Relevant bibliographies by topics / Time with midwife-patient ratio

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  2. Dissertations / Theses
  3. Books
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Academic literature on the topic 'Time with midwife-patient ratio'

Author: Grafiati
Published: 3 June 2025
Last updated: 20 July 2025

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Journal articles on the topic "Time with midwife-patient ratio"

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Indrayani and Moudy E.U. Djami. "Why did not midwives use partograph correctly?" Pakistan Journal of Medical and Health Sciences 12, no. 1 (2018): 468–73. https://doi.org/10.5281/zenodo.1323401.

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<strong>Background.</strong> WHO has developed the concept of partograph and recommended it as auxiliary tool to monitor progress of first stage of labour, detect complicating factors, and help midwives in decision making. Though various studies have proven the beneficial use of partograph, application of birth progress monitoring is not done properly. <strong>Aim: </strong>To observe midwives&rsquo; obedience in using partograph and explore the obstacles. <strong>Method.</strong> The study used mixed methods with sequential explanatory strategy. Quantitative study used cross-sectional design
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M.C., Ndunge, Jebet C.J., and Irene M.G. "Factors Affecting Quality Documentation in Labour among Midwives at Kenyatta National Hospital." African Journal of Health, Nursing and Midwifery 6, no. 2 (2023): 9–23. http://dx.doi.org/10.52589/ajhnm-jsqfmnfr.

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Background Information: Midwives have posed varying knowledge and practice levels of quality midwifery documentation due to a number of factors. Quality midwifery documentation shows care given to two lives whose interests could be in conflict. Objective: The study sought to determine the factors affecting the quality of documentation in labour among midwives at Kenyatta National Hospital labour ward. Methodology: This was a descriptive cross-sectional study among 51 consenting midwives selected using a simple random sampling technique. Data was collected using a self-administered structured q
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Callander, Emily J., Vanessa Scarf, Andrea Nove, et al. "Midwife-led birthing centres in Bangladesh, Pakistan and Uganda: an economic evaluation of case study sites." BMJ Global Health 9, no. 3 (2024): e013643. http://dx.doi.org/10.1136/bmjgh-2023-013643.

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IntroductionAchieving the Sustainable Development Goals to reduce maternal and neonatal mortality rates will require the expansion and strengthening of quality maternal health services. Midwife-led birth centres (MLBCs) are an alternative to hospital-based care for low-risk pregnancies where the lead professional at the time of birth is a trained midwife. These have been used in many countries to improve birth outcomes.MethodsThe cost analysis used primary data collection from four MLBCs in Bangladesh, Pakistan and Uganda (n=12 MLBC sites). Modelled cost-effectiveness analysis was conducted to
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Pandey, Avinash, Anjana Singh, Shivkant Singh, and Amit Kumar. "Patient-doctor ratio across nine super speciality clinics in government hospital: a cross sectional study." International Journal Of Community Medicine And Public Health 6, no. 10 (2019): 4421. http://dx.doi.org/10.18203/2394-6040.ijcmph20194505.

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Background: There is lack of information regarding patient-doctor ratio in government hospitals in India. The aim of the present study was to measure patient-doctor ratio across nine super specialty clinics. The objectives were to measure Outpatient department (OPD) patient-faculty and patient-senior resident doctor ratio, to measure number of patients seen per unit time and time spent per patient in OPDs across nine super specialty clinics.Methods: Total number of OPD patient visits in year 2018 was retrieved for cardiology, gastroenterology, gastrointestinal surgery, neurology, neurosurgery,
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Hagiwara, Nao, Louis A. Penner, Richard Gonzalez, et al. "Racial attitudes, physician–patient talk time ratio, and adherence in racially discordant medical interactions." Social Science & Medicine 87 (June 2013): 123–31. http://dx.doi.org/10.1016/j.socscimed.2013.03.016.

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Lee, Mi-Joon, Bum-Jeun Seo, and Myo-Youn Kim. "Time-Varying Hazard of Patient Falls in Hospital: A Retrospective Case–Control Study." Healthcare 11, no. 15 (2023): 2194. http://dx.doi.org/10.3390/healthcare11152194.

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This study aims to evaluate the association between patient falls and relevant factors and to quantify their effect on fall risk. This is a retrospective case–control study using the secondary data collected from a tertiary general hospital. Study subjects were 450 patients who were admitted to the hospital between January 2016 and December 2020. The prevalence of falls was associated with the fall risk level by the Morse Fall Scale (MFS) and individual status at admission including history of admission, dizziness, sleep disorder, bowel dysfunction, and urinary incontinence. The odds ratios of
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Sun, Choon Peng, Nursyahirah Saleh, and Syazana Jan Shari. "RENIN-ALDOSTERONE RATIO." Journal of the ASEAN Federation of Endocrine Societies 40, S1 (2025): 114–15. https://doi.org/10.15605/jafes.040.s1.195.

