首页 > 最新文献

Open Access Library Journal最新文献

英文 中文
Dose Load during Orthopedic Procedures 矫形手术中的剂量负荷
Pub Date : 2021-02-01 DOI: 10.4236/OALIB.1107107
N. Ivanova, Javor Ivanov, M. Marinov, Miroslav Petrov
This article discusses the dose load of people working with a C-arm X-ray system during orthopedic procedures. We measured the effective doses received by the doctor-operator and his assistant at three points of the body—head, gonads and feet, in radiography mode (single shot) and in three sub-modes of the fluoroscopy mode—continuous fluoroscopy; 1/2 dose fluoroscopy and pulse fluoroscopy. Calculations were made for dose rate the resulting our measurements due to the fact that at the different exposure modes are used different exposure times. For a more accurate comparison of the dose load in the different operating modes, we calculated the time for reaching the dose limit for the personnel given in the Bulgarian legislation is calculated—20 mSv per year. The results of all measurements and calculations show that the dose load in the radiography mode (single shot) is several times larger than the dose that was received in the three variations of the fluoroscopy modes. Our main goal by this research is to convincingly show orthopedic surgeons and traumatologists that using a fluoroscopy mode (in all its variations) of the C-arm X-ray system in the position of the tube under the patient table is best for their work, appreciating terms of work, image quality, informational value and dose load of the staff.
本文讨论了矫形手术过程中使用c臂x射线系统的人员的剂量负荷。我们测量了医生和他的助手在身体、头部、性腺和脚的三个点上接受的有效剂量,在x线摄影模式(单次)和透视模式的三个子模式-连续透视;1/2剂量透视和脉冲透视。由于在不同的照射模式下使用不同的照射时间,因此对我们的测量结果进行了剂量率计算。为了更准确地比较不同操作模式下的剂量负荷,我们计算了保加利亚立法规定的人员达到剂量极限的时间- -每年20毫希沃特。所有测量和计算的结果表明,放射模式(单次注射)的剂量负荷比在三种不同的透视模式下接受的剂量大几倍。我们这项研究的主要目标是向骨科医生和创伤学家展示,在病人桌子下面的管道位置使用c臂x射线系统的透视模式(所有变化)最适合他们的工作,欣赏工作条件,图像质量,信息价值和工作人员的剂量负荷。
{"title":"Dose Load during Orthopedic Procedures","authors":"N. Ivanova, Javor Ivanov, M. Marinov, Miroslav Petrov","doi":"10.4236/OALIB.1107107","DOIUrl":"https://doi.org/10.4236/OALIB.1107107","url":null,"abstract":"This article discusses the dose load of people working with a C-arm X-ray system during orthopedic procedures. We measured the effective doses received by the doctor-operator and his assistant at three points of the body—head, gonads and feet, in radiography mode (single shot) and in three sub-modes of the fluoroscopy mode—continuous fluoroscopy; 1/2 dose fluoroscopy and pulse fluoroscopy. Calculations were made for dose rate the resulting our measurements due to the fact that at the different exposure modes are used different exposure times. For a more accurate comparison of the dose load in the different operating modes, we calculated the time for reaching the dose limit for the personnel given in the Bulgarian legislation is calculated—20 mSv per year. The results of all measurements and calculations show that the dose load in the radiography mode (single shot) is several times larger than the dose that was received in the three variations of the fluoroscopy modes. Our main goal by this research is to convincingly show orthopedic surgeons and traumatologists that using a fluoroscopy mode (in all its variations) of the C-arm X-ray system in the position of the tube under the patient table is best for their work, appreciating terms of work, image quality, informational value and dose load of the staff.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"14 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79607002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of the Quality of the Cesarean Section in Mbuji-Mayi City (Democratic Republic of Congo) Mbuji-Mayi市(刚果民主共和国)剖宫产质量的决定因素
Pub Date : 2021-02-01 DOI: 10.4236/OALIB.1106307
Balela Kabasu Marie Claire, Mbuyi Mukendi Fortunat, K. M. John, Kadima Cibangu, Kakese Tshimanga, K. Michel, Kapanga Kapita Sébastien, Beya Beya Laurent-Blaise, Jean Cicéron Mbunda Mulowayi
Objective: The overall objective of this study was to make a small contribution to improving the health of mothers and children. Method: This is a transversal descriptive study, which took place in the city of Mbuji-Mayi, exactly in the general reference hospitals of this city during the period from March 13 to June 12, 2017, on a sample of 103 cases of cesarean sections. The determinants of the quality of the cesarean section were found by the bivariate analyzes on SPSS. Results: After collecting and analyzing data, we arrived at the results according to which: The cesarean section rate is 8.9%, the fairly good, low and medium quality cesarean section represented 51.5%, 2.9% and 45.6% respectively and if the operating room was available, the probability of having a mid-quality cesarean was 90 times higher (p < 0.001), 14 times higher in the case of a mother and child alive than in the event of death of the child (p < 0.001) and 4.3 times weak or fairly good with an ineffective kit (p < 0.001). Conclusion: The cesarean section rate is 8.9% and the determinants of quality cesarean section were: the availability of the operating room, mother-child prognosis and the availability of the operating kit. These results will help decision-makers in health matters to train and retrain health personnel, particularly midwives, on the benefits of prenatal consultation and its objectives, timely referral, and on the quality of work supervision.
