Education Of Medical Personnel Research Articles

MEDICAL PERSONNEL AS THE KEY TO SOCIALLY RESPONSIBLE GREEN TRANSITION IN THE HEALTHCARE SECTOR

To implement the socially responsible green transition in the Healthcare sector, it is essential to involve competent and educated personnel/staff. Article 48 of the Medical Treatment Law (Ārstniecības likums) of the Republic of Latvia stipulates that a medical practitioner has a duty to regularly improve his or her professional qualifications. Article 1 also defines improvement of professional qualifications as part of post-graduate education in a specific profession or specialty, which occurs in accordance with a freely selected education program, though the content and time of acquisition of which is not regulated. However, it must be noted that almost all programs offered by the Ministry of the Health of the Republic of Latvia for the improvement of practitioners’ professional qualifications refer to the acquisition of skills and knowledge necessary to improve the process of treating patients. Although various international and national regulatory acts determine the obligations of state institutions to include the green transition into their operations, the involvement of the institution’s employees is not discussed. This study aims to analyze and reflect on the competence of medical personnel and students regarding patient treatment and to analyze the compliance of the regulations of the Cabinet of Ministers with international and national regulations related to the creation of a socially responsible and sustainable state. UN Sustainable Development Goal Nr.4 “Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all” includes the necessity to ensure that all trainees acquire the knowledge and skill needed to promote sustainable development, including education regarding sustainable development and sustainable lifestyle. Within the scope of the research examples of positive foreign green transition practices will be evaluated. The results obtained within the framework of the research indicate the need to develop specific guidelines for the education of medical personnel, regarding the implementation of a socially responsible green transition in the healthcare sector, ensuring quality education in terms of promoting sustainable development.

Catastrophic Antiphospholipid Syndrome.

Unlike classic APS, CAPS causes multiple microthrombosis due to an increased inflammatory response, known as a "thrombotic storm". CAPS typically develops after infection, trauma, or surgery and begins with the following symptoms: fever, thrombocytopenia, muscle weakness, visual and cognitive disturbances, abdominal pain, renal failure, and disseminated intravascular coagulation. Although the presence of antiphospholipid antibodies in the blood is one of the diagnostic criteria, the level of these antibodies can fluctuate significantly, which complicates the diagnostic process and can lead to erroneous interpretation of rapidly developing symptoms. Triple therapy is often used to treat CAPS, which includes the use of anticoagulants, plasmapheresis, and high doses of glucocorticosteroids and, in some cases, additional intravenous immunoglobulins. The use of LMWH is recommended as the drug of choice due to its anti-inflammatory and anticoagulant properties. CAPS is a multifactorial disease that requires not only an interdisciplinary approach but also highly qualified medical care, adequate and timely diagnosis, and appropriate prevention in the context of relapse or occurrence of the disease. Improved new clinical protocols and education of medical personnel regarding CAPS can significantly improve the therapeutic approach and reduce mortality rates.

Construction and effect evaluation of a hierarchical training system for nosocomial infection based on hospitals at all levels

INTRODUCTION: Nosocomial infection is a critical global public health issue. The education of medical personnel can effectively enhance compliance with nosocomial infection protocols and reduce the incidence of such infections. However, the current training provided to third-party staff is inadequate, necessitating an urgent enhancement of their knowledge on nosocomial infection through effective and tailored training programs.
 OBJECTIVES: The objective is to establish a hierarchical training system for nosocomial infection, customized to meet the specific requirements of hospitals at all levels, and evaluate its efficacy.
 METHODS: A questionnaire survey was conducted among third-party staff members at hospitals of different levels to assess their understanding of nosocomial infection prevention measures. Based on the survey results, a hierarchical training system was developed for nosocomial infection among the participants. After the training, a post-training assessment was carried out to evaluate the participants' comprehension of nosocomial infections.
 RESULTS: A total of 561 third-party employees participated in the baseline hospital infection knowledge questionnaire. The baseline findings unveiled disparities in the extent to which third-party staff members across various tiers of medical institutions have mastered their knowledge on nosocomial infections. After undergoing hierarchical training, the deficiencies of hospitals at all levels have been rectified, thereby effectively enhancing the level of knowledge regarding nosocomial infections among third-party personnel. The results of multivariate analysis indicate that individuals with limited work experience should enhance their training in medical waste disposal and acquire a deeper understanding of personal protection measures related to nosocomial infections. Moreover, infrequent annual training sessions may impede the comprehension of nosocomial infection among third-party staff.
 CONCLUSION: The knowledge of hospital infection among third-party staff at all levels of medical institutions exhibits varying deficiencies. Implementing a hierarchical training approach is a meaningful strategy that effectively enhances the level of hospital infection knowledge among these staff members.

