1
|
Effect Analysis of Nursing Method Based on Stratified Emergency Knowledge in Emergency Myocardial Infarction. BIOMED RESEARCH INTERNATIONAL 2022; 2022:3505228. [PMID: 36246970 PMCID: PMC9553482 DOI: 10.1155/2022/3505228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 08/25/2022] [Accepted: 09/08/2022] [Indexed: 12/02/2022]
Abstract
First aid is to give immediate first aid to patients who have suffered accidental injuries or sudden diseases before the emergency medical personnel arrive at the scene or are sent to the hospital for treatment; myocardial infarction is a severe and emergency of coronary heart disease. It is often because of coronary atherosclerosis, plaque rupture, bleeding, or thrombosis, which leads to the acute and complete occlusion of the coronary arteries and acute necrosis of the myocardium. This article aims to investigate the effectiveness of a stratified emergency care team assisted by multidisciplinary first aid knowledge in acute myocardial infarction first aid, hoping to reduce the probability of acute myocardial infarction through first aid and nursing care. Business process reengineering is a management idea that reached its heyday in the 1990s and is usually defined as achieving workflow and productivity through the reorganization and optimization of corporate strategies, value-added operational processes, and the systems, policies, organizations, and structures that support them. This article first outlines the concepts and steps of medical image registration, analyzes the characteristics of current medical image registration methods, and uses the two most commonly used medical registration methods today; in this study, the BPR theory was used to construct the AMI emergency care process in the hospital, which effectively reduced the emergency delay time of AMI patients, improved the patient's emergency response, and increased the efficiency of emergency nurses' rescue work. The experimental results in this paper show that the sensitivities of the first four groups of ST↑III > II, ST ↓ aVL > I, STV3 ↓ /STIII↑≤1.2, STI ↓ ≥0.05 mV are 82.1%, 80%, 75.3%, and 60.3%, respectively. Their sensitivities are relatively close, both are greater than 50%; among them, ST↑III > II has the highest sensitivity, which is 80%. In terms of specificity, ST↑III > II, ST ↓ aVL > I, STV3 ↓ /STIII↑≤1.2, and STI ↓ ≥0.05 mV were 82.1%, 89.2%, 82.7%, and 65.2%, respectively. ST ↓ ≥0.05 mV has the lowest specificity, and ST ↓ aVL > I has the highest specificity.
Collapse
|
2
|
Deep Learning-Based Medical Information System in First Aid of Surgical Trauma. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:8789920. [PMID: 35469219 PMCID: PMC9034939 DOI: 10.1155/2022/8789920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 02/20/2022] [Accepted: 02/23/2022] [Indexed: 11/26/2022]
Abstract
The aim of this study was to explore the application of process reengineering integration in trauma first aid based on deep learning and medical information system. According to the principles and methods of process reengineering, based on the analysis of the problems and causes of the original trauma first aid process, a new set of trauma first aid integration process is established. The Deep Belief Network (DBN) in deep learning is used to optimize the travel path of emergency vehicles, and the accuracy of travel path prediction of emergency vehicles under different environmental conditions is analyzed. DBN is applied to the surgical clinic of the hospital to verify the applicability of this method. The results showed that in the analysis of sample abscission, the abscission rates of the two groups were 2.23% and 0.78%, respectively. In the analysis of the trauma severity (TI) score between the two groups, more than 60% of the patients were slightly injured, and there was no significant difference (P > 0.05). In the comparative analysis of treatment effect and family satisfaction between the two groups, the proportion of rehabilitation patients in the experimental group (55.91%) was significantly better than that in the control group, and the satisfaction of the experimental group (7.93 ± 0.59) was significantly higher than that of the control group (5.87 ± 0.43) (P < 0.05). Therefore, integrating Wireless Sensor Network (WSN) measurement and process reengineering under the medical information system provides feasible suggestions and scientific methods for the standardized trauma first aid.
Collapse
|
3
|
Coşkun A, Şener A, Şahin O, Ekmekcioğlu C. Knowledge and attitudes of emergency medicine physicians and nurses regarding emergency management of dentofacial trauma in pediatric patients. Arch Pediatr 2021; 28:520-524. [PMID: 34507864 DOI: 10.1016/j.arcped.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 01/30/2021] [Accepted: 07/27/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Considering that the first visit for dentofacial trauma is generally in emergency departments, the awareness and knowledge of the emergency medicine staff regarding the treatment of dentofacial injuries is very important for the prognosis. The aim of this study was to investigate the knowledge, education, and self-confidence levels of emergency medicine physicians and nurses concerning the diagnosis and treatment of dentofacial traumatic injuries in pediatric patients. METHODS This questionnaire-based, cross-sectional study included emergency medicine physicians and emergency medicine nurses. The survey contained questions and three sections on participants' general data, attitudes, basic knowledge, and confidence levels in managing dentofacial trauma. RESULTS A total of 407 participants (250 emergency medicine physicians and 157 emergency medicine nurses) were included in this study. There was a significant difference between the groups regarding the correct answers to the questions about trauma management and emergency management of crown fractures and avulsed permanent teeth (p <0.05). CONCLUSION Our findings show that there is a lack of information on dentofacial trauma for emergency medicine physicians and nurses. In order to increase knowledge in this area and to improve the diagnosis and management of dentofacial trauma, interdisciplinary seminars, case discussions, and continuing education programs should be held for emergency medicine staff.
