5 research outputs found
Publication productivity of Malaysian authors and institutions in LIS
No full textThe paper attempted to provide a “picture” of Malaysian LIS research and publications. The study aimed to show (a) the total number and spread of publications produced by Malaysian authors; (b) the active authors; (c) the authorship pattern; (d) the affiliation status of the authors; (e) the main channels used to publish; and (f) the subject covered by the published works. The study confined its scope to the publications produced between 1965 and 2005 by Malaysian authors published in Malaysia as well as abroad. Bibliometric techniques and regression analysis were employed as the measuring instrument. The data was collected from seven online databases and seven well established library OPACs, which are expected to hold earlier and current LIS publications. A bibliometric toolbox was used to feed in text files which provided brief summaries of ranked results, a bibliograph and minimal Bradford zonal analysis. The subject categorization used by Gorman and Corbit’s Model of core competencies for LIS was used to categorized entries by subjects. The results indicated that (a) Malaysian LIS authors preferred to publish in journals (511, 48.9) and conference papers (474, 45.4); (b) the publication distribution fluctuated over the 41 year period but the moving average depicted a steady incremental trend; (c) a total of 506 authors contributed to 1,045 publications and 309 are one-time authors’ (d) the active authors in LIS are affiliated to 131 institutions and the productive institutions were the national Library of Malaysia, University of Malaya library and the academics at the MLIS Programme, University of Malaya.; (e) publication productivity was related to institutional active involvement in LIS journal publishing; and (f) the main subject areas actively researched upon were collection development and management, information centres and services, and ICT applications LIS
The Correlation Between Leukocytosis And Gallbladder Adhesion On Cholecystectomy Patients At X Hospital
No full textBackground: Gallbladder adhesion is a complication which causes difficulty in cholecystectomy. The author aims to seek for a test that could be used as a predictor factor for gallbladder adhesion. In this research, the elevated white blood cell (leukocyte) count is the factor studied.
Aim: This study aims to seek for correlation between leukocytosis and gallbladder adhesion on cholecystectomy patients.
Method: This research is an observational analytic study using cross sectional design. The independent variable in this research is leukocytosis, and the dependent variable is gallbladder adhesion. Analysis in this research is carried out with Chi-Square test, using a total sampling of 45 medical records of cholecystectomy patients at X Hospital.
Result: The majority of cholelithiasis patients in this research were between 50-59 years old (33,3%), with a mean of 51 years old. The number of cholelithiasis patient was dominated by female (62,2%). According to the cholecystectomy procedure, 26 patients underwent laparoscopic cholecystectomy (58,8%). According to clinical presentation, pain in the upper right of the abdomen was experienced by 25 patients (55,6%). Complication suffered by patients was mostly cholecystitis (n=44), yielding the number of 97,8%, followed by gallbladder adhesion in 34 patients (75,6%). Leukocytosis, which is assumed to be the predictor factor of gallbladder adhesion, was found in 15 patients (33,3%). The Chi-Square test showed no significant correlation between the two variable studied (p=0,62). Conclusion: There is no significant correlation between leukocytosis and gallbladder adhesion in cholecystectomy patients
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
No full textBackground: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool.
Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals.
Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32-0.77); P<0.01], but no difference in complication rates [OR 1.02 (0.88-1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62-0.92); P<0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61-0.88); P<0.01; I2=89%).
Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine
Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action
No full textAntibiotics are recognized widely for their benefits when used appropriately. However, they are often used inappropriately despite the importance of responsible use within good clinical practice. Effective antibiotic treatment is an essential component of universal healthcare, and it is a global responsibility to ensure appropriate use. Currently, pharmaceutical companies have little incentive to develop new antibiotics due to scientific, regulatory, and financial barriers, further emphasizing the importance of appropriate antibiotic use. To address this issue, the Global Alliance for Infections in Surgery established an international multidisciplinary task force of 295 experts from 115 countries with different backgrounds. The task force developed a position statement called WARNING (Worldwide Antimicrobial Resistance National/International Network Group) aimed at raising awareness of antimicrobial resistance and improving antibiotic prescribing practices worldwide. The statement outlined is 10 axioms, or “golden rules,” for the appropriate use of antibiotics that all healthcare workers should consistently adhere in clinical practice
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
No full textThe ISOS study was funded through an unrestricted research
grant from Nestle Health Sciences. T.E.F.A. is supported by a
Medical Research Council/British Journal of Anaesthesia clinical
research training fellowship. B.B. is funded by a National
Research Foundation rating grant and an MRC (SA) selfinitiated
research grant. M.G. is a Chief Scientist Office (Scotland)
NHS Research Scheme Clinician. R.P. is a UK National
Institute for Health Research Professor
