scholarly journals Systematic beach monitoring as a health assessment tool: cetacean morbillivirus under non‐epizootic circumstances in stranded dolphins

2021 ◽  
Author(s):  
Victor Hugo Brunaldi Marutani ◽  
Flávia Miyabe ◽  
Alice Fernandes Alfieri ◽  
Camila Domit ◽  
Andressa Maria Rorato Nascimento Matos ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Health Assessment ◽  
Cetacean Morbillivirus

scholarly journals Systematic beach monitoring as a health assessment tool: cetacean morbillivirus under non-epizootic circumstances in stranded dolphins

2021 ◽  
Author(s):  
Victor H. B. Marutani ◽  
Flávia Miyabe ◽  
Alice F. Alfieri ◽  
Camila Domit ◽  
Andressa M. R. N. de Matos ◽  
...  
Keyword(s):  
Marine Mammals ◽  
Assessment Tool ◽  
Marine Ecosystem ◽  
Health Assessment ◽  
World Heritage ◽  
Global Scale ◽  
Etiologic Agent ◽  
World Heritage Site ◽  
Heritage Site ◽  
Cetacean Morbillivirus

AbstractCetacean morbillivirus (CeMV) was identified as the etiologic agent of several epizootic episodes worldwide. Most of these studies are based on unusual mortality events or identification of new viral strains. We investigated the occurrence of CeMV under non-epizootic circumstances at a world heritage in Southern Brazil by a combination of pathologic, immunohistochemical and molecular assays. From 325 stranded cetaceans, 40 were included. Guiana dolphin (Sotalia guianensis) was the species most frequent. Interstitial pneumonia and non-suppurative encephalitis were the main pathologic findings associated to CeMV infection. Intracytoplasmic immunolabeling anti-CeMV was observed mainly in lungs and lymph nodes. All samples were negative in RT-PCR assay. Diagnosis of CeMV is challenging in areas where epizootic episodes have not been recorded and due to postmortem changes. We observed a CeMV prevalence of 27.5%. The results described here increase the knowledge about CeMV under non-epizootic conditions in Brazil.Article Summary LineWe observed a prevalence of 27.5% of CeMV in a World Heritage site of Paraná’s coast. The results indicate an increase in the prevalence of CeMV at this region and, possibly, a degradation of marine ecosystem. Marine mammals are sentinels of marine environment and the ocean health is inextricably linked to human health on a global scale.

151 Optimising Bone Health on Sheffield Frailty Unit Through Quality Improvement

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C M Orton ◽  
N E Sinson ◽  
R Blythe ◽  
J Hogan ◽  
N A Vethanayagam ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Fracture Risk ◽  
Fragility Fracture ◽  
Bone Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Fragility Fractures ◽  
Improvement Project ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool

Abstract Introduction NICE and the National Osteoporosis Guidance Group (NOGG) advise on evaluation of fracture risk and osteoporosis treatment1,2, with evidence suggesting that screening and treatment reduces the risk of fragility fractures 3,4,5. However, it is often overlooked in the management of older patients within secondary care. Audit data from Sheffield Frailty Unit (SFU) in 2018 showed that national guidance was not routinely followed. Fracture Risk Assessment Tool (FRAX®) scores were not calculated and bone health was poorly managed. Therefore, we undertook a quality improvement project aiming to optimise bone health in patients presenting to SFU. Method & Intervention In January 2019 we collaborated with Sheffield Metabolic Bone Centre (MBC) to develop a pathway aiming to improve bone health assessment and management in patients presenting to SFU with a fall or fragility fracture. This included a user-friendly flow chart with accompanying guidelines, alongside education for staff. Performance was re-evaluated in May 2019, following which a tick box prompt was added to post take ward round documentation. A re-audit was performed in March 2020. Results In March 2018 0% of patients presenting with a fall had a FRAX® score calculated and only 40% of those with a new fragility fracture were managed according to guidelines. In May 2019, this had improved to 18% and 100% respectively. In March 2020 86% of patients had a FRAX® score calculated appropriately and 100% of fragility fractures were managed according to guidelines. In both re-audits 100% of FRAX® scores were acted on appropriately. Conclusions There has been a significant increase in the number of patients who have their bone health appropriately assessed and managed after presenting to SFU. However, achieving optimum care is under constant review with the aim to deliver more treatment on SFU, thereby reducing the need for repeat visits to the MBC.

