1,720,955 research outputs found
Cerebrovascular stroke and the ole of nurse/technicians in patients with cerebrovascular stroke
Get PDFCerebrovaskularni inzult je naglo nastali neurološki poremećaj uzrokovan poremećajem cirkulacije u mozgu što dovodi do nedovoljne opskrbe određenih dijelova mozga kisikom i hranjivim tvarima. Jedan je od tri najčešća uzroka smrti i invalidnosti u odrasloj populaciji u svijetu. Moždani udar predstavlja veliki medicinski, socijalni i ekonomski problem suvremenog društva. On nije samo problem pojedinca, već je javno-zdravstveni problem, te ne utječe samo na bolesnika nego i na njegovu obitelj, te na društvo u cjelini. Moždani udar se dijeli na ishemijski i hemoragijski. Čimbenike rizika za nastanak moždanog udara dijelimo na one na koje možemo utjecati i na one na koje ne možemo utjecati. Klinička slika ovisi o tome koje je područje zahvaćeno, te o veličini i mjestu oštećenja mozga. Ishod moždanog udara je ozbiljan. Trećina bolesnika od moždanog udara umire, trećina ostane potpuno ovisna o tuđoj pomoći, a trećina postiže dobar oporavak ili ima zaostali manji stupanj invalidnosti. Moždani udar predstavlja hitno stanje, te je zbog toga brzina zaprimanja, obrade i liječenja pacijenta vrlo bitna stavka. Pacijent se zaprima u specijalizirane jedinice za liječenje moždanog udara. Cjelokupan proces bolesnikova zaprimanja na odjel, liječenja, rehabilitacije te otpusta prati medicinska sestra/tehničar. Uz pacijenta je 24 sata dnevno, prati sve promjene i komplikacije koje nastaju te ih na vrijeme prevenira kako ne bi došlo do pogoršanja simptoma. Sestrinska skrb za oboljele od moždanog udara skup je znanja i vještina sestrinske prakse bez koje pozitivan ishod zdravstvene njege oboljelih nije moguć. Zdravstvena njega je vrlo kompleksna i ovisi o općem stanju bolesnika. Medicinska sestra/tehničar je samostalni nositelj zdravstvene njege. Od medicinske sestre/tehničara se očekuje da obavi zdravstvenu njegu najviše moguće kvalitete. Medicinska sestra/tehničar je najduže uz pacijenta, poznaje njegove potrebe i može mu pomoći motivirajući ga za aktivno sudjelovanje u samostalnosti i rehabilitaciji. Najveći dio vremena medicinska sestra/tehničar provodi u zdravstvenoj njezi, podjeli terapije, omogućavanju pravilne prehrane i higijene, te u edukaciji bolesnika i njegove obitelji. Medicinska sestra/tehničar zauzima veliku ulogu u prevenciji, liječenju i rehabilitaciji osoba s moždanim udarom. Ona je ravnopravni član multidisciplinarnog tima. Stalnim napredovanjem i edukacijom medicinska sestra osigurava profesionalnost i kompetenciju kod liječenja bolesnika s moždanim udarom.Cerebrovascular insult is a sudden appeared neurological disorder caused by brain circulation disorder which leads to insufficient supply of certain parts of the brain to oxygen and nutrients. It is one of the three most common causes of death and disability in the adult population in the world. Stroke represents a major medical, social and economic problem of modern society. It is not just an individual problem, it is a public health problem, it affects not only the patient but also his family, and the society as a whole. The stroke is divided into ischemic and hemorrhagic. We share the risk factors for the emergence of stroke to those we can influence and on those we can’t influence. The clinical picture depends on which area is affected, and about the size and location of brain damage. The outcome of stroke is serious. A third of the stroke patients die, one third remains completely dependent on someone else's help, and one third achieves good recovery or retains a lower degree of disability. The stroke presents as an emergency situation, and therefore the speed of receiving, processing and treating the patient is a very important. The patient is received in specialized units for the treatment of stroke. The entire process of receiving a patient on the ward, treatment, rehabilitation and discharge is monitored by a nurse/technician. With the patient 24 hours a day, it monitors all the changes and complications that are occurring and prevents them in time, preventing the symptoms from getting worse. Nursing care for stroke sufferers is a set of knowledge and skills of nursing practice without which a positive outcome of health care is not possible. Health care is very complex and depends on the general condition of the patient. The nurse/technician is an independent healthcare provider. A nurse/technician is expected to provide the highest possible quality health care. The nurse/technician is the longest time with the patient, knows his needs and can help him by motivating him to actively participate in self-independency and rehabilitation. Most of the time the nurse/technician spends in health care, sharing the therapy, giving proper nutrition and hygiene, and educating patients and their families. The nurse/technician plays a major role in the prevention, treatment and rehabilitation of stroke patients. Nurse/technician is an equal member of a multidisciplinary team. Continuous advancement and education of nurses ensures professionalism and competence in the treatment of stroke patients
Treatment of acute stroke with systemic thrombolysis at General Hospital Varaždin in the period from year 2019. to 2023.