Heart-to-heart with ChatGPT: the impact of patients consulting AI for cardiovascular health advice

ObjectivesThe advent of conversational artificial intelligence (AI) systems employing large language models such as ChatGPT has sparked public, professional and academic debates on the capabilities of such technologies. This mixed-methods...

Hospital readiness in implementing credentials, verification and readiness of medical personnel according to Staff Qualification and Education (SQE) assessment element 10 accreditation standards in Regional General Hospitals of West Muna District Southeas

Background: National data for 2022 records that 3,120 hospitals have been registered, of which 78.8% (2,482 units) of hospitals have been accredited and 638 hospitals (21.2%) have not been accredited. In Southeast Sulawesi there are 38 hospitals spread across all districts and cities, including 12.9 plenary accreditations, 5.3% main accreditations, 18.4% intermediate accreditations and 10.53 basic accreditations. Meanwhile, the regional general hospital in West Muna Regency is still basic accredited and continues to strive to improve the quality of service by preparing the implementation of medical personnel readiness, credentials and verification. The aim of this research is to see the readiness of hospitals in implementing credentials, verification and readiness of medical personnel based on the SQE assessment elements of 10 accreditation standards at the West Muna Regency Hospital. Method: This research uses a qualitative method with a case study design, the informants in this research were 16 people from government agencies, professional organizations, civil service, medical committees and doctors at the West Muna Regency Regional Hospital. Next, interviews were conducted using interview Result: The results of the research show that the West Muna Regency regional general hospital is ready to implement credentials which are marked by the recruitment of medical personnel, there are regulations in the recruitment of medical personnel, there is a credential flow and also medical personnel credential files. However, in its implementation, the West Muna Regency regional general hospital also experienced obstacles such as completeness of files and readiness of the bestari partners themselves. 2) Based on the research results, the West Muna Regency regional general hospital is also ready to verify medical personnel files. Validation of documents is carried out through the relevant site. 3) The West Muna Regency regional general hospital is also ready in terms of medical personnel to carry out qualifications and education for medical personnel. This can be seen from the regular monitoring and evaluation of STR or registration certificate and SIP or practice license for medical personnel and the existence of regulations governing STR or registration certificate for medical personnel. Kesimpulan: West Muna District Hospital is ready to implement credentialing, verification and readiness of medical personnel according to the SQE 10 accreditation standard assessment elements. So hospitals need to increase their bestari partners through communication with professional organizations, equipping medical personnel resources according to service needs to the community and preparing infrastructure so that the health service process is more optimal.

SPECIAL CONSIDERATIONS IN PEDIATRIC TRACHEOSTOMY - A NARRATIVE REVIEW.

Surgical tracheostomy is a life-saving procedure performed for emergent or expectant airway compromise. Morbidity in the pediatric population is higher than in adults due to smaller operating field, immaturity of tissues, anatomic specificities of the child's neck, or the presence of craniofacial dysmorphism. The procedure varies among surgeons regarding the position of the skin incision (vertical or horizontal), resection of the subcutaneous adipose tissue and isthmus of the thyroid gland, use of tracheal flaps, and use of maturation or stay sutures. Both early and late complications can be life-threatening, and include accidental decannulation, stomal plugging, bleeding, and difficult ventilating. Consistent tracheostomal care is crucial in avoiding complications. Primary caregivers must be included and educated about proper stomal care. Decannulation failures are common. Prerequisites for safe decannulation include non-dependence on mechanical ventilation and no recent aspiration events, positive endoscopic airway assessment, and successful daytime capping. The role of polysomnography in decannulation protocols is debated. Although seldom performed, tracheostomy is the procedure of choice in a selected group of pediatric patients. The risks and benefits of the procedure must be weighed for each patient. The education of medical personnel and caregivers is key to reducing serious complications.

A comprehensive review on hydrogel materials in urology: Problems, methods, and new opportunities.

Hydrogel materials provide an extremely promising group of materials that can find an increasingly wide range of use in treating urinary system conditions due to their unique properties. The present review describes achievements to date in terms of the use and development prospects of hydrogel materials applications in the treatment and reconstruction of the urinary system organs, which among others include: hydrogel systems of intravesical drug delivery, ureteral stents design, treatment of vesicoureteral reflux, urinary bladder and urethral defects reconstruction, design of modern urinary catheters and also solutions applied in urinary incontinence therapy (Figure 4). In addition, hydrogel materials find increasingly growing applications in the construction of educational simulation models of organs and specific conditions of the urinary system, which enable the education of medical personnel. Numerous research efforts are underway to expand the existing treatment methods and reconstruction of the urinary system based on hydrogel materials. After conducting the further necessary research, many of the innovative solutions developed to date have high application potential.

