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Assessment of the level of compliance of biosecurity measures for the management of body fluids in the patient during the perioperative period by the nursing staff of the operating room service at the naval medical center

Background: Biosafety conditions in the surgical field are a current and constantly evolving problem. The risks and accidents that occur in hospitals in the presence of protection measures reveal an inadequate application of biosafety regulations by the nursing personnel. Based on this observation, the following research question was formulated: What is the level of application of biosecurity measures for the management of body fluids of patients during the perioperative period by the nursing staff of the operating room service at the Naval Medical Center?.

Ultrasound-guided hydro resuscitation in patients during the transoperative at the naval medical center

Purpose: To determine the relationship of collapsibility of the jugular vein as a predictor of fluid response in patients during the transoperative period at the Naval Medical Center. Methods: A cross-sectional study was conducted on 75 patients who underwent surgery at the Naval Medical Center. The internal jugular vein distensibility was measured by ultrasonography. Correlations, logistic regression analysis, ANOVA or Kruskall-Wallis and chi-square tests were used to determine differences (P ≤ 0.05) between initial compliance and final compliance during the transoperative period.

Evaluacion de las actividades del personal de enfermeria en la unidad de cuidados intensivos en base a la mnemotecnia fast hugs bid

Background: Currently, the use of the mnemonic FAST HUGS BID has shown that it allows to address the critical patient in a comprehensive and rapid way, focusing on interventions that improve the safety of care in this type of patients, allowing not to leave aside or forget activities in their care that directly affect their care and thus reduce the risk of complications or mortality. The participation of nursing staff in the development of these activities is relevant since this staff is the executive part of many of the care provided to patients hospitalized in critical areas.

Return from migration, land game, stakeholder conflicts and development challenge in zoukougbeu in western ivory coast

This study explores the question of the reintegration of migrants into the land game of their native region, and therefore attempts to highlight the social issues linked to their reintegration. The recent political crisis of 2010 in Ivory Coast has indeed affected migratory flows in some regions of the country. We have therefore seen the massive return of some populations to their regions of origin. The objective of this study is to understand the strategies developed by resident populations and migrants in the latter's quest to integrate the land arena of their families of origin.

Psoriasis pustuleux généralisé associé à une hypocalcémie sévère

Le psoriasis est une maladie auto-immune dont la physiopathologie est mal élucidée. Il s’agit d’une dermatose érythémato squameuse chronique fréquente le plus souvent bénigne. Néanmoins, La forme pustuleuse généralisée reste rare mais grave et peut engager le pronostic vital. L’association à une hypocalcémie est peu fréquente. Cette dernière peut être un facteur déclenchant les poussées cutanées généralisées.

Duplication of inferior vena cava in laparoscopic donor nephrectomy: case report

Congenital anomaly of a great vessel is rare. The presence of Duplicated Inferior vena cava has an incidence of 0.3-3%. Kidney transplantation is one of the mainstay treatment of chronic kidney disease. We herein report a left laparoscopic nephrectomy performed in a donor with duplicated inferior vena cava. Preoperative planning with CT Angiography is a must to accurately delineate anatomy. Duplicated inferior vena cava was clipped and divided just below the confluence with renal vein. The donor made an uneventful recovery.

Relation between neck pain and hand function in patients with non-specific neck pain

Background: neck pain is one of the most common musculoskeletal disorders that affect quality of life. According to a lot of studies people which complain of non-specific neck pain reporting upper limb disabilities including hands. Objective: the main objective of the study was to find the correlation between non-specific neck pain and hand function. Methodology: 60 participants suffered from non-specific neck pain from both gender and 30 normal participants as a control group their ages ranged from 18 to 40 years old and their body mass index less than 30.

Comparison of sensory and motor peripheral nerve blockades with 1.33% liposomal bupivacaine, 1% ropivacaine and 2% lidocaine with dexamethasone

Introduction: Main goal of nerve blockade is to provide analgesia that will outlast duration of pain as long as possible. Deficiency of currently available local aneasthetics is relatively short duration of action. The aim of this study was to compare sensory and motor blockade after perineural application of liposomal bupivacaine, ropivacaine or lidocaine with addition of dexamethasone during peripheral nerve blockade in Wistar rats. Materials and methods: A rat sciatic nerve block model was used.

Loeys-dietz syndrome vs marfan syndrome: hereditary connective tissue syndromes, a diagnostic challenge. report of a case

The diagnosis of Marfan syndrome (MFS) is based on clinical characteristics already defined in the Ghent nosology, and agreed by the opinion of international experts to recognize this syndrome. 9 These Ghent criteria are mentioned here, which include a set of Major and minor criteria in different body systems, and which have been shown to be applicable to this condition, since with these criteria the diagnosis has been confirmed in more than 95% of the patients, described in the literature.

Anesthetic management of right pheochromocytoma assisted by robot case report

Pheochromocytoma is a tumor that arises from the chromaffin cells of the adrenal medulla, which is histologically impossible to differentiate from paragangliomas that can arise outside the adrenal gland, in addition to the low incidence and high complexity in the differential diagnosis. It is a challenge for both the anesthesiologist and the surgical team, due to possible complications that could occur in the operating room. It should be rigorously evaluated and alpha and beta blockade must be started at least two weeks before the surgical procedure.

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