...sepsis is still one of the major causes of morbidity and mortality in neonates, in spite of recent advances in health care units [1]. More than 40% of under-five deaths globally occur in the neonatal period, resulting in 3.1 million newborn deaths each year [2]. The majority of these deaths usually occur in low-income countries and almost 1 million of these deaths are attributed to infectious causes including neonatal sepsis, meningitis, and pneumonia [3]. On the other hand, the survivors of neonatal sepsis are vulnerable to short- and long-term neurodevelopmental morbidity [4–6]. Neonatal sepsis is defined as a clinical syndrome in an infant 28 days of life or younger, manifested by systemic signs of infection and isolation of a bacterial...
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...What is Sepsis? Sepsis is the most common deadly diseases in the world. Sepsis is serious, often life-threatening illness that happens when an infection cause damage to your tissues and results in an overactive response from your body. Early detection and treatment came make all the difference in your chance of recovery. How can you get sepsis? Sepsis is a result of infection. Four types of infections that are often linked with sepsis are: lungs (pneumonia)kidney (urinary tract infection) skin gut The most frequently identified germs that cause infections that develop into sepsis include: Staphylococcus aureus (staph) Escherichia coli (E. coli) some types of Streptococcus ("What is sepsis?" January 23, 2018, direct quote) Instead of fighting the infection, your immune system response is to attack your body. Anyone can get an infection, and almost any infection can lead to sepsis. Certain people are at higher risk: Adults 65 or older. People with chronic medical conditions, such as diabetes, lung disease, cancer, and kidney disease People with weakened immune systems Children younger than one("What is sepsis?" January 23, 2018, direct quote)...
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...Sepsis Workflow The early recognition of sepsis is critical to the timely treatment and prevention of progression. According to Alsolamy et al. (2014), an electronic sepsis alert tool could help recognize early sepsis. Therefore, an understanding of the processes that surrounds the identification and management of sepsis can help electronic health record (EHR) designers, end-users, and quality auditors determine the most usable and efficient method. According to McGonigle and Mastrian (2015) workflow analysis involves the "observation and documentation to understand better what is happening in the current environment" (p. 266). This paper will examine the current early sepsis recognition process and determine if any opportunities for optimization...
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...Prevalence, outcome and prognostic factors of sepsis in Jimma Specialized Hospital. By Dr Tadiwos Hailu (M.D) A Proposal Submitted to the Department of Internal Medicine, Jimma University, in Partial Fulfillment of The Requirement for a Specialty Certificate in Internal Medicine. September, 2012 Jimma, Ethiopia Prevalence, outcome and prognostic factors of sepsis in Jimma specialized hospital. Dr Tadiwos Hailu By Advisors: 1-Dr.Daniel yilma [M.D] 2-Birtukan Tsehayneh [Bsc. Msc.] September, 2012 Jimma Ethiopia i Abstract summary Background: Sepsis is a final pathway of infectious disease in critically ill patients. It is highly fatal condition. Though many researches are undertake in pathophysiology, epidemiology and management of sepsis in developed nation ,very limited information is available in low incomes countries where infections are prevalent. Objective: The objective of the study was to determine the prevalence and outcome of sepsis and its prognostic factors in patients admitted to Jimma University Specialized Hospital. Method: Patients with systemic inflammatory response due to infections were studied using prospective cohort study design for four month period in Jimma University hospital. A structured questioner was used to collect data on socio demographic feature of the patient and clinical feature, outcome and prognostic factors . Data was cleaned, edited and entered to SPSS window for analysis. The survival analysis and determination...