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INTRODUCTIONPrimary aldosteronism (PA) is an important yet often under-diagnosed cause of secondary hypertension. The renin-aldosterone ratio (RAR) serves as a key screening test for PA. This audit evaluates the number of RAR samples sent, their outcomes, and their implications for clinical practice over a three-year period from 2022 to 2024. As RAR testing is not available in Hospital Teluk Intan, all samples must be outsourced to Hospital Putrajaya, with an average turnaround time of approximately one month. The objective of this audit is to determine the number of RAR tests performed in Hos
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Lee, Marina, David McD Taylor, and Antony Ugoni. "The association between abnormal vital sign groups and undesirable patient outcomes." Hong Kong Journal of Emergency Medicine 25, no. 3 (2018): 137–45. http://dx.doi.org/10.1177/1024907917752959.

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Introduction: To determine the association between both abnormal individual vital signs and abnormal vital sign groups in the emergency department, and undesirable patient outcomes: hospital admission, medical emergency team calls and death. Method: We undertook a prospective cohort study in a tertiary referral emergency department (February–May 2015). Vital signs were collected prospectively in the emergency department and undesirable outcomes from the medical records. The primary outcomes were undesirable outcomes for individual vital signs (multivariate logistic regression) and vital sign g
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Otchere, Susan, Varghese Jacob, Abhishek Anurag Toppo, Ashwin Massey, and Sandeep Samson. "Social accountability and education revives auxiliary nurse-midwife sub-centers in India, reduces travel time and increases access to family planning services." Christian Journal for Global Health 4, no. 2 (2017): 10–18. http://dx.doi.org/10.15566/cjgh.v4i2.177.

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Background: Uttar Pradesh (UP) is the most populous state in India. The maternal mortality ratio, infant mortality rate and fertility rates, are all higher than the national average. Sixty per cent of UP inhabitants live in rural communities. Reasons behind the poor state of health and services in many areas of UP is inadequate knowledge and availability in communities of healthy behaviors and information on available government health services.&#x0D; Methods: World Vision Inc. implemented a three-and-half year mobilizing for maternal and neonatal health through birth spacing and advocacy proj
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Andikayasa, Pande Made, Ketut Suryana, Ida Ayu Jasminarti Dwi Kusumawardani, et al. "Neutrophil to lymphocyte ratio, platelet to lymphocyte ratio and one year survival of lung cancer in Sanglah hospital." International Journal of Advances in Medicine 9, no. 9 (2022): 903. http://dx.doi.org/10.18203/2349-3933.ijam20222096.

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Background: Lung cancer is ranked third as the most common cancer in Indonesia. The one-year survival rate of advanced-stage non-small cell lung carcinoma (NSCLC) patient is quite low, that is 24.6%. Effective and inexpensive prognostic markers need to be further studied due to an increasing incidence of cancer. Inflammation plays an important role in tumorigenesis and research showed an association of NLR and PLR values with poor prognosis in patients with various solid tumors, but current cut off values still vary. This study wanted to determine the value of NLR, PLR and their relationship w
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Dissertations / Theses on the topic "Time with midwife-patient ratio"

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Fernandes, Alfredo Manoel da Silva. "Duração da hospitalização e faturamento das despesas hospitalares em portadores de cardiopatia congênita e de cardiopatia isquêmica submetidos à intervenção cirúrgica cardiovascular assistidos no protocolo da via rápida." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-21072014-110315/.

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Com o objetivo de avaliar o atendimento dos pacientes submetidos à intervenção cirúrgica cardiovascular no protocolo de atendimento na via rápida (fast track recovery) em relação ao protocolo convencional, foi comparada a movimentação dos pacientes atendidos em ambos os protocolos nas diferentes unidades hospitalares. O estudo foi realizado em hospital público universitário especializado em cardiologia de 400 leitos, de referência terciária para o Sistema Único de Saúde. Foram estudados 175 pacientes, 107 (61%) homens e 68 (39%) mulheres, de idades entre 2 meses a 81 anos, dos quais 107 operad
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Petit, Claire. "Méta-analyse en réseau et cancer ORL : utilité des critères de jugement multiples Individual Patient Data Network Meta-Analysis Using Either Restricted Mean Survival Time Difference or Hazard Ratios: Is There a Difference? A Case Study on Locoregionally Advanced Nasopharyngeal Carcinomas." Thesis, université Paris-Saclay, 2020. http://www.theses.fr/2020UPASR010.

