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A Tool for Quality Improvement: Using the 5s Methodology in a Remote Community Health Centre 质量改进的工具:在偏远社区卫生中心使用5s方法
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.104-105
Joshua Eyitemi, Britanie Thomas, Yazmin Ramos, Adebolanle Ayinde, Chiamaka Ezekwesili, O. Bankole
Introduction: The 5S methodology is a quality improvement tool comprising five “S” components in successive steps: sort, simplify or set-in-order, sweep or shine, standardize, and selfâ?discipline or sustain. We utilized the 5S methodology as a quality improvement tool in medication storage at a primary health care centre in a remote community in Canada. Method: Unrequired items were cleaned out of the entire pharmacy room – sort. Medications were set- in-order by identifying their class and grouping them according to medication classes – simplify. Missing essential medicines were ordered and replaced - sweep or shine. According to the medication classes, the remaining (unmoved) essential medications were arranged on the drug cabinet – standardize Usage instructions were shared with all clinical staff via email - self-discipline. Results: The 5S methodology was impactful as the new medication storage method improved storage quality, limited medication spoilage and ensured appropriate tracking of medications’ expiration dates. Conclusion: Our intervention has employed the use of Lean methodologies toward the goal of quality improvement. This project illustrates how applying these principles offers opportunities for simplification, efficiency, and substantial waste reduction in remote health care settings.
简介:5S方法是一种质量改进工具,由五个“S”组成的连续步骤:排序(sort)、简化(simplify)或整理(seinorder)、清扫(sweep)或擦亮(shine)、标准化(standardization)和自我(self) ?纪律或维持。我们在加拿大一个偏远社区的初级卫生保健中心使用5S方法作为药品储存的质量改进工具。方法:将不需要的物品清理出整个药房-分类。通过确定药物类别并根据药物类别进行分组,简化了药物的排序。缺货的基本药物被订购并补上——不扫不擦。根据药物类别,将剩余(未移动的)基本药物排列在药柜中-标准化使用说明通过电子邮件与所有临床人员共享-自律。结果:5S方法的应用效果显著,新的药品储存方法提高了药品的储存质量,限制了药品的变质,保证了药品有效期的合理跟踪。结论:我们的干预措施采用了精益方法来实现质量改进的目标。该项目说明了应用这些原则如何在远程医疗保健环境中提供简化、效率和大量减少浪费的机会。
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引用次数: 0
Job Satisfactions and Turnover Intentions of Academic Staff Employee At Woldia University 沃尔迪亚大学教务人员工作满意度与离职意向
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.80-84
Melaku Agmasu
Conducive work environment is one of the fundamental elements of work effectiveness. Therefore, the study aimed to explore the relation among employs job satisfactions and turnover intentions on academic staff employees of Woldia University. A total of 206 (male=187 and female=19) academic staff employees were taken by stratified sampling from the university and the researcher also used semistructured interview by selecting long experienced participants purposively to cross check the quantitative result by following qualitative approaches . Using pilot tested standardized scales data were collected. After cleaning the data, analysis were conducted using t-test, one way ANOVA along with descriptive statistical techniques. Results of the study disclosed, the workers job satisfaction has statistically negative correlation (r=-.366, p<0.05. According to the results, there is no statistically difference (t (204) = 9.89979,p<0.05) in the reported levels of turnover intention among male and female academic employees. In the study the finding show that there were no statistically significant difference (t (204) =-1.010, p<0.05)in the reported levels of turnover intention between ages of academic employees. Finding disclosed that there is significance difference in the levels of turnover intention by educational levels. Large scale investigation is recommended for the University to give emphasis in designing long term institutional strategies in order to create work stability.
