Patient comprehension of hip arthroscopy: an investigation of health literacy

Several studies have demonstrated that patients have significant impairments in understanding their injury and appropriate course of management in orthopedic surgery. The purpose of this investigation is to determine if patients are able to obtain a fundamental understanding of the requisite care associated with hip arthroscopy. Any patient who elected to have hip arthroscopy was prospectively recruited to participate in the study. All patients were told they would be asked to complete a questionnaire about their surgery and post-operative instructions. The answers to each question of the questionnaire they would receive at the first post-operative visit were verbally given to each patient during the pre-operative visit. They were also given a post-operative instruction sheet on the day of surgery that contained answers to the questionnaire. At the first post-operative visit, all patients were then asked to complete a multiple-choice questionnaire prior to seeing the surgeon. A total of 56 patients (14 males, 42 females) were enrolled. All patients reported they had read the post-operative instruction sheet. The average number of correct answers was 6.5 ± 0.6 (95% CI 6 − 7) out of 11 questions (59% correct response rate ±18% [95% CI 52 − 66%]). Although we made significant pre-operative oral and written efforts to help patients achieve an elementary level of health literacy regarding their forthcoming hip arthroscopy, many patients did not achieve satisfactory comprehension. Even with instruction and information given verbally and physically (via post-operative instruction sheet) patients did not obtain satisfactory comprehension of their surgical procedure. New ways (through video, simplified cartoons or verbal explanations) must be considered in educating patients concerning surgical procedures to increase comprehension and health literacy.

Pembuatan Program Aplikasi Pemeliharaan Mesin Terjadual Di Laboratorium Mekanik Polman Negeri Bangka Belitung

Every company wants all its equipment or machinery operating in optimum condition, so that the necessary maintenance activities to fulfill that desire. Management of maintenance activities to be hard to do when the equipment or machines owned by increasingly numerous and complex, and activities increase the number of machines or equipment routinely performed. Therefore needed a system to manage maintenance activities quickly, especially in administration of maintenance of machine or equipment are handled. This program has the ability to manage personal data engines, machinery or equipment maintenance scheduling, managing work instruction sheet, a history of the machine, the data parts, data managing maintenance activities, preventive maintenance and expense reports. System maintenance is made by using a computer-based information system maintenance. In making the program used Microsoft Visual Basic 6.0 and used for the purpose of Microsoft Access database.

Self-collection for under-screened women in a National Cervical Screening Program: pilot study

Background Commencing 1 December 2017, Australia introduced human papillomavirus (hpv)-based cervical screening. As part of this Australian renewed National Cervical Screening Program (ncsp) women who are either never- or under-screened and who refuse a practitioner collected sample will be able to collect their own sample for cervical screening. The aim of this study is to examine the quantitative results of a pilot study into the acceptability of the self-collection alternative pathway.Methods Eligible participants were offered the opportunity to collect their own sample. Those who agreed were given a flocked swab and an instruction sheet and took their own sample in an area of the health care clinic that afforded them adequate privacy. These samples were then given to clinic staff who returned them to Victorian Cytology Service (vcs) Pathology for hpv nucleic acid testing.Results Of 98 eligible women, seventy-nine undertook self-collection for hpv-based cervical screening. Seventy seven produced valid results, 14 were positive for oncogenic hpv, with 10 undertaking follow-up. Three women were found to have cervical squamous abnormalities with two of those being high-grade intraepithelial squamous lesions.Conclusion The pilot study for self-collection for cervical screening produced quantitative data that were similar to that already reported in the literature, but had a much higher rate of acceptance compared with self-collection programs based in the home.

The Viennese Croÿ Albums: Options and Decisions Leading to the Conservation and Remounting of a Convolute of Double-Sided Gouache Paintings on Parchment

The so-called Croÿ albums, kept by the Collection of Manuscripts and Rare Books at the Austrian National Library, form a convolute of 15 baroque red leather bindings housing 936 gouache paintings on double-sided parchments dating from 1560 to 1621. The opulently decorated topographic views of the possessions of Charles Duc de Croÿ (1560–1612) have undergone conservation treatment at the Institute for Conservation, followed by digitisation, allowing for a restricted access to the valuable albums. The planning of the project involved a wide range of possibilities and several levels of decisions. The construction of a decision tree and decision matrices helped to visualize the complexity of the issues involved and to consider the various options. The cultural importance of the Croÿ albums was decisive for choosing an overall treatment. Polyester pockets which had been added in the 1970s were removed from the albums. The fragile paint layers on the parchments were consolidated with gelatine. The modified remounting of the gouache paintings into the albums was done with a modified form of T-hinges which are combined with a protective layer of Japanese paper. Extremely sensitive paintings were taken out of the albums and mounted in double-sided mats. For the readers, an illustrated instruction sheet was placed into each volume’s archival box. It shows the correct turning of the album pages.