scholarly journals 109 Scedosporium prolificans and Apiosporum: Distinct clinical epidemiological characteristics in an Australian Tertiary Hospital setting

2006 ◽  
Vol 10 ◽  
pp. S61 ◽  
Author(s):  
L. Cooley ◽  
M. Slavin ◽  
K. Thursky ◽  
D. Spellman
Keyword(s):  
Hospital Setting ◽  
Tertiary Hospital ◽  
Scedosporium Prolificans ◽  
Epidemiological Characteristics

scholarly journals Visual loss from mismanaged ocular injury with foreign body impaction: A Case Report

2018 ◽  
Vol 4 (2) ◽  
pp. 198-204
Author(s):  
Ifedayo O. Akintoye ◽  
Caroline O. Adeoti
Keyword(s):  
Foreign Body ◽  
Health Workers ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Health Concern ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Health Extension Workers ◽  
Foreign Body Impaction ◽  
Upper Lid

Ocular injury occurs commonly and it may lead to visual impairment if it is not properly managed. We report the case of a 35-year old man with a retained infected ocular foreign body in his right eye following an injury. The foreign body was not discovered despite consulting non-ophthalmologists at a Maternity Centre and an Optical Shop over a period of ten days.  At presentation at the Specialist Hospital, he was unable to see with swelling of the eyelid, red eye and discharge. On examination, the visual acuity in the affected eye was NLP and an infected stick that penetrated the eyeball was discovered in the superonasal aspect of sclera covered by the swollen upper lid. This resulted in endophthalmitis, cataract and blindness of that eye. Ocular injuries must be promptly referred to the ophthalmologist for appropriate care and to prevent complications. The case clearly showed a diagnostic and therapeutic challenge for paramedics who encounter eye injuries outside the tertiary hospital setting. Therefore, this report raises public health concern intended to increase awareness on the management of eye injuries. The incorporation of Primary Eye Health into Primary Health Care along with training and re-training of Community Health Extension Workers, General Practitioners and other rural health workers cannot be overemphasized.

scholarly journals Building a patient blood management program in a large-volume tertiary hospital setting: Problems and solutions

2020 ◽  
Vol 28 (3) ◽  
pp. 560-569
Author(s):  
Serdar Serdar Günaydın
Keyword(s):  
Large Volume ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Management Program ◽  
Successful Implementation ◽  
Patient Blood Management ◽  
Blood Management ◽  
Specific Patient ◽  
Management Protocol ◽  
Problems And Solutions

Successful implementation of a patient blood management program necessitates the collaboration of a strong organization and a multidisciplinary approach. We organized a meeting with broad participation in our center to establish a consensus for implementation of a specific patient blood management program. International and domestic experiences were shared, the importance of coordination and execution of different pillars in patient blood management were discussed, and the problems about the blood transfusion system were also investigated with the proposal for solutions. The data obtained from this meeting are presented to be a guide for similar large-volume tertiary hospitals for integration of a patient blood management protocol.

Spread of NDM-producing Klebsiella pneumoniae in a tertiary Greek hospital

2021 ◽  
Author(s):  
Κonstantina Kontopoulou ◽  
Georgios Meletis ◽  
Styliani Pappa ◽  
Sofia Zotou ◽  
Katerina Tsioka ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Rapd Analysis ◽  
Random Amplified Polymorphic Dna ◽  
Hospital Setting ◽  
Tertiary Hospital ◽  
Whole Genome Sequence ◽  
Health Concern ◽  
Resistant Bacteria ◽  
New Delhi ◽  
Whole Genome

AbstractBacterial carbapenem resistance, especially when mediated by transferable carbapenemases, is of important public health concern. An increased number of metallo-β-lactamase (MBL)-producing Klebsiella pneumoniae strains isolated in a tertiary hospital in Thessaloniki, Greece, called for further genetic investigation.The study included 29 non-repetitive carbapenem resistant K. pneumoniae isolates phenotypically characterized as MBL-producers collected in a tertiary hospital in Greece. The isolates were screened for the detection of carbapenemase genes (K. pneumoniae carbapenemase (blaKPC), Verona-integron-encoded MBL-1 (blaVIM-1), imipenemase (blaIMP), oxacillinase-48 (blaOXA-48) and New Delhi MBL (blaNDM)). The genetic relationship of the isolates was determined by Random Amplified Polymorphic DNA (RAPD) analysis. The whole genome sequences (WGS) from two NDM-positive K. pneumoniae isolates were further characterized.The presence of New Delhi MBL (blaNDM) gene was confirmed in all K. pneumoniae isolates, while blaKPC and blaVIM-1 genes were co-detected in one and two isolates, respectively. The RAPD analysis showed that the isolates were clustered into two groups. The whole genome sequence analysis of two K. pneumoniae isolates revealed that they belonged to the sequence type 11, they carried the blaNDM-1 gene, and exhibited differences in the number and type of the plasmids and the resistant genes.All MBL-producing K. pneumoniae isolates of the study harbored a blaNDM gene, while WGS analysis revealed genetic diversity in resistance genes. Continuous surveillance is needed to detect the emergence of new clones in a hospital setting, while application of antimicrobial stewardship is the only way to reduce the spread of multi-resistant bacteria.