No full textAkutni ishemijski moždani udar (AIMU) je hitno medicinsko stanje koje nastaje začepljenjem krvne žile u mozgu trombom ili embolusom čime se prekida dotok krvi u određeni dio mozga. AIMU je bolest naglog i nepredvidivog nastanka, koja nastaje neovisno o dobi ili spolu. Simptomi koji nastaju su raznoliki, te ovise o intenzitetu i mjestu pojave AIMU-a. Budući da je AIMU hitno stanje, izuzetno je važno brzo reagirati. Jedna od glavnih terapijskih opcija liječenja AIMU-a je sistemska trombolitička terapija. Cilj trombolize je otapanje tromba ili embolusa kako bi se spasila penumbra i ponovno uspostavila cirkulacija zahvaćenog ishemijskog područja. Cilj ovog istraživanja bio je ispitati korisnost liječenja sistemskom trombolitičkom terapijom. Analizirani podaci prikupljeni su iz Bolničkog informacijskog sustava (BIS) Odjela za neurologiju Opće bolnice Varaždin u vremenskom periodu od 2019. - 2023. godine. U istraživanju je analizirano 123 pacijenata hospitaliziranih zbog AIMU-a, koji su bili liječeni sistemskom trombolitičkom terapijom. U istraživanju je ispitano koliko je provedeno tromboliza u odnosu na sve hospitalizirane AIMU-e, u kojoj dobi ili kod kojeg spola je pojavnost AIMU-a najveća, u koje doba dana je AIMU nastao, pojavnost i vrsta simptoma, vrijeme dolaska pacijenta u bolnicu, vrijeme pregleda i obrade pacijenta prije trombolize, te vremenski prozor u kojem su pacijenti primili sistemsku trombolitičku terapiju. Također je ispitan i uspoređen oporavak pacijenata sa vremenskim prozorom nakon primijenjene sistemske trombolitičke terapije, te je ispitano mjesto otpusta pacijenata. Sistemskom trombolitičkom terapijom liječeno je 7.04% pacijenata, od svih hospitaliziranih AIMU-a. Trombolizirano je više muškaraca od žena, a prosječna dob pacijenata bila je 66.5 godina. AIMU je najčešće nastao ujutro, dok je pojava simptoma bila najčešće u obliku faciopareze, hemipareze ili ataksije i disfazije ili dizartrije. Pacijenti su u prosjeku u bolnicu stigli za 76 minuta, prosječni DNT bio je 80 minuta i prosječni vremenski prozor bio je 166 minuta. Pacijenti koji su trombolizu primili u kraćem vremenskom prozoru pokazali su bolje rezultate oporavka, a kod polovice pacijenata liječenje je završeno otpustom kući. Istraživanje je pokazalo kako je liječenje sistemskom trombolitičkom terapijom učinkovito, pogotovo ako se primijeni u što kraćem vremenskom prozoru. U cjelokupnom procesu liječenja AIMU-a sistemskom trombolizom važnu ulogu imaju magistre/magistri sestrinstva koji su odgovorni za provođenje sestrinskih intervencija, pružanje podrške, nadzora i praćenja pacijentovog stanja, te predviđanja tijeka trombolize. Također imaju ulogu u organiziranju, delegiranju i provjeri ispravnosti sestrinskih aktivnosti. Magistre/magistri sestrinstva mogu provoditi javnozdravstvene akcije i edukacijske programe opće populacije usmjerene na prepoznavanje simptoma MU-a te naglasiti važnost brzog traženja hitne pomoći.Acute ischemic stroke (AIMU) is an emergency medical condition that occurs when a blood vessel in the brain is blocked by a thrombus or embolus, which cuts off blood flow to a certain part of the brain. AIMU is a disease of sudden and unpredictable onset, which occurs regardless of age or gender. The resulting symptoms are diverse and depend on the intensity and location of AIMU. Since AIMU is an emergency, it is extremely important to react quickly. One of the main therapeutic options for the treatment of AIMU is systemic thrombolytic therapy. The goal of thrombolysis is to dissolve the thrombus or embolus in order to save the penumbra and restore circulation to the affected ischemic area. The goal of this study was to examine the usefulness of treatment with systemic thrombolytic therapy. The analyzed data were collected from the Hospital Information System (BIS) of the Neurology Department of General Hospital Varaždin in the period from 2019. - 2023. The study analyzed 123 patients hospitalized for AIMU, who were treated with systemic thrombolytic therapy. The research examined how much thrombolysis was performed in relation