Background: Operating Room Technicians are members of a surgical team who obtain theoretical training in the classroom and practical experience in the surgical operating room. The key areas of their training include: learning to work as part of a team, implementing good communication skills, understanding surgical procedures, and learning how to provide and maintain an optimal environment that ensures patient safety. Furthermore, they are also expected to provide high-quality and up-to-date health services. It should be pointed out that, despite the fact that there have been many studies published which assess medical education, only a few have been carried out that investigate the factors affecting the education and training of the Operating Room Technician. In our study we aimed to evaluate the applications of Operating Room Technician students in the operating room, as a clinical learning environment, and to evaluate their perceptions about the operating room. Methods: Between the years 2015 and 2019, out of a total of 253 Operating Room Technician trainees at Ege University Medical Faculty Hospital, a retrospective evaluation of 240 internship forms was carried out. Operating room applications were assessed according to frequency order and difficulty perception. Responses to open-ended questions regarding the surgical team and operating room were grouped. Results: The average contribution of internships to vocational education was 8.8 ± 1.2 out of 10 points The overall application frequency of all skills in the operating room was 4.3 ± 0.70 over 5 points. The mean score of detection of all skills was 3.9 ± 0.10 over 5 points. The most common medical intervention: wearing and removing sterile gloves (4.9 ± 0.10). The most difficult interventions: preparation and packaging of surgical packs (4.6 ± 0.40); control of preparation and packaging of reserve surgical materials (4.5 ± 0.50); communication with team members (4.3 ± 0.70) over 5 points. The students stated that the attitudes of the operating room team were not positive (3,7/10 points). Conclusion: Our study concludes therefore, that in order to overcome negative perceptions about the operating room, it is necessary to create a positive communication environment, and it is equally important that students are supported during the crucial period of adaptation and orientation.
{"title":"Investigation of Operating Room Technicians' Views Regarding Operating Room Internships","authors":"G. Yildirim","doi":"10.5455/ww.68842","DOIUrl":"https://doi.org/10.5455/ww.68842","url":null,"abstract":"Background: Operating Room Technicians are members of a surgical team who obtain theoretical training in the classroom and practical experience in the surgical operating room. The key areas of their training include: learning to work as part of a team, implementing good communication skills, understanding surgical procedures, and learning how to provide and maintain an optimal environment that ensures patient safety. Furthermore, they are also expected to provide high-quality and up-to-date health services. It should be pointed out that, despite the fact that there have been many studies published which assess medical education, only a few have been carried out that investigate the factors affecting the education and training of the Operating Room Technician. In our study we aimed to evaluate the applications of Operating Room Technician students in the operating room, as a clinical learning environment, and to evaluate their perceptions about the operating room. Methods: Between the years 2015 and 2019, out of a total of 253 Operating Room Technician trainees at Ege University Medical Faculty Hospital, a retrospective evaluation of 240 internship forms was carried out. Operating room applications were assessed according to frequency order and difficulty perception. Responses to open-ended questions regarding the surgical team and operating room were grouped. Results: The average contribution of internships to vocational education was 8.8 ± 1.2 out of 10 points The overall application frequency of all skills in the operating room was 4.3 ± 0.70 over 5 points. The mean score of detection of all skills was 3.9 ± 0.10 over 5 points. The most common medical intervention: wearing and removing sterile gloves (4.9 ± 0.10). The most difficult interventions: preparation and packaging of surgical packs (4.6 ± 0.40); control of preparation and packaging of reserve surgical materials (4.5 ± 0.50); communication with team members (4.3 ± 0.70) over 5 points. The students stated that the attitudes of the operating room team were not positive (3,7/10 points). Conclusion: Our study concludes therefore, that in order to overcome negative perceptions about the operating room, it is necessary to create a positive communication environment, and it is equally important that students are supported during the crucial period of adaptation and orientation.","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124328736","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}
{"title":"Etiology In Patients With Epiphora In Our Clinic","authors":"S. Cetinkaya, M. Cubuk","doi":"10.5455/ww.302644184","DOIUrl":"https://doi.org/10.5455/ww.302644184","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114240778","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}
{"title":"An electrocardiographic triple rhythm of sinus arrhythmia, Brugada syndrome, and early repolarization with a diverse outcome","authors":"Y. Elsayed","doi":"10.5455/ww.73149","DOIUrl":"https://doi.org/10.5455/ww.73149","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113975457","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}
{"title":"Major Historical Development of Vaccines","authors":"A. A. Shad, Wajahat Ahmed Shad","doi":"10.5455/ww.302644290","DOIUrl":"https://doi.org/10.5455/ww.302644290","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"203 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131612381","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}
A. Jusoh, Surianty Shafei, Nazreen Zakaria, S. Omar, ihsan Hamdan
Background: National Early Warning Score (NEWS) has been shown accurate in predicting severe adverse event (SAE; defined as death or unexpected ICU admission) for in-ward patients. Unfortunately, its trigger level varies among hospitals and population studied. The main objective of the study is to determine the best in-patient trigger level in predicting occurrence of SAE. Methods: All patients aged >12 years old admitted to surgical or orthopaedic ward from 1st December 2016 to 31st January 2017 were included. They were prospectively followed up until discharged or developed SAE. NEWS was calculated on admission and during every nursing shift. Other than demographic data, parameters analysed were diagnosis at presentation, specialty involved, surgical procedure done, type of surgery (elective or emergency) and Charlson’s co-morbidity index. Results: Among 226 patients, eight of them developed SAE (3.5%; 4 deaths and 4 unexpected ICU admissions). Mean NEWS was significantly different between non-SAE and SAE groups (1.77±1.642 vs 6.5±3.162; p=0.0001 respectively). SAE was independently associated with NEWS score (OR=2.828; 95% CI: 1.632-4.902; p=0.0001) on multivariate stepwise logistic regression with AUROC of 0.905 (p=0.0001). Sensitivity, specificity, positive and predictive value for NEWS ≥ 5 in predicting SAE was 87.5%, 91.3%, 26.9% and 99.5% respectively with number needed to screen was 3.6. Conclusion: NEWS is an excellent model to predict death or unexpected ICU admission in general surgical and orthopaedic patients. A score of ≥ 5 is an ideal trigger level to further escalate clinical care.