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Les cancers des voies aéro-digestives supérieures, qu’ils soient des carcinomes épidermoïdes “classiques” ou des carcinomes indifférenciés du nasopharynx sont traités par des associations thérapeutiques en cas de maladie localement avancée. Le traitement loco-régional en est le socle, avec une chirurgie et/ou une radiothérapie. Cette radiothérapie peut être standard (66-70 Grays en 33-35 séances) ou avoir un fractionnement modifié (hyperfractionnement ou accélération). Une chimiothérapie est souvent associée à ces traitements, avec différents temps d’administration possible : en induction, en
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Chang, Fu-Jen, and 張輔仁. "Bivariate survival with time dependent covariate - a case study on the relationship between AIDS patient''s survival and CD4 / CD8 ratio." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/q585w8.

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碩士<br>國立中央大學<br>統計研究所<br>96<br>Highly Active Anti-Retroviral Therapy, or HAART, is highly beneficial to many HIV-infected individuals. The Department of Health in Taiwan has began to provide the treatment of HAART for the AIDS patients since April, 1997. However, so far in Taiwan, there are very few cases using mathematical models to analyse the efficacy of HAART to HIV patients. Conseqently, to investigate the problem, we use marginal model and frailty model, two methods of multivariate survival data analysis. We want to find the different effect of HAART in two time periods, HIV infection to
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Books on the topic "Time with midwife-patient ratio"

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Kreit, John W. Physiological Assessment of the Mechanically Ventilated Patient. Edited by John W. Kreit. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190670085.003.0009.

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This chapter reviews the tests that can be used to determine the type and severity of respiratory failure and the extent to which one or more of the components of normal ventilation and gas exchange have been compromised by disease. Physiological Assessment of the Mechanically Ventilated Patient describes the bedside procedures, measurements, and calculations that allow the assessment of gas exchange and respiratory mechanics in mechanically ventilated patients. Topics include co-oximetry and pulse oximetry, arterial blood gas measurements, venous admixture and shunt fraction, the dead space t
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Beattie, R. Mark, Anil Dhawan, and John W.L. Puntis. Acute liver failure. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569862.003.0063.

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Definition 476Aetiology 476Therapy 480Complications 480Transplantation 484Liver support system 484Prognosis 485Acute liver failure (ALF) in children is defined as ‘a rare multisystem disorder in which severe impairment of liver function, with or without encephalopathy, occurs in association with hepatocellular necrosis in a patient with no recognized underlying chronic liver disease’. Liver function is considered severely impaired if prothrombin time (PT) is &gt;15 s or international normalized ratio (INR) is &gt;1.5 and not corrected by vitamin K, in the presence of hepatic encephalopathy (HE
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Matthew Kynes, J. Hemophilia (Presentation in Emergency Surgery). Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0085.

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Hemophilia is a complex disease of variable severity that affects clotting function and has significant implications in perioperative and emergency care. Hereditary or de novo mutations cause deficiencies in factor VIII or IX production, which may manifest as spontaneous bleeding into joint spaces, muscles, or other sites in severe forms of the disease. Intracranial bleeding is one of the most serious and often fatal complications. In a patient with abnormal bleeding, laboratory results indicative of hemophilia include an increased partial prothromboplastin time (PT), with normal prothrombin t
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Macauley, Robert C. Ethics of Child and Adolescent Palliative Care (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0013.

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Over the course of childhood a patient’s decision-making capacity evolves. While eighteen is the age of majority in most states, younger patients may well have the ability to process information and make informed decisions. At the same time, the “dual process theory” of maturation reveals that emotional considerations may outweigh cognitive ones. Physicians must understand how to respond to parental requests for nondisclosure of diagnosis and prognosis, as well as differences of opinion between the patient and parents as to appropriate treatment options. Even when a child agrees with her paren
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Muders, Thomas, and Christian Putensen. Pressure-controlled mechanical ventilation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0096.

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Beside reduction in tidal volume limiting peak airway pressure minimizes the risk for ventilator-associated-lung-injury in patients with acute respiratory distress syndrome. Pressure-controlled, time-cycled ventilation (PCV) enables the physician to keep airway pressures under strict limits by presetting inspiratory and expiratory pressures, and cycle times. PCV results in a square-waved airway pressure and a decelerating inspiratory gas flow holding the alveoli inflated for the preset time. Preset pressures and cycle times, and respiratory system mechanics affect alveolar and intrinsic positi
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Hendrickx, Jan F. A., André van Zundert, and Andre De Wolf. Inhaled anaesthetics. Edited by Michel M. R. F. Struys. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0014.

