Journal de santé et d'informatique médicale

With the maturation of the patient safety event reporting, key challenges emerged to explain why measurable outcomes in improving patient safety have been limited. One of the challenges is concerned with the relatively slow development of reporting, collecting, analysing narrative portion of the reports. The paper details how narratives construct the knowledge of patient safety events, why it is important to analyse narratives, and how narratives can promote quality measurement from the perspective of informatics.

Physiological studies have implicated different mediator in energy management in nervous system and body metabolic rate. Health result in a good balance between positive (+1) or negative (-1) energy leading to physiological energy (E0). Interestingly, diseases could be explained by an unbalance of energy regulation of nervous system (alteration of superconductor-like behaviour by environment factors) and/or body metabolic rate. Recent years several studies investigating the implication of electrical signals at very low temperature in animal species adaptation and life. In this paper, the electric resistivity (R) at different temperatures (T) between 300 to 200 K in frog sciatic nerves was studied. When the electrical contacts were leaned into sciatic nerve of the four studied species a striking decrease of nerve resistivity was observed (frog 252 K); showing a superconductor-like behavior that could be associated to good health related to good emotions and metabolic equilibrium in Human and animals. Analysis of electrical properties demonstrates clearly that alteration of superconductor-like behaviour by environmental factors point to the development metabolic disorders and diseases.

Every parents of a child knows that it is hard enough to keep their child safe at home but when child goes off to school there is whole new set up of challenges. Parents totally entrust their children to the schools. They rely on the teachers as the second parents in the institute for learning. They know for the fact that their educators will want no harm to come their way. While they are busy working, they fully believe that their children are well cared for. On the other hand teachers have the responsibility to keep an eye on the students. They should make sure that they are comfortable and secured within the four walls of the school. So much more, the school staff has to be equipped with the knowledge of first aid.

Keeping this in mind a study was conducted among government school teachers regarding First Aid Management. The results of the study showed that most of the teachers (77.5%) were having average knowledge regarding First Aid Management and 12.5% were having good knowledge and 10% were having poor knowledge.

In the specific context of the Healthcare coordination between medical, socio medical and social organizations of the ambulatory field in France, we propose to examine some tracks with the perspective offered by new ways of sharing information. First we explain our researchers’ position and the methodology used.

Then after reviewing different models of coordination entities, we intend to clarify the role played by such organizations acting as interface between hospitals and ambulatory services.

We will then address the issue of Information and Communication Technologies (ICT) that contribute to support and improve the healthcare coordination.

Through the evolution observed with the convergence between organizational models of coordination and technological devices, we will try to highlight the way of producing and sharing information on healthcare platforms for care coordination.

As an illustration of the value created by the new socio-technical devices, we will have a glimpse at the current innovative trend in healthcare coordination in France.

New York City is a beautiful place. The hustle and bustle can be exciting and offer a rich ground for entertainment and activity. Although, New York may be a great place for adults, young children are often not able to enjoy and experience all the adventure and excitement the city offers. It is easy for a child to become restless and even hyperactive when they are not able to release energy as an adult can.

Flu season is upon us, and that means people are lining up for a flu shot and stocking up on vitamin C. But what’s the best way to keep the flu at bay-vaccination or natural remedies? You may be surprised at the answer.

To increase visibility, availability, and readership of a journal, its publication must be indexed by one or more leading databases. The quality of a journal can be measured by assessing the indexation of that particular journal. Among various indexing databases, PubMed, EMBASE, EBSCO, SCOPUS, MedLine, SCIRUS are few main databases. Before choosing a database, it is important to understand the features it provides and the field of publication. IF do not tell us as much as some people may think about the respective quality of the science that journals are publishing. Regardless of a journal indexed in prominent databases, it is not necessary that the journal will have an IF. However, it is certain that IFs are still a standard administrators and researchers worldwide as a criterion to judges the quality of a journal, or even the quality of information or an individual. IFs will exist for a long time.

Deep Vein Thrombosis (DVT) consists in the formation of a blood clot within the deep veins of the lower limbs. This study explores the data and information collected from the Electronic Health Record of a Health Care Institution. Several concepts such as Data Warehouse, Extract-Transform-Load and Business Intelligence were applied and the use of these technological systems was aimed at obtaining indicators that provide a comprehensive overview from the data collected and assist in decision making. Of all the patients analysed, 11,042 did not obtain any type of prophylaxis, 4508 received pharmacological prophylaxis with low molecular weight heparin (LMWH), 1260 got mechanical prophylaxis and 1119 had to contact the Haematology department. The results achieved allow building a system able to identify low use of prophylaxis and the need to alert health professionals to the importance of these measures in prevention of the DVT disease.

