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Wyszukujesz frazę "hospital" wg kryterium: Temat


Tytuł:
"Psychiatryk w Las Vegas": o internetowych użyciach leksemu psychiatryk
„A looney bin in Las Vegas.” The lexeme psychiatryk ‘mental hospital’ as used across the Internet
Autorzy:
Ciunovič, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/36089059.pdf
Data publikacji:
2024
Wydawca:
Towarzystwo Kultury Języka
Tematy:
leksem psychiatryk
stygmatyzacja
stereotyp językowy
pragmatyka językowa
szpital psychiatryczny
mental hospital
stigmatization
linguistic stereotype
linguistic pragmatics
psychiatric hospital
lexeme 'psychiatryk'
Opis:
W ostatnich latach coraz częściej pojawia się w debacie publicznej temat języka w psychiatrii. Efektem troski o odpowiedni dobór słów są rekomendacje językowe dotyczące mówienia o leczeniu zaburzeń psychicznych. Wśród słów wzmacniających negatywny stereotyp leczenia psychiatrycznego wymieniany bywa leksem psychiatryk. Artykuł jest refleksją na temat wartościowania tego słowa w internecie. Ponieważ przedmiotem analizy są konkretne wypowiedzi – użycia języka, autorka posługuje się narzędziami pragmatyki językowej do opisu całego kontekstu wypowiedzi (intencji nadawcy, charakteru komunikatu, zakładanego odbiorcy itp.). W większości analizowanych przypadków dominuje użycie tego leksemu wzmacniające negatywny stereotyp hospitalizacji psychiatrycznej, a same placówki (w przykładach często żartobliwych, na granicy potoczności i obraźliwości) jawią się jako miejsca odstraszające, patologiczne albo śmieszne i niezrozumiałe.
Recently, the issue of language in psychiatry has been raised more frequently. The concern for choosing the appropriate words has resulted in developing language recommendations regarding the way we should speak about treating mental health disorders. The lexeme psychiatryk ‘mental hospital’ has been mentioned among words that contribute to preserving the negative stereotypes of psychiatric care. Thus, the paper focuses on the ways in which this word is evaluated across the Internet. Since the author analyses specific utterances – the ways language is used, she employs the framework of linguistic pragmatics to account for the broad context of each utterance (the speaker’s intentions, utterance type, the assumed hearer, etc.). In the majority of the analysed cases, we can observe such uses of the words that uphold the negative stereotype of institutionalized psychiatric care, and the hospitals themselves (in examples that exhibit playfulness, bordering on colloquialism and derision) are represented as appalling, pathological or funny and incomprehensible.
Źródło:
Poradnik Językowy; 2024, 814, 5; 18-30
0551-5343
Pojawia się w:
Poradnik Językowy
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
85. rocznica otwarcia Instytutu Radowego
85th anniversary of the openinig of The Radium Institute in Warsaw
Autorzy:
Sobieszczak-Marciniak, M.
Powiązania:
https://bibliotekanauki.pl/articles/214683.pdf
Data publikacji:
2017
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
onkologia
szpital
nowotwory
Instytut Radowy
Towarzytswa MSC w Hołdzie
oncology
hospital
cancers
Radium Institute
Society in Tribute to Maria Skłodowska-Curie
Opis:
W bieżącym roku przypada 85 rocznica otwarcia Instytutu Radowego przy ul. Wawelskiej 15 w Warszawie. W 1932 r., była to bliźniacza tak nowoczesna placówka leczenia chorych na nowotwory obok Instytutu Radowego w Paryżu. Był to dar uczonej dla społeczeństwa polskiego, które z własnych funduszy zbudowało Instytut niejako w darze dla Marii Skłodowskej-Curie. Uroczystości, które odbyły się przed pomnikiem uczonej na ul. Wawlskiej 29 maja 2017 r. potwierdziły jak ważne jest miejsce zarówno z punktu widzenia historycznego, jak i medycznego.
This year marks the 85th anniversary of the opening of the Radium Institute at Wawelska Street in Warsaw. In 1932, it was a twin modern cancer treatment facility besides the Radium Institute in Paris. The Radium Institute was the scientist’s gift to the Polish society, which built the Institute from its own funds, as a tribute to Maria Skłodowska-Curie. The celebrations which took place in front of the Monument to the scholar at Wawelska Street on 29 May 2017, confirmed the importance of this place both from historical and medical point of view.