背景:国家早期预警评分(NEWS)在预测严重不良事件(SAE;定义为住院患者死亡或意外进入ICU)。不幸的是，其触发水平因医院和研究人群而异。该研究的主要目的是确定预测SAE发生的最佳住院触发水平。方法:选取2016年12月1日至2017年1月31日在外科或骨科病房住院的所有年龄>12岁的患者。对患者进行前瞻性随访，直至出院或出现SAE。NEWS在入院时和每次轮班时计算。除人口统计数据外，分析的参数包括就诊时的诊断、涉及的专业、所进行的外科手术、手术类型(选择性或急诊)和Charlson合并症指数。结果:226例患者中，8例发生SAE (3.5%;4例死亡和4例意外ICU入院)。非SAE组和SAE组的平均NEWS差异显著(1.77±1.642 vs 6.5±3.162;p = 0.0001)。SAE与NEWS评分独立相关(OR=2.828;95% ci: 1.632-4.902;p=0.0001)， AUROC为0.905 (p=0.0001)。NEWS≥5预测SAE的敏感性、特异性、阳性率和预测值分别为87.5%、91.3%、26.9%和99.5%，需要筛选的人数为3.6人。结论:NEWS是预测普外科和骨科患者死亡或意外住院的良好模型。≥5分是进一步加强临床护理的理想触发水平。
{"title":"National Early Warning Score (NEWS) independently predicts death or unexpected ICU admission in general surgical or orthopaedic patient.","authors":"A. Jusoh, Surianty Shafei, Nazreen Zakaria, S. Omar, ihsan Hamdan","doi":"10.5455/ww.302644247","DOIUrl":"https://doi.org/10.5455/ww.302644247","url":null,"abstract":"Background: National Early Warning Score (NEWS) has been shown accurate in predicting severe adverse event (SAE; defined as death or unexpected ICU admission) for in-ward patients. Unfortunately, its trigger level varies among hospitals and population studied. The main objective of the study is to determine the best in-patient trigger level in predicting occurrence of SAE. Methods: All patients aged >12 years old admitted to surgical or orthopaedic ward from 1st December 2016 to 31st January 2017 were included. They were prospectively followed up until discharged or developed SAE. NEWS was calculated on admission and during every nursing shift. Other than demographic data, parameters analysed were diagnosis at presentation, specialty involved, surgical procedure done, type of surgery (elective or emergency) and Charlson’s co-morbidity index. Results: Among 226 patients, eight of them developed SAE (3.5%; 4 deaths and 4 unexpected ICU admissions). Mean NEWS was significantly different between non-SAE and SAE groups (1.77±1.642 vs 6.5±3.162; p=0.0001 respectively). SAE was independently associated with NEWS score (OR=2.828; 95% CI: 1.632-4.902; p=0.0001) on multivariate stepwise logistic regression with AUROC of 0.905 (p=0.0001). Sensitivity, specificity, positive and predictive value for NEWS ≥ 5 in predicting SAE was 87.5%, 91.3%, 26.9% and 99.5% respectively with number needed to screen was 3.6. Conclusion: NEWS is an excellent model to predict death or unexpected ICU admission in general surgical and orthopaedic patients. A score of ≥ 5 is an ideal trigger level to further escalate clinical care.","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124360334","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}
{"title":"Bohn Nodules, a form of oral mucosal cyst in newborn infant: \u0000A Case Report","authors":"Elodie Betances, Sailaja Devagiri, B. Rajegowda","doi":"10.5455/ww.53728","DOIUrl":"https://doi.org/10.5455/ww.53728","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121624814","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}
{"title":"Relationship with pineapple consume the presence of ketones in the urine","authors":"M. Qadir, A. Rasheed","doi":"10.5455/ww.302644221","DOIUrl":"https://doi.org/10.5455/ww.302644221","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129576128","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}
{"title":"Comparison of The Effects of Midazolam-Propofol And Ketamine-Propofol Combinations on Hemodynamics in Endoscopic Ultrasonography Processing","authors":"B. Cosar, E. Dinçer, O. Boran, M. atci","doi":"10.5455/ww.302644181","DOIUrl":"https://doi.org/10.5455/ww.302644181","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"347 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122848636","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}
{"title":"Is there a role for wearable cardioverter defibrillators after myocardial infarction?","authors":"P. Magnusson, R. Razmi, J. Pergolizzi, J. LeQuang","doi":"10.5455/ww.59836","DOIUrl":"https://doi.org/10.5455/ww.59836","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128954482","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}
{"title":"A Long-Term Impact Study of Bacterial Outbreak Using Control Chart-Risk Assessment Combination","authors":"M. Eissa","doi":"10.5455/ww.48101","DOIUrl":"https://doi.org/10.5455/ww.48101","url":null,"abstract":"","PeriodicalId":201249,"journal":{"name":"Worldwide Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121989064","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}
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