to all hospitalized AIMUs, at what age or gender the occurrence of AIMUs is the highest, at what time of day AIMUs occurred, the incidence and type of symptoms, the time of the patient's arrival at the hospital, the time of examination and treatment of the patient before thrombolysis, and the time window in which the patients received systemic thrombolytic therapy. The recovery of patients with the time window after systemic thrombolytic therapy was also examined and compared, and the place of discharge of patients was examined. Systemic thrombolytic therapy treated 7.04% of patients, out of all hospitalized AIMUs. More men than women underwent thrombolysis, and the average age of the patients was 66.5 years. AIMU most often occurred in the morning, while the onset of symptoms was most often in the form of facioparesis, hemiparesis or ataxia and dysphasia or dysarthria. Patients arrived at the hospital in an average of 76 minutes, the average DNT was 80 minutes and the average time window was 166 minutes. Patients who received thrombolysis in a shorter time window showed better recovery results, and in half of the patients the treatment ended with discharge home. Research has shown that treatment with systemic thrombolytic therapy is effective, especially if it is applied in as short a time window as possible. In the overall process of treatment of AIMU with systemic thrombolysis, an important role is played by masters of nursing who are responsible for carrying out nursing interventions, providing support, supervision and monitoring the patient's condition, and predicting the course of thrombolysis. They also have a role in organizing, delegating and verifying the correctness of nursing activities. Masters of Nursing can implement public health campaigns and educational programs for the general population aimed at recognizing the symptoms of MU and emphasize the importance of seeking emergency care quickly
Treatment of acute stroke with systemic thrombolysis at General Hospital Varaždin in the period from year 2019. to 2023.
No full textAkutni ishemijski moždani udar (AIMU) je hitno medicinsko stanje koje nastaje začepljenjem krvne žile u mozgu trombom ili embolusom čime se prekida dotok krvi u određeni dio mozga. AIMU je bolest naglog i nepredvidivog nastanka, koja nastaje neovisno o dobi ili spolu. Simptomi koji nastaju su raznoliki, te ovise o intenzitetu i mjestu pojave AIMU-a. Budući da je AIMU hitno stanje, izuzetno je važno brzo reagirati. Jedna od glavnih terapijskih opcija liječenja AIMU-a je sistemska trombolitička terapija. Cilj trombolize je otapanje tromba ili embolusa kako bi se spasila penumbra i ponovno uspostavila cirkulacija zahvaćenog ishemijskog područja. Cilj ovog istraživanja bio je ispitati korisnost liječenja sistemskom trombolitičkom terapijom. Analizirani podaci prikupljeni su iz Bolničkog informacijskog sustava (BIS) Odjela za neurologiju Opće bolnice Varaždin u vremenskom periodu od 2019. - 2023. godine. U istraživanju je analizirano 123 pacijenata hospitaliziranih zbog AIMU-a, koji su bili liječeni sistemskom trombolitičkom terapijom. U istraživanju je ispitano koliko je provedeno tromboliza u odnosu na sve hospitalizirane AIMU-e, u kojoj dobi ili kod kojeg spola je pojavnost AIMU-a najveća, u koje doba dana je AIMU nastao, pojavnost i vrsta simptoma, vrijeme dolaska pacijenta u bolnicu, vrijeme pregleda i obrade pacijenta prije trombolize, te vremenski prozor u kojem su pacijenti primili sistemsku trombolitičku terapiju. Također je ispitan i uspoređen oporavak pacijenata sa vremenskim prozorom nakon primijenjene sistemske trombolitičke terapije, te je ispitano mjesto otpusta pacijenata. Sistemskom trombolitičkom terapijom liječeno je 7.04% pacijenata, od svih hospitaliziranih AIMU-a. Trombolizirano je više muškaraca od žena, a prosječna dob pacijenata bila je 66.5 godina. AIMU je najčešće nastao ujutro, dok je pojava simptoma bila najčešće u obliku faciopareze, hemipareze ili ataksije i disfazije ili dizartrije. Pacijenti su u prosjeku u bolnicu stigli za 76 minuta, prosječni DNT bio je 80 minuta i