目的:本研究的总体目标是为改善母亲和儿童的健康做出一点贡献。方法:这是一项横向描述性研究,于2017年3月13日至6月12日在姆布吉-马伊市的综合参考医院进行,样本为103例剖宫产。影响剖宫产质量的因素采用SPSS双变量分析。结果:经过数据的收集和分析,我们得出的结果是:剖宫产率为8.9%,较好、低、中质量剖宫产分别占51.5%、2.9%和45.6%,如果有手术室,中等质量剖宫产的概率是90倍(p < 0.001),母亲和孩子活着的情况下,剖宫产的概率是孩子死亡的14倍(p < 0.001),弱或较好,无效试剂盒的4.3倍(p < 0.001)。结论:剖宫产率为8.9%,决定剖宫产质量的因素有:是否有手术室、母婴预后、是否有手术用具。这些结果将有助于保健问题的决策者对保健人员,特别是助产士进行培训和再培训,使其了解产前咨询的好处及其目标、及时转诊以及工作监督的质量。
{"title":"Determinants of the Quality of the Cesarean Section in Mbuji-Mayi City (Democratic Republic of Congo)","authors":"Balela Kabasu Marie Claire, Mbuyi Mukendi Fortunat, K. M. John, Kadima Cibangu, Kakese Tshimanga, K. Michel, Kapanga Kapita Sébastien, Beya Beya Laurent-Blaise, Jean Cicéron Mbunda Mulowayi","doi":"10.4236/OALIB.1106307","DOIUrl":"https://doi.org/10.4236/OALIB.1106307","url":null,"abstract":"Objective: The overall objective of this study was to make a small contribution to improving the health of mothers and children. Method: This is a transversal descriptive study, which took place in the city of Mbuji-Mayi, exactly in the general reference hospitals of this city during the period from March 13 to June 12, 2017, on a sample of 103 cases of cesarean sections. The determinants of the quality of the cesarean section were found by the bivariate analyzes on SPSS. Results: After collecting and analyzing data, we arrived at the results according to which: The cesarean section rate is 8.9%, the fairly good, low and medium quality cesarean section represented 51.5%, 2.9% and 45.6% respectively and if the operating room was available, the probability of having a mid-quality cesarean was 90 times higher (p < 0.001), 14 times higher in the case of a mother and child alive than in the event of death of the child (p < 0.001) and 4.3 times weak or fairly good with an ineffective kit (p < 0.001). Conclusion: The cesarean section rate is 8.9% and the determinants of quality cesarean section were: the availability of the operating room, mother-child prognosis and the availability of the operating kit. These results will help decision-makers in health matters to train and retrain health personnel, particularly midwives, on the benefits of prenatal consultation and its objectives, timely referral, and on the quality of work supervision.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"15 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84293905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Epidemiological Aspects of Certain Diseases with Weekly Notification in the Democratic Republic of Congo (DRC): Case of Three Hospitals in Lubumbashi 在刚果民主共和国每周通报的某些疾病的临床和流行病学方面:以卢本巴希三家医院为例
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107051
Basema Kindja Marie-France, M. Patricia, Ramazani Mupuluzi Theophile, Kampentenga Tshitenga Serges, K. Pascal, Matungulu Matungulu Charles, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin
Introduction: In popular opinion, costs are equated with expenses, in other words, by costs we mean amounts that have to be spent on something. So, we often talk about health costs, when in fact we mean health expenditure, that is, all monetary expenses incurred in the framework of the health system. Methodology: This is a descriptive cross-sectional study with an analytical aim on the cost and the clinical and epidemiological aspects of diseases with weekly notification in children aged 0 - 5 years at the Chrina Medical Center, at the General Referral Hospital of Kamalondo and at the Katuba General Referral Hospital on 203 children aged 0 - 5 years during the first quarter of 2019. Results: The average cost of treating malaria at Chrina Medical Center is $60.2, it is $69 at Kamalondo General Referral Hospital and $77.6 at Katuba General Referral Hospital. Compared to clinical signs, all patients (100.0%) presented with Fever, 75.0% presented with Rash and only 50.0% presented with physical asthenia. Out of 203 cases identified malaria (88 cases), typhoid fever (78 cases), acute respiratory infections (33 cases) as well as measles (4 cases). Conclusion: Prevention is the best way to fight most of the communicable diseases which cause enormous damage both individually and collectively. There is an urgent need for health education to inform and educate the population on individual and collective hygienical measures as well as the risks related to the immediate environment, in particular, the lack of access to drinking water, sanitation, decent housing and a healthy living environment is among the factors behind the poor health of children under five in developing countries.
