6.50 ± 1.63 and after the intervention was 8.57 ± 0.63 with p <0.05. The group of patients who intervened with direct counseling method incorporating information technology about using an inhaler increased after the intervention from 6.70 ± 1.29 (before the intervention) to 8.80 ± 0.61 (after intervention), with p <0.05. The efficiency index of using the inhaler dose of (DC – IT) group was higher than the DC group at 63%. Conclusion: The average of the two groups increased significantly after the intervention. However, the intervention method of DC – IT was more effective than the DC method.
Analysis on the Characteristics of Malignant Tumors treatment in Chongqing (M...semualkaira
To analyze the characteristics of malignant tumors treatment in Chongqing (main urban area, including 10 million people) from 2020-2021.
1.2. Methods: We collected and analyzed the data of special medical insurance for malignant tumors treatment (reflect malignant tumors treatment directly) in Chongqing (main urban area) managed by the Chongqing University Cancer Hospital from 2020 to 2021.
Analysis on the Characteristics of Malignant Tumors treatment in Chongqing (M...semualkaira
We collected and analyzed the data of special medical insurance for malignant tumors treatment (reflect malignant tumors treatment directly) in Chongqing (main urban area) managed
by the Chongqing University Cancer Hospital from 2020 to 2021
Research paper 2020 of assessment of Financial Toxicity in Tunisian cancer patient using Compressive Score of Financial Toxicity. Journal Club Presentation. Its include FT in North Africa Population.
The Future of Nursing Theory Discussion.docxwrite4
This document discusses a study on liver health literacy and health status among adults with hepatitis C virus (HCV) infection in rural Taiwan. The study found a high prevalence (16.4%) of HCV among adults in rural areas, with many (73.8%) unaware of their infection status. Those with HCV infection had lower health literacy, unhealthy lifestyles, and more comorbidities and abnormal liver/renal function. The findings suggest a need for efforts by clinicians and providers to increase access to HCV testing and treatment to work towards global elimination of HCV by 2030.
Whilst breast cancer is a fatal disease affecting millions worldwide, identification and management of these patients did not initially attract critical attention to minimize the impact of lockdown, post-lockdown, and other measures. Breast cancer patients' conditions may not remain stable without proper care, worsening their prognosis. Proper care includes the timely instigation of surgery, systemic therapy, and psychological support. This includes low-and middle-income countries where there are already concerns with available personnel and medicines to adequately identify and treat these patients. Consequently, there was a need to summarize the current scenario regarding managing breast cancer care during COVID-19 across all countries, including any guidelines developed. We systematically searched three scientific databases and found 76 eligible articles covering the medical strategies of high-income countries versus LMICs. Typically, diagnostic facilities in hospitals were affected at the beginning of the pandemic following the lockdown and other measures. This resulted in more advanced-stage cancers being detected at initial presentation across countries, negatively impacting patient outcomes. Other than increased telemedicine, instigating neo-adjuvant endocrine therapy more often, reducing non-essential visits, and increasing the application of neo-adjuvant chemotherapy to meet the challenges, encouragingly, there was no other significant difference among patients in high-income versus LMICs. Numerous guidelines regarding patient management evolved during the pandemic to address the challenges posed by lockdowns and other measures, which were subsequently adopted by various high-income countries and LMICs to improve patient care. The psychological impact of COVID-19 and associated lockdown measures, especially during the peak of COVID-19 waves, and the subsequent effect on the patient's mental health must also be considered in this high-priority group. We will continue to monitor the situation to provide direction in future pandemics.
The reason of implementing care pathways (CPs) is to strengthen the quality of care by improving risk-adjusted patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. This has proved efficient not only for hospitals and clinics, but for patients too.
CATCH ESR1 Ornela Bardhi
The effect of long-term traditional Chinese medicine treatment on disease-fre...LucyPi1
Abstract Objective: Traditional Chinese medicine (TCM) has been extensively used as one of popular alternative therapies for several cancers. However, it remains unclear whether TCM treatment is associated with longer survival in lung cancer patients. In this study, we explored the effect of long-term TCM treatment on patients with different stages of lung cancer. Methods: All information of lung cancer patients with stage I-III disease from January 2007 to September 2015 was collected for this retrospective cohort study. Those who were treated with TCM after surgery were divided into TCM group and the others were into the non-TCM group (control group). All patients were regularly followed up by clinic appointment or phone, and all survival data were collected from databases after the last follow-up in October 2017. Results: A total of 575 patients were included in this study, with 299 patients in the TCM group and 276 in the control group. For all patients, 5-year disease-free survival (DFS) was 62.2% in TCM group and 42.1% in the control group, and 6-year DFSs were 51.8% and 35.4%, respectively (HR = 0.51, 95% CI: 0.40 to 0.66, log-rank P ≤ 0.001). For patients with stage I, 5-year DFSs were 83.7% (TCM group) and 57.5% (control group) and 6-year DFSs were 73.7% and 51.9%, respectively (HR = 0.30, 95% CI: 0.18 to 0.50, log-rank P ≤ 0.001). For patients with stage II in the TCM group and the control group, 5-year DFSs were 59.4% and 17.6% and 6-year DFSs were 44.7% and 17.6%, respectively (HR = 0.31, 95% CI: 0.19 to 0.52, log-rank P ≤ 0.001), and for patients with stage III, 5-year and 6-year DFSs in the TCM group were 18.7% and 12.5% compared with 28.4% and 20.3% in the control group (HR = 1.06, 95% CI: 0.72 to 1.56, log-rank P = 0.76). Conclusions: This study demonstrated that long-term TCM treatment as an adjuvant therapy is able to improve the DFS of postoperative stage I-III lung cancer patients, especially in patients with stage I and II disease. However, these observational findings need being validated by large sample randomized controlled trials.
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The CanRehab Team brings together a large group of patients, researchers, and clinicians at four Canadian centres and includes three concurrent projects focused on improving access to effective, appropriate, and timely cancer rehabilitation (CanRehab Team).
The objectives of the presentation are: 1) to provide a background on cancer rehabilitation; 2) to introduce the CanRehab Team projects; and 3) to provide an overview of the team structure including a call for interest to the Patient Advisory Committee.
View the YouTube video: https://youtu.be/B2tcIsrw4WE
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Barriers and Challenges to Telecardiology Adoption in Malaysia Context IJECEIAES
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation, cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
Barriers and Challenges to Telecardiology Adoption in Malaysia Context Yayah Zakaria
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and
health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation,
cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
A protocol for the management of breast cancer developed by the multidisciplinary oncology team at University of Nigeria Teaching Hospital, fully adapted to our environment
An Audit of the Management and Associated Contextual Correlates of Clinical P...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
This audit studied 583 breast cancer patient records from a Nigerian hospital between 2008-2012 to analyze management approaches and clinical factors. Most patients were middle-aged females presenting with invasive ductal carcinoma. Nearly three-quarters received combination treatment including neoadjuvant and adjuvant chemotherapy, though completion rates for treatment cycles were low. The study found breast cancer in Nigeria is still primarily managed through combination therapies but more efforts are needed for early detection, education, and improving socioeconomic factors to support treatment.
