Pengalaman Perawat IGD Merawat Pasien Do Not Resuscitate Pada Fase Perawatan Menjelang Ajal

Experience of ER Nurse in Treating Do Not Resuscitate Patients in End of Life Care Phase. Do Not Resuscitate (DNR) is a difficult decision for doctors to make. In making the decision, the doctors need to consider nurses' recommendation. Due to limited knowledge, experiences, and information of DNR, plus the criteria of emergency department which are only focused on emergency treatments, the nurses cannot maximize their roles in the end of life care. This study, thus, aimed to explore the nurses' experiences in the emergency rooms especially in taking care of DNR patients. This research employed a qualitative method that was interpretive phenomenology approach involving four nurses who were working in the emergency department. Data was collected through in depth interview, using thematic analysis suggested by Braun & Clark. The results of the study cover four themes; they are to 1. Understand the failure of resuscitation during the treatment, 2. Perform resuscitation as an early standard operating procedure to treat patients 3. Collaborate in making decision on DNR, 4. Prepare patients for a good death. The conclusion is before deciding to perform DNR (Do Not Resuscitate), doctors need to understand the criteria of DNR and get nurses involved in it. DNR treatment in the emergency rooms is an early standard operating procedure to treat patients at the end of life phase and to prepare them for a good death by also engaging their family members

Examination of the Nexus between Academic Libraries and Accreditation: Lessons from Nigeria.

The article investigated the nexus between academic libraries and accreditation in the higher institutions with special focus on the Nigerian experience. It showed that all accreditation agencies place a high premium on library provisions as a major component of requisite benchmarks in determining the status of the program or institutions being assessed. Academic libraries help to enrich formal classroom curricular and act as a broadening influence on lecturers and students as well as nurture in them the virtue of independent inquiry. State-of-the-art academic libraries confer prestige on the institutions and have tremendous impact on student retention, rankings, and high profiling of parent institution during accreditation. The article noted that there exists strong intrinsic and sometimes imperceptible relationship between academic libraries and higher education. It recommended institutionalization of global and regional ranking of academic libraries, among others

Impact of Information and Communication Technology (ICT) on the Study Habits of Students of Iganmode Grammar School, Ota, Ogun State of Nigeria

Information and Communication Technology (ICT) has changed the landscape of various institutions of learning. This study is on the impact of ICT on the study habit of students of Iganmode Grammar School Ota. The research revealed a positive significant relationship between the use of ICT and improved study habits of students. However, the work discovered that the available facilities are not sufficient for the students. A total of 156(32.7%) of the total respondents engage ICT for reading various materials through the internet while 152 (31.9%) use it to compare lesson notes. Others use it to send mails, chat, etc. (85.3%) of the respondents maintained that it elongates their attention span. Other benefits include improvement on students’ understanding and increased access to information. In spite of the importance of Information and Communication Technology, the work discovered that less than (50%) of the respondents have participated in ICT skill acquisition programmes. The findings equally highlighted some challenges hindering students’ effective use of ICT, among which are staff attitude, power failure, ICT phobia among others. The study therefore recommended that the Management of Iganmode Grammar school and the Ogun State Government should upgrade ICT facilities in the school, students should be trained to acquire ICT skills while the staff in charge of ICT laboratory need develop a positive attitude towards handling students

LIBRARIANS PERCEPTION OF BRING YOUR OWN DEVICE POLICIES: BENEFITS FOR UNIVERSITY LIBRARIES

Bring Your Own Device (BYOD) is an initiative that permits library staff to use a personally owned device to perform official tasks and access electronic library information. The most frequently used personally owned devices are mobile phones, tablets, iPad and laptops. The practice of encouraging personally owned computing devices within professional organizations is becoming more and more acceptable, as this practice enables the organisation to transfer the investment costs of desktop hardware into their employees (Pillay, 2013). The university libraries are faced with difficult economic times and university budget cuts (Tenopir & Kaufman, 2010). Hence, BYOD encourages library staff to use their personal devices to carry out official tasks, this will reduce the cost of hardware purchase and maintenance. Despite the fact that university libraries are faced with budget cuts and BYOD has been reported in many organisations as one of the ways to reduce the cost of hardware purchase. It has been observed that university libraries in Nigeria have not yet fully adopt BYOD policies. It is on this background that this study investigates librarians perception of BYOD policies; identify perceived benefits and shortcomings of BYOD to University libraries in Nigeria. The specific objectives of this study are to find out the knowledge of BYOD among librarians, establish the availability of BYOD policies and perceived benefit of BYOD to the university libraries in Nigeria. A descriptive survey research design will be adopted for this study and a self-structured questionnaire will be used as the major instrument for data collection. The questionnaire will be distributed to the respondents during the Annual Nigerian Library Association Conference that will be held in July 2018 in Abeokuta, Ogun State Nigeria. The choice of administrating the questionnaire at this venue is due to the fact that this conference draws many participants from all the libraries in Nigeria. The target population of this study comprises all 152 and a simple random sampling technique will be used for sample size. The data collected for this study will be subjected to inferential and descriptive statistical analysis using percentage, frequency count, standard deviations and means. The data will be analyzed using SPSS version 22.Covenant Universit