引言:一般认为,成本等同于费用,换句话说,我们所说的成本是指必须花在某事上的钱。因此,我们经常谈论卫生成本,而实际上我们指的是卫生支出,即卫生系统框架内发生的所有货币支出。方法:这是一项描述性横断面研究,目的是分析2019年第一季度中国医疗中心、卡隆多综合转诊医院和卡图巴综合转诊医院的203名0 - 5岁儿童每周通报的0 - 5岁儿童疾病的成本和临床和流行病学方面。结果:中国医疗中心疟疾治疗平均费用为60.2美元,Kamalondo综合转诊医院为69美元,Katuba综合转诊医院为77.6美元。与临床体征相比,所有患者(100.0%)表现为发热,75.0%表现为皮疹,仅有50.0%表现为身体虚弱。在确定的203例病例中,疟疾(88例)、伤寒(78例)、急性呼吸道感染(33例)和麻疹(4例)。结论:预防是对抗大多数传染病的最佳方式,这些传染病对个人和集体都造成了巨大的损害。迫切需要进行卫生教育,使人民了解个人和集体卫生措施以及与眼前环境有关的风险,特别是缺乏饮用水、卫生设施、体面住房和健康生活环境是发展中国家五岁以下儿童健康状况不佳的因素之一。
{"title":"Clinical and Epidemiological Aspects of Certain Diseases with Weekly Notification in the Democratic Republic of Congo (DRC): Case of Three Hospitals in Lubumbashi","authors":"Basema Kindja Marie-France, M. Patricia, Ramazani Mupuluzi Theophile, Kampentenga Tshitenga Serges, K. Pascal, Matungulu Matungulu Charles, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin","doi":"10.4236/OALIB.1107051","DOIUrl":"https://doi.org/10.4236/OALIB.1107051","url":null,"abstract":"Introduction: In popular opinion, costs are equated with expenses, in other words, by costs we mean amounts that have to be spent on something. So, we often talk about health costs, when in fact we mean health expenditure, that is, all monetary expenses incurred in the framework of the health system. Methodology: This is a descriptive cross-sectional study with an analytical aim on the cost and the clinical and epidemiological aspects of diseases with weekly notification in children aged 0 - 5 years at the Chrina Medical Center, at the General Referral Hospital of Kamalondo and at the Katuba General Referral Hospital on 203 children aged 0 - 5 years during the first quarter of 2019. Results: The average cost of treating malaria at Chrina Medical Center is $60.2, it is $69 at Kamalondo General Referral Hospital and $77.6 at Katuba General Referral Hospital. Compared to clinical signs, all patients (100.0%) presented with Fever, 75.0% presented with Rash and only 50.0% presented with physical asthenia. Out of 203 cases identified malaria (88 cases), typhoid fever (78 cases), acute respiratory infections (33 cases) as well as measles (4 cases). Conclusion: Prevention is the best way to fight most of the communicable diseases which cause enormous damage both individually and collectively. There is an urgent need for health education to inform and educate the population on individual and collective hygienical measures as well as the risks related to the immediate environment, in particular, the lack of access to drinking water, sanitation, decent housing and a healthy living environment is among the factors behind the poor health of children under five in developing countries.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"48 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73533392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monotileable Amenable Groups: An Application 单片可修改组:一个应用
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107012
Amal Mohammed Ahmed Gaweash, Hayat Yousuf Ismail Bakur, Mariam Almadi Mohammed Mu’lla
We study actions of countable discrete groups which are Monotileable amenable groups in the sense that there exists a mean on X which is invariant under the action of G. Assuming that G is nonamenable, we obtain structural results for the stabilizer subgroups of amenable actions which allow us to relate the first l2-Betti number of G with that of the stabilizer subgroups.