This study evaluated the effectiveness of a brief continuing medical education (CME) module on breast cancer diagnosis provided to primary care physicians in Egypt and Tunisia. Physicians completed a pre-test, attended a 30-minute presentation of the educational module, and then completed a post-test. The study found that physicians demonstrated significantly improved knowledge on several topics after the CME module, including risk factors for inflammatory breast cancer and breast cancer, the importance of early detection and clinical examination, and referral of inflammatory breast cancer cases. However, Egyptian physicians scored worse on questions about advising mastitis patients who do not respond to antibiotics to get a biopsy. Overall, the CME module was effective at improving breast cancer diagnostic knowledge, especially for physicians
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
This document summarizes key points from a presentation on establishing survivorship programs. It discusses the need for navigation and survivorship care due to issues cancer survivors face. New CoC standards require navigation programs, survivorship care plans, and distress screening. A multi-disciplinary survivorship clinic example integrates navigation, medical, mental health and lifestyle support for survivors. Barriers include financial sustainability and changing provider mindsets. Success comes from collaboration, tailored care, and improving survivor well-being and care coordination.
This document discusses the use of telemedicine for patients with chronic respiratory diseases. It begins by defining telemedicine and outlining the various types of telemedicine interventions that can be used, including telephone counseling, remote monitoring of symptoms and biometrics, store-and-forward of medical images/data, and video consultations with specialists. It then reviews evidence that telemedicine can help manage chronic conditions through improved care coordination, self-management support, and remote monitoring to reduce exacerbations and hospitalizations. Key types of telemedicine systems and interventions discussed for respiratory diseases include forced spirometry, CT imaging support, and integrated care programs led by nurses.
DASHBOARD BENCHMARK
Miatta Teasley
Capella University
Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
April 19,2022
DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics
22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1
2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75.
The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018).
Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.
Action Research Development Of A Diabetes Care Model In A Community HospitalTony Lisko
This document provides background context on the need to develop an improved diabetes care model for community hospitals in Thailand. It discusses limitations of existing models and interventions. The chronic care model is effective but difficult to fully implement in resource-limited settings. The study aimed to develop a new diabetes care model through an action research process involving healthcare providers and patients at a 120-bed community hospital. The goal was to create a practical model that uses a systems approach and multidisciplinary care to better manage diabetes and improve outcomes.
This document summarizes a study that tested a remote monitoring system called Metabolink for elderly patients with diabetes or obesity. Key findings:
- 40 patients were enrolled and divided into two groups, one using Metabolink and one receiving standard care.
- Patients in the Metabolink group reported slightly improved quality of life scores and satisfaction with care compared to the standard care group.
- However, about 50% of enrolled patients dropped out in the first month mainly due to difficulties using the technology components of Metabolink.
Evaluation of Breast Cancer in Reference to Skin ChangesQUESTJOURNAL
Introduction:- Breast cancer is the most commonly occurring female cancer in the world which is more than double that of the second ranked cancer i.e. cervical cancer. Breast cancer accounts for 23% of all cancer deaths. It is the most frequent cancer death in developing countries of the world. Mammary skin changed in breast carcinoma is categorized as advance stage in breast cancer classification. In the present study we evaluated the correlation of macroscopic, microscopic and no skin changes with axillary lymph node using histologic factor dermal lymphatic involvement. Materials and methods: prospective study was conducted on 42 breast cancer admitted patients of different age groups. Based on degree of skin involvement patients were placed into four groups, i.e. clinical stageT1 toT4. All groups were compared on the basis of percentage of patients involvement according to T1, T2, T3 and T4 stage, tumor size, histopathological dermis and epidermis involvement, dermal lymphatic invasion, tumor size and tumor subtype. Results: Majority of the patients with skin (dermis and epidermis) infiltration by the tumor (94.4%) were of T4 stage (along with dermal lymphatic invasion). Majority of the patients with only dermal lymphatic involvement (87.5%) without dermis and epidermis infiltration were of T2 stage. Conclusion: In our study, most of the patients of stage T2 and T3 with dermal lymphatic invasion had involved node when studied by routine histologic technique even though they were not clinically palpable. The identification of characteristics of the primary tumor like dermal lymphatic invasion that are associated with nodal metastases should encourage the surgeon to perform a more extensive axillary lymph node dissection and the pathologist to use methods of examining the nodes that increase the likelihood of finding metastatic disease. From this we can conclude that patients in early stage breast cancer may also have metastatic axillary lymph nodes. Dermal lymphatic invasion may be regarded as the precursor of nodal involvement, and all patients with nodal involvement can be assumed to have lymphatic invasion in the primary tumors. However the converse may not be true, not all patients with lymphatic invasion have nodal involvement.
The document summarizes an evidence based project presentation on negative pressure wound therapy (NPWT) for diabetic foot ulcers (DFU). It includes objectives of the presentation, background information on evidence based nursing practice and DFUs. It also outlines the research question comparing NPWT to standard moist wound therapy for healing diabetic foot ulcers over 60 days. A literature review was conducted and findings from 5 systematic reviews showing NPWT increases healing rates for DFUs are summarized. National guidelines also support the use of NPWT for DFUs.
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice.The journal publishes original papers, reviews, special and general articles, case management etc.
This study evaluated a nurse-led telephone intervention to support patients with chronic obstructive pulmonary disease (COPD) in managing their condition. 73 patients were randomly assigned to either receive standard care including a self-management plan, or to receive the self-management plan plus two telephone calls from a nurse over six weeks. The telephone calls provided education on using their self-management plan and managing exacerbations. The primary outcome was COPD symptom severity assessed before and after with the COPD Assessment Tool (CAT). Secondary outcomes included self-reported exacerbations and healthcare utilization. CAT scores significantly improved in the intervention group but not the control group. There were no significant differences in exacerbations between groups. Patient satisfaction did not differ significantly between groups
In the early twentieth century, major representatives of the Jadid movement became active participants in the socio-political processes in the Turkestan region. Usmonkhoja Polatkhoja, a progressive from Bukhara, was one of the beams not only in the Emirate of Bukhara, but also in Turkestan. He first participated in the reforms and progressives, and later in the national liberation movements, and fought for the prosperity and independence of the country.This article provides information about Usmonkhoja's life and work in Jadidism, revolts, national liberation struggles, and emmigiration.