Production and purification of chimeric HBc virus-like particles carrying influenza virus LAH domain as vaccine candidates

Background: The lack of a universal influenza vaccine is a global health problem. Interest is now focused on structurally conserved protein domains capable of eliciting protection against a broad range of influenza virus strains. The long alpha helix (LAH) is an attractive vaccine component since it is one of the most conserved influenza hemagglutinin (HA) stalk regions. For an improved immune response, the LAH domain from H3N2 strain has been incorporated into virus-like particles (VLPs) derived from hepatitis B virus core protein (HBc) using recently developed tandem core technology. Results: Fermentation conditions for recombinant HBc-LAH were established in yeast Pichia pastoris and a rapid and efficient purification method for chimeric VLPs was developed to match the requirements for industrial scale-up. Purified VLPs induced strong antibody responses against both group 1 and group 2 HA proteins in mice. Conclusion: Our results indicate that the tandem core technology is a useful tool for incorporation of highly hydrophobic LAH domain into HBc VLPs. Chimeric VLPs can be successfully produced in bioreactor using yeast expression system. Immunologic data indicate that HBc VLPs carrying the LAH antigen represent a promising universal influenza vaccine component

STRATEGIES FOR THE PRESERVATION OF ELECTRONIC RECORDS IN UNIVERSITY LIBRARY STAFF IN NIGERIA

This study attempts an empirical investigation of strategies for the preservation of electronic records in university libraries in Nigeria. The main objective of this study is to ascertain the strategies used by the University libraries in Nigeria to preserve electronic records. The study employed descriptive research design. The population comprises one hundred and sixty nine (169) librarians from university libraries in Nigeria. Simple random sampling technique was used and the instrument for data collection is semistructured closed and open-ended questionnaire. Data was analysed using descriptive statistics, charts with simple percentages. Statistical Package for Social Science version 22 are used for data analysis. The findings of the study revealed that (= 1.63±SD= 0.660) majority of university libraries in Nigeria do not have in place preservation strategies for electronic information records. 94.1% of librarians do not possess requites skills for preserving electronic information records. Lack of manpower and other infrastructure are identified as the major inhibiting factors (= 3.90±SD= 0.418). The study also found out that there is a significant relationship inhibiting factors of preservation and preservation strategies adopted by university library staff in Nigeria (r=-0.305, N= 169 and P< 0.01)

Erythropoietins (Epostim®) during chemoradiotherapy for malignancies in anemic patients

Anemia in female patients with solid neoplasms is corrected to normalize hemoglobin levels, to increase quality of life, and to improve antitumor therapy tolerance. The clinical application of recombinant human erythropoietin preparations has become an important treat- ment step that permits multiple hemotransfusions to be avoided. Epostim is effective and safe in increasing hemoglobin and packed cell volume and in overcoming the additive toxicity of chemo- and radiotherapy

Selection effects may account for better outcomes of the German Disease Management Program for type 2 diabetes

<p>Abstract</p> <p>Background</p> <p>The nationwide German disease management program (DMP) for type 2 diabetes was introduced in 2003. Meanwhile, results from evaluation studies were published, but possible baseline differences between DMP and usual-care patients have not been examined. The objective of our study was therefore to find out if patient characteristics as socio-demographic variables, cardiovascular risk profile or motivation for life style changes influence the chance of being enrolled in the German DMP for type 2 diabetes and may therefore account for outcome differences between DMP and usual-care patients.</p> <p>Methods</p> <p>Case control study comparing DMP patients with usual-care patients at baseline and follow up; mean follow-up period of 36 ± 14 months. We used chart review data from 51 GP surgeries. Participants were 586 DMP and 250 usual-care patients with type 2 diabetes randomly selected by chart registry. Data were analysed by multivariate logistic and linear regression analyses. Significance levels were p ≤ 0.05.</p> <p>Results</p> <p>There was a better chance for enrolment if patients a) had a lower risk status for diabetes complications, i.e. non-smoking (odds ratio of 1.97, 95% confidence interval of 1.11 to 3.48) and lower systolic blood pressure (1.79 for 120 mmHg vs. 160 mmHg, 1.15 to 2.81); b) had higher activity rates, i.e. were practicing blood glucose self-monitoring (1.67, 1.03 to 2.76) and had been prescribed a diabetes patient education before enrolment (2.32, 1.29 to 4.19) c) were treated with oral medication (2.17, 1.35 to 3.49) and d) had a higher GP-rated motivation for diabetes education (4.55 for high motivation vs. low motivation, 2.21 to 9.36).</p> <p>Conclusions</p> <p>At baseline, future DMP patients had a lower risk for diabetes complications, were treated more intensively and were more active and motivated in managing their disease than usual-care patients. This finding a) points to the problem that the German DMP may not reach the higher risk patients and b) selection bias may impair the assessment of differences in outcome quality between enrolled and usual-care patients. Suggestions for dealing with this bias in evaluation studies are being made.</p