Recommendations of the Polish Society of Gynaecologists and Obstetricians, Polish Paediatric Society, Polish Society of Family Medicine, Polish Society of Vaccinology, Polish Society of Oncological Gynaecology and Polish Society of Colposcopy and Pathophysiology of the Uterine Cervix on prophylactic vaccinations against infections with human papillomaviruses in Poland.

Several hundred million people are infected with genital genotypes of the human papillomavirus (HPV) annually in the world. The infections transmitted mainly through sexual routes are usually asymptomatic, but can lead to the development of cervical, vulvar, vaginal, anal, penile cancers, some head and neck cancers and genital warts (condylomas). The fraction HPV-related cancers range from nearly 100% in the case of cervical cancer to several/over a dozen percent in the case of other cancers and diseases. There are no effective drugs against HPV, but prophylactic HPV vaccines are available free of charge in immunization programmes in many countries around the world. In Poland, HPV vaccinations have so far been executed out on the pocket or in free-of-charge, local-governmental prevention programs, but the vaccination coverage of the target population does not exceed 10%. From November 2021, one of the vaccines is available with a 50% reimbursement, work is underway to reimburse the next ones, and the National Oncology Strategy assumes the implementation of the HPV immunization programmes and vaccination of 60% of the teen population by 2028. Three prophylactic HPV vaccines are registered. All of them are safe and their effectiveness in the prevention of diseases caused by vaccine genotypes reaches almost 100%, provided that full post-vaccination immunity is obtained before the contact with the virus. Girls aged 11-13 are the priority target cohort for HPV vaccination in Poland. The implementation of routine, free-of-charge HPV immunization in the Preventive Immunization Program (PIP) for all adolescents should be pursued. Persons over the age of 13 may also benefit from HPV vaccination and should be vaccinated according to product specifications. In addition to free access under the PIP, the key element for the success of the implementation of HPV vaccinations in Poland will be the education of medical personnel and parents of adolescents to be vaccinated.

MODERN ISSUES OF RURAL HEALTH CARE

Introduction. The study of health problems requires the development of rural health care in conditions of increasing morbidity, global pandemic, sanction restrictions and poor life quality of the rural population. These problems influence the sustainability of rural development. This article considers healthcare problems from the point of view of a systematic approach. We aim to study rural health problems in Russia and in the Stavropol Territory and to develop recommendations for the elimination of rural health problems, focused primarily on solving the problems of personnel and logistical support. Methodology. Methods of logical and statistical analysis, SWOT analysis and expert assessments were used in studying health problems. Results. 13 priority areas for the development of rural healthcare in the medium term have been identified. Conclusions. The conducted research showed many problems in the health care of rural areas, including systemic ones that require prompt solutions. It is concluded that promising areas for the development of rural healthcare should be: solving the problems of staffing by stimulating medical personnel, changing approaches to the education of medical personnel and their distribution, solving organizational issues on the organization of medical care and drug provision in rural areas, increasing the financial provision of rural healthcare within the framework of the Rural Medicine subprogram, structural transformation of medical organizations in rural areas, development of telemedicine.

Gesundheitliche Themen von LSBTIQ+Personen in der ärztlichen Ausbildung in Deutschland

Lesbian, gay, bisexual, trans, intersex and queer (LGBTIQ +) persons continue to experience discrimination and disadvantage in many areas of life, including healthcare. Studies indicate that LGBTIQ+persons show high rates of chronic physical and mental illness on the one hand, and report negative experiences with health care providers on the other hand. The aim of this work is to point towards barriers and the provision of inadequate health care for LGBTIQ+persons, and to draw attention to relevant gaps in medical education in Germany, needing to be followed by specific actions. For these purposes, both scientific evidence for the disadvantage of LGBTIQ+persons within the health care system and important innovative interventions in the education of medical personnel are presented and discussed. A variety of different - in terms of scope, format, and content - training programs have already been tested and established, mainly in English-speaking regions of the world. In contrast, medical training in Germany lacks such programs. Raising awareness and expanding the training of medical students to include LGBTIQ+health topics is of great importance in Germany.