Flood is one of the natural disaster known to be part of the earth biophysical processes, which its occurrence can be devastating; due to mostly anthropogenic activities and climatological factors. The aim of the research is to identify and map the extent at which the impact of flood due to intense rainfall and rise in water in the study area using geospatial techniques and the specific objectives are to carry out terrain analysis of the study area and to generate flood indicator maps of the study area. The study analyzed rain fall data;, the drainage system and Shuttle Radar Topographic Mission (SRTM 30m) of the area. ArcGIS 10.8 was to modelled and to generate the contributing factors map of the study area. The drainage system was generated through on-screen digitization of topographic map of scale 1:50,000 of Ondo South-West. The mean annual rainfall of Lagos State was generated in the ArcGIS environment from the rainfall data through spatial analysis tool. The SRTM was used in terrain analysis of the study area. The results generated showed the lowest mean annual rain fall of the area 1,700mm and the highest mean annual rain fall was 2,440mm. Digital elevation model (DEM), slope, flow direction were generated from the SRTM. Drainage density of the area was generated using the drainage system. The slope map of the entire area which are classified into five slope classes of very high (14%-48.5%) to high (7.6%-13.9%) to moderately high (4.2%-7.6%) to low (1.5%-4.2%) and very low (0. % - 1.2%).
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Whilst breast cancer is a fatal disease affecting millions worldwide, identification and management of these patients did not initially attract critical attention to minimize the impact of lockdown, post-lockdown, and other measures. Breast cancer patients' conditions may not remain stable without proper care, worsening their prognosis. Proper care includes the timely instigation of surgery, systemic therapy, and psychological support. This includes low-and middle-income countries where there are already concerns with available personnel and medicines to adequately identify and treat these patients. Consequently, there was a need to summarize the current scenario regarding managing breast cancer care during COVID-19 across all countries, including any guidelines developed. We systematically searched three scientific databases and found 76 eligible articles covering the medical strategies of high-income countries versus LMICs. Typically, diagnostic facilities in hospitals were affected at the beginning of the pandemic following the lockdown and other measures. This resulted in more advanced-stage cancers being detected at initial presentation across countries, negatively impacting patient outcomes. Other than increased telemedicine, instigating neo-adjuvant endocrine therapy more often, reducing non-essential visits, and increasing the application of neo-adjuvant chemotherapy to meet the challenges, encouragingly, there was no other significant difference among patients in high-income versus LMICs. Numerous guidelines regarding patient management evolved during the pandemic to address the challenges posed by lockdowns and other measures, which were subsequently adopted by various high-income countries and LMICs to improve patient care. The psychological impact of COVID-19 and associated lockdown measures, especially during the peak of COVID-19 waves, and the subsequent effect on the patient's mental health must also be considered in this high-priority group. We will continue to monitor the situation to provide direction in future pandemics.
The reason of implementing care pathways (CPs) is to strengthen the quality of care by improving risk-adjusted patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. This has proved efficient not only for hospitals and clinics, but for patients too.
CATCH ESR1 Ornela Bardhi
The effect of long-term traditional Chinese medicine treatment on disease-fre...LucyPi1
Abstract Objective: Traditional Chinese medicine (TCM) has been extensively used as one of popular alternative therapies for several cancers. However, it remains unclear whether TCM treatment is associated with longer survival in lung cancer patients. In this study, we explored the effect of long-term TCM treatment on patients with different stages of lung cancer. Methods: All information of lung cancer patients with stage I-III disease from January 2007 to September 2015 was collected for this retrospective cohort study. Those who were treated with TCM after surgery were divided into TCM group and the others were into the non-TCM group (control group). All patients were regularly followed up by clinic appointment or phone, and all survival data were collected from databases after the last follow-up in October 2017. Results: A total of 575 patients were included in this study, with 299 patients in the TCM group and 276 in the control group. For all patients, 5-year disease-free survival (DFS) was 62.2% in TCM group and 42.1% in the control group, and 6-year DFSs were 51.8% and 35.4%, respectively (HR = 0.51, 95% CI: 0.40 to 0.66, log-rank P ≤ 0.001). For patients with stage I, 5-year DFSs were 83.7% (TCM group) and 57.5% (control group) and 6-year DFSs were 73.7% and 51.9%, respectively (HR = 0.30, 95% CI: 0.18 to 0.50, log-rank P ≤ 0.001). For patients with stage II in the TCM group and the control group, 5-year DFSs were 59.4% and 17.6% and 6-year DFSs were 44.7% and 17.6%, respectively (HR = 0.31, 95% CI: 0.19 to 0.52, log-rank P ≤ 0.001), and for patients with stage III, 5-year and 6-year DFSs in the TCM group were 18.7% and 12.5% compared with 28.4% and 20.3% in the control group (HR = 1.06, 95% CI: 0.72 to 1.56, log-rank P = 0.76). Conclusions: This study demonstrated that long-term TCM treatment as an adjuvant therapy is able to improve the DFS of postoperative stage I-III lung cancer patients, especially in patients with stage I and II disease. However, these observational findings need being validated by large sample randomized controlled trials.
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The CanRehab Team brings together a large group of patients, researchers, and clinicians at four Canadian centres and includes three concurrent projects focused on improving access to effective, appropriate, and timely cancer rehabilitation (CanRehab Team).
The objectives of the presentation are: 1) to provide a background on cancer rehabilitation; 2) to introduce the CanRehab Team projects; and 3) to provide an overview of the team structure including a call for interest to the Patient Advisory Committee.
View the YouTube video: https://youtu.be/B2tcIsrw4WE
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Barriers and Challenges to Telecardiology Adoption in Malaysia Context IJECEIAES
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation, cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
Barriers and Challenges to Telecardiology Adoption in Malaysia Context Yayah Zakaria
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and
health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation,
cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
A protocol for the management of breast cancer developed by the multidisciplinary oncology team at University of Nigeria Teaching Hospital, fully adapted to our environment
An Audit of the Management and Associated Contextual Correlates of Clinical P...iosrphr_editor
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
This audit studied 583 breast cancer patient records from a Nigerian hospital between 2008-2012 to analyze management approaches and clinical factors. Most patients were middle-aged females presenting with invasive ductal carcinoma. Nearly three-quarters received combination treatment including neoadjuvant and adjuvant chemotherapy, though completion rates for treatment cycles were low. The study found breast cancer in Nigeria is still primarily managed through combination therapies but more efforts are needed for early detection, education, and improving socioeconomic factors to support treatment.