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Inhaled anaesthetic drugs are administered via the lungs to provide ‘general anaesthesia’. They are considered complete anaesthetics because they in and by themselves can in most patients ensure all clinical end-points that are required for ‘general anaesthesia’ (unconsciousness, immobility, and haemodynamic stability). The dose–response curve of each clinical end-point is conveniently defined by its mid-point, the end-expired concentration Fa that ensures response suppression in 50 % of the patients (MACawake, MAC, and MACBAR). By understanding the dose–response curves and the factors that in
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Book chapters on the topic "Time with midwife-patient ratio"

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Dionigi, Lamberto. "Medicinal Products: When Innovation Meets the Patient." In Research for Development. Springer Nature Switzerland, 2024. https://doi.org/10.1007/978-3-031-53294-8_19.

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AbstractTherapeutic adherence is an essential element to guarantee the best benefit/risk ratio of a drug for the patient. It refers to the degree to which the patient correctly follows the recommendations on the use of the drug at the due dosage, time, and regimen, throughout the prescribed duration. A low adherence can therefore be the consequence of an incorrect, incomplete, or irregular intake of the medicine. A high adherence, on the other hand, reduces the patient’s health risks, increases the likelihood of treatment effectiveness and safety, and contributes to controlling therapy costs. For this reason, both pharmaceutical companies and regulatory agencies have worked over the years to ensure that the patient is provided with adequate tools to minimize the likelihood and impact of low adherence to therapy. This chapter focuses on those medicines’ elements that can influence therapeutic adherence and highlights some innovations, already in place or in development, aimed to improve it. The author will privilege the example of oral drugs, which are generally self-administered by the patient at home, an environment less controlled than a clinic or hospital.
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Akan, Ayse Sule. "Advanced Cardiac Life Support in Pregnancy." In Special Circumstances in Resuscitation. Nobel Tip Kitabevleri, 2024. http://dx.doi.org/10.69860/nobel.9786053358923.3.

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Cardiopulmonary arrest during pregnancy is a rare occurrence. Approximately 10% of maternal deaths are attributed to cardiopulmonary arrest. The AHA guideline advises manually placing the uterus in the left lateral position during pregnant resuscitation and perimortem cesarean section. While there are many causes of cardiopulmonary arrest in the general population, in pregnant patients, causes can arise from pre-existing conditions as well as physiopathological conditions induced by pregnancy. Managing cardiopulmonary arrest during pregnancy is a challenging clinical situation. While maternal resuscitation shares many aspects with standard adult resuscitation, there are some differences, with the most significant being the presence of two patients, the mother and the fetus. Equipment and personnel for emergency cesarean section and neonatal resuscitation should be readily available. When a pregnant patient experiences arrest, they should be placed on a stretcher, and chest compressions should be initiated. Chest compressions should be performed at a rate of 100-120 compressions per minute and to a depth of at least 2 inches, in the middle of the chest, just below the sternum, with minimal interruption. Airway management and basic life support should be provided, and the time of arrest should be noted. If the pregnancy is beyond 20 weeks or if the uterus is above the level of the umbilicus, manual displacement of the uterus to the left should be performed to reduce aortocaval compression. Bag-mask ventilation with 100% oxygen at a rate of at least 15 L/min should be initiated immediately with a compression-ventilation ratio of 30:2. If the patient is suitable for defibrillation, it should be administered without altering the shock energy. Studies have shown that transthoracic impedance does not change in pregnant women. Defibrillation in the mother should not be delayed due to fetal safety concerns, as minimal energy is transferred to the fetus during defibrillation. Due to physiological changes, the oxygen reserve in the pregnant woman’s lungs is limited, necessitating rapid and effective airway intervention. Therefore, intubation should be attempted using an endotracheal tube with an inner diameter of 6.0-7.0 mm by the most experienced rescuer. Multiple laryngoscopy attempts-more than twice- should be avoided, and if airway intervention fails and mask ventilation is not possible, emergency invasive airway should be established. Medical drug therapy is no different from standard adult resuscitation, and there is no need for dose adjustment in the drugs administered. Drug administration should not be stopped due to fetal teratogenicity.
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Fujimoto, Kyoko, Leonardo M. Angelone, Sunder S. Rajan, and Maria Ida Iacono. "Simplifying the Numerical Human Model with k-means Clustering Method." In Brain and Human Body Modeling 2020. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45623-8_15.

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AbstractCurrently, the safety assessment of radio-frequency (RF) heating using computational modeling is limited by the available numerical models which are not patient specific. However, RF-induced heating depends on the physical characteristics of the patient. The numerical model generation is difficult due to the highly time-consuming segmentation process. Therefore, having fewer types of segmented structures simplifies the generation of numerical models and reduces computational burden as a result. In this study, we used the k-means clustering method to reduce the number of dielectric properties of an existing numerical model and investigated the resulting difference in specific absorption rate (SAR) with respect to the number of clusters.
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Hertz, Karen, and Julie Santy-Tomlinson. "Orthogeriatric and Fragility Fracture Care in the Future." In Perspectives in Nursing Management and Care for Older Adults. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_18.