Collapse
Affiliation(s)
- A Coşkun
- İzmir Training Dental Hospital, Dental Department, İzmir, Turkey
| | - A Şener
- İzmir Çiğli Training and Research Hospital, Department of Emergency Medicine, İzmir, Turkey
| | - O Şahin
- İzmir Katip Çelebi University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, İzmir, Turkey.
| | - C Ekmekcioğlu
- İzmir Katip Çelebi University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, İzmir, Turkey
| |
Collapse
|
4
|
Ahmad MS, Abuzar MA, Razak IA, Rahman SA, Borromeo GL. Perceptions of oral health education and practice among nursing students in Malaysia and Australia. Int J Dent Hyg 2021; 19:215-222. [PMID: 33513278 DOI: 10.1111/idh.12488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 12/08/2020] [Accepted: 01/24/2021] [Indexed: 01/23/2023]
Abstract
OBJECTIVE Representing the largest proportion of healthcare workers, nurses play a significant role in oral health (OH) maintenance as part of a larger effort to promote holistic patient care. The study aims to determine nursing students' perceptions of OH education and practice in Malaysian and Australian nursing schools. MATERIALS AND METHODS A self-administered questionnaire (content- and face-validated) survey was undertaken, classroom style, amongst final-year nursing students from selected Malaysian (n = 122, Response rate=97.6%) and Australian (n = 299, Response rate=54.7%) institutions. Quantitative data were analysed via Statistical Package for Social Science software (Chi-square and Fisher's exact tests, p ≤ 0.01). RESULTS Significantly more Malaysian nursing students, compared to those in Australia, reported having encountered patients with OH issues (98.4% vs. 82.9%), namely halitosis (87.7% vs. 62.2%), oral ulcers (63.1% vs. 41.1%), oral/dental trauma (36.9% vs. 21.1%) and caries in children (28.7% vs. 7.7%). Less than half of Malaysian and Australian nursing students reported that they received adequate OH training (48.4% vs. 36.6%, p ≤ 0.01), especially in detecting oral cancer (18.0.0% vs. 22.6%, p ≤ 0.01) and preventing oral diseases (46.7% vs. 41.7%, p ≤ 0.01). Students in both countries demonstrated positive attitudes and believed in their role in OH care. Most students agreed that they should receive training in OH, especially in smoking cessation and providing OH care for patients with special needs. They also opined that a standardized evidence-based oral hygiene protocol is needed. CONCLUSION Support for education and practice in this area of patient care suggested positive implications for further development of nurses' roles in OH promotion and management.
Collapse
Affiliation(s)
- Mas S Ahmad
- Universiti Teknologi MARA, Selangor Branch, Sungai Buloh, Malaysia
| | | | - Ishak A Razak
- MAHSA University, Bandar Saujana Putra, Jenjarom, Malaysia
| | | | | |
Collapse
|
5
|
Al Zaher N, Dashash M. An educational intervention for improving knowledge of Syrian school children about avulsion using the "save your tooth" poster. BMC Oral Health 2021; 21:24. [PMID: 33413303 PMCID: PMC7792023 DOI: 10.1186/s12903-020-01380-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 12/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The prognosis of replantation of an avulsed tooth is affected by the first aid management in the first 15 min after traumatic incident. Knowledge of the optimal management is crucial to successful replantation. The objective of this study was to investigate the effectiveness of educational intervention using the Arabic version of the "save your tooth" poster designed by the International Association of Dental Traumatology IADT, in improving the knowledge of schoolchildren about first aid management of avulsion of permanent teeth. METHODS An interventional educational study was undertaken. A total of 550 schoolchildren aged 9-12 years participated in this study. Thirteen public primary schools in Damascus city were selected. A questionnaire was developed to measure the knowledge of schoolchildren about avulsion of permanent teeth. The translated IADT education poster about avulsion management was adopted.The content of this poster was explained to the children. Two months later, the subjects were re-evaluated using the same questionnaire. Paired sample t-test was used to test the differences existed between the two assessments. RESULT A total of 537 schoolchildren completed the questionnaires in which (n = 305) 57% were females and (n = 232) 43% were males. The findings demonstrated significant improvement in the participants' responses after interventional education (P < 0.05). The mean score of knowledge increased significantly from 3.71 at the baseline to 4.03 after the intervention (P < 0.003). CONCLUSION The findings of the present study showed that the level of knowledge of Syrian schoolchildren regarding first-aid management of avulsion of permanent teeth was limited at the baseline. The follow-up results showed that the educational intervention based on the "save your tooth" poster was significantly effective in improving the knowledge of schoolchildren. Further interventions to educate all Syrian schoolchildren about avulsion could be of great value to prevent its negative aesthetic, functional, psychological, economic impacts.