良好的工作环境是工作效率的基本要素之一。因此,本研究旨在探讨沃尔迪亚大学教职员雇员工作满意度与离职意向之间的关系。本研究采用分层抽样的方法,从本校抽取206名教职员(男187人,女19人),并采用半结构化访谈的方式,有目的地选取有长期工作经验的参与者,采用定性方法对定量结果进行交叉检验。采用试点测试的标准化量表收集数据。在清理数据后,使用t检验,单向方差分析以及描述性统计技术进行分析。研究结果显示,员工工作满意度与工作满意度呈负相关(r=-)。366, p < 0.05。结果显示,男女学术人员的离职意向报告水平无统计学差异(t (204) = 9.89979,p<0.05)。本研究发现,不同年龄的学术型员工离职意向报告水平差异无统计学意义(t (204) =-1.010, p<0.05)。研究发现,不同学历的员工离职意向存在显著差异。建议对大学进行大规模调查,重点设计长期体制战略,以创造工作稳定性。
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引用次数: 1
Comparission 0f Covishield VS Covaxin And Their Safety and Effectivity In India Covishield和Covaxin在印度的安全性和有效性比较
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.4.51
N. Nuthalapati
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引用次数: 0
Attitudes Of Older Adults Toward Getting the Seasonal Flu Vaccine And The Novel COVID-19 Vaccine During The 2020-2021 COVID-19 Pandemic: A Cross-Sectional Study 2020-2021年COVID-19大流行期间老年人对接种季节性流感疫苗和新型COVID-19疫苗的态度:一项横断面研究
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.68-71
Rami Tarabay, R. Aridi, D. Pharm., Fassil W Gemechu, Mary Corrigan, James Campbell, A. Caron
Objective: Influenza is a preventable communicable illness that has a significant impact on people of all ages. In 2018 it was estimated that 80,000 people died of influenza-related illnesses. Infants and elderly people are among the most vulnerable populations. In the 2018-2019 flu season, only 34.9% of individuals in these age groups received the influenza vaccine [1]. Studies indicate that 7.52 million illnesses, 105,000 hospitalizations, and 6,300 deaths due to influenza were avoided by the vaccine, during the 2019-2020 season [2]. However, national vaccination coverage is consistently lower than 50 percent in adults, despite the widespread availability of multiple influenza vaccines [3,4]. Moreover, a new study by the National Infectious Diseases Foundation showed that over 40% of U.S. Adults do not plan to get the flu shot during the 2020- 2021 season [5]. Vaccine hesitancy is linked, along with safety issues, to public perceptions of low efficacy [6]. During the 2019-2020 influenza season, the Centers for Disease Control and Prevention (CDC) reported that 38 million infections, 405,000 hospitalizations, and 22,000 deaths were associated with influenza. Older adults ≥65 years, alone, accounted for 43% of hospitalizations and 62% of deaths [2]. More recently the COVID-19 virus has quickly become a major global threat infecting more than 92 million people worldwide and causing almost 2 million deaths [7]. Facing these facts, and as an effective COVID-19 vaccine is unlikely to be widely implemented until mid or late 2021, the CDC stressed on the importance to be vaccinated for seasonal influenza and prioritized the health care workers and older adults, to help reduce the strain on healthcare systems responding to the COVID-19 pandemic. Two newly experimented COVID-19 vaccines were just proven to be more than 90% effective [8,9]. Compared to influenza, the severity of COVID-19 infection indicates that the public health benefit of corona virus vaccination may be much greater. However, despite the need of an urgent vaccine, many people seem to be hesitant about receiving it because of the perceived rush in development and the undisclosed demographics of the trial subjects, mainly elderly and people with co-morbidities. Surveys of 493 and 