scholarly journals Analysis of Nursing Clinical Practice of Oral Hygiene on Patient with Hemorraghic Stroke – A Case Study

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yuyun Durhayati ◽  
Cut Sarida Pompey
Keyword(s):  
Oral Hygiene ◽  
Assessment Tool ◽  
Health Assessment ◽  
Hygiene Intervention ◽  
The Family ◽  
Before And After ◽  
Nursing Clinical Practice ◽  
Nursing Clinical ◽  
Neurological Ward

<p><strong>Objective</strong>: The  purpose  of  this  case  study  was  to  analyze  the  oral  hygiene intervention performed by  nurse  in  stroke  hemorrhagic  patient  in  neurological  ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>

scholarly journals Online Child’s Health Assessment Tool for Obesity Prevention Programming

2018 ◽  
Vol 13 (3) ◽  
pp. 237-258
Author(s):  
Laura A. Palmer ◽  
Kimberly J. McCarthy ◽  
Daniel F. Perkins ◽  
Lynne M. Borden ◽  
Jennifer M. DiNallo
Keyword(s):  
Online Survey ◽  
Technical Assistance ◽  
Assessment Tool ◽  
Health Assessment ◽  
Well Being ◽  
Program Improvement ◽  
Quality Improvements ◽  
Survey Tool ◽  
Continuous Quality ◽  
Physical Activity Programming

To optimize public health in the next decade, prevention of childhood obesity will remain a central focus. To impact behavioral change, data must be linked to continuous quality improvements within existing nutrition and physical activity programming. The Children, Youth, and Families At-Risk Professional Development and Technical Assistance Center has developed a picture-based, online survey tool, the CYFAR Health Assessment Tool (CHAT), to assess health behaviors in youth ages 6 to18 years of age. Used for continuous program improvement, aggregate data results are coupled with tailored health recommendations in 4 domains (behavior and environmental modifications, education, and direct strategies) and evidence-informed resources for dissemination to youth and parents. Program implementers use the data and resources for targeted programmatic improvements that more effectively promote health and well-being. CHAT also informs our collective understanding of youth’s perceptions of health in comparison to their actual behaviors.  

Facilitation of a Person-Centered Approach in Health Assessment of patients with chronic pain: An Ethnographic Study

2018 ◽  
Vol 29 (4) ◽  
pp. 471-483 ◽  
Author(s):  
Kristín Thórarinsdóttir ◽  
Kristján Kristjánsson ◽  
Thóra Jenný Gunnarsdóttir ◽  
Kristín Björnsdóttir
Keyword(s):  
Chronic Pain ◽  
Assessment Tool ◽  
Participant Observation ◽  
Health Assessment ◽  
Ethnographic Study ◽  
Assessment Practices ◽  
Health Issues ◽  
Nursing Assessment ◽  
Centered Care ◽  
The Impact

A phenomenologically derived assessment tool, Hermes, was developed in a rehabilitation setting for adopting the central ideals of person-centered care and patient participation into health-assessment practices in nursing. This focused ethnographic study aimed at exploring the feasibility of using Hermes for enabling the application of these ideals into assessment of patients with chronic pain upon admission to a rehabilitation center. Participants were patients with chronic pain, enrolled in rehabilitation, and their nurses. Data were collected by participant observation and interviews, and analyzed by thematic analysis. By the use of Hermes, the impact of illness was explored through supportive connection and dialogue with open, reflective, and interpretative features; understanding of the illness situation was enhanced; and possibilities provided in adjusting to health issues of concern. In sum, Hermes facilitated person-centered participation of patients with chronic pain in their health assessment and made a phenomenological philosophy usable in nursing-assessment practices.

Development of a German version of the Oral Health Assessment Tool

2019 ◽  
Vol 32 (1) ◽  
pp. 165-172 ◽  
Author(s):  
Anna-Luisa Klotz ◽  
Melania Zajac ◽  
Judith Ehret ◽  
Alexander Jochen Hassel ◽  
Peter Rammelsberg ◽  
...  
Keyword(s):  
Oral Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
German Version

Development and Pilot Testing of a Bilingual Environmental Health Assessment Tool to Promote Asthma-friendly Childcares

2018 ◽  
Vol 12 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Robin A. Evans-Agnew ◽  
Julie Postma ◽  
Ariana Ochoa Camacho ◽  
Rachel M. Hershberg ◽  
Elsa Trujilio ◽  
...  
Keyword(s):  
Environmental Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Pilot Testing
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