Majedul Hoque
iraetc med. bull; 1(3) 52-56
DOI: https://doi.org/10.62469/tmb.v01i03.001
The idea of people-centered care is developing with more study, and it is still crucial to the health environment. Professional nurses use this notion poorly, despite evidence of major benefits being claimed. Primary healthcare settings have not seen the demonstration and adoption of this concept. Patient safety is a major public health concern. Patient safety is a global health concern that affects citizens of both industrialized and developing nations. Given the importance of patient safety in relation to the efficiency of care and patient outcomes, it is imperative to have a range of nursing practices, including management, teaching, and clinics. The importance of nurses in providing PCC (people-centered care) and monitoring patients' knowledge and comprehension is rising. In settings involving basic healthcare, nurses are crucial in comprehending a patient's culture about effective and high-quality medical care. The article concluded that further efforts are required to enhance patient safety and PCC. This entails reducing the quantity of errors, falls, hospital infections, and surgical complications in addition to enhancing other safety aspects to make all hospitals safer.
El-Ouardi Khalid, Mouslim Othmane, Lakmichi Mohamed Amine, Dahami Zakaria, Moudouni Mohammed Said, Sarf Ismail
iraetc med. bull; 1(3) 57-61
DOI: https://doi.org/10.62469/tmb.v01i03.002
Purpose: the aim of our study is to assess the characteristics of perinephric hematoma and other prognostic factors of surgical intervention for high grade renal trauma independent of AAST OIS (American association for the surgery for trauma organ injury scale). Materials and methods: A total of 119 patients with high grade renal trauma from January 2005 to September 2021 were identified for analysis. Hospital records and diagnostic imaging were reviewed to identify the need for surgical intervention, including total and partial nephrectomy. Factors examined include patient age, gender, ISS (Injury severity score), AAST-OIS, laceration location, length and number, perinephric hematoma characteristics, intravascular contrast extravasation and devitalised segment status. Descriptive statistics and binary logistic regression were performed as appropriate. Results: Mean patient age was 31, 39 and mean ISS was 22, 80. A total of 24 surgical intervention were required (20%)including partial and total nephrectomy.On univariate analysis, hypotension on admission, hematoma diameter, degree of devitalised fragment superior of 25% and AAST OIS grade were associated with the need of surgical intervention.On multivariate analysis, only hypotension on admission (OR:0,296, 95% CI 0,099-0,885, p: 0,029), hematoma diameter greater than 3,5 cm ( OR:0,253, 95% CI 0,070-0,815, p:0,021) and AAST-OIS grade ( OR: 0,256, 95% CI 0,09-0,72, p: 0,010 ) remained independently associated with surgical intervention. Conclusions: Perinephric hematoma size remains among prognostic factors for surgical intervention that allow better stratification of renal lesions and its study allows a better management of high-grade renal trauma.
Laith H. A. Alharasees, Mohammad M. J. Aladwan, Alaa I. S. Athamneh, Moath R. S. Alzboon, Moath H. A. Hayajneh
iraetc med. bull; 1(3) 62-66
DOI: https://doi.org/10.62469/tmb.v01i03.003
Lipomas are slow-increasing benign soft-tissue tumors, commonly without clinical features. Lipomas are recorded in 1-2% of the population and make up almost half of the soft tissue tumors. Intramuscular lipomas account for 0% - 50% of all adipose tissue tumors. A huge lipoma is defined if it is more than 10 cm in length or weighs more than 1 kg. Lipomas are found in the head and neck area in 13%. Huge lipomas are rare and benign of painless neck masses. Operative excision assures the confirmation of lipomatous tumor and results in full resolution of neurological clinical features.