Collapse
Affiliation(s)
- Nancy Al Zaher
- Paediatric Dentistry Department, Faculty of Dentistry, Damascus University, Damascus, Syria
| | - Mayssoon Dashash
- Paediatric Dentistry Department, Faculty of Dentistry, Damascus University, Damascus, Syria. .,Centre for Measurement and Evaluation in Higher Education, Ministry of Higher Education, Damascus, Syria.
| |
Collapse
|
6
|
Rodrigues OFE, Landim KLG, Alves RT, Machado FC, Carrada CF. Knowledge of Avulsion of Permanent Teeth Emergency Management Among Undergraduate in Brazilian Health Care Students. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | | | | | - Camila Faria Carrada
- Faculty of Medical Sciences and Health of Juiz de Fora, Brazil; Federal University of Minas Gerais, Brazil
| |
Collapse
|
7
|
Gaffar B, AlHumaid J, Ashraf Nazir M, Alonaizan F. Traumatic dental injuries in the Eastern Region of Saudi Arabia: Factors influencing teachers' management practices. Dent Traumatol 2020; 37:65-72. [PMID: 32794329 DOI: 10.1111/edt.12598] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 06/28/2020] [Accepted: 06/30/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS Traumatic dental injuries (TDIs) in children frequently occur in schools where teachers can play an important role in their management. Therefore, the aim of this study was to assess schoolteachers' knowledge and the factors that determine their management of TDIs. MATERIALS AND METHODS This cross-sectional study was conducted in the Eastern Province of Saudi Arabia from January to June 2018. Data were collected through an online pre-tested questionnaire. The questionnaire collected demographic data and included questions that assessed participants' knowledge and management practices for TDI. Chi-square test and multivariate logistic regression analysis were performed. RESULTS A total of 443 teachers were included in the study, and 72.5% of the participants were females. The prevalence of TDIs was 49% yet only 7.2% of the participants reported managing dental trauma. Fights (22.8%) and falls (21.7%) were the most common causes of dental injuries. Mean TDI knowledge score was 2.75 ± 2.05, but only 47.2% were willing to receive training about TDI management. Regarding supportive environments, 75.8% of teachers reported having safety playgrounds, however 10.6% reported having a nurse in schools. After controlling for other variables, male respondents were 3.85 times more likely to manage TDIs than female respondents (P = .001). Similarly, previous knowledge of dental trauma management (OR = 4.32, P < .001) and having less than 50 students in class (OR = 2.61, P = .021) were significantly associated with TDI management. CONCLUSION The teachers demonstrated inadequate knowledge about TDIs which were highly prevalent in primary schools. Male gender, having knowledge of TDI management and teaching less students were associated with increased likelihood of TDI management. There is a crucial need for the reinforcement of policies that support school safety and a supportive environment.
Collapse
Affiliation(s)
- Balgis Gaffar
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Jehan AlHumaid
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Muhammad Ashraf Nazir
- Preventive Dental Sciences Department, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Faisal Alonaizan
- Restorative Dental Sciences Department, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| |
Collapse
|
8
|
Riyahi AM, Myman TA, Jarbou FA. Clinical-based Scenario Questionnaire About Dentists’ Awareness of Tooth Avulsion Management in Riyadh City. JOURNAL OF ADVANCED ORAL RESEARCH 2020. [DOI: 10.1177/2320206820910022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aim: To evaluate the knowledge of general dentists in Riyadh city regarding tooth avulsion using a questionnaire that contained case-based questions. Materials and Methods: Case-based questionnaires were distributed amongst 128 dentists. The questionnaire contained 5 items on demographic data and 10 items on clinical cases. Participants selected the most appropriate answer on the basis of the American were analyzed using the Statistical Package for the Social Sciences (SPSS, version 22, IBM Corp., New York). Results: The survey was completed with 74 percent males and 26 percent females. Most participants had freshly graduated and had not experienced any accident involving tooth avulsion. The overall mean score was 5.13 (standard deviation = 1.73). There were no significant differences in scores among the demographic categories. Conclusion: Freshly graduated dentists in Riyadh city demonstrated a moderate level of knowledge on management of avulsed teeth. Close adherence to AAE guidelines for traumatic dental injuries could result in further improvement.
