Pub Date : 2019-01-01DOI: 10.35248/2573-4598.19.5.147
Melese Gezahegn Tesemma
Background: A partial mole is the result of fertilization of a haploid ovum by two sperms or duplication of one sperm, resulting in a triploid karyotype (69 XXY, 69 XXX, 69 XYY). To date, there are very few cases of histo-pathologically confirmed partial moles with diploid karyotypes which survived. This case is reported to highlight the rarest variant of partial molar pregnancy. Case presentation: Here we present a case of singleton partial molar pregnancy co-existing with a live fetus delivered to an 18 years old primigravida lady at Jimma university medical center (JUMC) after amenorrhea of 8 months. She presented with eclamptic seizure for which she was admitted with a diagnosis of Eclampsia in 3rd trimester pregnancy. Malpresentation (breech) with? Abruptio placenta to rule out partial mole was considered initially. Cesarean section (C/S) was done to effect delivery of an alive female neonate weighing 1100 gm with an APGAR score of 4, 6 & 7 at 1st, 5th & the 10th minute of life. The neonate is admitted to neonatal intensive care unit (NICU) where she is complicated by early neonatal death after 65 hours of stay despite many efforts, the possible cause of death being respiratory failure secondary to underlying prematurity. Grossly placenta was single, weighing 1200 gm and invaded by vesicles except its membrane. Histo-pathological finding of placenta was consistent with partial mole. Conclusion: The optimal management of hydatidiform mole with coexistent live fetus is currently uncertain. Clinicians are recommended to present their individual cases for the establishment of guidelines for the management and prenatal counseling for pregnancies with partial mole with coexistent fetuses.
{"title":"Singleton Partial Molar Pregnancy Delivered in Third Trimester: A Case Report","authors":"Melese Gezahegn Tesemma","doi":"10.35248/2573-4598.19.5.147","DOIUrl":"https://doi.org/10.35248/2573-4598.19.5.147","url":null,"abstract":"Background: A partial mole is the result of fertilization of a haploid ovum by two sperms or duplication of one sperm, resulting in a triploid karyotype (69 XXY, 69 XXX, 69 XYY). To date, there are very few cases of histo-pathologically confirmed partial moles with diploid karyotypes which survived. This case is reported to highlight the rarest variant of partial molar pregnancy. Case presentation: Here we present a case of singleton partial molar pregnancy co-existing with a live fetus delivered to an 18 years old primigravida lady at Jimma university medical center (JUMC) after amenorrhea of 8 months. She presented with eclamptic seizure for which she was admitted with a diagnosis of Eclampsia in 3rd trimester pregnancy. Malpresentation (breech) with? Abruptio placenta to rule out partial mole was considered initially. Cesarean section (C/S) was done to effect delivery of an alive female neonate weighing 1100 gm with an APGAR score of 4, 6 & 7 at 1st, 5th & the 10th minute of life. The neonate is admitted to neonatal intensive care unit (NICU) where she is complicated by early neonatal death after 65 hours of stay despite many efforts, the possible cause of death being respiratory failure secondary to underlying prematurity. Grossly placenta was single, weighing 1200 gm and invaded by vesicles except its membrane. Histo-pathological finding of placenta was consistent with partial mole. Conclusion: The optimal management of hydatidiform mole with coexistent live fetus is currently uncertain. Clinicians are recommended to present their individual cases for the establishment of guidelines for the management and prenatal counseling for pregnancies with partial mole with coexistent fetuses.","PeriodicalId":82016,"journal":{"name":"Mims magazine weekly : the journal of quality patient care","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76419304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2573-4598.19.5.145
R. Dell’Aquila
Effective communication between physicians and patients is vital and necessary for proper medical care. The problem is that there are times in which misunderstandings can take place. Because of the nature of medical care and conditions, the effects of miscommunication can have devastating effects especially for those who have co-occurring medical conditions and mental health disorders such as depression. Thus, the article outlines the following: How to apply empathic interventions to build therapeutic rapport, identify rumination in communication with patients and manage rumination by promoting psychological flexibility.