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... May 2008-April 2009 RESIDENCY TRAINING Chinese General Hospital and Medical Center, Manila Internal Medicine January 2010-December 2012 AWARDS First Place Filipino-Chinese Medical Society, Inc. 12th Biennial Convention Research Poster Presentation (2012) Second Place CGHMC Annual Interns’ Research Paper Contest (2009) First Place CIM Annual Research Paper Contest, Undergraduate Category (2006) Recipient SU College Highest QPA Award, Senior Category (2003) Recipient College Internship – Leadership Award and Best in Clinical Practice (2003) Recipient Intel Fellows Achievement Award, 50th Intel – International Science and Engineering Fair held at Philadelphia, USA (1999) Nominee Worldwide Young Researchers for the Environment held at Hannover, Germany (1999) Recipient Young Achievement Award – Dumaguete Science High School PTA Association (1999) Recipient Outstanding Red Cross Youth Volunteer, Negros Oriental Chapter (1999) RESEARCHES 2012 A Comparison between APACHE II and SOFA Scoring Systems in Predicting Hospital Mortality Among Adult Patients with Sepsis at Chinese General Hospital and Medical...
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...Sepsis Related ARDS and PTSD Sepsis Related ARDS and PTSD Acute respiratory distress syndrome (ARDS) is a traumatic life-altering illness that can be caused by sepsis. It can be especially traumatic if it is acquired as a young adult and Post-traumatic stress disorder (PTSD) develops as a person enters into later life. Re-living or even a perception, or fear of a reoccurrence of a traumatic event can manifest itself into PTSD. My PICO question asks: for sepsis related ARDS patients, does the use of counseling reduce the risk of PTSD, compared with patients without counseling? My research on this question could not be fully supported. It is suggested that biological influences and life experience play a much larger role in PTSD than counseling. Post-traumatic stress disorder is a psychological and physical response to a life-threatening trauma. The perception of the trauma is characterized as an individual perception and is different for each person. The psychological response can include re-experiencing the trauma, intrusive thoughts and memories, overwhelming fear, depression and disassociations with the trauma. The physical response can include, but are not limited to, nausea, headache, palpitations, diarrhea, vomiting and insomnia. Without treatment, psychological disabilities can manifest into substance abuse, physical abuse and mental disorders. In order for patients to recover, learning how to expand on the relationship between mental health and physical health and...
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...Health care today is becoming more complex with the aging population, multiple comorbidities, and rising health care costs. There are many issues that health care providers face while caring for patients on a daily basis. The two health care problems that will be discussed are hospital acquired infections and how it affects patient outcomes as well as antibiotic resistance related to overuse and misuse. This paper will discuss those two health care problems and how they affect health care delivery as well as costs, access to care, quality of care, and nursing qualities that influence evidence-based practice. Problems That Affect Health Care Delivery and Health Care Policies Hospital acquired infections The first health care problem to be discussed...
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...Failure to Rescue Barbara Combes Breckenridge School of Nursing ITT Technical Institute July 15, 2014 FAILURE TO RESCUE Abstract This paper describes failure to rescue (FTR), according to recent studies. Failure to rescue is discussed in terms of importance to nursing. The paper speculates on how knowing about failure to rescue may help in the nursing course studies and critical thinking skills. FAILURE TO RESCUE Introduction According to a 2007 article in Med Care, use of failure to rescue as an indicator of hospital quality and patient safety has increased over the past decade. Researchers have used different sets of complications and deaths to define this measure. (Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG, 2007). This paper gives a description of failure to rescue, discusses the importance to nursing and nursing students, in regards to course studies and critical thinking skills. References for this paper are research studies that used the “original” FTR (using all deaths) description. Description Failure to Rescue is generally defined as the inability to save a hospitalized patient’s life when he/she experiences a complication. A complication is a condition that is not present on admission, such as cardiopulmonary arrest/shock, pneumonia, upper GI bleed, venous thromboembolism (VTE), and sepsis. Failure to rescue does not necessarily imply wrong doing. (Silber, JH, 2007) Importance to Nursing Patients that experience a complication...
