0014 : Implications of myocardial reperfusion on survival in women versus men with acute myocardial infarction undergoing primary coronary intervention

BackgroundThe in hospital mortality rate after myocardial infarction is higher among women than men. PCI is recommended treatment for ST -segment elevation myocardial infarction (STEMI) in patients of both genders. It is used in women without a clear demonstration of their efficiency in this population. It is only extrapolations of studies enrolling a large majority of males (more than 85%). It is very important to improve our therapeutic stratégies in women, to perform dedicated studies.AimOf our study was to compare clinical and angiographic features in men and women and to determine wether gender influenced in – hospital prognosis of primary percutaneous coronary intervention.MethodsWe conducted a retrospective study including 282 patients admitted in the University hospital of Blida (Alegria). Between April 2009 and January 2011. All these patients had an ST segment elevation myocardial infarction and underwent primary PCI within 12 hours after symptom onset.ResultsOur population counted 239men and 43women. Females were significantly older (p<0.05). They had a higher prevalence of diabetes 32.6% (P<0.05), hypertension 55.8% (P=0.01), dyslipemia16.3% (P<0.05). They were more likely to consult late (Mean time from symptom onset was 299.7±93.9min in women vs 296±97.9mn in men (p<0.001). In our study, angiographic success was achieved in 76.7% of the cases in women and in 92.1% of the cases in men (p=0.005). The in hospital mortality rate was 7% in women and 5% in men (p=NS).ConclusionThere is no gender descrepancy in – hospital mortality in patients who undergo emergency PCI for treatment of STEMI. These data suggest that gender should not affect the decision to offer PCI but further gender specific studies are warranted

German-Algerian university exchange from the perspective of students and teachers results of an intercultural survey

Academic exchange programs provide students and teachers with the opportunity to study or work temporarily at educational institutions abroad. For exchange programs to be successful in promoting intercultural education, they must be designed with their participants in mind. The present study constitutes an investigation of attitudes and expectations of students and teachers with respect to a German–Algerian university exchange program. Germany and Algeria belong to separate cultural spheres—the Western/European and the Arabic/Islamic—and almost no academic exchange has taken place between them to date. The survey’s four participant groups were German (n = 270) and Algerian students (n = 214), and German (n = 24) and Algerian teachers (n = 43). The study revealed large differences in the hopes and fears that German and Algerian university students and teachers attach to reciprocal academic exchange. The study’s ramifications for the future planning of a German–Algerian university exchange program are discussed

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

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Knowledge management strategy in Algerian university libraries: A future vision and a proposed action plan

إن الوضعية التي يعيشها قطاع المعلومات اليوم تجعل من الحتمي بل من الضروري جداً مسايرة التطورات المتسارعة في مجالات التقنية من أجل استثمارها في تنمية وتطوير القطاع المهني والمعلوماتي والأكاديمي للمكتبات، وتحديث الأطر المعرفية والجوانب الهيكلية التي تقوم عليها، واليوم تواجه مؤسسات المعلومات وخاصة المكتبات الجامعية موجة من الظواهر متمثلة في انخفاض مستوى تأثيرها وفعاليتها ونشاطها، ونقص في الموارد المالية وتبني أساليب غير فعالة لتحقيق الأهداف المنشودة وتدني مستوى الرضا لدى المستفيدين ومستوى الرضا الوظيفي لدى العاملين، ويزيد من حدة هذا الوضع وجود العديد من التحديات الإدارية التي تقف أمام المكتبات الجامعية في الألفية الثالثة، أهمها تحدي إدارة المعرفة. ولكن الإشكال اليوم لا يزال مطروحاً حول مدى استعداد المكتبات الجامعية الجزائرية لولوج مجتمع المعلومات من خلال تبني مفاهيم جديدة خاصة إدارة المعرفة، والتي إن وجدت المكتبات الطريقة المثلى لتطبيقها تمكنت من تحقيق أهدافها والتفاعل الإيجابي من خلال تقديم خدمات جيدة لمستفيديها، وهذا ما حدا بنا إلى طرح التساؤلات التالية: كيف يمكن التعرض لمصطلح إدارة المعرفة؟ ما مفهوم إدارة المعرفة في المكتبات الجامعية الجزائرية؟ هل يوجد تبني حقيقي لمفهوم إدارة المعرفة بالمكتبات الجامعية الجزائرية؟ كيف يمكن صياغة استراتيجية مستقبلية لتطبيق إدارة المعرفة بالمكتبات الجامعية الجزائرية ؟. للإجابة على كل تلك الاستفسارات تهدف هذه الورقة إلى تقديم الإطار النظري حول إدارة المعرفة بالمكتبات الجامعية الجزائرية في ظل عالم متغير، والتعرف على مدى وجود فهم حقيقي لهذا المفهوم في مكتباتنا الجامعية، كما وضعنا تصور ورؤية مستقبلية استشرافية من خلال خطة العمل المقترحة لتفعيل تطبيق مفهوم إدارة المعرفة كتحدي جديد لمؤسسات المعلومات في الجزائر في العقود القادمة.The situation that the information sector is experiencing today makes it inevitable, and even very necessary, to keep pace with the rapid developments in the fields of technology in order to invest in the development and development of the professional, information and academic sectors of libraries, and to modernize the cognitive frameworks and structural aspects on which they are based. Today, information institutions, especially university libraries, are facing a wave of The phenomena are represented by a low level of influence, effectiveness, and activity, a lack of financial resources, the adoption of ineffective methods to achieve the desired goals, a low level of satisfaction among beneficiaries, and a low level of job satisfaction among employees. This situation is exacerbated by the presence of many administrative challenges facing university libraries in the third millennium. The most important of which is the knowledge management challenge. But the problem today still remains about the extent of Algerian university libraries’ readiness to enter the information society by adopting new concepts, especially knowledge management. If libraries find the best way to apply them, they will be able to achieve their goals and interact positively by providing good services to their beneficiaries. This is what prompted us to propose The following questions: How can we be exposed to the term knowledge management? What is the concept of knowledge management in Algerian university libraries? Is there a real adoption of the concept of knowledge management in Algerian university libraries? How can a future strategy be formulated for applying knowledge management in Algerian university libraries? To answer all these inquiries, this paper aims to present the theoretical framework on knowledge management in Algerian university libraries in light of a changing world, and to identify the extent to which there is a real understanding of this concept in our university libraries. We also developed a vision and a forward-looking future vision through the proposed action plan to activate the application of the concept of knowledge management. Knowledge as a new challenge for information institutions in Algeria in the coming decades

