Trinity Hospital Research Articles

Rectal Artery Embolization for Acute Uncontrollable Rectal Bleeding: Case Series and Systematic Literature Review

Purpose: The article aims to evaluate the possibilities of transcatheter arterial embolization (TAE) as a method of hemostasis in inoperable, life-threatening rectal cancer bleeding by embolizing rectal arteries related to the tumor. Materials and Methods: Using PubMed, Embase, Web of Science, and Cochrane Library, a systematic literature review following the PRISMA 2020 guidelines was performed on October 26, 2023. The search focused exclusively on patients with bleeding rectal cancer controlled by TAE. In addition, in alignment with the PROCESS 2016 guidelines, we describe three patients who underwent transcatheter embolization of the rectal arteries for rectal cancer bleeding from Surgery Department No.2, admitted to the Municipal Saint Trinity Hospital, in Moldova, Chisinau, over the period 2020-2023. Results: Out of 4,958 articles identified, 89 were included for analysis, and only nine were relevant to the topic addressed. In total, 33 cases of rectal cancer bleeding controlled by the rectal artery embolization (RAE) approach were found. Technical success was achieved in 32 out of 33 patients. Technical failure was encountered in one patient due to a practical shortfall in advancing the microcatheter to the source of bleeding. The most frequently embolized artery was the superior rectal artery (in 22 patients). Bleeding control was achieved in 24 patients from the first attempt. Recurrent bleeding was observed in nine patients who successfully responded to repeated RAE. There was no evidence of bowel infarction, and the procedure was well tolerated, in general. Conclusions: The present review and case presentation of patients who underwent endovascular approaches to treat rectal cancer bleeding showed that rectal artery embolization is a safe and feasible procedure, with a high technical success rate.

A Common Retrospective Clinical Case Reports in 20 Post-Operative Oral Cancer Patients at Madras Medical Hospital, Tamil Nadu, Zemabawk Cancer and Research Hospital, Mizoram and Trinity Hospital, Mizoram from 2019-2023: A Retrospective Reports

A Common Retrospective Clinical Case Reports in 20 Post-Operative Oral Cancer Patients at Madras Medical Hospital, Tamil Nadu, Zemabawk Cancer and Research Hospital, Mizoram and Trinity Hospital, Mizoram from 2019-2023: A Retrospective Reports

A Case Report of A Mid-Front Head Injury Using Starry Sky Surgical Approach of the Face

A 20-year-old male was referred to the Department of oral and maxillofacial surgery, Trinity Hospital, Aizawl-Mizoram on July 4th,2022 with a history of Road traffic accident (RTA). The patient was unconscious and was taken to the operation theatre and had multiple facial injuries. A frontal bone fracture with frontal sinus injury was noticed and a starry sky approach was used under GA. Overall, the starry sky approach shows very less scars and very less complications and proves to be the right approach in frontal bone fracture involving the midline.

Comparative studies of medical specialization in Orthodox and Catholic monasteries. Preliminary remarks

Comparative studies of medical specialization in Orthodox and Catholic monasteries. Preliminary remarks. The article is dedicated to the problem of the genesis of hospitals and specialization of some Catholic and Orthodox monasteries in the provision of medical care and other charitable activities. The relevance of the topic is dictated by the difficulty in explaining the phenomenon of the Orthodox Trinity Hospital Monastery in Kyiv outside the context of the history of Rus as a part of the Polish-Lithuanian Commonwealth. Orthodox monasteries are not characterized by the reflection in their name of the monastery’s implied charitable function. The problems of historiography relating to the monastery as a medical institution are discussed in the article. It focuses how the imperial concept of historical development prevails in post-Soviet countries, also either West European connections or regional features is taken little into account. Despite the meager available source base, posing the question makes it possible to identify promising areas of research, such as a comparison of the charters of Orthodox and Catholic monasteries with regard to the care of patients, dependence of specialized church institutions on public health policy, dynamics of the evolution of hospitals in Catholic and Orthodox monasteries, an architectural and spatial structure of medical units there, monastic view of disease and medical practice, which highlight the issues of the monasteries’ social role and their functioning during epidemics.