Źródło:
Postępy Techniki Jądrowej; 2017, 2; 7-8
0551-6846
Pojawia się w:
Postępy Techniki Jądrowej
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A 15-year regional emergency department study of youth sport and recreational injuries
Autorzy:
Romanick, Mark A.
Schuch, Thomas
Goodwin, Brett J.
Hanson, Carma
Caine, Dennis J.
Powiązania:
https://bibliotekanauki.pl/articles/13098271.pdf
Data publikacji:
2022
Wydawca:
Akademia Tarnowska
Tematy:
sports
sport and recreation injury
children
youth
hospital
emergancy department
Opis:
Purpose The aim of this study was to determine frequency and distribution of sports- and recreation-related injuries (SRIs) affecting children and adolescents who visited a northern tier regional medical center emergency department during a 15-year period. Material and methods A descriptive epidemiologic design was employed to retrospectively examine age, gender, month and year of injury, location of injury, sport/recreational activity, mechanism of injury, type and severity of injury, hospital admission and length of stay. Frequency of reported injuries were compared in categories of single factors using Chi-square tests of homogeneity. The impact of risk factors – gender, age class, and sport/activity – on incidence ratios were analyzed via Poisson regression. All statistical analyses were run in R. Results Findings heretofore unreported or inconsistent with previous emergency department (ED) studies include a peak injury occurrence of SRIs during September; a preponderance of head/neck injuries and fractures and a higher percent of admitted patients; frequent occurrence of ice hockey injuries; increased severity of injury during ages 10-14; and a trend during 2000-2014 showing increased injury rate of various types of recreational injuries. Findings consistent with previous ED studies included variable distribution of injuries by age, gender and sport/activity; increased frequency of SRIs during ages 12-15 years and during the warmer months of the year; and trends of increased frequency of SRIs affecting females, increased injury rate of closed head injuries, and decreased occurrence of bicycle injuries during the study period. Further to these findings, several suggestions are made to inform and guide local injury prevention efforts and further research. Conclusions Our study results provide information on a region-specific occurrence and distribution of SRIs in a northern tier hospital catchment area that can be valuable to guide regional injury prevention efforts and further research to evaluate specific patterns identified and success of prevention efforts.
Źródło:
Health Promotion & Physical Activity; 2022, 21, 4; 1-14
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A case-crossover study of sleep, fatigue, and other transient exposures at workplace and the risk of non-fatal occupational injuries among the employees of an Italian academic hospital
Autorzy:
Valent, Francesca
Mariuz, Marika
Liva, Giulia
Bellomo, Fabrizio
De Corti, Daniela
Degan, Stefania
Ferrazzano, Alberto
Brusaferro, Silvio
Powiązania:
https://bibliotekanauki.pl/articles/2168391.pdf
Data publikacji:
2016-11-18
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
fatigue
sleep duration
case-crossover
occupational injuries
academic hospital
Italy
Opis:
Objectives Transient exposure with acute effect has been shown to affect the risk of occupational injuries in various industrial settings and at the healthcare workplace. The objective of this study has been to identify transient exposures related to occupational injury risk in an Italian teaching hospital. Material and Methods A case-crossover study was conducted among the employees of the University Hospital of Udine who reported an occupational injury, commuting accident, or incident involving biological risk in a 15-month period in the years 2013 and 2014. The matched-pair interval approach was used to assess the role of acute sleep deprivation whereas the usual frequency approach was used for other 13 transient exposures. Results Sleep hours were not associated with the risk of injuries whereas a significant risk increase was associated with fatigue, rush, distraction, emergency situations, teaching to or being taught by someone, non-compliant patients, bloody operative/work field, excess noise, complex procedures, and anger. Conclusions We identified transient exposures that increased the risk of occupational injuries in an Italian teaching hospital, providing indications for interventions to increase workers’ safety at the healthcare workplace. Int J Occup Med Environ Health 2016;29(6):1001–1009
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 6; 1001-1009
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A clinical efficiency index for the measurement of hospital performance: development and validation
Wskaźnik sprawności klinicznej do pomiaru dokonań szpitala: rozwój i walidacja
Autorzy:
Cygańska, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/944356.pdf
Data publikacji:
2019
Wydawca:
Wydawnictwo Uniwersytetu Ekonomicznego we Wrocławiu
Tematy:
hospital
performance measurement system
efficiency index
financial data
non-financial data
szpital
system pomiaru dokonań
wskaźnik sprawności
dane finansowe
dane niefinansowe
Opis:
Managers’ requirements for modern hospital performance measurement systems emphasize the need for including in the analysis clinical data. A hospital’s financial status cannot be fully and reliably evaluated without access to such data. The existing research concerning the hospital performance measurement systems using financial and non-financial data in the process of managing healthcare facilities is limited. Therefore the aim of the study was to develop a new measure - the clinical efficiency index - which can be used to evaluate the operational efficiency of a hospital based on both, costs and clinical factors. The study showed that conclusions drawn from financial analysis differs when covering clinical aspects. The main contribution of this work is to provide healthcare professionals with a more focused perspective towards incorporating clinical factors into the hospital performance measurement system.
