Healthcare

Effects of fever on haemodynamic parameters in neurosurgical intensive care unit patients
To investigate the effects of fever on the haemodynamic parameters (pulse rate, arterial oxygen saturation, systolic blood pressure, diastolic blood pressure and mean arterial blood pressure) of patients in a neurosurgical intensive care unit. A prospective, repeated-measures study. This study was performed in the neurosurgical intensive care unit of a University Hospital in the West of Turkey....


Safety of an ED High-Dose Opioid Protocol for Sickle Cell Disease Pain
A nurse-initiated high dose, opioid protocol for vaso-occlusive crisis (VOC) was implemented. Total intravenous morphine sulfate equivalents (IVMSE) in mgs] and safety was evaluated. a medical record review was conducted for all ED visits in adult patients with VOC post protocol implementation. Opioids doses and routes administered during the ED stay, and six hours into the hospital admission w...
A client-centred ADL intervention: three-month follow-up of a randomized controlled trial
The aim was to study a client-centred activities of daily living (ADL) intervention (CADL) compared with the usual ADL intervention (UADL) in people with stroke regarding: independence in ADL, perceived participation, life satisfaction, use of home-help service, and satisfaction with training and, in their significant others, regarding: caregiver burden, life satisfaction, and informal care. In...


Study of utilization of postnatal care services in tribal area, Maharashtra
The postpartum period, or puerperium, starts about an hour after the delivery of the placenta and includes the following six weeks. Care during the puerperium is often described as the “Cinderella” of maternity care. In developing countries, the need for care and support after birth was, until recently, less well recognized. Despite its importance, this period is generally the most neglecte...
Relate better and judge less: Poverty simulation Promoting culturally competent care in community health nursing
The study aim was to evaluate the effectiveness of a poverty simulation in increasing understanding of and attitudes toward poverty and resulting in changes in clinical practice among nursing seniors. A poverty simulation was conducted using a diverse group of nursing professors and staff from local community agencies assuming the role of community resource providers. Students were assigned rol...


Injury patterns, severity and outcomes among older adults who sustained brain injury following a same level fall: a retrospective analysis
The objectives of this study were to: identify the incidence and types of brain injuries; classify brain injury severity; identify additional injuries; and identify predictors of length of stay, mortality and trauma center admission. This secondary analysis used the NY State Inpatient Databases Healthcare Cost and Utilization Project. Inclusion criteria were: age 65 years and older, admitted to...
Managing End-of-Life Uncertainty: Applying Problematic Integration Theory to Spousal Communication About Death and Dying
A significant number of Americans die in ways that do not reflect their preferences for end-of-life (EOL) care. For married individuals, the spouse often has the legal authority to make decisions at EOL. Many factors, most notably open preemptive communication about care preferences and dying wishes, determine whether such communication is viable and a partner’s wishes are respected. We u...

Assessment of postural stability in patients with cerebellar disease using gyroscope data
This study examines a relatively new method to study and quantify human postural stability in patients with degenerative cerebellar disease. The trunk sway and feet sway were measured during quiet stance. To test the method, ten patients and eleven healthy subjects performed two different stance tasks: standing with eyes open on a firm surface and standing with eyes closed on a foam support sur...
Ultrasound imaging of the diagonal dimension of the deep cervical flexor muscles: A reliability study on healthy subjects
The purpose of this study is to assess the reliability of a new ultrasound imaging (USI) parameter and procedure for the evaluation of the size of the deep cervical flexor (DCF) muscles. Thirty-one healthy male subjects (21.6 ± 2.5 years old) participated in this study. Two images of the diagonal dimension (DD) of the DCF of the subjects, at 1.5 fingerbreadths below the laryngeal prominence of...

Knowledge and Use of Emergency Contraception in College Women
Despite the value of emergency contraception (EC) in reducing unintended pregnancy, use in college women has not been widely studied. This exploratory descriptive study, using a web-based survey, described knowledge and use of EC in 2,007 college women and identified associations between selected personal characteristics and EC use. Most women (72.2%) knew EC could be obtained over the counter ...
Electrocardiogram characteristics prior to in-hospital cardiac arrest
Survival after in-hospital cardiac arrest (I-HCA) remains < 30 %. There is very limited literature exploring the electrocardiogram changes prior to I-HCA. The purpose of the study was to determine demographics and electrocardiographic predictors prior to I-HCA. A retrospective study was conducted among 39 cardiovascular subjects who had cardiopulmonary resuscitation from I-HCA with initial rhy...

From “Don't Ask, Just Trust” to “Trust Those Who are Accountable”: Performance Measurement and Its Transformation to Quality
The past three decades have primarily focused on improving performance across health care providing organizations and even individual professionals. While their interest in performance improvement is global, the strategies across health care systems remain variable and the resulting methods of accountability to select audiences continue to be influenced by tradition and expectation. The purpose...
Management of Healthcare Processes Based on Measurement and Evaluation: Changing the Policy in an Italian Teaching Hospital
Clinical management and care outcome measures, which are now becoming mandatory in more and more countries, can influence the quality of care if they are relevant, evidence-based, carefully crafted and subjected to periodical quality review. Over a period of 13 years, a large Italian teaching hospital has used this framework to develop a performance measurement system, comprising a total of 768...
Introducing Health System Change Strategies to Policy Makers: Some Australian Experiences
In a world first, for accreditation programs, Clinical Indicators (clinical performance measures) were introduced into the Australian Council on Healthcare Standards (ACHS) accreditation process 21 years ago. The resulting national clinical database now receives data from over 740 health care organisations (HCOs) on 22 indicator sets, for different medical disciplines, containing almost 400 sep...
Increased physiologic intensity during walking and running on a non-motorized, curved treadmill
To determine whether exercise performed on a non-motorized, curved treadmill (NMCT) provides greater physiologic stimulus compared to a standard motorized treadmill (SMT). Crossover. Clinical research laboratory. 10 healthy athletic adults. Participants walked (1.34m.s-1) for 3 minutes and ran (2.24m.s-1) for 4 minutes on NMCT and SMT (randomized order) while metabolic data and rating of percei...