Chikungunya outbreak in Bangladesh (2017): sociodemographic and clinical characteristics of patients from three hotspots

BackgroundChikungunya is a severely debilitating disease. Bangladesh witnessed one of the largest outbreaks in 2017. Here, we described the clinical profile of the chikungunya outbreak in Bangladesh and its heterogeneity across three hotspots.MethodsThis was a descriptive cross-sectional study of 432 individuals interviewed from the outpatient department of three study sites (Dhaka, Chittagong, and Sitakundu Upazilla of Bangladesh) after confirmation by the study physicians. Both laboratory-confirmed cases and probable cases were recruited between July and October 2017.ResultsOf all, 18% (79) were laboratory confirmed, and 353 82% (335) were probable cases. The male:female ratio was almost equal (1.09:1), and the predominant age group was 18–59 years. The mean age of the presentation was 36.07 ± 13.62 (SD) years. Fever and arthralgia were the most common presentations and were present in > 95% of cases. Other frequent symptoms were fatigue, myalgia, headache, nausea, and vomiting. Approximately half of the patients had arthritis and erythematous rash. Arthritis was predominant in Chittagong city, while maculopapular rash was not observed in Sitakunda city. However, fatigue, nausea, and vomiting are more common among patients in Dhaka city. Significant heterogeneity of clinical manifestations was present across the three hotspots (p < 0.05 for all). Both confirmed and probable cases shared similar characteristics except muscle ache (p = 0.22) and rash (p = 0.37).ConclusionThe clinical profile of chikungunya virus-induced disease displays significant location-related heterogeneity in Bangladesh during a large outbreak. Although the causes of such differences are unclear, improved public and medical personnel education on this condition may lead to earlier diagnosis and treatment.

Effectiveness of education for prospective medical personnel using VR (Virtual Reality)－Review Literature as Topic (2011∼2021)

Purpose : With the development of virtual reality programs, research is increasing to verify the effectiveness of education for prospective medical personnel using VR. Accordingly, it attempted to analyze and organize prospective medical personnel education research using VR within the last 10 years as a subject range literature review method to confirm the overall trend of the study, and to use it as basic data for developing education programs using VR. Method : This study was based on a review of subject-related literature published in domestic journals to understand the research trend of papers on prospective medical personnel education using VR (Virtual Reality), and was conducted in six stages as a study using scope research methodology. Results : As a result of the study, a total of 11 papers were analyzed, and there were 5 nursing papers, 5 dentistry papers, and 1 oriental medicine paper, respectively. There were 10 studies from 2019 to 2021, and it was contributed not only to professional societies in one field but also to the convergence society. Ten studies were quantitative studies. The research field was mainly conducted in fields that were difficult to be conducted on actual subjects such as clinical technology and anatomical practice. Conclusion : VR research for prospective medical personnel can be trained in a reality-like environment, and for this, programs through environmental provision and practical level of visual and sensory interaction must be developed and operated.

Level of Knowledge of Medical Staff on the Basis of the Survey in Terms of Risk Management, Associated with Clostridioides difficile Infections.

Infections caused by the toxigenic strains of Clostridioides difficile in the hospital environment pose a serious public health problem. The progressive increase in hospital infections in Poland indicates that risk management is a tool that is not used in an effective way and significantly differs from the goals set by the Leading Authorities, the Ministry of Health and its subordinate units. Systematic education of medical personnel constitutes the basic element of rational risk management aimed at reducing the number of infections as it allows for the transfer of knowledge, development of appropriate organizational procedures, and improves internal communication. This paper presents the results of a survey conducted in hospital facilities throughout Poland. The study dealt with what medical personnel know about channels of transmission and prevention of Clostridioides difficile infections in the hospital setting, professional training and risk management in terms of reducing the number of infections. The survey reveals that Clostridioides difficile continues to be a serious problem in the inpatient care system. Procedures and management strategies implemented by hospitals in order to limit the spread of the pathogen are predominantly focused on short-term action, which does not lead to a real improvement in terms of hospitalized patients’ safety. The infection risk management system was assessed at a fairly low level. The obtained research results confirmed the research hypotheses that had been formulated.

Education of medical personnel optimizes filling volume of blood culture bottles without negatively affecting microbiology testing

BackgroundAnemia is a risk factor for adverse outcomes, which can be aggravated by unnecessary phlebotomies. In blood culture testing, up to 30 ml of blood can be withdrawn per sample, even though most manufacturers recommend blood volumes of 10 ml or less. After assessing the filling volume of blood culture bottles at our institution, we investigated whether an educational intervention could optimize filling volume of blood culture bottles without negatively affecting microbiology testing.MethodsWe weighed 10,147 blood cultures before and 11,806 blood cultures after a six-month educational intervention, during which employees were trained regarding correct filling volume via lectures, handouts, emails, and posters placed at strategic places.ResultsBefore the educational intervention, only 31% of aerobic and 34% of anaerobic blood cultures were filled correctly with 5–10 ml of blood. The educational intervention increased the percentage of correctly filled bottles to 43% (P < 0.001) for both aerobic and anaerobic samples without negatively affecting results of microbiologic testing. In addition, sample volume was reduced from 11.0 ± 6.5 to 9.4 ± 5.1 ml (P < 0.001) in aerobic bottles and from 10.1 ± 5.6 to 8.8 ± 4.8 ml (P < 0.001) in anaerobic bottles.ConclusionEducation of medical personnel is a simple and effective way to reduce iatrogenic blood loss and possibly moderate the extent of phlebotomy-induced anemia.