Mechanisms for developing Algerian university libraries through the comprehensive quality management approach: the vision of the information specialist at Mohamed Kheidar University in Biskra

يتناول المقال الوضعية التي يعيشها قطاع المعلومات اليوم والتي تجعل من الضروري مسايرة التطورات المتسارعة في مجالات التقنية من أجل استثمارها في تنمية وتطوير القطاع المهني والمعلوماتي والأكاديمي للمكتبات، وتحديث الأطر المعرفية والجوانب الهيكلية التي تقوم عليها، واليوم تواجه مؤسسات المعلومات وخاصة المكتبات الجامعية موجة من الظواهر متمثلة في انخفاض مستوى تأثيرها وفعاليتها ونشاطها، ونقص في الموارد المالية وتبني أساليب غير فعالة لتحقيق الأهداف المنشودة وتدني مستوى الرضا لدى المستفيدين ومستوى الرضا الوظيفي لدى العاملين، ويزيد من حدة هذا الوضع وجود العديد من التحديات الإدارية التي تقف أمام المكتبات الجامعية في الألفية الثالثة، أهمها تحدي إدارة الجودة الشاملة.The article addresses the situation that the information sector is experiencing today, which makes it necessary to keep pace with the rapid developments in the fields of technology in order to invest in the development and development of the professional, information and academic sectors of libraries, and to modernize the cognitive frameworks and the structural aspects on which they are based. Today, information institutions, especially university libraries, are facing a wave of phenomena represented by: In the low level of its influence, effectiveness and activity, a lack of financial resources, the adoption of ineffective methods to achieve the desired goals, and a low level of satisfaction among beneficiaries and the level of job satisfaction among employees. This situation is exacerbated by the presence of many administrative challenges facing university libraries in the third millennium, the most important of which is the challenge of... Total Quality Management

Patient’s safety culture among Tunisian healthcare workers: results of a cross sectional study in university hospital

Introduction: healthcare safety has become a public health priority in developed world. Development of safety culture care is fundamental pillar to any strategy for improving quality and safety care. The objective of this study is to measure level of patients’ safety culture among healthcare professionals at university hospital, center Farhat Hached Sousse (Tunisia). Methods: we conducted, in 2013, a descriptive study among all licensed physicians (n= 116) and a representative sample of paramedical staff (n= 203) exercising at university hospital center Farhat Hached Sousse (Tunisia). Measuring instrument used is a valid questionnaire containing ten safety care dimensions. Data were analyzed using SPSS version 19. Results: the response rates were 74.1% for physicians and 100% for paramedical staff. Overall score of different dimensions varies between 32.7% and 68.8%. Dimension having most developed score (68.8%) was perception of "Frequency and reporting adverse events". Dimension with lowest score (32.7%) was "Management support for safety care". Conclusion: our study has allowed us to conclude that all dimensions of patients’ safety culture need to be improved among our establishment’s professionals. Therefore, more efforts are necessary in order to develop a security culture based on confidence, learning, communication and team work and rejecting sanction, blame, criminalization and punitive reporting.The Pan African Medical Journal. 2016;2

Healthcare-associated infections in a tunisian university hospital: from analysis to action

Abstract Introduction: our study was conducted, in university hospital center (UHC) Farhat Hached of Sousse (city in Tunisian center-east), withi