Wacława Juszkiewicz-Kamieńska in the service of another man

Abstract Introduction. Wacława Juszkiewicz-Kamieńska throughout her life served the sick, wounded and those in need of help. With great dedication, she became involved in social work for the nursing and veteran community. Aim. Presentation of a personal model of nurse, liaison officer and social activist. Material and methods. The work uses a biographical method. The technique of document and intelligence analysis was applied. Results. Wacława Juszkiewicz-Kamieńska became the model of a nurse who developed her own personality by serving the other person. From the first days of the war, as a nurse, she actively participated in the care of wounded soldiers and partisans, the sick and those in need of help. She served unselfishly in conspiratory outpatient clinics, sanitary points of the Polish Red Cross and in the Holy Trinity Hospital in Piotrków Trybunalski. In the post-war period, for eleven years, she conducted a vaccination campaign against tuberculosis, which at that time was a huge social problem. She became involved in training nurses and students. She was a co-creator of the Polish Nursing Association. Conclusions. Wacława Juszkiewicz-Kamieńska became the model of a nurse worthy of imitating and devoted to the development of nursing in the Piotrkowska Land. She deserves to remain in our memory forever.

Assessing Effectiveness and Cost-Benefit of the Trinity Hospital Twin City Fit For Life Program for Weight Loss and Diabetes Prevention in a Rural Midwestern Town.

IntroductionObesity is a top public health priority in the United States. This article reports on the Fit For Life (FFL) health education program designed to address the determinants of obesity in rural settings and help participants lose weight.Purpose and ObjectivesWe evaluated the implementation of the original FFL program, a replication program, and a diabetes-focused program.Intervention ApproachThe original FFL program (2006 to 2012) was a 12-week session of classes meeting once weekly. Lecture topics included stress management, nutrition, healthy eating, reading food labels, fitness, disease prevention, and healthy aging. The replication program, conducted in 4 locations from 2012 to 2015, helped determine if the FFL program could be implemented on a larger scale, with outcomes similar to the original program. The longer, more-intensive FFL diabetes prevention program, conducted in 2016 and 2017, sought to reduce the number of rural adults at risk for diabetes.Evaluation MethodsWe evaluated FFL participation and outcome data from 2009 through first quarter 2017. We calculated rates of course participation and completion and measured changes in several health indicators. We constructed a linear regression model to examine the impact of health behaviors on weight loss and calculated program cost-effectiveness.ResultsFrom 2009 to 2017, FFL was delivered to over 1,200 people; 82% of participants completed the program. Completing participants lost an average of 2.7 kg or 3% of their total weight. Overall, 68% of participants said they exercised more per week at the end of the program than at the beginning. Estimated cost per kilogram lost for replication sites was between $73 and $101 for original FFL, in line with other programs. The more resource-intensive diabetes prevention program cost per kilogram lost was $151 to $171.Implications for Public Health PracticeWeight loss and lifestyle management are major ways to counteract obesity. Improving program options, especially in rural locales, should be a key policy priority. These programs should be considered for population-based expansion, perhaps by health departments or public–private health care consortiums.

The Effect of Clinical Pharmacists on Readmission Rates of Heart Failure Patients in the Accountable Care Environment.

Recent changes in the health care delivery landscape have expanded opportunities for clinical pharmacists in the ambulatory care setting. This article describes the successful integration of a clinical pharmacist-led chronic disease management service in a patient-centered medical home (PCMH) and accountable care organization (ACO) environment. In 2008, the year before PCMH implementation, 36% of patients who were hospitalized at Advocate Trinity Hospital for a heart failure exacerbation were readmitted within 30 days of their hospital stay for heart failure exacerbation. This high rate of heart failure hospital readmissions, compared with national standards, drove the implementation of the PCMH at Advocate Medical Group - Southeast Center (AMG-SE), the adjoining outpatient medical clinic. A clinical pharmacist was added to the health care team to help achieve the collective goal of improving patient outcomes and decreasing hospitalizations. From November 1, 2009, through August 30, 2010, the clinical pharmacist conducted visits and intervened in the care of 111 chronic heart failure patients. A pre/post analysis of those 111 patients during the 10 months before and after the integration of the clinical pharmacist showed that those patients were hospitalized 63 times in the 10 months before having regularly scheduled visits with the clinical pharmacist and 30 times in the 10 months after establishing care. This reduction from 63 to 30 visits translated to an approximate 50% decrease in heart failure hospitalizations in patients being followed by the clinical pharmacist within the first 10 months. Once the clinical pharmacist became better integrated into the workflow through development of rapport with the medical team, the outcomes improved further. In an 18-month analysis from May 1, 2010, through November 30, 2011, only 2% of patients (3 of 153) designated as high-risk patients managed by the clinical pharmacist had a 30-day readmission for heart failure exacerbation. Outcomes-based models have expanded opportunities for clinical pharmacist involvement and can provide unique reimbursement options. Demonstration of cost savings and an improvement in quality measures are paramount to establishing and justifying the clinical pharmacist's role in a team-based model of care. No outside funding supported this research. The authors have no conflicts of interest to disclose.