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AbstractThis chapter aims to outline some of the future goals for fragility fracture care and to offer some thoughts on how some of the more significant challenges need to be approached. The increase in the prevalence of fragility fractures is a growing challenge. Globally, fragility fractures have a varied impact. In resource-rich nations, approximately 10–20% of patients move to residential care after a hip fracture, with accompanying financial and socioeconomic costs. Where healthcare services are less well resourced, much fragility fracture care takes place in the patient’s place of residence or that of their family; placing significant stress on their ability to cope. There is also a chronic worldwide shortage of nurses and, in specialties such as orthogeriatrics and fragility fracture management, there is also high patient acuity and high demand for expert care, often resulting in failure to meet patient and community needs. Care is complex and time and staff intensive, demanding staffing flexibility. Nursing care is likely to be missed when staffing ratios are low and when staffing flexibility is lacking. Inordinate energy must be spent in trying to provide care that meets constantly changing patient needs. Clinicians must also engage with governments, policy makers, leaders, employers, and communities to present evidence, lobby and negotiate for their own working conditions, and the care priorities of those for whom they provide care.This chapter focuses on several aspects of the future development of fragility fracture and orthogeriatric care. This includes highlighting the need for new ways of working and nursing role development along with ensuring that care is provided by nurses who not only understand the injury and the acute care needs related to the fracture, but who also recognise the specific and complex needs relating to the frail older person with multiple comorbidities. Clinicians must also be skilled in chronic condition management, especially concerning osteoporosis and other comorbidities.The evidence base for orthogeriatric and fragility fracture nursing is considered throughout this book. Expert care needs a specific and broad body of evidence that identifies exactly what its actions are and what its value is. Hence, the development, conduct, translation, and application of nursing research for the care of patients with fragility fractures is essential and needs to be developed with a global perspective.Education is the foundation of transforming care and services so that patient outcomes following fragility fracture can be optimised and future fractures prevented. Even though nursing education is paramount in achieving optimum patient care, acknowledging that orthogeriatric and fragility fracture care is, by necessity, interdisciplinary is essential. The benefits of multidisciplinary approaches to care, supported by interdisciplinary education are considered here.
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Frise, Charlotte, Krupa Bhalsod, Rebecca Scott, and Harry Gibson. "Case 29." In Oxford Case Histories in Obstetric Medicine. Oxford University PressOxford, 2023. http://dx.doi.org/10.1093/med/9780192845894.003.0029.

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Abstract A 35-year-old woman was pregnant for the first time. She had no significant past medical history. When she booked with her midwife, she had a normal blood pressure (105/70 mmHg), and a urine sample was sent for culture. No dipstick results were documented. Her BMI was 42 kg/m2. At her 16-week antenatal visit she was noted to have 2+ proteinuria on dipstick, which was confirmed by a urinary protein:creatinine ratio of 100 mg/mmol. Her blood pressure remained normal, she had no symptoms of urinary tract infection, and she was entirely well in herself. There were no abnormal findings on examination.
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Xie Yang, Khanna Sankalp, Good Norm, and Boyle Justin. "Weekly Hospital Workforce Data: A Data Visualisation Exercise." In Studies in Health Technology and Informatics. IOS Press, 2017. https://doi.org/10.3233/978-1-61499-783-2-153.

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Quantifying the health workforce in terms of overall staff numbers and their ratio to patients under their care can strengthen analytical studies designed to inform policy regarding how hospital services are delivered. Information about staffing is traditionally obtained via location-specific audits or self-reported information gleaned from surveys which hold potential biases around time-dependence and recall. In contrast, work presented in this paper describes the derivation of useful workforce metrics from routine hospital financial and clinical information systems that overcome these biases. Staffing data is aggregated, visualised and linked to patient demand to gain insight into spatial and temporal variations in hospital staffing and workload. Overall, hospital staff resourcing varies noticeably across a week, with staff numbers and staff-to-patient ratios dropping to low levels at night and across a weekend. Exploration of staff-to-staff ratios allows further insight into staff dynamics across a week and the variation of supervision level.
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Davies, Justin. "Functional coronary assessment: instantaneous wave-free ratio and other indices." In ESC CardioMed. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198784906.003.0136.