Oczekiwania menedżerów dotyczące nowoczesnych systemów oceny dokonań szpitali obejmują uwzględnienie w nich danych klinicznych. Nie można w pełni i wiarygodnie ocenić sytuacji finansowej szpitala bez dostępu do takich danych. Dotychczasowe badania dotyczące systemów pomiaru i oceny dokonań szpitali – wykorzystujących dane finansowe i niefinansowe w procesie zarządzania placówkami opieki zdrowotnej – są ograniczone. Dlatego celem przeprowadzonych badań było opracowanie nowego miernika – wskaźnika sprawności działań na oddziale, który to można wykorzystać do oceny wydajności operacyjnej szpitala na podstawie zarówno kosztów, jak i czynników klinicznych. Uwzględnienie aspektów klinicznych w systemie oceny dokonań szpitala pozwala na bardziej wyczerpujące wnioski oraz wskazuje na pożądane kierunki zmian szpitalnych systemów pomiaru dokonań.
Źródło:
Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu; 2019, 63, 2; 155-164
1899-3192
Pojawia się w:
Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A cytogenetic approach to the effects of low levels of ionizing radiation (IR) on the exposed Tunisian hospital workers
Autorzy:
Bouraoui, Sana
Mougou, Soumaya
Drira, Afef
Tabka, Faten
Bouali, Nouha
Mrizek, Najib
Elghezal, Hatem
Saad, Ali
Powiązania:
https://bibliotekanauki.pl/articles/2179799.pdf
Data publikacji:
2013-03-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
centromere-micronucleus assay
occupational radiation exposure
hospital workers
centromere negative micronuculei
Opis:
Objectives: The aim of this study is to assess chromosomal damage in Tunisian hospital workers occupationally exposed to low levels of ionizing radiation (IR). Materials and Methods: The cytokinesis-block micronucleus (CBMN) assay in the peripheral lymphocytes of 67 exposed workers compared to 43 controls matched for gender, age and smoking habits was used. The clastogenic/aneugenic effect of IR was evaluated using the CBMN assay in combination with fluorescence in situ hybridization with human pan-centromeric DNA in all the exposed subjects and controls. Results: The study showed a signifi cant increase of the micronucleus (MN) frequency in the lymphocytes of the exposed workers compared to the control group (13.63±4.9‰ vs. 6.52±4.21‰, p < 0.05). The centromere analysis performed in our study showed that MNs in hospital staff were predominantly centromere negative (72%) and the mean negative labeled micronucleus (C–MN) frequency was signifi cantly higher in the exposed subjects than in the controls (9.04±4.57‰ vs. 1.17±0.77‰). The multivariate regression analysis, taking into account all confounding factors, showed that only the time of exposure to IR had a signifi cant effect on the level of MNs and C–MN. Conclusion: The present study shows that chromosomal damage leading to the formation of micronucleated lymphocytes is more frequent in the hospital workers exposed to IR than in the controls, despite the low levels of exposure. The results of the study confi rm the well-known clastogenic properties of ionizing radiation. In regards to health monitoring, detection of early genotoxic effects may allow for the adoption of preventive biological control measures, such as hygienic improvements in the workplace or reduction of hours of occupational exposure.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2013, 26, 1; 144-154
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A novel DEA model for hospital performance evaluation based on the measurement of efficiency, effectiveness and productivity
Autorzy:
Ghahremanloo, Mohammad
Hasani, Aliakbar
Amiri, Maghsoud
Hashemi-Tabatabaei, Mohammad
Keshavarz-Ghorabaee, Mehdi
Ustinovičius, Leonas
Powiązania:
https://bibliotekanauki.pl/articles/125680.pdf
Data publikacji:
2020
Wydawca:
Politechnika Białostocka. Oficyna Wydawnicza Politechniki Białostockiej
Tematy:
hospital performance evaluation (HPE)
Data Envelopment Analysis (DEA)
efficiency
effectiveness
productivity
ocena wydajności szpitala (HPE)
analiza danych otoczenia (DEA)
wydajność
skuteczność
produktywność
Opis:
Hospitals are the most important and costly component of the healthcare system. Therefore, hospital performance evaluation (HPE) is an important issue for the managers of these centres. This paper presents a new approach for HPE that can be used to calculate the efficiency, effectiveness, and productivity of hospitals simultaneously. Efficiency refers to the ratio of inputs and outputs, effectiveness refers to the extent to which outputs align with predetermined goals, and productivity refers to the sum of both efficiency and effectiveness. To this end, a Data Envelopment Analysis (DEA) model is developed to simultaneously measure the efficiency, effectiveness, and productivity (DEA-EEP) of hospitals. DEA is a linear programming technique that in its traditional form, calculates the performance of similar decisionmaking units (DMUs) that have both inputs and outputs. In this study, the inputs are the number of health workers, the number of other staff, and the number of patient beds; while the outputs are the bed occupancy rate and the bed turnover rate. A target value is set for each output to measure the effectiveness of hospitals. The advantage of the developed model is the ability to provide a solution for non-productive units so that they can improve their performance by changing their inputs and outputs. In the case study, data of 11 hospitals in Tehran were evaluated for a 3-year period. Based on the results, some hospitals experienced an upward trend in the period, but the efficiency, effectiveness, and productivity scores of most hospitals fluctuated and did not have a growing trend. This indicates that although most hospitals sought to improve the quality of their services, they needed to take more serious steps.
Źródło:
Engineering Management in Production and Services; 2020, 12, 1; 7-19
2543-6597
2543-912X
Pojawia się w:
Engineering Management in Production and Services
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
A Study in Hospital Noise - A Case From Taiwan
Autorzy:
Pai, J. Y.
Powiązania:
https://bibliotekanauki.pl/articles/90059.pdf
Data publikacji:
2007
Wydawca:
Centralny Instytut Ochrony Pracy
Tematy:
noise
hospital
decibel (dB)
patients
hospital management
SARS
Opis:
Hospitals are places that allow patients to rest and recover, and therefore must be quiet inside and in the surrounding neighborhood. One medical center was chosen as a sample hospital. This hospital was a tertiary care center during the 2003 outbreak of the severe acute respiratory syndrome (SARS) in Taiwan. The measurement results show that the noise level in the wards and stations was between 50.3 and 68.1 dB which exceeded the suggested hospital ward sound level. The quietest units were the Surgical Intensive Care Unit and recovery rooms with a noise level lower than 50 dB during the night. The higher noise levels were in the hall and pharmacy which were highly populated areas. This study analyzed the causes of this excessive noise and used noise reduction methods. The paired t test was performed and the results showed improvement methods were successful. This study found the noise levels reached 98.5-107.5 dB in power generator rooms and air-conditioning facilities, and suggests employees use ear plugs.
Źródło:
International Journal of Occupational Safety and Ergonomics; 2007, 13, 1; 83-90
1080-3548
Pojawia się w:
International Journal of Occupational Safety and Ergonomics
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Agriculture and forestry work-related injuries among farmers admitted to an Emergency Department
Autorzy:
Nogalski, A
Lubek, T.
Sompor, J.
Karski, J.
Powiązania:
https://bibliotekanauki.pl/articles/50500.pdf
Data publikacji:
2007
Wydawca:
Instytut Medycyny Wsi
Tematy:
forestry
work
risk factor
agriculture
occupational risk
injury mechanism
hospital admission
Opis:
The objective of the study was to describe the characteristics of agriculture and forestry related injury cases admitted to an Emergency Department (ED), and to asses factors related to injury severity and hospital admission. Retrospective analysis of ED case records in Teaching Hospital No 1 in Lublin, from January 2004 to December 2005 were utilized. Inclusion criteria: patient >14 years old, with agriculture and forestry related injuries. Univariate and bivariate descriptive analyses and multiple logistic regressions were performed. 3791 cases were included, 63.1% males, 53.3% cases younger than 30 years and 47.1% of the patients sustained injuries related to machines or falls. After adjusting for age, sex and the presence of multiple injuries, animal related injuries, followed by machine related injuries and falls, were at higher risk of a more severe injury (OR: 1.77, 1.61 and 1.50, respectively). This groups also showed a higher likelihood of hospital admission (OR: 2.03, 192 and 2.00, respectively). Patients attended to in the ED during night hours (OR: 2.06) were also at a higher risk of hospitalization. It was concluded that animal related injuries, agriculture machine operators, and falls, besides accounting for two thirds of analyzed cases, are the mechanism of injury with a greater risk of a more severe injury and higher likelihood of a hospitalization.