This study evaluated the effectiveness of a brief continuing medical education (CME) module on breast cancer diagnosis provided to primary care physicians in Egypt and Tunisia. Physicians completed a pre-test, attended a 30-minute presentation of the educational module, and then completed a post-test. The study found that physicians demonstrated significantly improved knowledge on several topics after the CME module, including risk factors for inflammatory breast cancer and breast cancer, the importance of early detection and clinical examination, and referral of inflammatory breast cancer cases. However, Egyptian physicians scored worse on questions about advising mastitis patients who do not respond to antibiotics to get a biopsy. Overall, the CME module was effective at improving breast cancer diagnostic knowledge, especially for physicians
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
This document summarizes key points from a presentation on establishing survivorship programs. It discusses the need for navigation and survivorship care due to issues cancer survivors face. New CoC standards require navigation programs, survivorship care plans, and distress screening. A multi-disciplinary survivorship clinic example integrates navigation, medical, mental health and lifestyle support for survivors. Barriers include financial sustainability and changing provider mindsets. Success comes from collaboration, tailored care, and improving survivor well-being and care coordination.
This document discusses the use of telemedicine for patients with chronic respiratory diseases. It begins by defining telemedicine and outlining the various types of telemedicine interventions that can be used, including telephone counseling, remote monitoring of symptoms and biometrics, store-and-forward of medical images/data, and video consultations with specialists. It then reviews evidence that telemedicine can help manage chronic conditions through improved care coordination, self-management support, and remote monitoring to reduce exacerbations and hospitalizations. Key types of telemedicine systems and interventions discussed for respiratory diseases include forced spirometry, CT imaging support, and integrated care programs led by nurses.
DASHBOARD BENCHMARK
Miatta Teasley
Capella University
Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
April 19,2022
DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics
22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1
2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75.
The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018).
Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.
Action Research Development Of A Diabetes Care Model In A Community HospitalTony Lisko
This document provides background context on the need to develop an improved diabetes care model for community hospitals in Thailand. It discusses limitations of existing models and interventions. The chronic care model is effective but difficult to fully implement in resource-limited settings. The study aimed to develop a new diabetes care model through an action research process involving healthcare providers and patients at a 120-bed community hospital. The goal was to create a practical model that uses a systems approach and multidisciplinary care to better manage diabetes and improve outcomes.
This document summarizes a study that tested a remote monitoring system called Metabolink for elderly patients with diabetes or obesity. Key findings:
- 40 patients were enrolled and divided into two groups, one using Metabolink and one receiving standard care.
- Patients in the Metabolink group reported slightly improved quality of life scores and satisfaction with care compared to the standard care group.
- However, about 50% of enrolled patients dropped out in the first month mainly due to difficulties using the technology components of Metabolink.
Evaluation of Breast Cancer in Reference to Skin ChangesQUESTJOURNAL
Introduction:- Breast cancer is the most commonly occurring female cancer in the world which is more than double that of the second ranked cancer i.e. cervical cancer. Breast cancer accounts for 23% of all cancer deaths. It is the most frequent cancer death in developing countries of the world. Mammary skin changed in breast carcinoma is categorized as advance stage in breast cancer classification. In the present study we evaluated the correlation of macroscopic, microscopic and no skin changes with axillary lymph node using histologic factor dermal lymphatic involvement. Materials and methods: prospective study was conducted on 42 breast cancer admitted patients of different age groups. Based on degree of skin involvement patients were placed into four groups, i.e. clinical stageT1 toT4. All groups were compared on the basis of percentage of patients involvement according to T1, T2, T3 and T4 stage, tumor size, histopathological dermis and epidermis involvement, dermal lymphatic invasion, tumor size and tumor subtype. Results: Majority of the patients with skin (dermis and epidermis) infiltration by the tumor (94.4%) were of T4 stage (along with dermal lymphatic invasion). Majority of the patients with only dermal lymphatic involvement (87.5%) without dermis and epidermis infiltration were of T2 stage. Conclusion: In our study, most of the patients of stage T2 and T3 with dermal lymphatic invasion had involved node when studied by routine histologic technique even though they were not clinically palpable. The identification of characteristics of the primary tumor like dermal lymphatic invasion that are associated with nodal metastases should encourage the surgeon to perform a more extensive axillary lymph node dissection and the pathologist to use methods of examining the nodes that increase the likelihood of finding metastatic disease. From this we can conclude that patients in early stage breast cancer may also have metastatic axillary lymph nodes. Dermal lymphatic invasion may be regarded as the precursor of nodal involvement, and all patients with nodal involvement can be assumed to have lymphatic invasion in the primary tumors. However the converse may not be true, not all patients with lymphatic invasion have nodal involvement.
The document summarizes an evidence based project presentation on negative pressure wound therapy (NPWT) for diabetic foot ulcers (DFU). It includes objectives of the presentation, background information on evidence based nursing practice and DFUs. It also outlines the research question comparing NPWT to standard moist wound therapy for healing diabetic foot ulcers over 60 days. A literature review was conducted and findings from 5 systematic reviews showing NPWT increases healing rates for DFUs are summarized. National guidelines also support the use of NPWT for DFUs.
Nurses' Knowledge Concerning Neuroblastoma in Children at Oncology Units in B...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice.The journal publishes original papers, reviews, special and general articles, case management etc.
This study evaluated a nurse-led telephone intervention to support patients with chronic obstructive pulmonary disease (COPD) in managing their condition. 73 patients were randomly assigned to either receive standard care including a self-management plan, or to receive the self-management plan plus two telephone calls from a nurse over six weeks. The telephone calls provided education on using their self-management plan and managing exacerbations. The primary outcome was COPD symptom severity assessed before and after with the COPD Assessment Tool (CAT). Secondary outcomes included self-reported exacerbations and healthcare utilization. CAT scores significantly improved in the intervention group but not the control group. There were no significant differences in exacerbations between groups. Patient satisfaction did not differ significantly between groups
Similar to Discussing Solutions for Cancer Treatment at the Cancer Center of Bai Chay Hospital, Quang Ninh - And Experiences from Other Countries (20)
In the early twentieth century, major representatives of the Jadid movement became active participants in the socio-political processes in the Turkestan region. Usmonkhoja Polatkhoja, a progressive from Bukhara, was one of the beams not only in the Emirate of Bukhara, but also in Turkestan. He first participated in the reforms and progressives, and later in the national liberation movements, and fought for the prosperity and independence of the country.This article provides information about Usmonkhoja's life and work in Jadidism, revolts, national liberation struggles, and emmigiration.