2200 individuals showed that only 30% would agree to be vaccinated against COVID-19 after availability [10]. In order to align with these efforts, the WHO had developed a detailed framework for vaccine distribution and prioritization to ensure equity and safety [11]. However, it remains unclear if vaccine resistance can be surpassed by the unexpected and drastic effects of COVID-19 in the United States. More specifically, this season, the decision of getting the flu shot might be affected by the coexistence of COVID 19 virus. Therefore, it is necessary to foresee and minimize obstacles to COVID-19 and flu vaccines widesprea
目的:流感是一种可预防的传染病,对所有年龄段的人都有重大影响。据估计,2018年有8万人死于流感相关疾病。婴儿和老年人属于最脆弱的人群。在2018-2019年流感季节,这些年龄组中只有34.9%的人接种了流感疫苗[1]。研究表明,在2019-2020年流感季节,该疫苗避免了752万例流感病例、10.5万例住院治疗和6300例流感死亡[2]。然而,尽管多种流感疫苗广泛可用,但成人的全国疫苗接种覆盖率始终低于50%[3,4]。此外,美国国家传染病基金会的一项新研究显示,超过40%的美国成年人不打算在2020- 2021年接种流感疫苗[5]。疫苗犹豫与安全性问题一起,与公众对低疗效的看法有关[6]。在2019-2020年流感季节,美国疾病控制与预防中心(CDC)报告称,有3800万例感染、40.5万例住院治疗和2.2万例死亡与流感有关。≥65岁的老年人占住院人数的43%,死亡人数的62%[2]。最近,COVID-19病毒已迅速成为一个重大的全球威胁,全世界有9200多万人感染,近200万人死亡[7]。面对这些事实,鉴于有效的COVID-19疫苗不太可能在2021年中或后期得到广泛实施,疾病预防控制中心强调了接种季节性流感疫苗的重要性,并优先考虑卫生保健工作者和老年人,以帮助减轻卫生保健系统应对COVID-19大流行的压力。两种新试验的COVID-19疫苗刚刚被证明有效率超过90%[8,9]。与流感相比,COVID-19感染的严重程度表明,冠状病毒疫苗接种的公共卫生效益可能要大得多。然而,尽管急需一种疫苗,但许多人似乎对是否接种疫苗犹豫不决,因为他们认为开发工作过于匆忙,而且试验对象的人口统计数据未公开,主要是老年人和合并症患者。对493人和2200人的调查显示,只有30%的人同意在可用后接种COVID-19疫苗[10]。为了配合这些努力,世卫组织制定了一个详细的疫苗分配和优先排序框架,以确保公平和安全[11]。然而,目前尚不清楚COVID-19在美国产生的意想不到的严重影响是否能超越疫苗耐药性。具体来说,在这个季节,是否接种流感疫苗可能会受到COVID - 19病毒共存的影响。因此,有必要预见并尽量减少COVID-19和流感疫苗广泛接种的障碍,特别是在最脆弱的老年人群体中。本研究的目的是评估2020-2021年流感季节期间老年人对接种流感疫苗和新型COVID-19疫苗的态度,并确定教育传单在鼓励拒绝接种流感疫苗的患者重新考虑其选择方面的有效性。
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引用次数: 0
The Interrelationships among Opportunity, Personality type and Environmental Factors in Preparatory High School Students Career Choice: A Multilevel Study 机会、人格类型和环境因素在预科高中生职业选择中的相互关系:一项多层次研究
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.112-118
Y. Y. Yedemie
The aim of the interrelationships among opportunity, personality type and environmental factors in preparatory school students career choice in the case of North Wollo Zone. The sample consists of 214 males and 206 females. A questionnaire designed on the basis of likert-type scale on the factors determining the choice of career based on environment, personality influence and opportunity of the students was administered. Their responses were analyzed using frequency, percentage, mean, standard deviation and T-test at p.05. No significant difference was found on the environmental factor (tcal at 05=0.8593, tcrit=1.960), However, the significant difference was found on the personality (tcal at p.05=0.0001; tcrit1.960) and the significant difference of the opportunity the students see(tcal at p.05=0.000; tcrit1.960). The percentage on male and female was also carried out. 58.4% of male and 69.9% of female agreed that opportunity do affect career while 41.6% and 30.1% disagreed for both male & female respectively, 59.4% of male and 72.8 of female agreed that personality do affect career choice while 40.7% and 27.2% of both male and female disagreed, 64% of male and 67% of female agreed that environment do affect career choice but 36% and 33% of male& female does not agree. Conclusively, all the factors affect the students in determining their career.