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The instantaneous wave-free ratio (iFR) is a hyperaemia-independent coronary pressure index for the physiological assessment of coronary stenoses. The underlying concept of iFR is that it quantifies the trans-stenotic pressure ratio during the wave-free period of diastole, where myocardial resistance is naturally most stable. The unique properties of the wave-free period eliminate the requirement for pharmacological hyperaemia, making iFR quick and easy to measure and independent of the side effects associated with adenosine administration. Since its introduction in 2012, iFR has developed rapidly as a clinical tool and it is now in use in over 8000 coronary catheter laboratories worldwide. Numerous studies have demonstrated equivalent diagnostic accuracy for ischaemia detection between iFR and fractional flow reserve (FFR) methods. Novel applications of iFR include co-registration of continuous iFR pullback recordings with angiographic or intravascular imaging to map physiological lesion length and intensity along the length of a coronary vessel and virtual PCI to assess the potential haemodynamic improvement in iFR before actual stent implantation. In 2017, the results of two large, randomized, multinational clinical trials comparing clinical outcomes from over 4500 patients randomized to either an iFR-guided approach or an FFR-guided approach concordantly reported iFR to be non-inferior to FFR for major adverse cardiac events at 1 year. Furthermore, a significant saving in per-patient procedural time and a ten-fold reduction in patient-reported symptoms were reported with iFR.
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Potarin, Warantorn, Santisith Khiewkhern, Thidarat Somdee, Kemika Sombatyotha, Chitkamon Srichomphoo, and Jirarat Ruetrakul. "Risk Factors of Pressure Sores Development Among Patients in Adult Intensive Care Unit: Exploring from E-Medical Record." In Studies in Health Technology and Informatics. IOS Press, 2025. https://doi.org/10.3233/shti250098.

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Background: Patients admitted to the Intensive Care Unit (ICU) are at a heightened risk of developing pressure sores, emphasizing the need to identify risk factors and survival times to facilitate effective preventive strategies. Methods: In this cross-sectional retrospective study, we assessed survival time and risk factors for pressure sore development in a cohort of 26 adult ICU patients over a 12-week period. Survival analysis was carried out using the Kaplan–Meier procedure, and differences in survival curves were evaluated with the log-rank test. COX proportional regression analysis was employed to explore associations with ICU-acquired pressure injuries. Results: The median survival time for pressure sore development in our patient cohort was found to be 3 days, with males exhibiting a shorter survival time compared to females. Furthermore, the hazard ratio indicated that patients with an extended length of stay in the ICU were at a statistically significant higher risk of developing pressure sores (P-value = 0.020). Conclusion: These findings underscore the importance of prioritizing male patients in the prevention of pressure sores within the ICU setting. This information can inform the development of clinical guidelines aimed at reducing the incidence of pressure sores in the ICU and enhancing patient care.
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A. Verganelakis, Dimitris, and Maria Lyra-Georgosopoulou. "Nuclear Medicine Dosimetry in Paediatric Population." In Dosimetry [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.105346.

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Nowadays, the value of paediatric nuclear diagnostic medical imaging has been well established within the medical community. Despite decades of nuclear medicine practice, studies in nuclear medicine to achieve the lowest possible radiation dose to the patient while ensuring the optimized image quality have to be continued. Numerous studies highlighted a long list of objectives, in order to obtain the minimum possible absorbed dose, achieve short scan times and generate images with a high signal to noise ratio (SNR) and spatial/temporal resolution. For the development of guidelines, it is necessary to study the handling of radiopharmaceuticals, the dose splitting processes, the quality control protocols, the plan design of infrastructures, the availability of optimized dose calibrators for the corresponding radiopharmaceuticals, the development of new more sensitive radiopharmaceuticals, and optimized protocols for diagnostic or therapeutical examination of the patient. Anthropomorphic phantoms are used to model paediatric patients, but anatomical models and their pharmacokinetic data are not applied directly to any specific patient. There is a need for the development of personalized dosimetry in children. Factors regarding age, weight and biological and molecular background of the pathology must be included in paediatric personalized dosimetry. The developmental process of the child, as shape, mass, volume, anatomy, physiological indices (metabolism, heart rate, etc.) and variations due to pathologies should be taken under consideration. Corrections of radiation time of the target organ, in relation to neighbouring tissues, blood supply, estimation of residual activity/time and clearance rate are parameters in the calculations of paediatric dosimetry in nuclear medicine. In hybrid imaging examinations with computed tomography modality, the contribution of absorbed dose from CT to the paediatric patient must also be calculated.
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Khalifa Mohamed and Zabani Ibrahim. "Developing Emergency Room Key Performance Indicators: What to Measure and Why Should We Measure It?" In Studies in Health Technology and Informatics. IOS Press, 2016. https://doi.org/10.3233/978-1-61499-664-4-179.