{"title":"Addressing Communication and Rumination in Physician/Patient Interactions: Implications for Treatment Compliance","authors":"R. Dell’Aquila","doi":"10.35248/2573-4598.19.5.145","DOIUrl":"https://doi.org/10.35248/2573-4598.19.5.145","url":null,"abstract":"Effective communication between physicians and patients is vital and necessary for proper medical care. The problem is that there are times in which misunderstandings can take place. Because of the nature of medical care and conditions, the effects of miscommunication can have devastating effects especially for those who have co-occurring medical conditions and mental health disorders such as depression. Thus, the article outlines the following: How to apply empathic interventions to build therapeutic rapport, identify rumination in communication with patients and manage rumination by promoting psychological flexibility.","PeriodicalId":82016,"journal":{"name":"Mims magazine weekly : the journal of quality patient care","volume":"423 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76630772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2573-4598.19.5.144
Aqila Sas, Rabi’atul As, K Annamma, R TehHalimaton, H. Hamidah
Transitions are passages or movements from one state or condition to another, and they can profoundly influence and alter the lives of the individuals involved as well as their significant others such as friends, family, and co-workers. While transitional support programs helps to support the new graduate nurses in their first year of practice, there are unmet needs for clinical, social and emotional support. Understanding new graduate nurses’ (NGNs) experiences and their unmet needs during their first year of practice will enable nurse managers, educators and nurses to better support new graduate nurses’ attain the new graduates’ perception on the Transition Program implemented in three (3) private hospitals. This study is intended to determine the new graduate nurses’ (NGNs) reflection towards the transition program in medical, surgical and multidisciplinary wards in the selected private hospitals. The study used a descriptive, cross-sectional design using purposive sampling technique. Reflections on the transition program implemented were assessed using the instrument which was adopted and modified from previous study questionnaires, Hamad Medical Centre (HMC) questionnaires. The Descriptive statistics were employed to express demographic data and reflections of the NGNs towards the transition program. One hundred new graduate nurses with less than three-year experiences participated in this study. The transition program runs in two stages, two weeks for the orientation program followed by six-month preceptor ship. The researchers used a 5-point Likert scale for data collection. Data were analysed using SPSS version 20. The overall reflection expressed by NGNs on experiences during the transitioning, 70% agreed and 28% had strongly agreed the program conducted was well organized. If both results to be combined, 98% of respondents reflected excellence for the transition program conducted. In conclusion, the transition program which comprised of orientation and preceptor ship program is the most significant approach of helping the adaptation of the NGNs working in the clinical environment. Thus, these programs should be regularly conducted in every hospital which indirectly helps in decreasing the rate of turnover among the NGNs.
过渡是指从一种状态到另一种状态的过渡或运动，它们可以深刻地影响和改变所涉及的个人以及他们重要的其他人(如朋友、家人和同事)的生活。虽然过渡性支持项目有助于支持新毕业护士第一年的实践，但在临床、社会和情感支持方面仍有未满足的需求。了解新毕业护士(ngn)在第一年实习期间的经历和未满足的需求，将使护士管理者、教育工作者和护士能够更好地支持新毕业护士在三家私立医院实施的过渡计划中获得新毕业生的看法。本研究旨在确定新毕业护士(ngn)对选定私立医院内科、外科和多学科病房过渡计划的反映。本研究采用描述性、横断面设计，采用目的性抽样技术。对实施的过渡方案的反思进行了评估，使用的工具是采用和修改了以前的研究问卷，即哈马德医疗中心(HMC)问卷。采用描述性统计来表达人口统计数据和ngn对过渡计划的反映。100名经验不足三年的新毕业护士参加了本研究。过渡计划分为两个阶段，两周的培训计划和六个月的训导船。研究人员使用5分李克特量表收集数据。数据分析采用SPSS version 20。ngn对过渡期间经验的总体反映，70%同意，28%强烈同意该计划组织良好。如果将这两个结果结合起来，98%的受访者反映了所实施的过渡计划的卓越性。综上所述，由定向和导师船计划组成的过渡计划是帮助ngn适应临床环境的最重要方法。因此，这些方案应在每家医院定期开展，这间接有助于降低新生儿护士的流动率。
{"title":"Reflection of New Graduate Nurses on the Transition Program Conducted in the Selected Malaysian Private Hospitals","authors":"Aqila Sas, Rabi’atul As, K Annamma, R TehHalimaton, H. Hamidah","doi":"10.35248/2573-4598.19.5.144","DOIUrl":"https://doi.org/10.35248/2573-4598.19.5.144","url":null,"abstract":"Transitions are passages or movements from one state or condition to another, and they can profoundly influence and alter the lives of the individuals involved as well as their significant others such as friends, family, and co-workers. While transitional support programs helps to support the new graduate nurses in their first year of practice, there are unmet needs for clinical, social and emotional support. Understanding new graduate nurses’ (NGNs) experiences and their unmet needs during their first year of practice will enable nurse managers, educators and nurses to better support new graduate nurses’ attain the new graduates’ perception on the Transition Program implemented in three (3) private hospitals. This study is intended to determine the new graduate nurses’ (NGNs) reflection towards the transition program in medical, surgical and multidisciplinary wards in the selected private hospitals. The study used a descriptive, cross-sectional design using purposive sampling technique. Reflections on the transition program implemented were assessed using the instrument which was adopted and modified from previous study questionnaires, Hamad Medical Centre (HMC) questionnaires. The Descriptive statistics were employed to express demographic data and reflections of the NGNs towards the transition program. One hundred new graduate nurses with less than three-year experiences participated in this study. The transition program runs in two stages, two weeks for the orientation program followed by six-month