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...Renub Research www.renub.com Personalized Medicine Diagnostics (Flow Cytometry, Sepsis Immunos, Routine Coagulation, Psychiatric Disorders, Tumor Markers, Molecular Blood Typing and Other Testing) Market & Forecast Published: June, 2013 Copyright © 2013 Renub Research – All Rights Reserved Personalized Medicine - Market Overview Personalized Medicine is often defined as “the right treatment for the right person at the right time.” Personalized medicine is becoming the place to be in clinical diagnostics as well and slowly becoming the reality of future in the diagnostics industry By Technology Segment - Personalized Medicine diagnostics market is expected to grow with a double digit CAGR for the period of 2013 to 2018. It is expected that personalized medicine diagnostics market by technology is going to double by 2018 from its current market size in 2012. In this segment, Point of Care Testing and Molecular Diagnostics segments control the #1 and #2 positions in 2012. By Diseases Segment - Personalized Medicine diagnostics market is expected to be more than US$ 30 Billion by 2018. Diabetes management test and Cancer management test are the leading market in this segment. Renub Research report entitled “Personalized Medicine Diagnostics (Flow Cytometry, Sepsis Immunos, Routine Coagulation, Psychiatric Disorders, Tumor Markers, Molecular Blood Typing and Other Testing)” report provides a comprehensive analysis of the emerging personalized medicine diagnostic market segments...
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...Epidemiology: Chickenpox The Varicella-Zoster virus causes a very infectious disease called Chickenpox. Chickenpox is usually acquired through the inhalation of airborne respiratory droplets from an infected host. Chickenpox is primarily acquired during childhood , with more than 90% of all reported cases occurring in children under the age of 10. A person with chickenpox can spread the virus without even showing any signs or symptoms. It is usually most easily transmitted two to three days before a rash appears and keeps that high transmission rate until the blisters have crusted over. The following paper provides a detailed description of Chickenpox and the determinants of health contributing to the development of the disease. The epidemiologic triangle is used to explain the relationships among an agent, a host and the environment. The paper also addresses the role of the community health nurse in Chickenpox management and discusses the role of one national organization in the fight against the spread of Chickenpox. Description of Chickenpox Chickenpox is an infection caused by the Varicella-Zoster virus. It is considered contagious and is characterized by a itchy rash and appears like blisters all over the body . It occurs most frequently in children between the ages of five and eight years old and is transmitted so easily that the majority of the population will catch the disease at some point in their childhood. Chickenpox can be transmitted by coming into contact...
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...Patient Outcomes Regina Valenzuela Northern Arizona University Abstract Proper nurse staffing has been a debate since the modernization of nursing for many years. This paper examines the results of five researched based articles on the effects of nurse staffing and the outcomes of patient care within a hospital setting. The articles do vary in their methods of gathering information. One study used organizational data from 799 facilitates in eleven states to examine the outcomes of care from the type of nursing care received (Needleman, Buerhaus, Mattke, Stewart, & Zelevinsky, 2002). Another study examined the outcomes of care of intensive care patients in 65 hospitals in the United Kingdom (West, Barron, Harrison, Rafferty, Rowan, & Sanderson, 2014). A third study that was reviewed used cross-sectional patient outcome data from a a nationwide project that provided information from 77 Level I and Level II trauma centers (Glance, Dick, Osler, Mukamel, Li., & Stone, 2012). The fourth article was a synthesis of research publications that examined the outcomes and mortality of patients based on specific determinants (Tourangeau, Cranley, & Jeffs, 2006). The fifth article is an investigative report on nurse to patient ratios and nurse work hours associated to patient care (Agency for Healthcare Research and Quality, 2007). The fifth article was also prepared for the United States Department of Health and Human Services based on a survey of evidence found on many researched...
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...Running head: IMPACT ON NURSING: THE FUTURE OF NURSING IMPACT ON NURSING: THE FUTURE OF NURSING Holly M. L. July 22, 2012 THE IMPACT ON NURSING This paper will review the impact of the Institute of Medicine (IOM) report on the future of nursing. It will include the impact on nursing education, nursing practice, with emphasis on primary care in relation to the goals mentioned in the IOM report and the impact on the nurse’s role as a leader. The IOM report has two key points in relation to education: “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.” (p. 5) and “Nurses should practice to the full extent of their education and training.” (p. 5). The focus of this education should be on the patients, in all settings, and the unique needs of each of these individuals. The Affordable Care Act (ACA) of 2010, focuses on creating a system that is more patient centered. To do this, there needs to be a complete transformation of the healthcare system as it currently stands. The roles of healthcare professionals will have to be reviewed and redefined; and with newly developed initiatives and programs to create the necessary improvements. As mentioned in this report, “If the system is to capitalize on this opportunity, however, the constraints of outdated policies, regulations, and cultural barriers, including those related to scope of practice, will have to be lifted...
