Among the MSM, the rectum is the only site of gonococcal infection. Rectal infection may occur through direct inoculation by receptive anal intercourse and is usually asymptomatic. The symptoms include pruritus, rectal pain, painless rectal discharge, and in severe cases, bloody mucopurulent discharge. Pharyngeal infection may occur may occur in up to 10% of Men who engage in oral-genital contact with infected
It takes a cross-sectional image of the vessel and allows the assessment of a percentage stenosis. The results of stenosis treatment can be evaluated by means of IVUS. It allows accurate assessment of re-stenosis following angioplasty and has resulted in the finding that a stent placement can prevent re-stenosis. Boston Scientific Corp ((n.d.):2) states that IVUS is applied in the investigation of lesion significance and lesions of which an angiographical determination could not be made. It serves as a guiding tool during stent placement and peripheral interventions.
The surgery is associated with many avoidable complications and hence requires a serious and cautious approach .The frequency of bile duct injury remains fairly constant .The seriousness of this complication relates in part of problems of biliary fistula and uncontrolled sepsis and in part to the technical difficulties of successful repair of bile duct injuries. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones unless there are contraindications to the laparoscopic approach. Sometimes a laparoscopic cholecystectomy may be converted to an open cholecystectomy for technical reasons or safety. Complications associated with cholecystectomy are bile duct injuries, bile leak from accessory bile ducts or due to clip displacement from the cystic duct, retained stones in the common bile duct, perforation of gallbladder, bleeding from liver, cystic or hepatic artery, subphrenic abscess and peritonitis. Bile duct injuries are important because they are preventable, but once they occur, they may be associated with considerable morbidity and
Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction. Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse-to-nurse report..
The electrodes were designed to record this specifically, so the future performance of the myoelectric technology will be achieved to hopefully achieve an enhancement of EMG information. These electrodes were used to test and evaluate the classification accuracy: 32 EMG recordings per movement were stimulated. The classification accuracies discovered in this test were averaged over all 11 movements, this was then used to calculate the overall classification accuracy. The LDA classifier was used to classify features extracted from the EMG signals from the upper limb in real time. The prediction of using analysis windows was 150ms with 50ms of overlap, leaving the prediction at 100ms (0.1 seconds).
Ultrasound can be used as an alternative to x-ray for many investigations to minimize the use of radiation. The utility of ultrasound in the NICU lies in its portability, reliability and lack of radiation exposure. In NICU, ultrasound can be used for a wide range of indications, such as research, proceed guidance and rapid assessment of critical emergencies. In addition, ultrasound can be a guidance to improve safety and success rate of clinical procedures, such as umbilical vein catheter (UVC) placement. Given its availability and reliability, ultrasound can be used frequently and longitudinally to follow-up certain procedure.
Laparoscopic splenectomy is preferred over open splenectomy as it is safe and effective.29It has an exclusion criterion for the following cases; trauma, portal hypertension and high anesthesia risk due to cardiorespiratory and allied conditions.29 A patient with an indication for splenectomy has to undergo a few preoperative examinations as well as vaccinations. A spiral CT scan is used to check the size and volume of the spleen, as well as accessory splenic tissue preoperatively.30 Vaccination against pneumococcal, meningococcal and Haemophilus influenza type B infection is of standard recommendation two-three weeks prior splenectomy.30 Under general anesthesia, the patient is placed laterally on the right decubitus position with the left
The basic view performed in cardiac ultrasound is the four-chamber view, which can detect 43–96% of fetal anomalies. “Extended basic views” of the left ventricular outflow tract (LVOT) and right ventricular outflow tract (RVOT) increase the sensitivity for the detection of anomalies. Alternatively, a comprehensive set of five short axis
A study of radiographer’s knowledge about the radiographic appearance of acute appendicitis. Name of the research scholar: Daniel a/l Jeyaraman Main supervisor: Dr. Dinesh Madhavan Nair Co-supervisor: Mohd Imran Mohd Course: Bachelor of Medical Imaging INTRODUCTION: This is a preliminary research study conducted by myself, Daniel a/l Jeyaraman, Bachelor of Medical Imaging to measure the knowledge of the radiographers based on their ability to detect the radiographic appearance of acute appendicitis in various imaging modalities, such as CT-scan, Ultrasound and MRI. The knowledge of the radiographers will be assessed by statistical evaluation of the answers, given for questionnaire about the criteria of radiographic presentation
Inter-rater reliability, the Kappa statistics, was 0.81. Among the included articles, 91 were cross sectional, 6 were systematic review; 4 were quasi-experimental, 3 were meta-analysis, 3 were literature review, 1 was randomized controlled trial, and 1 was retrospective cohort studies. Systematic reviewWe found several numbers of determinants of patient satisfaction investigated in a wide diversity of studies, including fields of marketing, behavioral science, psychology, health management, and so onetc. TheOur sample identified evidence for 22 antecedents and determinants of patient satisfaction between 1978 and 2014. For the purpose of clarity, we grouped these antecedents and determinants were grouped into 2 broad categories: health care provider related determinants and patient related characteristics.9 Of the 22 antecedents and determinants, 9 determinants were categorized as health care service quality characteristicss, which may have played a role in variation in patient satisfaction: technical care, interpersonal care, physical environment, access (accessibility, availability, and finances), organizational characteristics, continuity of care, and outcome of care.
Other types of biopsy methods may be used such as wedge or punch biopsy, but these techniques tend to be less accurate. After the biopsy is performed a wide excision should follow. This should encompass a l good margin of healthy tissue. Any further excision will depend on the thickness of the tumor. Depending on the invasive ness of the tumor a lymph node biopsy might be conducted to see if any of the draining lymph nodes were affected (Hodgetts, 2013).
Transitions in care, such as admission to and discharge from the hospital, put patients at risk for errors due to poor communication and inadvertent information loss (1–5). One discrepancy does not necessarily mean an error. In fact, most discrepancies are due to adapting chronic medication to the patient’s newly diagnosed condition, or because the examinations and/or interventions performed could interfere with their usual medication. Medication discrepancies, established as unexplained differences among documented drug regimens at the interfaces of care1 (admission, transfer, and discharge) are highly prevalent. Some are intended therapeutic modifications, but others are unintentional and clinically unjustified.
That will encourage and motivate others to work as a team and help each other. Identify the barriers of change, which might be the staff nurses who are skeptical of change. They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later.
 The Modified Early Warning Score (MEWS) was validated in UK in 2001 as a bedside tool to identify patients at risk of critical events including death. It is based on five variables (systolic blood pressure, heart rate, respiratory rate, temperature, and neurological status).  Despite that MEWS was designed for medically admitted patients, it has been used in emergency and elective colorectal surgical patients for early identification of critical events.  Reini and colleauges stated that MEWS is a useful tool in predicting ICU mortality, 30-day mortality and length of stay in the
Immunizations can save a child’s life; due to the medical advances that have taken place, kids are now protected from many illness/ diseases. At one point in time, Polio was a horrible illness that is now preventable by simply receiving a shot (USDHHS, n.d.). Immunizations protect not only the individual receiving the vaccination, but others as well. Certain individuals are not suitable for specific vaccinations, therefore, if everyone else has the vaccination, the people who cannot are more likely to be safe from the illness (USDHHS, n.d). Generally, immunizations are safe, effective, cheaper in the long run, and can save families time.