preceptor ship. The researchers used a 5-point Likert scale for data collection. Data were analysed using SPSS version 20. The overall reflection expressed by NGNs on experiences during the transitioning, 70% agreed and 28% had strongly agreed the program conducted was well organized. If both results to be combined, 98% of respondents reflected excellence for the transition program conducted. In conclusion, the transition program which comprised of orientation and preceptor ship program is the most significant approach of helping the adaptation of the NGNs working in the clinical environment. Thus, these programs should be regularly conducted in every hospital which indirectly helps in decreasing the rate of turnover among the NGNs.","PeriodicalId":82016,"journal":{"name":"Mims magazine weekly : the journal of quality patient care","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75583346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-01-01DOI: 10.35248/2573-4598.19.5.146
Evelyn E. Feliciano, Amira Boshra, Paulo Carl G. Mejia, A. Feliciano, Jestoni D. Maniago, H. Alsharyah, Mylene C. Malabanan, Abdallah Osman
Background: Growing rates and causes of medical errors made by nurses have just arisen as a substantial concern that can consequence to mortality and frailty of numerous individuals annually. Evaluating nurses’ competency is challenging as no single method is deprived of its assessment. Thus, it led to recognize influencing characteristics towards nurses’ competency in healthcare services delivery. Methods: This descriptive, cross-sectional study assessed nurses’ competency of a purposive sample of 211 registered nurses employed in selected private and public hospitals of Central Luzon, Philippines. Results: Most of the respondents were under 21-60 years old (mean=31.64, SD=2.46), predominantly single 146 (69.20%), female 131 (62.10%), registered nurses 162 (76.80%) that were permanently employed as staff nurses 128 (60.70%) for 1-30 years in service (mean=6.43, SD=1.85) that earned Php 6,000-60,000 (mean=17.951, SD=3.68) which is less than expected to receive. Overall, nurses had positive perceptions toward their competency (mean 4.49 ± SD 0.88). Among the seven-dimension competency scale, ‘legal/ethical practice’ was the highest mean score (mean 4.60 ± SD 0.55) reported, while ‘teaching-coaching’ (mean 4.36 ± SD 0.62) the lowest. Permanent nurses revealed higher self-perceived competencies than non-permanent ones. Comparing nurses’ nature of work, nurses had better self-perceived competencies than other field of work. It was also emphasized that demographic and work-related characteristics towards perspective on nursing competency had significant differences using multivariate analyses. Conclusion: This study highlighted nurses’ competency in delivering healthcare services in the Philippines. Demographic (marital) and work-related (nature of work, salary, length of service) characteristics affect their competency level. They have greater competency level in their workplace with permanency at work. Finally, the results provided unique theoretical underpinning that expands on previous knowledge and literature on factors that affect the nurses’ competency level.
{"title":"Understanding Philippines Nurses' Competency in the Delivery of Healthcare Services","authors":"Evelyn E. Feliciano, Amira Boshra, Paulo Carl G. Mejia, A. Feliciano, Jestoni D. Maniago, H. Alsharyah, Mylene C. Malabanan, Abdallah Osman","doi":"10.35248/2573-4598.19.5.146","DOIUrl":"https://doi.org/10.35248/2573-4598.19.5.146","url":null,"abstract":"Background: Growing rates and causes of medical errors made by nurses have just arisen as a substantial concern that can consequence to mortality and frailty of numerous individuals annually. Evaluating nurses’ competency is challenging as no single method is deprived of its assessment. Thus, it led to recognize influencing characteristics towards nurses’ competency in healthcare services delivery. Methods: This descriptive, cross-sectional study assessed nurses’ competency of a purposive sample of 211 registered nurses employed in selected private and public hospitals of Central Luzon, Philippines. Results: Most of the respondents were under 21-60 years old (mean=31.64, SD=2.46), predominantly single 146 (69.20%), female 131 (62.10%), registered nurses 162 (76.80%) that were permanently employed as staff nurses 128 (60.70%) for 1-30 years in service (mean=6.43, SD=1.85) that earned Php 6,000-60,000 (mean=17.951, SD=3.68) which is less than expected to receive. Overall, nurses had positive perceptions toward their competency (mean 4.49 ± SD 0.88). Among the seven-dimension competency scale, ‘legal/ethical practice’ was the highest mean score (mean 4.60 ± SD 0.55) reported, while ‘teaching-coaching’ (mean 4.36 ± SD 0.62) the lowest. Permanent nurses revealed higher self-perceived competencies than non-permanent ones. Comparing nurses’ nature of work, nurses had better self-perceived competencies than other field of work. It was also emphasized that demographic and work-related characteristics towards perspective on nursing competency had significant differences using multivariate analyses. Conclusion: This study highlighted nurses’ competency in delivering healthcare services in the Philippines. Demographic (marital) and work-related (nature of work, salary, length of service) characteristics affect their competency level. They have greater competency level in their workplace with permanency at work. Finally, the results provided unique theoretical underpinning that expands on previous knowledge and literature on factors that affect the nurses’ competency level.","PeriodicalId":82016,"journal":{"name":"Mims magazine weekly : the journal of quality patient care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89785145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：