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...Running Head: Research Critique Part 1 1 Research Critique Part 1 CLABSI in the Pediatric Oncology Population Cathy Frederick Grand Canyon University NRS-433V Introduction to Nursing Research October 11, 2015 Research Critique Part 1 2 Purpose of the Research This paper will perform a research critique on a qualitative research study published in the Infection Control and Hospital Epidemiology, March 2013, Vol. 34, No.3. The study was presented with contributions from multiple individuals, Dr. A. Gaur, Dr. D, Bundy, C. Gao, PhD, Dr. E. Werner, Dr. A. Billett, Dr. J. Hord, Dr. J. Siegel, Dr. D. Dickens, C. Winkle, RN., and Dr. M. Miller. The research was to identify the host and organism characteristics of the hospital-acquired condition, central line-associated bloodstream infections (CLABSIs) in pediatric hematology/oncology patients. Problem Statement CLABSIs increase the risk for increased mortality and morbidity, extended hospital stays, and raises the overall cost of healthcare. Children’s Hospital Association Hematology-Oncology Quality Transformation Collaborative Project (CHAHQTCP), was a qualitative research project that began on November 1, 2009 and ended July 31, 2011. This project was initiated to identify the contributing factors to blood stream infections (BSI) in pediatric hematology patients. The goal of this research was to reduce CLABSIs by 50%. To be included, the CLABSI needed occur 48 hours after being hospitalized or...
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...FN241 Final Project FN241 Final Project 2013 2013 Group Member Group Member Jeerawut Kamolvisit 5302640361 Patchara Bupadham 5302640866 Phongvasu Siraprapaphong 5302640932 Possathorn Surapongrukcharoen 5302641021 Quentin de Lovinfosse 5602930066 Viktor Ihler 5602930231 Group Member Jeerawut Kamolvisit 5302640361 Patchara Bupadham 5302640866 Phongvasu Siraprapaphong 5302640932 Possathorn Surapongrukcharoen 5302641021 Quentin de Lovinfosse 5602930066 Viktor Ihler 5602930231 History of Insurance Simple forms of modifying risk have been around for five thousand years first described and used by the Chinese. From transferring risk, to distributing risk the first forms of insurance was formed. Starting of as insurance on loans and property, it rapidly became more defined and evolved. Merchants started to insure their shipping goods. By 600 B.C. the first step is taken in the way of modern life insurance. By the 14th century the first forms of insurance contracts are made. Another two hundred years later in the late 1660s the first insurance office is set up. This came as a result of the Great Fire of London and the insurance company that was set up was a fire insurance company. Throughout the 18th and 19th century fire insurances spread around the world and late in the 19th century the first forms of accident insurances came on the market. Throughout the 20th century insurances was modified and new types became a part of the...
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...DIPLOMACY COURSE; RESEARCH METHODOLOGY CODE; DIR 311 RESEARCH PROPOSAL TITTLE; CAUSES OF WOMEN DEATHS DURING CHILD BIRTH IN MASENO MISSION HOSPITAL AUTHOR | ADM NO | ANYANDA SHARON AYUMA | DS/3017/2010 | AFFILLIATION; Research Proposal submitted to the School of Development and strategic studies in partial fulfilment of the requirements for the award of the degree of international relations and diplomacy of Maseno University DECLARATION This reaserch proposal is my original work and has not been presented for a degree in any other University -------------------------- ---------------------------- Signature Date This research proposal has been submitted for examination with my approval as University Supervisor -------------------------- ----------------------------Signature Date AKNOWLEDMENT This report and its findings were prepared by myself with the help of my roommate Eunice Bosibori Ondieki of the department of Communication and Media Technology at Maseno University, she took part in assisting me in interviewing individuals from Mabungo village and also the Hospital staff. I also consulted mu father Mr Maurice Anyanda who gave me ideas on how to go about with my research proposal. Grateful...
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