Źródło:
Annals of Agricultural and Environmental Medicine; 2007, 14, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Air-conditioning vs. presence of pathogenic fungi in hospital operating theatre environment
Stosowanie klimatyzacji a występowanie grzybów chorobotwórczych w środowisku sal bloku operacyjnego
Autorzy:
Gniadek, A.
Macura, A.B.
Powiązania:
https://bibliotekanauki.pl/articles/836955.pdf
Data publikacji:
2011
Wydawca:
Polskie Towarzystwo Parazytologiczne
Tematy:
air conditioning
fungi
pathogenic fungi
hospital
operating theatre
environment
mould
nosocomial infection
Opis:
Infections related to modern surgical procedures present a difficult problem for contemporary medicine. Infections acquired during surgery represent a risk factor related to therapeutical interventions. Eradication of microorganisms from hospital operating theatre environment may contribute to reduction of infections as the laminar flow air-conditioning considerably reduces the number of microorganisms in the hospital environment. The objective of the study was to evaluate the occurrence of fungi in air-conditioned operating theatre rooms. The study was carried out in one of the hospitals in Kraków during December 2009. Indoor air samples and imprints from the walls were collected from five operating theatre rooms. A total of fifty indoor air samples were collected with a MAS-100 device, and twenty five imprints from the walls were collected using a Count Tact method. Fungal growth was observed in 48 air samples; the average numbers of fungi were within the range of 5–100 c.f.u. in one cubic metre of the air. Fungi were detected only in four samples of the wall imprints; the number of fungi was 0.01 c.f.u. per one square centimetre of the surface. The mould genus Aspergillus was most frequently isolated, and the species A. fumigatus and A. versicolor were the dominating ones. To ensure microbiological cleanness of hospital operating theatre, the air-conditioning system should be properly maintained. Domination of the Aspergillus fungi in indoor air as well as increase in the number of moulds in the samples taken in evenings (p<0.05) may suggest that the room decontamination procedures were neglected.
Źródło:
Annals of Parasitology; 2011, 57, 2
0043-5163
Pojawia się w:
Annals of Parasitology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Air-conditioning vs. presence of pathogenic fungi in hospital operating theatre environment
Stosowanie klimatyzacji a występowanie grzybów chorobotwórczych w środowisku sal bloku operacyjnego
Autorzy:
Gniadek, A.
Macura, A.B.
Powiązania:
https://bibliotekanauki.pl/articles/2143307.pdf
Data publikacji:
2011
Wydawca:
Polskie Towarzystwo Parazytologiczne
Tematy:
air conditioning
fungi
pathogenic fungi
hospital
operating theatre
environment
mould
nosocomial infection
Opis:
Infections related to modern surgical procedures present a difficult problem for contemporary medicine. Infections acquired during surgery represent a risk factor related to therapeutical interventions. Eradication of microorganisms from hospital operating theatre environment may contribute to reduction of infections as the laminar flow air-conditioning considerably reduces the number of microorganisms in the hospital environment. The objective of the study was to evaluate the occurrence of fungi in air-conditioned operating theatre rooms. The study was carried out in one of the hospitals in Kraków during December 2009. Indoor air samples and imprints from the walls were collected from five operating theatre rooms. A total of fifty indoor air samples were collected with a MAS-100 device, and twenty five imprints from the walls were collected using a Count Tact method. Fungal growth was observed in 48 air samples; the average numbers of fungi were within the range of 5–100 c.f.u. in one cubic metre of the air. Fungi were detected only in four samples of the wall imprints; the number of fungi was 0.01 c.f.u. per one square centimetre of the surface. The mould genus Aspergillus was most frequently isolated, and the species A. fumigatus and A. versicolor were the dominating ones. To ensure microbiological cleanness of hospital operating theatre, the air-conditioning system should be properly maintained. Domination of the Aspergillus fungi in indoor air as well as increase in the number of moulds in the samples taken in evenings (p<0.05) may suggest that the room decontamination procedures were neglected.