Glucose-6-Phosphate Dehydrogenase Deficiency and Sickle Cell Trait among Prospective Blood Donors: A Cross-Sectional Study in Berekum, Ghana.

Background. Blood transfusion is a therapeutic procedure usually undertaken in patients with severe anaemia. In Ghana, severe anaemia is mostly due to malaria caused by severe Plasmodium falciparum infection, road traffic accidents, and haemoglobinopathy-induced acute haemolysis. Method. This cross-sectional study evaluated coinheritance of sickle cell haemoglobin variant and G6PD enzymopathy among individuals that donated blood at the Holy Trinity Hospital, Berekum, in the Brong-Ahafo Region, Ghana. Demographic data and other pertinent information were captured using questionnaire. Sickle cell haemoglobin variants were determined using cellulose acetate electrophoresis (pH 8.6). Qualitative G6PD status and quantitative G6PD enzyme activity were determined using methaemoglobin reduction and Trinity Biotech G6PD test kit, respectively. Results. Prevalence of sickle cell trait (SCT) and G6PD enzymopathy coinheritance was 7%. In addition, 19.5% of the donors had 10%–60% of normal G6PD enzyme activity suggesting that these donor units are prone to stressor-induced acute haemolysis when given to recipients. Mild G6PD activity (p = 0.03, OR: 2.410 (CI: 1.049–5.534)), commercial (p = 0.020, OR: 5.609 (CI: 1.309–24.035)), and voluntary (p = 0.034, OR: 2.404 (CI: 1.071–5.397)) donors were significantly associated with SCT. Conclusion. Screening for red cell pathologies must be incorporated into existing protocols for populations with high incidence of haemoglobinopathies to protect high-risk recipients.

The effect of staff and community education on oxygen uptake by paediatric patients in a rural hospital in Malawi

Aims Oxygen therapy is often refused by patients in rural Southern Malawi. The aim of this study was to assess the impact of a twofold brief education intervention on the use of oxygen therapy at a rural hospital in Southern Malawi. Methods The use and uptake of oxygen was assessed by a retrospective review of paediatric case notes during the months of December 2010, January 2011 and February 2011. The results were discussed with the clinical officers and primary health care team based at Trinity Hospital. The superintendent clinical officer organised a teaching session on the use of oxygen concentrator. The primary health care team did a community education session (a talk to guardians attending outreach clinics) on oxygen at the four nearest villages during the month of March 2011. A review of notes from April, May and June then assessed the impact of the oxygen therapy. The results were analysed using Microsoft Excel 2010. Results During December, January and February there were 506 admissions of which 62 were for acute respiratory infections (ARI). 20 patients in total (4% of total) were counselled for oxygen therapy of which 15 patients had ARI, 6 of these (40%) refused oxygen, 4 (27%) died whilst on oxygen and 5 (33%) survived. During April, May, and June there were 352 admissions, of which 120 were for ARI. 53 patients in total (15% of total) were counselled for oxygen therapy of which 35 had ARI. 13 (37%) refused oxygen, 1 (3%) died on oxygen and 22 (63%) survived. Conclusion After a brief education session, clinicians and nurses were more willing to counsel patients regarding oxygen therapy. More patients are given oxygen therapy and more survive with oxygen therapy. Community education by the primary health care team had no effect on changing the opinions of patients and guardians as to whether or not they would accept oxygen therapy. Further research is needed into why patients refuse oxygen therapy.

Paediatric admissions after fee increase at a missionary hospital in rural Malawi in 2011: Table 1

