1,642 research outputs found
Factors Influencing Provision of Care to Hospitalized Peadiatrics Burn Patients: A Qualitative Study Among Nurses in Muhimbili National Hospital Dar es salaam, Tanzania
No full textThe increase number of burn patients‘ admission in Muhimbili National Hospital indicated that burn injury is still a problem in our setting. In July 2011 up to June 2012 a total of 6135 paediatrics patients were admitted in MNH due to various diseases of which 319 patients were admitted due to burn injury. This is equal to 5.2% of all paediatrics admission (unpublished report). However hospital management made good coordination and availability of working equipments in order to archive optimal care for paediatric burn patients. Even though Health care providers especially nurse were facing some difficulties in provision of burn care. The main objective of this study was to explore nurses‘ perceptions on factors influencing provision of care to pediatric burn patients among nurses at Muhimbili National Hospital. Five in depth interviews were conducted in order to explore nurses‘ perception on factors that may influence provision of nursing care to hospitalized pediatric burn patients. This study was conducted from May 2012 to June 2012 in MNH. Simple observation method was used to complement data obtained through in-depth interviews. The study informants were sampled by using purposive sampling procedure. Data was analyzed by using content analysis approach. Findings The present study revealed two major categories which include motivating factors and barriers in provision of burn care. Participants described the use of closed method of wound dressing as an important skill that accelerates healing, decrease risk of wound contamination and decreased number of contractures. Presence of team work in burn care, facilitated patients recovery through reviewed and discussed management of patients as a team. Availability of equipments helped nurses to perform nursing care smoothly. Furthermore, participants felt gratified and increased work performance when they saw patients who sustained very severe burn injury recovering and going back home. Despite the fact that burn care was found somehow successfully in Muhimbili National Hospital (MNH), participants revealed several factors that hindered provision of care. These factors include limited resources, patient workload, and lack of standard skills. Participants described that there were limited human and non human resources, such as shortage of staffing which resulted into overworking, physical and emotional exhaustion among nurses, lack of water which is the mainstay of infection prevention control, lack of specimen equipment like pus swab. Since burn patient are at risk of infection therefore they need to take pus swab frequently. Nevertheless, participants expressed that they lack standard skills on burn care since there was no special training on burn care. Instead they were teaching themselves in the sense that experienced nurses in burn unit were teaching new nurses who came to work in burn unit. The finding of this study revealed that there are both positively and negatively factors that influence provision of burn care. Positive factor (motivation) needed to be maintained but action is required to be taken in order to reduce negative factors. More public health enlightenment is needed on prevention and initial intervention for burns in children. Community need to be aware that prevention of burn should be a priority since caring for burnt patient is very expensive. Further studies are needed in large population since this information is not conclusive to factors influence burn care in Tanzania.\ud
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The Opie Recordings: What’s Left to be Heard?
No full textThis chapter presents an analysis of selected recordings from the Opie Collection of Children's Games in the National Sound Archive. It contextualises them with an account of the Opies' research approach, and identifies three themes emerging from the recordings which are not found in published work by the Opies. These are: the strong rleatinoship between children's media cultures and traditional play cultures; more extensive variation of words and music in the singing games; and more extreme examples of obscene and scatological rhymes
Classifying Weak, and Strong Components using ROC Analysis with Application to Burn-in
No full textAny population of components produced might be composed of two sub-populations: weak components are less reliable, and deteriorate faster whereas strong components are more reliable, and deteriorate slower. When selecting an approach to classifying the two sub-populations, one could build a criterion aiming to minimize the expected mis-classification cost due to mis-classifying weak (strong) components as strong (weak). However, in practice, the unit mis-classification cost, such as the cost of mis-classifying a strong component as weak, cannot be estimated precisely. Minimizing the expected mis-classification cost becomes more difficult. This problem is considered in this paper by using ROC (Receiver Operating Characteristic) analysis, which is widely used in the medical decision making community to evaluate the performance of diagnostic tests, and in machine learning to select among categorical models. The paper also uses ROC analysis to determine the optimal time for burn-in to remove the weak population. The presented approaches can be used for the scenarios when the following information cannot be estimated precisely: 1) life distributions of the sub-populations, 2) mis-classification cost, and 3) proportions of sub-populations in the entire population
The Strength of a Dream: A Daughter\u27s Portrait of a Northwest Children\u27s Author and Illustrator
No full textAuthor and multi-dimensional artist Skye Burn discusses the life and legacy of her mother, award-winning children\u27s book author and illustrator Doris Burn, and shares anecdotes of her family\u27s life on Waldron Island. Doris (Wernstedt) Burn authored and illustrated the 1965 classic Andrew Henry\u27s Meadow, and wrote or illustrated a range of other well-known children\u27s books. During the second half of the event, Sylvia Tag (Librarian and Curator of the Children’s Interdisciplinary Children’s Literature Collection) facilitates a conversation about Doris Burn’s work
Analysis of the Efficacy of Iloprost Treatment in Amputations Due to Burn