Flood is one of the natural disaster known to be part of the earth biophysical processes, which its occurrence can be devastating; due to mostly anthropogenic activities and climatological factors. The aim of the research is to identify and map the extent at which the impact of flood due to intense rainfall and rise in water in the study area using geospatial techniques and the specific objectives are to carry out terrain analysis of the study area and to generate flood indicator maps of the study area. The study analyzed rain fall data;, the drainage system and Shuttle Radar Topographic Mission (SRTM 30m) of the area. ArcGIS 10.8 was to modelled and to generate the contributing factors map of the study area. The drainage system was generated through on-screen digitization of topographic map of scale 1:50,000 of Ondo South-West. The mean annual rainfall of Lagos State was generated in the ArcGIS environment from the rainfall data through spatial analysis tool. The SRTM was used in terrain analysis of the study area. The results generated showed the lowest mean annual rain fall of the area 1,700mm and the highest mean annual rain fall was 2,440mm. Digital elevation model (DEM), slope, flow direction were generated from the SRTM. Drainage density of the area was generated using the drainage system. The slope map of the entire area which are classified into five slope classes of very high (14%-48.5%) to high (7.6%-13.9%) to moderately high (4.2%-7.6%) to low (1.5%-4.2%) and very low (0. % - 1.2%).
Work study is a catch-all phrase encompassing a variety of methodologies, including method research and work measurement, that are applied in a variety of contexts and lead to a systematic assessment of all elements that affect the efficiency and economy of the situation under evaluation that is meant to be improved. The main aim of this study is to examine and enhance the process token in manufacturing a Perfume of the famous, well-known, aromatic, and beautiful Taif Roses. Some changes in the process has been suggested using method study and time study method which lead to reduction in process time, labor cost and production cost.
Workers are the maximum precious method of an association. Their importance to institutions requires not most effective the want to draw the trendy bents but additionally the need to preserve them for a long term. This paper specializes in reviewing the findings of former research carried out with the aid of colourful experimenters with the quit to identify determinants factors of hand retention. This exploration almost looked at the subsequent broad factors improvement openings, reimbursement, work- lifestyles balance, operation/ management, work terrain, social aid, autonomy, training and improvement.
Watering plants during the correct time is very important due to scientific reasons. Both underwatering, as well as overwatering, can lead to the growth of unhealthy plants or in extreme cases, the death of the plant/tree. These issues which are the case with most self-gardeners and plant lovers can be solved using the smart irrigation technique. The main purpose of this innovation is to assist plant lovers to continue their passion to grow plants at home with ease. Smart irrigation system helps in monitoring the moisture level which majorly affects plant growth besides other factors such as sunlight, fertility of the soil, etc. The digital planting pot has been designed in a way that it effectively incorporates the idea of smart irrigation. Arduino Uno R3 has been used as the main chip in this project along with a few other components like a soil moisture sensor, relay, and water pump. This project requires coding to synchronize all the components, and function properly. A required test has been carried out to review the functioning of the mechanism. The project was tested by once using the soil with enough moisture in the pot and then the soil with the least moisture. Both times, it worked exactly how it was supposed to function. When the soil with the least moisture was tested, there was a clear indication of a low level of moisture and accordingly, the water pump got triggered to water the plant, and when the soil with enough moisture was tested, there was again the clear indication of the correct level of moisture and the water pump was inactive. All the readings which were displayed on the LCD were checked back and forth during the project. The outcomes were the same as expected. Hence, it shows that every component in this project is actively functioning and the whole project is effectively designed.
Because of its accessibility and flexibility, cloud technology is among the most notable innovations in today's world. Having many service platforms, such as GoogleApps by Google, Amazon, Apple, and so on, is well accepted by large enterprises. Distributed cloud computing is a concept for enabling every-time, convenient, on-demand network access to processing resources including servers, storage devices, networks, and services that may be mutually configured. The major security risks for cloud computing as identified by the Cloud security alliance (CSA) have been examined in this study. Also, methods for resolving issues with cloud computing technology's data security and privacy protection were systematically examined.
This study's goal is to present Solutions for Determining the importance level of criteria in creating cultural resources’ attractiveness from tourists’ evaluation. Data were collected from 558 international tourists who chose Vietnam as the destination for tourism.
The study points out that we need to resolve challenges such as: building a safe, friendly destination, etc., destinations need to review and re-evaluate the services of their products and tourist attractions to prepare for the largest number of visitors and stimulate the domestic tourism market is a good solution: To boost the domestic tourism market, it is necessary to increase domestic flights and train connections to major tourist destinations.
A new convenient and efficient route for the synthesis of two very important hydroxo-bridged stepped-cubane copper complexes viz: [Cu4(bpy)4Cl2(OH)4]Cl2.6H2O (1) and [Cu4(phen)4Cl2(OH)4]Cl2.6H2O (2) have been obtained. This synthetic route from the mononuclear CubpyCl2 complex is easier, more reproducible and afforded the complex in a much higher yield than the other two previously reported procedures which were equally serendipitously discovered. The purity and formation of the complexes were confirmed with elemental (C,H,N) analysis and the details of the UV-Vis, Fourier transform infrared, electrospray ionization mass spectra of both complexes and the single crystal X-ray crystallography of 1 are presented and discussed. X-ray crystallography confirms the absolute structure of the complexes. The complexes were formed via the connection of four copper atoms to four hydroxide bridging ligands and four bipyridyl ligands with two chloride ligands. There are two coordinate environments around two pairs of copper atoms (CuN2ClO2 and CuN2O3) and each copper atom is pentacoordinate with square pyramidal geometry.
Artocarpus heterophyllus Lam., which is commonly known as jackfruit is a tropical fruit, belonging to Moraceae family, native to Western Ghats of India and common in Asia, Africa, and some regions in South America. It is known to be the largest edible fruit in the world. The Jackfruit is an extremely versatile and sweet tasting fruit that possess high nutritional value. Jackfruit is rich in nutrients including carbohydrates, proteins, vitamins, minerals, and phytochemicals. The jackfruit has diverse medicinal uses especially antioxidant, anti-inflammatory, antimicrobial and antiviral properties, anticancer and antifungal activity, anthelminthic activity. Traditionally, this plant is used in the treatment of various diseases especially for treatment against inflammation, malarial fever, diarrhoea, diabetes and tapeworm infection. Jackfruit is a good natural source of phytochemicals such as phenolics, flavonoids and tannins, saponins. The health benefits of jackfruit have been attributed to its wide range of physicochemical applications. The use of jackfruit bulbs and its parts has also been reported since ancient times for their therapeutic qualities. The beneficial physiological effects may also have preventive application in a variety of pathologies.