The Implementation of the Soviet Healthcare Model in ‘People’s Democracy’ Countries—the Case of Post-war Poland (1944–1953)

Abstract This article aims at presenting a Soviet model of public health service, the so-called Siemaszko model, and its implementation in the People’s Republic of Poland (1944/45–1953). Based on the Marx’s and Lenin’s interpretations, the Soviet model assumed a universal nature of health service, financing healthcare from the public purse, full state (party) control over public health, full access to medical services for all, entire staff put on the public payroll and state education for medical personnel. After the Second World War a modified version of that model was implemented in the so-called people’s democracies (i.e. communist countries). In the post-war years, a two-stage implementation of this socialist model was rolled out in the People’s Republic of Poland. The first stage, in 1944–48, was based on the so-called multisector approach. The second began in 1948 and assumed a full and planned unification and nationalisation of the healthcare system.

Remote training for combat medics during the COVID-19 era: lessons learnt for future crises?

BackgroundIn response to COVID-19, the UK government ordered strict social distancing measures. The UK Armed Forces followed these to protect the force and ensure readiness to respond to various tasking...

Debunking Religious and Cultural Misconceptions of Organ Donation and Transplantation

Organ transplantation is a life-saving procedure that is arguably the most viable treatment option for individuals who are faced with end-stage organ failure. Owing to a shortage of organs for transplantation, however, patients suffering from chronic organ failure often succumb to their illness while on a waiting list. Research has shown that the underlying reason for a lack of motivation to donate stems from inter alia religious and cultural views and practices that are believed to go against organ donation and/or transplantation. This article offers an analysis of specific religious and cultural beliefs which are native to South Africa and discusses the convictions that are both for and against donation. The article further explores the possibility of gaining clarity with regard to these misapprehensions and suggests possible solutions to bringing awareness to the public through the use of a modified version of the Traditional Health Practitioners Act 22 of 2007, as a suggestion. It also advocates education for medical personnel about the different religious and cultural traditions and rituals which accompany death, leading to an atmosphere of respect for the deceased and the deceased’s loved-ones.

Nationwide survey on activities of regional core centers for the management of liver disease in Japan: Cumulative analyses by the Hepatitis Information Center 2009-2017.

AimRegional core centers for the management of liver disease, which are located in every prefecture in Japan, not only take the lead in hepatitis care in their respective regions, but also serve a wide range of other functions, such as education, promotion of hepatitis testing, treatment, and research.MethodSince fiscal year 2010, the Hepatitis Information Center has conducted surveys of regional core centers throughout Japan regarding information about their facilities, programs for patient support, training, and education of medical personnel.ResultsBy compiling and analyzing the results of these surveys, we have elucidated the status of regional core centers and the issues they currently have. We found that regional core centers have come to play widely varied roles in hepatitis treatment and have expanded their programs. These surveys also suggest that uniform accessibility of hepatitis treatment has been implemented throughout Japan.ConclusionTo continue serving their diverse roles, regional core centers require further development of hepatitis care networks that include specialized institutions, primary care physicians, and local and central governments; as well as collaboration with other professions and groups.

P.160: A study on the effects of medical personnel education for increasing organ donation.

P.160: A study on the effects of medical personnel education for increasing organ donation.

ESTABLISHMENT AND DEVELOPMENT OF MEDICAL EDUCATION AND SCIENCE IN THE WESTERN UKRAINE (XVIII - XIX CENTURY)

The research analyses the history of development and organization of medical educational establishments in the Western Ukraine in the second half of XVIII–XIX century.&#x0D; The article discusses the method of analysing bibliographic catalogues, classification and systematization of primary sources in History of Medicine and Pedagogy, and chronological method that identifies the establishment and development of medical education during different historical periods.&#x0D; The paper describes the structure of medical education system in the Western Ukraine in the second half of XVIII–XIX century and summarizes available data about professional and scientific activity of the outstanding Ukrainian doctors of this period.&#x0D; The main characteristics of medical education development in the mentioned historic period are: gradual increase in the number of medical establishments, medical departments, faculties, and students; improvement and transformation of medical personnel education and training.