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Emergency Room (ER) performance has been a timely topic for both healthcare practitioners and researchers. King Faisal Specialist Hospital and Research Center, Saudi Arabia worked on developing a comprehensive set of KPIs to monitor, evaluate and improve the performance of the ER. A combined approach using quantitative and qualitative methods was used to collect and analyze the data. 34 KPIs were developed and sorted into the three components of the ER patient flow model; input, throughput and output. Input indicators included number and acuity of ER patients, patients leaving without being seen and revisit rates. Throughput indicators included number of active ER beds, ratio of ER patients to ER staff and the length of stay including waiting time and treatment time. The turnaround time of supportive services, such as lab, radiology and medications, were also included. Output indicators include boarding time and available hospital beds, ICU beds and patients waiting for admission.
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Conference papers on the topic "Time with midwife-patient ratio"

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Abshire, T., L. Fink, J. Christian, J. O'Connell, and W. Hathaway. "THE DYSFIBRINOGEN OF CHILDHOOD NEPHROSIS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643334.

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An abnormal fibrinogen (Fib) related to increased sialic acid (SA) has been described in adults with liver disease. This dysfibrinogen (Dysfib) seems most like fetal Fib. A review of 11 patients with nephrosis revealed an unexplained prolonged thrombin time (TT) and otherwise normal coagulation studies. Based on these observations, we sought to answer whether the prolonged TT defined a Dysfib and if this abnormal Fib was similar to fetal Fib. Pooled adult, fetal plasma, and the plasma of 3 patients with nephrosis were studied with TT and reptilase times (RT). Fib was measured by functional (Fi
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Boda, Z., G. Pfliegler, I. Tornai, M. Udvardy, J. Hársfalvi, and K. Rak. "LONG-TERM COUMAROL PLUS SMALL DOSE ASA THERAPY IN PATIENTS WITH PROSTHETIC HEART VALVE. SOME QUESTIONS OF LABORATORY CONTROL." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643268.

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Thromboembolism in patients with prosthetic heart valves remains a major time-related problem (Sullivan 1971, Dale 1976, Chesebro 1983). Patients receiving anticoagulant plus antiplatelet agent have the lowest incidence of thromboembolism but the risk of bleeding is not negligible. The laboratory control of combined therapy is unsolved.This study considers the thromboembolic prophylaxis of 38 patients with prosthetic heart valve. Cou-marol treatment was combined with ASA (1 000 mg/week, 36 months follow up).Prothrombin ratio was used in control of the oral anticoagulant therapy. Malondialdehyd
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Ribeiro, Giovana Barros e. Silva, Vítor Guimarães Corrêa, Izadora Vieira Bolzani Lopes Lima, Sabrina Vechini Gouvêa, and Li Li Min. "Neuro-Behçet as a cause of acute onset cerebellar ataxia: a case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.756.

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Case presentation: A 37-year-old woman, current smoker and previously addicted to cocaine, was brought to the emergency department with complaints of “imbalance and altered speech” that started eight days prior to admission, acutely. The patient, who was previously asymptomatic, also reported fever, headache and myalgia during the same period. Emotional lability was reported by the family members. At the initial evaluation, the patient was somnolent but reactive. Scanning speech, left-sided central facial palsy, sings of bilateral pyramidal involvement, axial and appendicular cerebellar ataxia
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Gu, Gwang Min, and Jung Kim. "Wireless Multi-Axial Force Sensing Shoe for Gait Abnormalities Monitoring." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-53385.

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Measurements of sequential Ground Reaction Force (GRF) can provide quite useful information for monitoring of gait abnormalities during activities in daily life. Measuring sequential GRF in conventional approach using force plates is difficult due to the limited number of force plates. Therefore, we developed a fully untethered GRF sensing system having the low height (12 mm) and the capability of sensing simultaneously shear and normal GRF. The biaxial force sensing shoe showed the excellent repeatability (0.6 %) under long-term periodic loading condition for two hours. Comparison experiments
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Antonini, Marcelo, Matheus de Paula Solino, Mariana Soares Cardoso, Odair Ferraro, Reginaldo Guedes Coelho Lopes, and Juliana Monte Real. "IS THERE ANY DIFFERENCE IN LOCOREGIONAL RECURRENCES AFTER CONSERVING BREAST SURGERY IN PATIENTS OVER 70 YEARS OLD COMPARED WITH PATIENT BELOW?" In Brazilian Breast Cancer Symposium 2022. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s2052.

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Objective: The aim of the study was to assess whether the type of surgical treatment has an impact on local recurrence and overall survival (OS) of patients aged 70 years or older when compared to patients below 70 years of age. Methods: This is a retrospective case-control study. Data were collected from the medical records of all female patients undergoing surgical treatment for breast cancer at the Hospital do Servidor Público Estadual de São Paulo (HSPE) between March 2014 and October 2020. Female patients with a diagnosis of malignant neoplasm of the breast confirmed by the pathological a
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Feng, Yu, Xiaole Chen, and Mingshi Yang. "An In Silico Investigation of a Lobe-Specific Targeted Pulmonary Drug Delivery Method." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6928.