Collapse
Affiliation(s)
- Abdullah Mahmoud Riyahi
- Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | | | - Fahd Al Jarbou
- Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| |
Collapse
|
9
|
Alyahya L, Alkandari SA, Alajmi S, Alyahya A. Knowledge and Sociodemographic Determinants of Emergency Management of Dental Avulsion among Parents in Kuwait: A Cross-Sectional Study. Med Princ Pract 2018; 27:55-60. [PMID: 29212087 PMCID: PMC5968277 DOI: 10.1159/000486095] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Accepted: 12/06/2017] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the knowledge of first aid measures for a permanent tooth avulsion among parents in Kuwait and to assess the effect of different sociodemographic characteristics. MATERIALS AND METHODS A cross-sectional study was conducted among 554 parents who visited 5 dental specialty centers in Kuwait. Parent sociodemographic data and responses to avulsion management questions were collected through a self-administered questionnaire. Descriptive and binary logistic regression analyses were used for data analysis. RESULTS In the 554 responses from patients, gaps were identified in the following areas: replantation (199, 35.9%), cleaning of the tooth (182, 32.9%), and transport media (84, 15.2%). Most parents demonstrated satisfactory knowledge levels regarding the urgency to seek professional help (391, 70.6%) and the first place of contact after the injury (525, 94.8%). Having previous information on emergency management of dental avulsion was a significant predictor of good knowledge (OR 2.138, 95% CI 1.347-3.395, p = 0.001). Of the 544 parents, 99 (17.8%) had received information on dental avulsion management: 30 (30.3%) from the Internet, 19 (19.2%) from books, 12 (12.1%) from television, 6 (6%) from smart phone applications, 2 (2%) from newspapers, and 30 (30.3%) from other sources. CONCLUSION In this study, parents in Kuwait did not have adequate knowledge of emergency management for dental avulsion. Future educational campaigns on dental avulsion are urgently needed to educate parents.
Collapse
Affiliation(s)
- Lolwa Alyahya
- General Practice Dentistry, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
- *Lolwa Alyahya, General Practice Dentistry, Dental Division, Ministry of Health, PO Box 13001, Sulaibikhat 12009 (Kuwait), E-Mail
| | - Sarah A. Alkandari
- General Practice Dentistry, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
| | - Saitah Alajmi
- Dental Internship, Dental Division, Ministry of Health, Sulaibikhat, Kuwait University, Jabriya, Kuwait
| | - Asma Alyahya
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Jabriya, Kuwait
| |
Collapse
|
10
|
Lechner K, Connert T, Kühl S, Filippi A. Lip and tooth injuries at public swimming pools in Austria. Dent Traumatol 2017; 33:214-220. [PMID: 28231409 DOI: 10.1111/edt.12331] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND/AIMS There is an increased risk of orofacial injuries in swimming pool facilities. Nevertheless, only a few studies have addressed this issue. The aim of this study was to identify the frequency of lip and tooth injuries at public swimming pools in Austria. A further aim was to examine which gender and age groups were affected, where and why these injuries occurred, and whether pool attendants had sufficient knowledge of dental first-aid measures. MATERIAL AND METHODS A total of 764 pool attendants in Austria were contacted by telephone and 689 participated in the study (90.2%). The attendants were interviewed retrospectively about accident occurrences in 2014 by a standardized questionnaire. Responses to the provision of first aid and choice of storage medium for avulsed teeth were subsequently evaluated. RESULTS The frequency of lip injuries was 19.0%, and tooth injuries were 11.3%. Male bathers (P < .05) and children under 12 years (P < .001) most frequently suffered injuries. The waterslide was the most common accident site. The most common cause of lip injuries was slipping on wet surfaces (39.0%), and for tooth injuries it was collisions with other persons or objects (each 28.1%). The pool attendants' responses were predominantly good or sufficient on first aid, with the exception of what storage medium to choose. Tooth rescue boxes were available in only 8.6% of all pool facilities. CONCLUSION Orofacial injuries are a frequently occurring problem in swimming pool facilities. The pool attendants' knowledge on first-aid care of tooth injuries could still be improved.
Collapse
Affiliation(s)
- Katharina Lechner
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Thomas Connert
- Department of Periodontology, Endodontology and Cariology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Sebastian Kühl
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
| | - Andreas Filippi
- Department of Oral Surgery, Oral Radiology and Oral Medicine, Center of Dental Traumatology, University Center for Dental Medicine Basel, Basel, Switzerland
| |
Collapse
|