以北沃罗地区为例,探讨机会、人格类型和环境因素在预科学生职业选择中的相互关系。样本由214名男性和206名女性组成。采用李克特量表对大学生择业的环境因素、人格影响因素和机会因素进行问卷调查。采用频率、百分比、均值、标准差和p < 0.05的t检验对他们的反应进行分析。环境因素差异无统计学意义(tcrit= 0.8593, tcrit=1.960),而人格因素差异有统计学意义(tcrit= 0.0001;Tcrit1.960),学生看到的机会有显著差异(p < 0.05 =0.000;tcrit1.960)。对男性和女性的比例也进行了调查。58.4%的男性和69.9%的女性认为机遇影响职业,41.6%和30.1%的男性和女性不同意;59.4%的男性和72.8%的女性认为性格影响职业选择,40.7%和27.2%的男性和女性不同意;64%的男性和67%的女性同意环境影响职业选择,但36%和33%的男性和女性不同意。总之,所有的因素都会影响学生决定他们的职业。
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引用次数: 0
A Short Note on Sports Medication 关于运动药物的简短说明
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.1.15
Gowthami Bainaboina
Sports Medicine bridges the gap between science and follow within the promotion of exercise and health, and within the scientific assessment, study and understanding of sports performance. Regular options include: sports injury hindrance and treatment; exercise for health; medication in sport and proposals for coaching and nutrition. Sports medicine will see the precise medicine or subspecialty of Sports Medicines. Sport and Exercise medication (SEM) that is currently well established in several countries. It will broadly speaking additionally see doctors and different paramedical practitioners World Health Organization add a additional broad setting.
运动医学在促进运动和健康以及科学评估、研究和理解运动表现方面架起了科学与实践之间的桥梁。常规选择包括:运动损伤的阻碍和治疗;运动有益健康;运动中的药物治疗以及指导和营养建议。运动医学将成为运动医学的精确医学或亚专业。运动和运动药物(SEM),目前在几个国家建立良好。从广义上讲,它还将看到医生和不同的辅助医生,世界卫生组织增加了一个额外的广泛设置。
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引用次数: 0
The Role 0f Social Media in Health Care and Its Advantages 社交媒体在医疗保健中的作用及其优势
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.4.47
Lakshmi Vasudha Yerrinki
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引用次数: 0
The Risks of Excessive Consumption of Alcohol By The Womens Causes Breast Cancer 女性过度饮酒导致乳腺癌的风险
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.98-99
Divya Karavadi
Alcohol intake is a known risk factor for breast cancer.. Public associations suggest that ladies devour close to one serving of liquor each day, if by any means; nonetheless, numerous ladies surpass this proposal, and some are reluctant to diminish utilization. Our examination tried to recognize factors related with ladies' reluctance to diminish their liquor admission to diminish their bosom disease hazard. • 12 ounces of brew • 8–9 ounces of beer • 5 ounces of wine • 1.5 ounces, or a "shot," of 80-proof refined spirits (alcohol) These sums are utilized by general wellbeing specialists in creating wellbeing rules about liquor utilization and to give an approach to individuals to look at the measures of liquor they devour. In any case, they may not mirror the normal serving sizes individuals might experience in everyday life.