Background: Hospital readmissions are common and expensive. Numerous global efforts have been devoted to predicting readmissions. However, for many reasons including the variations in the studied populations and inconsistent definitions of readmissions, the outcomes of some studies can hardly be generalized to other studies inside or outside the same country or region.

Objective: The objective was to identify highly generalizable risk factors for unplanned 30-day all-cause hospital readmissions to guide the selection of baseline predictor variables in different readmission studies.

Methods: In July 2017, PubMed was searched to identify articles pertaining to the risk factors for unplanned 30-day all-cause hospital readmissions. To identify potentially eligible risk factors, characteristics of the selected studies were manually extracted. The generalizability of the risk factors was assessed with predefined criteria.

Results: 13 articles were eligible for the review. A total of 42 risk factors were identified and 34 of them were found to be highly generalizable.

Conclusions: The 34 risk factors are not specific to any populations or places, and the corresponding predictor variables can serve as baseline variables in readmission prediction studies. No major difference has been observed between the risk factors identified inside and outside the United States except that US studies appeared to prefer composite comorbidity measures. All the reviewed studies have used traditional statistical regression-based methods to identify risk factors and more applications of data mining techniques are expected in this field.

Introduction: The aim of this study was to evaluate participants’ and managers’ experience of the design and content of an education programme. The Knowledge to Action (KTA) framework was applied to identify the steps of knowledge creation and action in the education programme.

Methods: Data were collected from 18 participants representing two groups: participants in the intervention and supervisors and managers. Two focus groups took place: two with participants in the intervention (4 and 3 in each) and one with eleven managers.

Results: All steps in the KTA framework were identified and discussed from several aspects. The importance of selecting projects that were relevant and added value in their clinics was mentioned by all participants. The participants also mentioned that after the education, they had further understanding and increased skills in how to be active and perform continuous improvement projects. The step in the KTA process regarding how to adapt knowledge to local context was not discussed explicitly by the participants or managers.

Discussion: Education in research methods and performing improvement projects to develop the clinic creates a more positive attitude to working with continuous improvement. The participant’s self-esteem and knowledge increased regarding how to work with improvements. It is important to have the manager’s support to perform a project. Emphasis was on knowledge inquiry and synthesis and presenting the results with or without possible solutions. The participants and managers talked about barriers and knowledge use more generally and at an organizational level. This means that the participants did not gain the last bit of knowledge needed to put the action into practice. This implies that the problem regarding lack of implementation skills in health care might remain.

Background: Common mental disorder such as depression, somatoform disorder and anxiety are increasingly recognized for their burden in low resource countries such as Ethiopia. However, the magnitude of antenatal common mental disorder in Ethiopia is not well established. Pregnancy is generally assumed to be a happy time, both for parents and society as a whole. But pregnancy can be a difficult and even a dangerous period for women living in low and middle income countries.

Objective: To assess the prevalence of common mental disorders and identify factors associated with these disorders among pregnant women attend ante natal care services at Hawassa referral hospital, Ethiopia, 2016.

Methodology: A cross-sectional study was employed among 232 pregnant women, from April 01-May 15. Systematic sampling technique was employed to select the study population. The self-reporting questionnaires (SRQ- 20) were used to detect common mental disorders. Statistical Package of Social Science (SPSS) version 20 was used in the statistical analysis.

Results: The prevalence of common mental disorder was high. Poor health status before pregnancy like, minor health problems (headache) (AOR, 95% CI 2(1.06-3.77), ongoing health concern (diabetes mellitus) (AOR, 95% CI 2.83(1.21-6.66), and serious health problem like hypertension (AOR, 95% CI 4.17(1.24-13.98) were all independently associated with common mental disorder among pregnant women.

Conclusion: The prevalence of common mental disorder among pregnant women who attended antenatal care follow up at HURH was higher and previous history of health problem before current pregnancy was significantly associated with common mental disorder. Therefore health care providers responsible for ANC must be trained about the relevance and detection of CMD during pregnancy and proper counseling and emotional support should be given for women exhibiting the risk factors.