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Nowadays, “personalized medicine” is starting to replace the current “one size fits all” approach. The goal is to have the right drug with the right dose for the right patient at the right time and location. Indeed, conventional pulmonary drug delivery devices still have poor efficiencies (&lt;25%) for delivering drugs to the lung tumor sites. Major portions of the aggressive medicine deposit on healthy tissue, which causes severe side effects and induces extra health care expenses. Therefore, a new targeted pulmonary drug delivery method is proposed and evaluated using the Computational Fluid
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Egan, Paul F. "Design and Biological Simulation of 3D Printed Lattices for Biomedical Applications." In ASME 2019 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/detc2019-98190.

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Abstract There is great potential for using 3D printed designs fabricated via additive manufacturing processes for diverse biomedical applications. 3D printing offers capabilities for customizing designs for each new fabrication that could leverage automated design processes for personalized patient care, but there are challenges in developing accurate and efficient assessment methods. Here, we conduct a sensitivity analysis for a biological growth simulation for evaluating 3D printed lattices for regenerating bone and then use these simulations to identify performance trends. Four design topo
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Redaelli, R., F. Baudo, B. Busnach, et al. "LUPUS ANTICOAGULANT (LA) COEXISTENT WITH TRANSIENT PROTHROMBIN (FII) INHIBITOR: FTI DEFICIENCY DUE TO CLEARANCE OF THE B/MUNOCOMPLEX." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644240.

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23 y.o. man with acute nephritis and bleeding (epistaxis, ecchymosis) at presen-taticn. Family and personal past history negative for bleeding. Laboratory data consistent with SLE. Coagulation tests: FT Ratio (R) 1.8, aPTT R 2.4, FII:C &lt;1%, FIIR:Ag 996, other coagulation factors normal. Tissue thromboplastin inhibition test (TTIT) R 2.8, congenital FII deficiency (696) R 1.6.1. FII survival time (Fll-ccncentrate infusion - 60 U/kg) t1/2: 9 hours.2. FII neutralizing activity (FTI:C normal plasma (NP) + buffer 5996; NP + patient plasna {PtP) 5096): absent.3. Irmunoccrplex formaticn4. FII inhi
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Case, David, Behzad Taheri, and Edmond Richer. "Active Control of MR Wearable Robotic Orthosis for Pathological Tremor Suppression." In ASME 2015 Dynamic Systems and Control Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/dscc2015-9874.

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Given the side effects and possible complications of current clinical treatments for severe pathological tremor, many researchers pursue the less invasive alternative of suppression at the musculo-skeletal level. In wearable robotics applications, the high strength-to-weight ratio, the low power consumption, and their adaptability allow magnetorheological (MR) fluid dampers and actuators to be personalized to the individual needs of a patient. Moreover, their rapid dynamic response makes them suitable for use in real time active devices. This paper presents the theoretical development and expe
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Ferche, Oana, Alin Moldoveanu, Florica Moldoveanu, Alexandra Voinea, Victor Asavei, and Ionut Negoi. "CHALLENGES AND ISSUES FOR SUCCESSFULLY APPLYING VIRTUAL REALITY IN MEDICAL REHABILITATION." In eLSE 2015. Carol I National Defence University Publishing House, 2015. http://dx.doi.org/10.12753/2066-026x-15-073.

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Out of the many uses of eLearning - one that stands out for having a potentially great impact on the quality of life of its users - is relearning physical and psychical abilities that were lost after acute illnesses or injuries through rehabilitation processes. Such disabilities are a great burden on the patient, on his caregivers, and on society. Simple everyday tasks represent a challenge and the patient must learn again gestures that seemed habitual before the accident. Amongst the various sciences and technologies that have been used in order to improve the classical rehabilitation process
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Reports on the topic "Time with midwife-patient ratio"

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DCE-MRI V.2, Consensus QIBA Profile. Chair Hendrik Laue and James O'Connor. Radiological Society of North America (RSNA)/Quantitative Imaging Biomarkers Alliance (QIBA), 2023. https://doi.org/10.1148/qiba/20231206.

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The goal of the DCE-MRI quantification QIBA Profile version 2.0 is to provide an update from the Dynamic Contrast Enhanced MRI (DCE-MRI) Quantification profile (version 1.0, dated July 1, 2012) in order to include the use of 3 Tesla (T) MRI and the use of parallel imaging with receiver coil arrays. While many pharmacokinetic models have been described, this QIBA Profile (DCE-MRI Quantification) specifically addresses the physiological parameter Ktrans derived from the Tofts or generalized kinetic model (GKM) (1), which is correlated with the vessel (surface/area product and permeability) and h
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