No full textPubMed: 327356782-s2.0-85102213181The aim of our study was to demonstrate the decrease in amputation rates with iloprost treatment in patients who develop vascular injury due to burns. The data of 366 adult burn patients who were admitted to the emergency department of our hospital between 2016 and 2019 were analyzed. Demographic characteristics, burn factors, vascular examination findings, medical treatments, amputation rates, and levels were recorded. The amputation rates of the patients who were treated with iloprost and who were not treated with iloprost were compared. The mean age of 366 adult patients treated for burns was 37.8 ± 16.4 years, and of these patients, 220 (59.9%) were under 40 years of age. Although heat burns (n = 331.85%) were the most common burn etiology, it was found that the incidence of vascular injury was higher in burns caused by electricity (11.7%) and cold (3.3%) (P < 0.001). Vascular injury was detected in 60 (16.3%) of the patients and 21 (35%) of these patients were treated with iloprost. Amputation was observed in 20 (5.5%) of all burn patients, but only one of the patients treated with iloprost underwent amputation (P < .001). The individual and social impacts of amputations caused by burns are unquestionable. The authors are of the opinion that iloprost treatment is effective in reducing amputations due to burns. © The Author(s) 2020. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: [email protected]
Thrills in the Dark: Young People’s Moving Image Cultures and Media Education
No full textThis author deals with the attraction of that feeling of terror generated in the media, especially in cinema, and from the perspective of the controlled emotion behind that fear, pleasure and pain. What is the nature of the fear and pleasure the spectator feels? Why is it important for educators to take account of this connection between the viewer and the film? This subject is treated from film culture as experiecned by young Britons, with an analysis of the influence of cinema on the cultural lives of young people and the lessons that can be drawn. The author takes two young girls as an example, identifying their social identity and later outlining the state of education in cinema and the media. He presents two projects developed by young Britons on Psychosis and the creation of videogames. The author concludes that the fascinating world of moving images is open to us via films and videogames, by examining ludic structures and narratives and teaching students how these are interrelated and exploring their creative processes of production
Testing rainwater collected in tanks using the H2S method
No full textRainwater harvesting is common practice in many places throughout the world. It is often the only source of drinking water for many remote areas of the developed and developing countries. Rainwater thus collected was found to be susceptible to bacterial contamination and maintaining the quality of rainwater is the interest of the householder. Only an on-site method that is affordable to the householders enables regular checking of this drinking water source.
In order to test the efficiency of the H2S method, an affordable and convenient on-site method, rainwater samples were tested from a total of 221 tanks from the households around the city of Perth, capital of, and Collie, a mining town in Western Australia. The general condition and the maintenance pattern of the tanks were assessed through a questionnaire. The efficiency of the H2S method was tested against the presence of total coliform and faecal coliform bacteria, determined by the standard membrane filtration method. The agreement of the results from the H2S method and the standard methods was greater at a coliform count of >10CFU/100mL, which indicated that the H2S method is a suitable method for remote communities and countries where coliform counts greater than 10CFU/100mL is considered as standard for microbial contamination
The future of burn care from a complexity science perspective
No full textHealth care is undergoing a profound technological and digital transformation and has become increasingly complex. It is important for burns professionals and researchers to adapt to these developments which may require new ways of thinking and subsequent new strategies. As Einstein has put it: "We must learn to see the world anew." The relatively new scientific discipline "Complexity science" can give more direction to this and is the metaphorical open door that should not go unnoticed in view of the burn care of the future. Complexity science studies "why the whole is more than the sum of the parts." It studies how multiple separate components interact with each other and their environment and how these interactions lead to "behavior of the system." Biological systems are always part of smaller and larger systems and exhibit the behavior of adaptivity, hence the name complex adaptive systems. From the perspective of complexity science, a severe burn injury is an extreme disruption of the "human body system." But this disruption also applies to the systems at the organ and cellular levels. All these systems follow the principles of complex systems. Awareness of the scaling process at multilevel helps to understand and manage the complex situation when dealing with severe burn cases. This paper aims to create awareness of the concept of complexity and to demonstrate the value and possibilities of complexity science methods and tools for the future of burn care through examples from preclinical, clinical, and organizational perspectives in burn care
Morphoelastic models for burn contraction
No full textIn this study several models for burn contraction are studied. The first ones are rudimentary, but as the thesis progresses we work towards so-called morphoelastic models. These inherently capture both elastic and plastic deformations. After establishing the deterministic part, a framework is built for the incorporation of heterogeneity
Using Photo-Elicitation to Explore Families’ Experiences of Burn Camp
No full text© The Author(s) 2018. A qualitative study using photo-elicitation was conducted to investigate the experiences of family members attending a residential burn camp. Six families were provided with cameras and asked to take photographs of their time at camp. They were subsequently interviewed about their experiences of camp, using their photographs as prompts. Thematic analysis of interview transcripts identified three main themes: benefits for the family as a whole (new activities and experiences and lasting impacts), benefits for the child (having fun without feeling different), and benefits for the parent/carer (support from those who understand). This is the first study to specifically investigate the experience of the whole family at a burn camp and suggests that attendance may offer a number of benefits for parents/carers and children. Photo-elicitation was an effective method for encouraging participants to recall and discuss their time at camp, and should be considered in future burns research
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