在G作用下,在X上存在一个不变的均值的意义上,研究了可数离散群的单可调可调群的作用。假设G是不可调的,我们得到了可调作用的稳定子群的结构结果,使我们能够将G的前12 - betti数与稳定子群的前12 - betti数联系起来。
{"title":"Monotileable Amenable Groups: An Application","authors":"Amal Mohammed Ahmed Gaweash, Hayat Yousuf Ismail Bakur, Mariam Almadi Mohammed Mu’lla","doi":"10.4236/OALIB.1107012","DOIUrl":"https://doi.org/10.4236/OALIB.1107012","url":null,"abstract":"We study actions of countable discrete groups which are Monotileable amenable groups in the sense that there exists a mean on X which is invariant under the action of G. Assuming that G is nonamenable, we obtain structural results for the stabilizer subgroups of amenable actions which allow us to relate the first l2-Betti number of G with that of the stabilizer subgroups.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"46 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77256393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Growth Performance, Gonadal Weight and Fecundity: A Comparative Study of Rastrineobola argetea and Roasted Soybean Meal as Protein Ingredients for Brood Stock African Catfish (Clarias gariepinus) in Uganda 乌干达非洲鲶鱼育雏的生长性能、性腺重量和繁殖力:烤豆粕与黄颡鱼蛋白质成分的比较研究
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106436
Robert Muyinda, Henry Felix Emejje, G. Zirintunda, Dr. Keneth Iceland Kasozi, Abel Patrick Mawadri
Rastrineobola argetea (fishmeal) was compared to roasted soybean meal as protein ingredients for brood stock African cat fish (Clarias gariepinus) in March 2019 on Geossy farm, Uganda. The fish were observed for growth and reproductive indices. Brood stocks of average weight 327 g were fed on different feeds for a month. Feed A contained soybeans as the sole main protein source. Feed B contained fishmeal as the sole protein source. Feed C was the control (usual farm feeds). Growth indices of B were significantly higher than of A (p = 0.0001, P
2019年3月,在乌干达Geossy农场,将Rastrineobola argetea(鱼粉)与烤豆粕作为育雏非洲猫鱼(Clarias gariepinus)的蛋白质成分进行了比较。观察鱼的生长和繁殖指标。平均体重327 g的育雏群饲喂不同饲料1个月。饲料A中大豆是唯一的主要蛋白质来源。饲料B以鱼粉为唯一蛋白质来源。饲料C作为对照(通常的农场饲料)。B的生长指数显著高于A (p = 0.0001, p = 0.0001)
{"title":"Growth Performance, Gonadal Weight and Fecundity: A Comparative Study of Rastrineobola argetea and Roasted Soybean Meal as Protein Ingredients for Brood Stock African Catfish (Clarias gariepinus) in Uganda","authors":"Robert Muyinda, Henry Felix Emejje, G. Zirintunda, Dr. Keneth Iceland Kasozi, Abel Patrick Mawadri","doi":"10.4236/OALIB.1106436","DOIUrl":"https://doi.org/10.4236/OALIB.1106436","url":null,"abstract":"Rastrineobola argetea (fishmeal) was compared to roasted soybean meal as protein ingredients for brood stock African cat fish (Clarias gariepinus) in March 2019 on Geossy farm, Uganda. The fish were observed for growth and reproductive indices. Brood stocks of average weight 327 g were fed on different feeds for a month. Feed A contained soybeans as the sole main protein source. Feed B contained fishmeal as the sole protein source. Feed C was the control (usual farm feeds). Growth indices of B were significantly higher than of A (p = 0.0001, P","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"8 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87192951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
COVID-19 in Sri Lanka and Work Setting Changes 斯里兰卡的COVID-19和工作环境的变化
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107008
Anuruddika Jayathilaka
COVID-19 has made the world to rethink on their work life. With the increasing infected people and death rate, it is vital to rethink about the work setting where people are gathered in big numbers. The study on “COVID-19 in Sri Lanka and Work Setting Changes” is a comprehensive literature survey which was conducted by incorporating desk research strategy in addition to the rational thinking of the author and observations. Throughout the study COVID-19 and the workplace preparedness for COVID-19 in the world and Sri Lanka was addressed. Reasonably believing that this study contributed to existing literature, the author wishes to state the limitations faced and few recommendations for further researches.