Źródło:
Wiadomości Parazytologiczne; 2011, 57, 2; 103-106
0043-5163
Pojawia się w:
Wiadomości Parazytologiczne
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An ecological study on the association between characteristics of hospital units and the risk of occupational injuries and adverse events on the example of an Italian teaching hospital
Autorzy:
Valent, Francesca
Liva, Giulia
Bellomo, Fabrizio
de Corti, Daniela
Degan, Stefania
Cattani, Giovanni
Rosa, Ilaria
Mizza, Agnese
Brusaferro, Silvio
Powiązania:
https://bibliotekanauki.pl/articles/2177091.pdf
Data publikacji:
2015-09-24
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
teaching hospital
occupational injuries
hospital incident reporting
ecological study
accidental falls
medication errors
Opis:
Objectives We explored the association of workplace characteristics with occupational injuries and adverse events in an Italian teaching hospital. Material and Methods This ecological study was conducted using data routinely collected in the University Hospital of Udine, Northeastern Italy. Poisson regression models were used to investigate, at the hospital unit level, the association between 5 outcomes, including: occupational injuries, patient falls, medication errors, other adverse events and near-misses, and various characteristics of the units. Results The proportion of female workers in a unit, the average number of sick-leave days and of overtime hours, the number of medical examinations requested by employees, and being a surgical unit were significantly associated with some of the outcomes. Conclusions Despite ecological nature of the study, which does not allow for inferences to be drawn at the individual level, the results of our study provide useful clues to support strategies and interventions directed towards healthier work environments and better patient care in hospitals.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 1; 149-159
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An impact of the efficient functioning of the ventilation and air-conditioning system on thermal comfort of the medical staff in the operating room
Autorzy:
Jankowski, T.
Młynarczyk, M.
Powiązania:
https://bibliotekanauki.pl/articles/123676.pdf
Data publikacji:
2016
Wydawca:
Polskie Towarzystwo Inżynierii Ekologicznej
Tematy:
ventilation
air velocity
microclimate
operating room
hospital
Opis:
Ventilation and air conditioning systems are necessary for developing proper parameters of indoor environment in operating rooms. The main task of ventilation and air conditioning in those specific areas consists in creating desirable temperature, reducing the number of microorganisms and the concentrations of hazardous gases and substances in the air, as well as ensuring the proper direction of airflow. In Poland, indoor environment in operating rooms has to comply with the requirements set out in three regulations (Journal of Laws of 2002 No. 75, item 690, as amended, Journal of Laws of 2002 No. 217, item 1833, Journal of Laws of 2011 No. 31, item 158, as amended) and the document entitled "Guidelines for the design of general hospitals". Given insufficient accuracy of the abovementioned national documents, it is a common practice to use foreign standards, i.e. ASHRAE Standard 170-2013, DIN 1946-4: 2008 and FprCEN TR 16244: 2011. When considering the conditions for thermal comfort, it is important to bear in mind a close link between air flow velocity and air temperature. Air in the zone occupied by patients and medical staff must not cause the sensation of draft. Furthermore, air velocity should be sufficient to eliminate interference caused by the presence of people and other sources of heat. It should also reduce the turbulence level in the air in the operating room. Efficient functioning of ventilation and air conditioning was tested during treatments and operations carried out on three wards of a Warsaw hospital. Tests were performed with the participation of medical staff from various surgical units. They were asked to perform minor manual tasks to simulate work on the operating table, and to complete a questionnaire on subjective thermal sensation. The applied methodology is widely used during testing of general and local ventilation in public buildings. Air temperature, relative humidity, air flow supply and exhaust air from the operating room were deter-mined on the basis of VelociCalc 8360 and Testo 435 anemometers with a 3-function probe and 3 vane probes with the diameter of 16 mm, 60 mm and 100 mm. Throughout the study, microclimate conditions in the operating rooms were controlled by the EHA MM101 microclimate meter. Test results showed that the microclimate parameters met the requirements of the aforementioned documents. However, individual thermal sensations reported by the medical staff pointed to the lack of thermal comfort and, in extreme cases, e.g. when using lead aprons during operations, perception of the thermal environment as ‘very hot’. The efficiency and type of air distribution in operating rooms has a decisive effect on the results.