Myogenic differentiation requires to be exactly explored for the effective treatment of fracture. The speed of healing is affected by skeletal muscle, linked to activation of specific myogenic transcription factors during the repair process. In previous study, we discovered that psoralen enhanced differentiation of osteoblast in primary mouse. In the current study, we show that psoralen stimulates myogenic differentiation through the secretion of factors to hone the quality of repair in fractured mice. 3-month old mice were treated with corn oil or psoralen followed by a tibial fracture surgery. Fractures were tested 7, 14, and 21 days respectively later by histology and images observation. Skeletal muscles including soleus muscle and posterior tibial muscle around the damaged bone were collected for quantitative real-time PCR, HE staining, as well as western blot. Daily treatment with psoralen at seven, fourteen days or twenty-one days improves protein or mRNA levels responsible for the whole myogenic differentiation process, makes the muscle fibers more tightly aligned, and promotes callus formation and development. This data shows that high levels of myogenic transcription factors in the process of fracture healing in mice foster the repair of damaged muscles, and indicates a pharmacological approach that targets myogenic differentiation to improve fracture repair. This also reflects the academic thought of "paying equal attention to both muscles and bones" in the prevention and treatment of fracture healing.
The current pandemic has generated the search for new reliable and economic alternatives for the detection of SARS-CoV-2, which produces the COVID-19 disease, one of the recommendations by the World Health Organization, is the detection of the virus by RT-qPCR methods from upper respiratory tract samples. The discomfort of the pharyngeal nasopharyngeal swab described by patients, the requirement of trained personnel, and the generation of aerosols, are factors that increase the risk of infections in this type of intake. It is known that the main means of transmission of SARS-CoV-2 is through aerosols or small droplets, which is why saliva is important as a relevant means of detecting COVID-19. In this study, a modified method based on SARS-CoV-2 RNA release from saliva is described, avoiding the isolation and purification of the genetic material and its quantification of viral copies; the results are compared with paired pharyngeal/nasopharyngeal swab samples (EF/EN). Results showed good agreement in saliva samples compared to EF/EN samples. On average, a sensitivity for virus detection of 80% was demonstrated in saliva samples competing with EF/EN samples. The use of saliva is a reliable alternative for the detection of SARS-CoV-2 by means of RT-PCR in the first days of infection, having important advantages over the conventional method. Saliva still needs to be studied completely to evaluate the detection capacity of the SARS-CoV-2 nucleic acid, however, the described process is viable, due to the decrease in materials and supplies, process times, the increment in the sampling and improvement of laboratory performance.
A recent study establishes that since 1970, there has been an ecological gap between human needs and the planet's resources, with annual resource demand exceeding the bio-productivity of the planet. Specifically, humanity utilises equivalent of 1.75 earths to produce the ecological resources used, with half of this attributable to food consumption. The present work therefore seeks to provide an empirically-based insight into the environmental sustainability of the EF of food consumption in Ijebu Ode. A descriptive cross-sectional approach was used, and primary data were collected from 400 systemically sampled households via structured questionnaires and analysed descriptively using Microsoft Excel and inferentially using mathematical models for calculating ecological footprints. Findings revealed that the household EF of food consumption in Ijebu Ode is 0.05gha per capita, with the footprint of cereal consumption (0.17gha; 37%) taking the major share, followed by meat with a footprint of 0.11gha (23.9%). As a result, it was concluded that Ijebu Ode has sustainable food consumption, which is necessary for its environmental sustainability. However, the sustenance of the former requires creating awareness of the need for sustainable consumption and prioritisation of integrated and population-wide policies and food intervention initiatives to encourage attitudinal change in favour of sustainable food consumption while fostering sustainable food production strategies amidst current environmental realities.
The symmetry occurs in most of the phenomena explained by physics, for example, a particle has positive or negative charges, and the electric dipoles that have the charge (+q) and (-q) which are at a certain distance (d), north or south magnetic poles and for a magnetic bar or magnetic compass with two poles: North (N) and South (S) poles, spins up or down of the electron at the atom and for the nucleons in the nucleus In this form, the particle should also have mass symmetry. For convenience and due to later explanations, I call this mass symmetry or mass duality as follows: mass and mass cloud. The mass cloud is located in the respective orbitals given by the Schrödinger equation. The orbitals represent the possible locations or places of the particle which are determined probabilistically by the respective Schröndiger equation.
Metal-organic molybdenum complexes were synthesized by the hydrothermal method using ammonium heptamolybdate as the metallic source, and as the organic ligand terephthalic acid (BDC) or bis(2-hydroxyethyl) terephthalate (BHET), obtained via glycolysis of poly(ethylene)terephthalate (PET). The BDC-Mo and BHET-Mo complexes were characterized by XRD, N2 physisorption, TGA, ATR-FTIR, SEM, XPS and their in vitro biocompatibility was tested by porcine fibroblasts viability. The results show that molybdates (MoO4-2) are coordinated to the carbonyl functional groups of BDC and BHET by urea bonding (-NH-CO-NH-) which is related to their high biocompatibility and high thermal stability. These organic molybdate complexes possess rectangular prism particles made up of rods arrays characteristics of molybdenum oxides (MoO3). The organic complexes BDC-Mo and BHET-Mo do not show to be cytotoxic for porcine dermal fibroblasts growing on their surface for up to 48 h of culture.
Exercise training with varying intensity increases maximal oxygen intake (VO2max), a strong predictor of cardiovascular and all-cause mortality. Purpose: The aim of this study was to find out the influence of low intensity aerobic training on the vo2 max in 11 to 14 years school girls in Hyderabad district. Methodology: The research scholar has randomly selected thirty (N=30) high school girls were selected as subjects and their age ranged between 11 to 14 years. The subjects were divided into two equal groups, each group consist of 15 total 30. Group one acted as experimental group (EG) and group two acted as control group (CG). The dependent variable vo2 max was selected and it is measured by manual test. Statistical Tool: The statistical tool paired sample ‘t’ test was used for analysing of the data and the obtained ‘t’ ratio was tested for significance at 0.05 level of confidence. Results: The analysis of the data revealed that there was a significant improvement on vo2 max by the application of low intensity aerobic.
Hybrid rice has the potential to outperform existing inbred rice and was said to have the potential to produce 14-20 % more yield. In response, Malaysia Government has introduced its very own first Hybrid Rice Variety knew as Kadaria 1 developed by MARDI. This is in line with one of the strategies outlined in Dasar Agromakanan Negara (DAN) 2011-2020 as an approach to increasing rice productivity within Malaysia. The next step would be developing our hybrid seed rice production system. Therefore, an experiment to determine the planting ratio and planting distance between 0025A (A)-a hybrid with MR283 (R)-inbreed variety was carried out. Planting ratios studied in this study were 2:4, 2:6, 2:8, and 2:10 while planting distance was 14 x 30 cm, 16 x 30 cm, and 18 x 30 cm. Statistical analyses suggested that yield R, yield A, and panicle number A were significantly affected by planting ratios while yield A was significantly affected by an interaction between planting distance and planting ratios. Panicle number A performed significantly higher at planting ratios of 2:4 compared to 2:10. Yield R shows higher significant performance under ratio 2:6 compared to 2:4 and 2:8. Relatively, yield A performed the best under planting distance of 18 x 30 cm. Furthermore, under this particular planting distance, the planting ratio of 2:10 shows the highest significant figure while 2:8 exhibits statistical parity. Both yield R and yield A were significantly affected by planting ratios and have a significant positive association with each other. Therefore, the planting ratio of 2:10 should be the best since it contributed to significantly highest value for yield A while yield R under 2:10 shows statistical parity with 2:6 which was the highest significant value. In conclusion, the combination of 2:10 with a planting distance of 18 x 30 cm was the best since it shows best potential for both yields A and yield R
This document summarizes a study on cassava production systems in the Tivaouane department of Senegal. Key findings include:
- Cassava is an important crop for food security but production in Senegal remains low compared to other African countries.