COVID-19让世界重新思考他们的工作生活。随着感染人数和死亡率的不断增加,重新思考人们大量聚集的工作环境至关重要。关于“COVID-19在斯里兰卡和工作环境变化”的研究是一项综合的文献调查,除了作者的理性思考和观察外,还结合了书桌研究策略。在整个研究过程中,讨论了COVID-19以及世界和斯里兰卡的工作场所对COVID-19的防范。作者合理地认为本研究对现有文献有所贡献,并希望说明所面临的局限性和对进一步研究的一些建议。
{"title":"COVID-19 in Sri Lanka and Work Setting Changes","authors":"Anuruddika Jayathilaka","doi":"10.4236/OALIB.1107008","DOIUrl":"https://doi.org/10.4236/OALIB.1107008","url":null,"abstract":"COVID-19 has made the world to rethink on their work life. With the increasing infected people and death rate, it is vital to rethink about the work setting where people are gathered in big numbers. The study on “COVID-19 in Sri Lanka and Work Setting Changes” is a comprehensive literature survey which was conducted by incorporating desk research strategy in addition to the rational thinking of the author and observations. Throughout the study COVID-19 and the workplace preparedness for COVID-19 in the world and Sri Lanka was addressed. Reasonably believing that this study contributed to existing literature, the author wishes to state the limitations faced and few recommendations for further researches.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"14 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79744851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
On Opening the Gate to the Stars and the Drake Equation 关于打开通往星星的大门和德雷克方程
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1107129
L. Copertari
Introduction. The future of humanity depends on its ability to explore and colonize new worlds, either in the Solar system or even beyond, in exostar systems with habitable exoplanets. Purpose. The objective of this paper is to explore different (hypotheti...
介绍。人类的未来取决于其探索和殖民新世界的能力,无论是在太阳系还是更远的地方,在有可居住的系外行星的系外恒星系统中。目的。本文的目的是探讨不同的(假设的)……
{"title":"On Opening the Gate to the Stars and the Drake Equation","authors":"L. Copertari","doi":"10.4236/OALIB.1107129","DOIUrl":"https://doi.org/10.4236/OALIB.1107129","url":null,"abstract":"Introduction. The future of humanity depends on its ability to explore and colonize new worlds, either in the Solar system or even beyond, in exostar systems with habitable exoplanets. Purpose. The objective of this paper is to explore different (hypotheti...","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"1 1","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74480526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality Improvement Training Framework Adoption at Katutura Hospital in Windhoek Namibia 在纳米比亚温得和克的卡图图拉医院采用质量改进培训框架
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106945
B. Maseke, Bongani Nyathi
In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care systems are becoming more complex with paradoxical challenges resulting into inefficiencies due to ever increasing science and knowledge in medicine, which makes it difficult to internalise and understand, as well as to implement certain procedures. The study explored and found that research indicates that total quality management (TQM) and continual quality improvement (CQI) principles can be applied to strengthen a health system to improve its quality. This could be particularly useful in Namibia where people demand basic services and the health service users raise their issues with the Ministry of Health and Social Services (MoHSS). It becomes essential to ascertain the extent to which health care facilities have responded to this call. Against this background, it is important to analyze the responses to QI and QA and how it could be used to develop a framework for quality health care delivery at the health care facilities in Namibia. The main focus of this paper is to identify quality improvement aspects at Katutura Hospital and to develop a quality improvement training framework to empower and equip health professionals with the right knowledge, skills, aptitudes, and behaviours to apply the methods and techniques with the purpose of improving customer service.