Aims Observational assessment of the change in number and type of admissions after an increase in fees at Trinity Hospital in rural, Southern Malawi. Methods Trinity Hospital is a (not for profit) Mission hospital. The local population are mainly subsistence farmers. It is 70 km from the nearest free government hospital. For 60 years the medical care has been subsidised by a small Christian charity. By 2011, the charity had been unable to provide funding for over a year. Government support for under five care was withdrawn. From February 2011 fees were increased to cover costs. The number of patients admitted for the six months from February, and their final diagnosis were recorded and compared to the previous 3 years. Analysis was done using MS Excel 2010. Results There was a 54% fall in paediatric admissions, compared with a one-third decrease in adult admissions and outpatient attendance. This was despite an increase in admissions for meningitis (117%) and malnutrition (29%). The results are summarised in the table 1 below. In-hospital mortality fell during the same period. Conclusion Increased cost of admission and treatment made the hospital financially inaccessible, particularly for children. Although clinical management changes made during this period would account for some of the fall in admissions, the increase in the number of patients with malnutrition and meningitis implies that there was a delay in seeking medical attention. The disproportionate fall in paediatric admissions compared with adult admissions, suggests children were affected more than adults. This shows that the cost of providing basic medical care to the rural population of Malawi is too great to be funded by individual families in rural areas, and extra support is required. The management and governors of the hospital have been made aware of the fall in admissions and are seeking ways to increase funding. The current global economic situation could result in similar problems at other small hospitals in the developing world.

Crocodile bite injury in southern Malawi.

In Trinity Hospital, a district hospital in the south of Malawi, over a period of 4 years 60 patients were admitted following injury by crocodiles. All patients were treated by extensive surgical cleaning and debridement, anti-tetanus treatment and broad spectrum antibiotics. Twenty-four patients (40%) had serious injuries resulting in permanent deformity. Only one patient died from sepsis.

The pharmacy in the Trinity Hospital in Salamanca.

The pharmacy in the Trinity Hospital in Salamanca.

Prevention of Disease in the Elderly

Journal Article Prevention of Disease in the Elderly Get access Prevention of Disease in the Elderly, edited by J.A. Muir Gray. Medicine in Old Age Series. Pp. ix + 227, illustrated. Churchill Livingstone, Edinburgh, London, Melbourne, New York, 1985. £22.00. P F Roe P F Roe Trinity Hospital, Taunton, Somerset TA1 3JL Search for other works by this author on: Oxford Academic Google Scholar Postgraduate Medical Journal, Volume 62, Issue 730, August 1986, Page 814, https://doi.org/10.1136/pgmj.62.730.814-a Published: 01 August 1986

Adapting hospital obstetrics to birth in the squatting position.

ABSTRACT: This is a review of why and how the obstetric staff at Trinity Hospital, a traditional hospital in Montana, incorporated the squatting position for birth. During the 16‐month period of this study, 45 of the 152 vaginal deliveries were in the squatting position. Benefits of the squatting position discussed here include ability to push more effectively, encouragement of the rotation of the fetal head to an anterior position, better access to the woman's back, abdomen or sides for massage, and women feeling more in control of themselves.

The Introduction of Prepayment Medicine to Arkansas: The Trinity Hospital Experience

The Introduction of Prepayment Medicine to Arkansas: The Trinity Hospital Experience

Medical and Hospital Services Provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941-42. Margaret C. Klem , Helen Hollingsworth , Zelma A. Miser

Previous articleNext article No AccessReviews of Government Reports and Public DocumentsMedical and Hospital Services Provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941-42. Margaret C. Klem , Helen Hollingsworth , Zelma A. Miser PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Social Service Review Volume 23, Number 3Sep., 1949 Article DOIhttps://doi.org/10.1086/637533 PDF download Crossref reports no articles citing this article.

Medical and Hospital Services provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941–42

Medical and Hospital Services provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941–42

Medical and Hospital Services Provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941-42

Medical and Hospital Services Provided under Prepayment Arrangements, Trinity Hospital, Little Rock, Arkansas, 1941-42

Group Nursing at Trinity Hospital

T RINITY HOSPITAL, in Little Rock, Arkansas, a private general hospital of fifty beds, maintains no training school but has, for the past five years, used graduate group nursing exclusively. The staff consists of six physicians who are owners of the hospital and who also constitute the Board of Directors. Only private patients of the staff are admitted, and cases of all types are accepted with the exception of certain mental and infectious ones. There are a few double rooms, but the majority of the rooms are single, and there are no wards. Adequate nursing is included in the room charge, and special nurses are employed rarely. The group nursing is based upon a unit of twenty patients who are cared for by one day supervisor, one assistant day supervisor and six day floor nurses; one night supervisor and three night floor nurses. In addition to the nursing personnel there are a dietitian and a housekeeper who work in conjunction with the floor supervisor, and four colored maids who serve the trays and clean rooms. The working schedule for the supervisors is as follows:

Group Nursing at Trinity Hospital

Group Nursing at Trinity Hospital