- The study examined farming practices through surveys of 85 producers in 8 communes across two agro-ecological zones.
- Analysis showed cassava is only grown during rainy season with traditional cultivation methods. Four of five recommended varieties were grown, with different varieties preferred in each zone.
Cassava plays an important role in improving food security and reducing poverty in rural areas. Despite its importance, its production in Senegal remains low compared to other African countries. Nowadays, it is confronted with numerous constraints. It is in this context that a study was conducted on the cassava production system in the Thiès "cassava granary" region, with the objective of examining farmers' cultivation practices. It was conducted in eight communes located in the department of Tivaouane, some of which are located in the Niayes agro-ecological zone and others in the central-northern groundnut basin. Surveys were conducted among the largest cassava producers in these communes. Analysis of the results showed that cassava is only grown in the rainy season with the same cultivation practices that have been used for years. Of the five varieties listed by the President of the Senegalese Cassava Interprofession, only four are grown in the areas surveyed. The Terrasse (43%) and Kombo (36%) varieties are grown more by our respondents in the Niayes area. Soya (75%) and Wallet "Parydiey" (20% of our sample) dominate in the central-northern groundnut basin.
We are witnessing very demanding and stressful times in which we live, and an occupation that is particularly exposed to stress and different working conditions is the job of a nurse. Exposing themselves to everyday challenges and stressful situations, nurses reach a stage of great emotional and physical exhaustion, lethargy, dissatisfaction, and poorer work achievements, which we know as burnout. The aim of this paper was to determine whether there is and to what extent professional burnout is present in nurses and technicians working in nursing homes across Slovenia and Croatia. The paper is answering the questions of the extent of the burnout influenced by individual characteristics (age, education, years of service and work experience at the current workplace). The study involved a validated questionnaire “The Oldenburg Burnout Inventory (OLBI)” to measure professional burnout. Surveying of the nurses was conducted online at their home institutions. The results show that all respondents have a medium or high level of professional burnout, while no one has a low level or shows no signs of burnout. In terms of age, the group from 55-65 years of age had the highest relative level of burnout in the age group category. With regard to education, the highest burnout was measured in registered nurses.
This document discusses hepatitis and its transmission through needlestick injuries. It covers the different types of hepatitis viruses, their epidemiology, risk factors, and transmission. Healthcare workers are at high risk of contracting hepatitis B and C through needlestick injuries involving contaminated needles and sharps. Dental professionals face increased risk due to exposure to blood and saliva. The document recommends vaccination, safe handling of needles and sharps, and post-exposure prophylaxis to prevent transmission of hepatitis viruses occupationally.
More from Associate Professor in VSB Coimbatore (20)
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
This presentation was provided by Racquel Jemison, Ph.D., Christina MacLaughlin, Ph.D., and Paulomi Majumder. Ph.D., all of the American Chemical Society, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
2. Middle East Journal of Applied Science & Technology
Vol.5, Iss.2, Pages 39-46, April-June 2022
ISSN: 2582-0974 [40] www.mejast.com
Loi, Dinh Thi Thu Hang, Dinh Tran Ngoc Huy, Pham Van Tung (2021) pointed that Roles of nurses and nursing is
important in supporting cancer patient treatment.
Therefore authors conduct study “Discussing Solutions for Cancer Treatment at the Cancer Center of Bai
Chay Hospital, Quang Ninh - And Experiences from Other Countries”.
Research issues:
Issue 1: Analyzing previous studies of cancer treatment.
Issue 2: Achievements in cancer treatment in Bai Chay hospital-Quang Ninh.
Issue 3: Lessons from other countries in cancer treatment.
Next we analyze related studies in below table:
Table 1. Summary of previous studies
Authors Year Content, results
Kudo et al. 2004
The multiplicity of these staging systems reflects the
heterogeneity of HCC, regional preferences, and regional
variations in resectability or transplant eligibility.
Nevertheless, these systems do incorporate important
determinants of survival including the size of the tumor,
the severity of underlying liver disease, tumor extension
into adjacent structures, and tumor metastases.
Liu et al. 2015
A number of staging systems have been developed,
reflecting the heterogeneity of primary liver cancer,
regional preferences, and regional variations in
resectability or transplant eligibility. Multimodality
treatments are available for this heterogeneous
malignancy, and there are variations in the management
recommendations for liver cancers across specialties and
geographic regions.
Liver Cancer Study Group of
Japan
2019
Presented in Korea, Hepatocellular carcinoma (HCC) is
the fifth most common cancer globally and the fourth
most common cancer in men in Korea, where the
prevalence of chronic hepatitis B infection is high in
middle-aged and elderly patients.
Anh, B.T. 2019
The quality of life of liver cancer patients is a new issue
that is increasingly concerned by patients as well as
health care workers.
3. Middle East Journal of Applied Science & Technology
Vol.5, Iss.2, Pages 39-46, April-June 2022
ISSN: 2582-0974 [41] www.mejast.com
Nguyen Trong Hung et al. 2022
People with underlying medical conditions are greatly
affected by quality of life (21.3%), people without
underlying diseases, quality of life is not affected
(40.5%).
(Source: author synthesis)
2. Methodology
Research subjects: Patients diagnosed with liver cancer are being treated at Cancer Center - Bai Chay Hospital -
Quang Ninh province.
Then, author conducts Research period: from June 2019 to May 2020.
Next author will use research method:
Study Design: A cross-sectional descriptive study.