在纳米比亚,大多数保健设施在满足病人的保健需要方面没有取得良好的成果。卫生保健系统正变得越来越复杂,由于医学科学和知识的不断增加,导致效率低下,这使得难以内化和理解,以及实施某些程序。研究发现,研究表明,全面质量管理(TQM)和持续质量改进(CQI)原则可以应用于加强卫生系统,以提高其质量。这在纳米比亚可能特别有用,因为纳米比亚人民需要基本服务,保健服务使用者向卫生和社会服务部提出他们的问题。必须确定卫生保健设施对这一呼吁的响应程度。在此背景下,重要的是分析对质量评价和质量保证的反应,以及如何将其用于制定纳米比亚卫生保健设施提供高质量卫生保健的框架。本文的主要重点是确定卡图拉医院的质量改进方面,并制定质量改进培训框架,以授权和装备卫生专业人员正确的知识、技能、能力和行为,以应用改善客户服务的方法和技术。
{"title":"Quality Improvement Training Framework Adoption at Katutura Hospital in Windhoek Namibia","authors":"B. Maseke, Bongani Nyathi","doi":"10.4236/OALIB.1106945","DOIUrl":"https://doi.org/10.4236/OALIB.1106945","url":null,"abstract":"In Namibia, most health care facilities have not been yielding good results in response to patients’ health care needs. Health care systems are becoming more complex with paradoxical challenges resulting into inefficiencies due to ever increasing science and knowledge in medicine, which makes it difficult to internalise and understand, as well as to implement certain procedures. The study explored and found that research indicates that total quality management (TQM) and continual quality improvement (CQI) principles can be applied to strengthen a health system to improve its quality. This could be particularly useful in Namibia where people demand basic services and the health service users raise their issues with the Ministry of Health and Social Services (MoHSS). It becomes essential to ascertain the extent to which health care facilities have responded to this call. Against this background, it is important to analyze the responses to QI and QA and how it could be used to develop a framework for quality health care delivery at the health care facilities in Namibia. The main focus of this paper is to identify quality improvement aspects at Katutura Hospital and to develop a quality improvement training framework to empower and equip health professionals with the right knowledge, skills, aptitudes, and behaviours to apply the methods and techniques with the purpose of improving customer service.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"1 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84601973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electrochemical Degradation of Amoxicillin on a Ti/Ta2O5/Pt-RuO2-IrO22 Electrode Ti/Ta2O5/Pt-RuO2-IrO22电极上阿莫西林的电化学降解
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106558
A. F. T. Auguste, L. Ouattara
This work deals with the degradation of Amoxcillin which is one of the antibiotics commonly used in human and veterinary medicine. For such an investigation, Pt-RuO2-IrO2 (PRI) electrode was used as anode and various parameters such as current density (20 - 100 mA/cm2), supporting electrolyte and chloride were monitored. The results showed that the amoxicillin oxidation reaction is diffusion controlled and its degradation rate increases as the applied current increases. The degradation of amoxicillin on the PRI electrode, in the absence of chloride, is very low with less than 10% of the COD abatement rate. But, in the presence of chloride, the degradation of the Amoxicillin on PRI electrode leads to its mineralization. During electrolysis, chloride was oxidized into chlorine under the form HClO at pH ? at pH > 8 that contribute to a significant degradation of the Amoxicillin. The amoxicillin removal rate goes from 0.83% to 73.8% in the absence and in the presence of Cl?, respectively after 10 h of electrolysis. In addition, the degradation kinetic of amoxicillin in HClO4 is 10 times faster than in KClO4 and follows pseudo first-order reaction.