RA06.05: LAPAROSCOPIC GIANT PARAESOPHAGEAL HERNIA REPAIR: CT SCAN AND QUALITY OF LIFE TOOL EVALUATION OF SUCCESS

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 31-31
Author(s):  
Henriikka Hietaniemi ◽  
Ilkka Ilonen ◽  
Juha Kauppi ◽  
Saana Andersson ◽  
Jari Räsänen
Keyword(s):  
Quality Of Life ◽  
Computerized Tomography ◽  
Paraesophageal Hernia ◽  
Conflicts Of Interest ◽  
Excellent Result ◽  
Hospital Setting ◽  
Recurrent Hernia ◽  
Tertiary Hospital ◽  
Radiographic Findings

Abstract Background Our objective was to analyze the results of laparoscopic giant paraesophageal hernia (GPEH) repair in tertiary hospital setting. The main endpoints were recurrence of the hernia, postoperative quality of life, symptoms and satisfaction with the operation. To assess radiographical recurrence we used computerized tomography imaging, which has not been used in previous studies. Methods We identified all non-emergent giant (more than 30% of stomach in the chest) esophageal hernia repairs in our hospital from medical records. The patients were sent standardized 15D health-related quality of life and Gastroesophageal reflux disease (GERD-HRQL) questionnaires. Patients who gave their consent were assigned to a non-contrast computerized tomography (CT)-study to assess radiographical recurrence. Results Altogether 165 patients were reviewed. 74% of the patients were female, with a mean age of 67. 1 patient (0.6%) had died perioperatively. Complications were reported in 28 patients (17%). 10 patients (6.1%) had to undergo reoperation within 30 days. 7 patients (5.9%) were dissatisfied with the operation. 66% had an excellent result on GERD-HRQL. 4 patients had a major recurrent hernia in CT, but the radiographic findings did not correlate with symptoms. The mean D15 score was 0853 for our patients and 0896 for the age-adjusted control population (P < 0001). Conclusion The complication rate was comparable to previous studies. Perioperative mortality was low, significant radiographical recurrences were rare and only few patients were dissatisfied with the result. However the overall quality of life of the study group was slightly below age-adjusted population average. Disclosure All authors have declared no conflicts of interest.

Profile and outcome of dissociative disorders presenting as psychiatric emergencies to a tertiary hospital setting in India

2019 ◽  
Vol 44 ◽  
pp. 187-188
Author(s):  
V. Senthil Kumar Reddi ◽  
Harshit Hemant Salian ◽  
Krishna Prasad Muliyala ◽  
Prabha S. Chandra
Keyword(s):  
Hospital Setting ◽  
Tertiary Hospital ◽  
Dissociative Disorders ◽  
Psychiatric Emergencies

scholarly journals The association between febrile convulsion in children and chronic hyperventilation in parents

2002 ◽  
Vol 42 (6) ◽  
pp. 239
Author(s):  
M. Widiastuti Samekto ◽  
I Gusti Putu Ardana
Keyword(s):  
Hospital Setting ◽  
Prevalence Ratio ◽  
Febrile Convulsion ◽  
Tertiary Hospital ◽  
Hyperventilation Syndrome ◽  
Genetic Trait ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Table Analysis ◽  
Cross Sectional Design

Background Febrile convulsion and chronic hyperventilation syndrome (spasmophilia) are suspected to share the same root of pathophysiology, a genetic trait abnormality related to ion channel that could cause neuronal hyperexcitability.Objective To determine the prevalence ratio of parents with chronic hyperventilation syndrome between two groups of children with and without febrile convulsion.Methods A cross-sectional design study was used, with a tertiary hospital setting (Kariadi Hospital). Participants were selected consecutively based on eligibility criteria. Febrile convulsion was diagnosed based on a modified Livingstone criteria. Chronic hyperventilation syndrome in parents was determined using the clinical diagnostic test of spasmophilia (88.4% sensitivity and 6 1.6% specificity). Statistical calculations were conducted with two by two table analysis and within the 95% confidence interval.Results Sixty-two children (mean age 18 months) who met the eligibility criteria were included. The parents' mean ages were 33 years (father) and 29 years (mother). The prevalence ratio of father, mother and both parents with chronic hyperventilation between the febrile convulsion group and the non-febrile convulsion group were 2.56 (95% CI 0.53 to 12.31), 6.19 (95% CI 1.70 to 22.6) and 18.7 (95% CI3.07 to 113.9), respectively.Conclusion Febrile convulsion can be anticipated in children of parents who suffer from chronic hyperventilation syndrome.

scholarly journals P605 Functional constipation in a tertiary hospital setting

2019 ◽  
Author(s):  
Katarina Milošić ◽  
Mirna Natalija Aničić ◽  
Lana Omerza ◽  
Irena Senečić-Čala ◽  
Jurica Vuković ◽  
...  
Keyword(s):  
Hospital Setting ◽  
Functional Constipation ◽  
Tertiary Hospital
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