3. Research Results
The provincial project of Bai Chay Hospital has received high appreciation for its novelty and high practical value in the
context that gastrointestinal cancers and tumors have become common in Vietnam and tend to have a tendency to
develop increasingly youthful direction; Conventional endoscopic methods only observe superficial lesions, not assess
the extent of invasion in the gastrointestinal wall and outside the gastrointestinal tract. Application of endoscopic
ultrasound – a method of using an endoscope with an ultrasound probe attached to a combination of endoscopy and
ultrasound, fine needle aspiration cytology (EUS-FNA) under the guidance of endoscopic ultrasound at the hospital. Bai
Chay Hospital can bring accurate results in diagnosis and effective intervention of gastrointestinal tract lesions and
viscera near the gastrointestinal tract (mediastinum, left liver, pancreas, etc), support screening for diseases tumor
management, gastrointestinal and pancreatic cancers.
We see in below chart 1 that: The highest ratio of 37.1% belongs to patients in stage 1 (with not influence). And then,
the lowest ratio of 12.9% is belonging to patients in stage 1 with much influence, and so on.
Chart 1 - Evaluation of the impact on the overall quality of life of patients
(Source: Hung, N.T et al, 2022)
4. Middle East Journal of Applied Science & Technology
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Table 2. Evaluating degree of impact on the overall quality of life of patients by areas divided by disease stage
Field/ Disease stage
Not influence Little influence
Much
influence
Very much
influence
SL % SL % SL % SL %
Health status
Stage 1
(n=70)
28 40.0 17 24.2 16 22.9 9 12.9
Stage 2,3,4
(n=34)
5 14.7 4 11.8 10 29.4 15 44.1
Total (n=104) 33 31.7 21 20.2 26 25.0 24 23.1
Communication
status with family
Stage 1
(n=70)
27 38.6 18 25.6 16 22.9 9 12.9
Stage 2,3,4
(n=34)
5 14.7 5 14.7 14 41.2 10 29.4
Total
(n=104)
32 30.8 23 22.1 30 28.8 19 18.3
Mental status
Stage 1
(n=70)
30 42.9 14 20.0 17 24.2 9 12.9
Stage 2,3,4
(n=34)
6 17.6 3 8.8 9 26.5 16 47.1
Total
(n=104)
36 34.6 17 16.4 26 25.0 25 24.0
CLCS Overall
Stage 1
(n=70)
22 31.4 21 30.0 18 25.7 9 12.9
Stage 2,3,4
(n=34)
4 11.8 5 14.8 8 23.5 17 50.0
Total
(n=104)
26 25.0 26 25.0 26 25.0 26 25.0
(Source: Hung, N.T et al, 2022)
5. Middle East Journal of Applied Science & Technology
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4. Analysis
We see from above figure that the highest ratio of 40% belongs to health status in stage 1 (with not influence). And
then, the lowest ratio of 12.9% is belong to patients in stage 1 with very much influence , and so on. Patients living
quality at levels of no effect, little influence, great influence and great influence all accounts for about 25%.
Kudo et al (2019) said in Japan, Compared with the previous 19th survey, the population of patients with
hepatocellular carcinoma (HCC) was older at the time of clinical diagnosis, included more female patients,
included more patients with non-B non-C HCC, had smaller tumor diameters and more frequently received
radiofrequency ablation as local ablation therapy. The results of the analysis show that the prognosis of HCC is
improving dramatically. It is expected that the data obtained from this nationwide follow-up survey will contribute
to advancing clinical research, including the design of clinical trials, as well as the treatment strategy of primary
liver cancer in the clinical practice setting.
Kudo (2021) pointed in Japan. These two tumor markers were included among health insurance-covered screening
tests in 1989 and 1994, respectively. Japan is the only country in the world in which these three tumor markers are
included in routine surveillance under national health insurance without restrictions. Other important achievements
in Japan include the invention of transcatheter arterial chemoembolization (TACE)], the development and the
world's first commercialization of technetium-99m galactosyl human serum albumin liver scintigraphy for the
assessment of hepatic functional reserve, the world's first hepatectomy, the development of anatomic liver
resection, and the invention of local ablation (percutaneous ethanol injection) and percutaneous microwave
coagulation therapy.
The 21st follow-up survey presents a number of findings for patients newly diagnosed with HCC in the 2010–2011
periods (Liver Cancer Study Group of Japan, 2020).
And, we see in blow figure that compared to Taiwan, US and Korea. The 5-year survival rate of all HCCs in Japan
is 44.1%
Fig.1. Total survival of HCC by country
5. Conclusion
According to findings, we see from above figure that the highest ratio of 40% belongs to health status in stage 1
(with not influence). And then, the lowest ratio of 12.9% is belonging to patients in stage 1 with very much
influence, and so on. To serve the field of diagnostic imaging and interventional radiology, the Provincial General
Hospital has invested in many modern equipment, such as: Digital angiography to remove background (DSA),
6. Middle East Journal of Applied Science & Technology
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Revolution CT 512 computed tomography slices, 128 slices, 1.5 Tesla magnetic resonance, DR digital X-ray,
cardiovascular ultrasound, 4D ultrasound, etc. Thereby, reducing the intervention time of surgeries, improving
quality examine and treat patients and help patients have the opportunity to receive treatment at the locality without
having to be referred. Every year, hundreds of patients are treated for vascular embolization due to liver, spleen, or
kidney injury, or tumors, and hundreds of stroke patients are diagnosed promptly.
With the motto: If the central government can do any technique, Quang Ninh can basically do it. Over the years, the
provincial health sector has deployed thousands of high and difficult techniques of the central level. Many difficult
and complicated cases that had to be transferred to higher levels before have now been implemented in the
province.
(Source: baoquangninh.com, access date 1-6-2022)
IT application is also one of the breakthroughs of the provincial health sector. Units in the whole industry have
deployed LAN and internet systems; Professional and professional activities are computerized and performed on a
computer network environment. The units all apply software in management, such as: Medical management
database software, automatic numbering, medical record management, endoscopy, health insurance payment,
accounting... to reduce administrative procedures, improve patient service quality.
Since 2014, the provincial health sector has applied telemedicine system with 16 bridge points at medical
examination and treatment units in the province and 2 central-level hospitals for disease prevention, consultation
and consultation. Professional consultation, remote medical examination and treatment etc., contributing to
increasing operational efficiency, helping to quickly transfer medical technologies. Thanks to the strong
application of IT, most administrative procedures and medical examination and treatment processes are carried out
quickly, creating favorable conditions for people to use medical services and carry out administrative procedures,
mainly when going to medical examination and treatment facilities.
(Source: author synthesis)
Fig.2. Tech/QR applying for patient treatment at Bai Chay Hospital
Research Limitation
Authors can expand study for other markets
7. Middle East Journal of Applied Science & Technology
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Declarations
Source of Funding
This research work did not receive any grant from funding agencies in the public or not-for-profit sectors.
Competing Interests Statement
The authors declare no competing financial, professional and personal interests.
Consent for publication
Authors declare that they consented for the publication of this research work.
Authors’ Contributions
All authors equally contributed in data analysis and paper drafting.
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