众所周知,饮酒是导致乳腺癌的一个危险因素。公共协会建议,如果有办法的话,女士们每天要喝差不多一份酒;尽管如此,还是有许多女士超过了这个建议,有些人不愿意减少使用。我们的检查试图找出与女性不愿减少饮酒以减少胸部疾病风险有关的因素。•12盎司啤酒•8-9盎司啤酒•5盎司葡萄酒•1.5盎司,或“一杯”80度的精制烈酒(酒精)这些金额被一般健康专家用来制定关于酒精使用的健康规则,并为个人提供一种方法来衡量他们消耗的酒精量。在任何情况下,它们可能不会反映个人在日常生活中可能经历的正常份量。
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引用次数: 0
Organizational Commitment and Turnover Intentions of Academic Staff Employee at Woldia University, Ethiopia 埃塞俄比亚沃尔迪亚大学学术人员组织承诺与离职意向
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.21.29.76-79
Melaku Agmasu
Background: Organizational commitment is job related attitudes that have received considerable attention from researchers around the globe. This study attempted to investigate the relationship among the organizational commitment, and turnover intentions among academic staff employees of Woldia University. Embedded research design was used. Methods & Materials: A total of 206 (male=187 and female=19) academic staff employees were taken by stratified sampling from the university and the researcher also used semistructured interview by selecting long experienced participants purposively to cross check the quantitative result by following qualitative approaches . After cleaning the data, analysis was conducted using Pearson correlation and Multiple Regressions along with descriptive statistical techniques. Results: Workers commitment has been found to have statistically significant negative association with turnover intentions (r=-.516, p<0.05). Moreover, organizational commitment has better predictive power to level of turnover intention among academic staff employees. The interview result also shows that the overall commitment of academic staff was normative rather than affective and Continuance level of commitment and high level of turnover intentions.
背景:组织承诺是一种与工作相关的态度,受到了全球研究者的广泛关注。本研究试图探讨沃尔迪亚大学教职员组织承诺与离职意向之间的关系。采用嵌入式研究设计。方法与材料:采用分层抽样的方法,对该校206名教职员(男187人,女19人)进行调查,并采用半结构化访谈的方式,有目的地选择有长期工作经验的参与者,采用定性方法对定量结果进行交叉检验。在清理数据后,使用Pearson相关和多元回归以及描述性统计技术进行分析。结果:员工承诺与离职意向呈显著负相关(r=-)。516年,p < 0.05)。此外,组织承诺对学术型员工的离职倾向水平有较好的预测力。访谈结果还显示,学术人员的整体承诺是规范性的,而不是情感性的,承诺的持续水平和离职意愿的高水平。
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引用次数: 0
Peritoneal Dialysis Catheter Inducing Colon Perforation 腹膜透析导管诱导结肠穿孔
Pub Date : 2021-01-01 DOI: 10.36648/1479-1072.29.3.23-25
Fatima A. Dirani, Doaa H. Jaffal, Rami M. Sammour, Fadi Isk, Arani
Introduction: Peritoneal dialysis for end stage renal disease of bowel perforation. Although extremely rare, it must be is not the treatment of choice in the pediatric population. It considered during imaging especially when the patient is not has many complications related to the procedure itself or to compliant to medical instructions. Less than 40 cases have been the inserted catheter. One of its rarest complications is the reported worldwide and all of which belong to the adult population. perforation of the colon by the peritoneal dialysis catheter. Conclusion: Like all other medical and surgical procedures Case Presentation: A 6 years old boy on peritoneal dialysis for the treatment of patients’ medical conditions, peritoneal presented for a peritoneal dialysis catheter emerging out of his dialysis requires regular follow up from the patient in order to anus without any signs of peritonitis and bowel perforation. avoid possible dangerous complications. Discussion: Besides obstruction, leakage and displacement
腹膜透析治疗终末期肾脏疾病肠穿孔。虽然极为罕见,但它肯定不是儿科人群的治疗选择。在成像过程中,特别是当患者没有许多与手术本身或符合医疗指示有关的并发症时,应考虑到这一点。不到40例已插入导管。其最罕见的并发症之一是世界范围内报道的,所有这些都属于成年人。腹膜透析导管引起的结肠穿孔。结论:像所有其他内科和外科手术一样,一名6岁男孩接受腹膜透析治疗患者的内科疾病,腹膜透析后出现腹膜透析导管,需要患者定期随访,以确保肛门无任何腹膜炎和肠穿孔迹象。避免可能的危险并发症。讨论:除堵塞外,还有渗漏和位移
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引用次数: 0
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Quality in primary care
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