本文研究了阿莫西林的降解,阿莫西林是人类和兽药中常用的抗生素之一。采用Pt-RuO2-IrO2 (PRI)电极作为阳极,对电流密度(20 ~ 100 mA/cm2)、支撑电解质和氯化物等参数进行监测。结果表明,阿莫西林氧化反应受扩散控制,其降解速率随外加电流的增大而增大。在没有氯化物的情况下,PRI电极对阿莫西林的降解率很低,不到COD消减率的10%。但是,在氯离子存在下,PRI电极上阿莫西林的降解导致其矿化。在电解过程中,氯化物在pH ?下被氧化成HClO形式的氯。在pH > 8的条件下,导致阿莫西林的显著降解。无氯和有氯时,阿莫西林的去除率从0.83%提高到73.8%。,电解10h后分别为。此外,阿莫西林在HClO4中的降解动力学比在KClO4中快10倍,并遵循准一级反应。
{"title":"Electrochemical Degradation of Amoxicillin on a Ti/Ta2O5/Pt-RuO2-IrO22 Electrode","authors":"A. F. T. Auguste, L. Ouattara","doi":"10.4236/OALIB.1106558","DOIUrl":"https://doi.org/10.4236/OALIB.1106558","url":null,"abstract":"This work deals with the degradation of Amoxcillin which is one of the antibiotics commonly used in human and veterinary medicine. For such an investigation, Pt-RuO2-IrO2 (PRI) electrode was used as anode and various parameters such as current density (20 - 100 mA/cm2), supporting electrolyte and chloride were monitored. The results showed that the amoxicillin oxidation reaction is diffusion controlled and its degradation rate increases as the applied current increases. The degradation of amoxicillin on the PRI electrode, in the absence of chloride, is very low with less than 10% of the COD abatement rate. But, in the presence of chloride, the degradation of the Amoxicillin on PRI electrode leads to its mineralization. During electrolysis, chloride was oxidized into chlorine under the form HClO at pH ? at pH > 8 that contribute to a significant degradation of the Amoxicillin. The amoxicillin removal rate goes from 0.83% to 73.8% in the absence and in the presence of Cl?, respectively after 10 h of electrolysis. In addition, the degradation kinetic of amoxicillin in HClO4 is 10 times faster than in KClO4 and follows pseudo first-order reaction.","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"109 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75066500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Factors Influencing Clients in Choosing Insurance Companies 影响客户选择保险公司的因素
Pub Date : 2021-01-29 DOI: 10.4236/OALIB.1106944
B. Maseke, Dietilde Ndinelago Iipinge
The paper was conducted to analyze different factors influencing clients’ choice of insurance companies. Insurance is essential for peace of mind, however, clients should be cautious when choosing insurers to avoid future disappointments. Clients should also be aware of fake agents, misrepresentation of information, fraud and coercion by agents and brokers. The main objective of this paper was to identify the factors that drive clients’ preferences in selecting insurance companies, whilst the second objective was to determine the relative importance of these particular factors (advertising, social and behavioral factors). This paper followed a survey design with questionnaires and 185 randomly selected participants from Keetmanshoop Namibia. The results showed that majority of participants chose insurers as a result of agents/broker persuasion, which is similar to what the majority of other researchers found in previous studies. None the less, 87% of participants are satisfied with their current insurers, leaving 13% unsatisfied and intending to switch to other insurers. In addition findings revealed a positive relationship between client’s relative importance of insurance and factors (social, advertising and behavioral factors).
本文旨在分析影响客户选择保险公司的不同因素。保险对安心至关重要,然而,客户在选择保险公司时应谨慎,以避免未来的失望。客户还应警惕虚假代理、虚假信息、欺诈和中介和经纪人的胁迫。本文的主要目的是确定驱动客户选择保险公司偏好的因素,而第二个目标是确定这些特定因素(广告,社会和行为因素)的相对重要性。本文采用问卷调查设计,随机选择185名来自纳米比亚keetmanshop的参与者。结果显示,大多数参与者在代理人/经纪人的劝说下选择了保险公司,这与大多数其他研究人员在之前的研究中发现的情况相似。尽管如此,87%的参与者对他们目前的保险公司感到满意,剩下13%的人不满意并打算转投其他保险公司。此外,调查结果还显示,客户对保险的相对重要性与社会、广告和行为因素之间存在正相关关系。
{"title":"Factors Influencing Clients in Choosing Insurance Companies","authors":"B. Maseke, Dietilde Ndinelago Iipinge","doi":"10.4236/OALIB.1106944","DOIUrl":"https://doi.org/10.4236/OALIB.1106944","url":null,"abstract":"The paper was conducted to analyze different factors influencing clients’ choice of insurance companies. Insurance is essential for peace of mind, however, clients should be cautious when choosing insurers to avoid future disappointments. Clients should also be aware of fake agents, misrepresentation of information, fraud and coercion by agents and brokers. The main objective of this paper was to identify the factors that drive clients’ preferences in selecting insurance companies, whilst the second objective was to determine the relative importance of these particular factors (advertising, social and behavioral factors). This paper followed a survey design with questionnaires and 185 randomly selected participants from Keetmanshoop Namibia. The results showed that majority of participants chose insurers as a result of agents/broker persuasion, which is similar to what the majority of other researchers found in previous studies. None the less, 87% of participants are satisfied with their current insurers, leaving 13% unsatisfied and intending to switch to other insurers. In addition findings revealed a positive relationship between client’s relative importance of insurance and factors (social, advertising and behavioral factors).","PeriodicalId":19593,"journal":{"name":"Open Access Library Journal","volume":"171 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73353951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
期刊
Open Access Library Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1