Źródło:
Journal of Ecological Engineering; 2016, 17, 5; 114-119
2299-8993
Pojawia się w:
Journal of Ecological Engineering
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analiza wpływu systemu dystrybucji leków unit dose na optymalizację farmakoterapii
Analysis of impact of unit dose drug distribution system on pharmacotherapy optimization
Autorzy:
Żuk, Anna
Szczerbak, Klaudia
Bialik, Włodzimierz
Janiec, Robert
Powiązania:
https://bibliotekanauki.pl/articles/1036435.pdf
Data publikacji:
2016
Wydawca:
Śląski Uniwersytet Medyczny w Katowicach
Tematy:
unit dose
system dystrybucji leków
apteka szpitalna
drug distribution system
hospital pharmacy
Opis:
INTRODUCTION: A unit dose system enables the delivery of drugs from the hospital pharmacy to the hospital unit for a particular patient. Each dose is separately packaged and labeled with general information about the drug and the patient for whom it is designated. There is no need for prior drug transference, calculation, or handling by nurses. The drugs are stored in hospital units for the next 24 hours of treatment of each patient and are used in emergencies. MATERIAL AND METHODS: The aim of the study was to analyze the impact of a unit dose distribution system on optimizing drug treatment. For this purpose, systematic literature review was performed. The methodology part was modelled based on the article by Sinnemaki et al. [1]. 15 studies, which were conducted between 1997 and 2011, were included in the research (studies ranged from 1 month to 5 years). The studies regard the errors occurring during drug distribution, drug preparation time, accuracy of dispensing medications and the stability of drugs repacked into unit doses. RESULTS: The study results indicated that medical errors were minimized when a unit dose system was used and an optimal time of drug preparation in a unit dose system was achieved. The pharmacy technicians and pharmacists were accurate in terms of preparing the unit doses. Furthermore, the drugs repacked into a unit dose are stable. CONCLUSIONS: It was noted that there is a need for further research to measure the impact of the unit dose system on optimizing drug treatment.
WSTĘP: System dystrybucji leków unit dose zapewnia dostarczenie leków z apteki szpitalnej na oddział dla konkretnego pacjenta. Każda dawka jest oddzielnie pakowana oraz posiada etykietę z podstawowymi informacjami o leku i pacjencie, dla którego jest przeznaczona. Nie ma zatem konieczności przenoszenia, obliczania i przygotowywania leków przez pielęgniarki. Na oddziałach przechowywane są leki na okres 24-godzinnej terapii dla każdego pacjenta oraz stosowane w nagłych przypadkach. MATERIAŁ I METODY: Celem pracy było dokonanie analizy wpływu systemu dystrybucji leków unit dose na optymalizację farmakoterapii. W tym celu dokonano przeglądu systematycznego dostępnego piśmiennictwa. Część metodologiczną wzorowano na artykule Sinnemaki i wsp. [1]. Do pracy włączono 15 publikacji, które opisywały badania trwające od miesiąca do pięciu lat, przeprowadzane od 1997 do 2011 roku. Publikacje dotyczyły błędów występujących podczas dystrybucji leków, czasu poświęcanego przez personel medyczny na aktywności związane z lekami, dokładności podczas przygotowywania dawek jednostkowych oraz stabilności leków przepakowywanych. WYNIKI: Uzyskano wyniki świadczące o zminimalizowaniu odsetka błędów medycznych podczas korzystania z systemu dystrybucji leków unit dose oraz optymalnym czasie przygotowywania leków w tym systemie. Zarówno technicy, jak i farmaceuci wykazali się wysoką dokładnością podczas przygotowywania dawek jednostkowych. Ponadto stwierdzono, że leki przepakowywane są stabilne. WNIOSKI: Zauważono konieczność przeprowadzenia kolejnych badań naukowych pogłębiających dotychczasową wiedzę na temat wpływu systemu unit dose na optymalizację kosztów farmakoterapii.