prosječni vremenski prozor bio je 166 minuta. Pacijenti koji su trombolizu primili u kraćem vremenskom prozoru pokazali su bolje rezultate oporavka, a kod polovice pacijenata liječenje je završeno otpustom kući. Istraživanje je pokazalo kako je liječenje sistemskom trombolitičkom terapijom učinkovito, pogotovo ako se primijeni u što kraćem vremenskom prozoru. U cjelokupnom procesu liječenja AIMU-a sistemskom trombolizom važnu ulogu imaju magistre/magistri sestrinstva koji su odgovorni za provođenje sestrinskih intervencija, pružanje podrške, nadzora i praćenja pacijentovog stanja, te predviđanja tijeka trombolize. Također imaju ulogu u organiziranju, delegiranju i provjeri ispravnosti sestrinskih aktivnosti. Magistre/magistri sestrinstva mogu provoditi javnozdravstvene akcije i edukacijske programe opće populacije usmjerene na prepoznavanje simptoma MU-a te naglasiti važnost brzog traženja hitne pomoći.Acute ischemic stroke (AIMU) is an emergency medical condition that occurs when a blood vessel in the brain is blocked by a thrombus or embolus, which cuts off blood flow to a certain part of the brain. AIMU is a disease of sudden and unpredictable onset, which occurs regardless of age or gender. The resulting symptoms are diverse and depend on the intensity and location of AIMU. Since AIMU is an emergency, it is extremely important to react quickly. One of the main therapeutic options for the treatment of AIMU is systemic thrombolytic therapy. The goal of thrombolysis is to dissolve the thrombus or embolus in order to save the penumbra and restore circulation to the affected ischemic area. The goal of this study was to examine the usefulness of treatment with systemic thrombolytic therapy. The analyzed data were collected from the Hospital Information System (BIS) of the Neurology Department of General Hospital Varaždin in the period from 2019. - 2023. The study analyzed 123 patients hospitalized for AIMU, who were treated with systemic thrombolytic therapy. The research examined how much thrombolysis was performed in relation to all hospitalized AIMUs, at what age or gender the occurrence of AIMUs is the highest, at what time of day AIMUs occurred, the incidence and type of symptoms, the time of the patient's arrival at the hospital, the time of examination and treatment of the patient before thrombolysis, and the time window in which the patients received systemic thrombolytic therapy. The recovery of patients with the time window after systemic thrombolytic therapy was also examined and compared, and the place of discharge of patients was examined. Systemic thrombolytic therapy treated 7.04% of patients, out of all hospitalized AIMUs. More men than women underwent thrombolysis, and the average age of the patients was 66.5 years. AIMU most often occurred in the morning, while the onset of symptoms was most often in the form of facioparesis, hemiparesis or ataxia and dysphasia or dysarthria. Patients arrived at the hospital in an average of 76 minutes, the average DNT was 80 minutes and the average time window was 166 minutes. Patients who received thrombolysis in a shorter time window showed better recovery results, and in half of the patients the treatment ended with discharge home. Research has shown that treatment with systemic thrombolytic therapy is effective, especially if it is applied in as short a time window as possible. In the overall process of treatment of AIMU with systemic thrombolysis, an important role is played by masters of nursing who are responsible for carrying out nursing interventions, providing support, supervision and monitoring the patient's condition, and predicting the course of thrombolysis. They also have a role in organizing, delegating and verifying the correctness of nursing activities. Masters of Nursing can implement public health campaigns and educational programs for the general population aimed at recognizing the symptoms of MU and emphasize the importance of seeking emergency care quickly
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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