Źródło:
Annales Academiae Medicae Silesiensis; 2016, 70; 143-153
1734-025X
Pojawia się w:
Annales Academiae Medicae Silesiensis
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analiza wstępowania szpitalnych zakażeń układu moczowego w 10-letniej obserwacji oddziału chorób wewnętrznych i nefrologii w Małopolsce
Autorzy:
Wałaszek, Marta
Kołpa, Małgorzata
Wolak, Zdzisław
Sydor, Antoni
Pelczar, Anna
Powiązania:
https://bibliotekanauki.pl/articles/2097675.pdf
Data publikacji:
2017-06-30
Wydawca:
Państwowa Wyższa Szkoła Zawodowa w Tarnowie
Tematy:
ddział chorób wewnętrznych
zakażenie szpitalne
Healthcare – Associated Infections (HAI)
szpitalne zakażenie układu moczowego (UTI)
E. coli
P. aeruginosa
internal medicine department
hospital-acquired infections
healthcare associated infections
urinary tract infections
Opis:
Wstęp: Zakażenia szpitalne są jednym z poważniejszych zagrożeń zdrowia pacjenta podczas hospitalizacji. Wśród nich zakażenia szpitalne HAI (Healthcare – Associated Infections). Najczęściej występującą formą są szpitalne zakażenia układu moczowego (UTI – Urinary Tract Infection). Cel: W celu zbadania częstości występowania szpitalnych zakażeń układu moczowego poddano analizie strukturę zakażeń szpitalnych występujących u pacjentów hospitalizowanych w Oddziale Chorób Wewnętrznych i Nefrologii Szpitala Wojewódzkiego im. Św. Łukasza w Tarnowie. Materiał i metody: Analizowano dane dotyczące 13 965 pacjentów hospitalizowanych w Oddziale Chorób Wewnętrznych i Nefrologii w latach od 2006 do 2015. W analizie materiału wykorzystano standardowe metody epidemiologiczne i ujednolicone definicje zakażeń szpitalnych wydane przez ECDC (European Center for Disease Prevention and Control) oraz CDC (Centers for Disease Control and Prevention). Wyniki: Wykryto 237 szpitalnych UTI co stanowiło 33% wszystkich zakażeń szpitalnych wykrytych w badanym oddziale. Zachorowalność wynosiła 1,7%, w tym: 1,5% dla potwierdzonych mikrobiologicznie zakażeń (UTI-A: Microbiologically Confirmed Symptomatic UTI) i 0,2% bez potwierdzenia mikrobiologicznego (UTI-B: Not Microbiologically Confirmed Symptomatic UTI). Współczynnik gęstości zachorowań na 1000 osobodni pobytu (ID – density incidence /1000 osobodni pobytu) wynosił 0,2/1000. Rozpoznano 168 przypadków zakażeń UTI związanych z cewnikiem moczowym i 69 przypadków bez cewnika moczowego. Współczynnik gęstości zachorowań dla UTI z cewnikiem moczowym wynosił 3,3 na 1000 osobodni z cewnikiem moczowym. Wśród czynników etiologicznych, które izolowano z materiałów pochodzących od pacjentów z zakażeniem układu moczowego (UTI) dominowały: Escherichia coli 63 (29%), Enterococcus spp. 37 (16%), Klebsiella spp. 23 (11%). Wnioski: Dziesięcioletnia obserwacja szpitalnych UTI występujących w oddziale chorób wewnętrznych i nefrologii wykazała możliwość przeprowadzenia bardzo dokładnej analizy epidemiologicznej tych zakażeń. Porównanie gęstości występowania szpitalnych UTI uzyskane w badanym oddziale z odnotowaną w programach CDC pozwala wnioskować, iż sytuacja epidemiologiczna w badanym oddziale nie odbiega znacząco od sytuacji w innych krajach.
Introduction: Hospital-acquired infections are one of the most serious health threats during a patient’s stay in hospital, including healthcare associated infections (HAI). The most typical form of hospital-acquired infections is urinary tract infection (UTI). Objective: To examine the frequency of appearing UTIs, the structure of UTIs in in-patients in the department of internal medicine and nephrology at Saint Lucas’s general hospital in Tarnów was analysed. Materials and methods: Data analysis of 13 965 in-patients staying in the department of internal medicine and nephrology from 2006 to 2015 was carried out. To investigate these data epidemiological methods and standard definitions of hospital- acquired infections issued by European Center for Disease Prevention as well as Control and Centers for Disease Control and Prevention were used. Results: 237 hospital-acquired UTIs were revealed, which is 33% of all UTIs revealed in the investigated ward. The UTI incidence rate was 1.7% including 1.5% for microbiologically confirmed symptomatic UTIs and 0.2% not microbiologically confirmed symptomatic UTIs. The incidence density rate per 1 000 person-days was 0.2 over 1 000. The number of revealed catheter-related cases was 168, and not catheter-related cases – 69. The incidence density rate of UTIs associated with urinary catheters was 3.3 per 1 000 person-days. The dominant etiological factors, which were taken to be detected from the infected patients’ specimens, were: Escherichia coli 63 (29%), Enterococcus spp. 37(16%), Klebsiella spp. 23 (11%). Conclusions: A 10 year observation of UTIs, which have appeared in the department of internal medicine and nephrology, allowed to conduct the accurate analysis of these infections. The comparison of urinary tract infection rates done in the investigated ward, and recorded in the Research Participation Programs at the Centers for Disease Control and Prevention (CDC), allows to draw the conclusion that the presented epidemiological situation does not differ significantly from other countries.
Źródło:
Health Promotion & Physical Activity; 2017, 2, 3; 141-154
2544-9117
Pojawia się w:
Health Promotion & Physical Activity
Dostawca treści:
Biblioteka Nauki
Artykuł

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