Preventing Falls in a Medical Surgical Unit

The prevention of patient falls continues to remain a challenge in healthcare. Up to 30% of falls often result in injury, which includes fractures, soft tissue trauma, or even death (Titler, 2016). Out of the recorded number of falls in hospitals worldwide, between 4% to 7% result in severe injuries to the patients. Falls in the hospital can prolong a hospital stay, increase hospital costs, and extend a discharge from home to a long-term care facility. With the prolonged stay of patients who fall in hospitals, hospitals costs are in a rise. Falls can increase the cost for not just hospitals but higher hospital bills for the patient as an outcome. There will be a commitment to meet all patient needs and make improvements to what is not working. Safety is critical to a Medical-Surgical unit, and to keep our patients safe from falling, we have fall preventions tools implemented on the unit such as yellow armband, bed, chair alarms and signs outside the door that lets everyone know that the patient is at high risk for falls. An ongoing commitment to the patient has been reinforced, and daily huddles are performed to remind the staff on safety implementations. In order to decrease the patient, fall rate, and increase patient\u27s safety a reinforcement training on the practice and standard work for patient toileting, alarms, and hourly rounding is needed for continuous improvement. Keywords: falls, fall education, safety protocols, and fall preventio

Preventing Falls in a Medical Surgical Unit

The prevention of patient falls continues to remain a challenge in healthcare. Up to 30% of falls often result in injury, which includes fractures, soft tissue trauma, or even death (Titler, 2016). Out of the recorded number of falls in hospitals worldwide, between 4% to 7% result in severe injuries to the patients. Falls in the hospital can prolong a hospital stay, increase hospital costs, and extend a discharge from home to a long-term care facility. With the prolonged stay of patients who fall in hospitals, hospitals costs are in a rise. Falls can increase the cost for not just hospitals but higher hospital bills for the patient as an outcome. There will be a commitment to meet all patient needs and make improvements to what is not working. Safety is critical to a Medical-Surgical unit, and to keep our patients safe from falling, we have fall preventions tools implemented on the unit such as yellow armband, bed, chair alarms and signs outside the door that lets everyone know that the patient is at high risk for falls. An ongoing commitment to the patient have been reinforced, and daily huddles are performed to remind the staff on safety implementations. In order to decrease the patient, fall rate, and increase patient\u27s safety a reinforcement training on the practice and standard work for patient toileting, alarms, and hourly rounding is needed for continuous improvement. Keywords: falls, fall education, safety protocols, and fall preventio

Evaluation of acute compartment syndrome of extremities in emergency room: a case series of 32 children

The aim of this study was to analyze the clinical signs of diagnosis, treatment and followupof the pediatric population presenting with acute compartment syndrome in theemergency room at an Institutional Level II trauma center. The study is a prospective caseseries. Thirty-two samples were selected from Institutional Trauma Centre, King George’sMedical University, Lucknow, between January 2005 and December 2010. Childrenpresenting with clinically suspected acute compartment syndrome were studied. Thesewere divided into two age related groups: Group A (children < 14 years) comprising of 12children and Group B (14 or > to 18 years) comprised of 20 children. Patients’demographics, diagnosis, treatment, follow-up and complications were analyzed. Acutecompartment syndrome represents a surgical emergency. The clinical signs predict andcorroborate with acute increases in compartment pressure effectively.KEY WORDS: Acute compartment syndrome; Raised compartment pressure; Acutecompartment syndrome in children; Acute compartment syndrome and fasciotom

Approaching rice domestication in South Asia: New evidence from Indus settlements in northern India.

The nature and timing of rice domestication and the development of rice cultivation in South Asia is much debated. In northern South Asia there is presently a significant gap (c.4200 years) between earliest evidence for the exploitation of wild rice (Lahuradewa c.6000 BCE) and earliest dated evidence for the utilisation of fully domesticated rice (Mahagara c.1800 BCE). The Indus Civilisation (c.3000-1500 BCE) developed and declined during the intervening period, and there has been debate about whether rice was adopted and exploited by Indus populations during this 'gap'. This paper presents new analysis of spikelet bases and weeds collected from three Indus Civilisation settlements in north-west India, which provide insight into the way that rice was exploited. This analysis suggests that starting in the period before the Indus urban phase (Early Harappan) and continuing through the urban (Mature Harappan/Harappan), post-urban (Late Harappan) and on into the post-Indus Painted Grey Ware (PGW) period, there was a progressive increase in the proportion of domesticated-type spikelet bases and a decrease in wild-types. This pattern fits with a model of the slow development of rice exploitation from wild foraging to agriculture involving full cultivation. Importantly, the accompanying weeds show no increased proportions of wetland species during this period. Instead a mix of wetland and dryland species was identified, and although these data are preliminary, they suggest that the development of an independent rice tradition may have been intertwined with the practices of the eastern most Indus peoples. These data also suggest that when fully domesticated Oryza sativa ssp. japonica was introduced around 2000 BCE, it arrived in an area that was already familiar with domesticated rice cultivation and a range of cultivation techniques.This research was carried out as part of JB's PhD research funded by the Arts and Humanities Research Council, in the GPR laboratory in the McDonald Institute for Archaeological Research, University of Cambridge. Samples were provided by the Land, Water and Settlement project, which was co-directed by CAP and RNS, and is part of a collaboration between the University of Cambridge and Banaras Hindu University, which has operated with the support of the Archaeological Survey of India. The project was funded by the UK India Education Research Initiative, British Academy Stein Arnold Fund, Isaac Newton Trust, McDonald Institute for Archaeological Research and the Research Councils UK. Additional fieldwork funding for JB was provided by the AHRC, Rouse-Ball Research Fund, Cambridge India Partnership Fund, Division of Archaeology Fieldwork Fund and Trinity College Projects Fund.This is the author accepted manuscript. It is currently under an indefinite embargo pending publication by Elsevier

Feeding ancient cities in South Asia: Dating the adoption of rice, millet and tropical pulses in the Indus civilisation

© Antiquity Publications Ltd, 2016.The first direct absolute dates for the exploitation of several summer crops by Indus populations are presented here. These include rice, millets and three tropical pulse species at two settlements in the hinterland of the urban site of Rakhigarhi. The dates confirm the role of native summer domesticates in the rise of Indus cities. They demonstrate that, from their earliest phases, a range of crops and variable strategies, including multi-cropping, were used to feed different urban centres. This has important implications for understanding the development of the earliest cities in South Asia, particularly the organisation of labour and provisioning throughout the year

Feeding ancient cities in South Asia: Dating the adoption of rice, millet and tropical pulses in the Indus civilisation

© Antiquity Publications Ltd, 2016.The first direct absolute dates for the exploitation of several summer crops by Indus populations are presented here. These include rice, millets and three tropical pulse species at two settlements in the hinterland of the urban site of Rakhigarhi. The dates confirm the role of native summer domesticates in the rise of Indus cities. They demonstrate that, from their earliest phases, a range of crops and variable strategies, including multi-cropping, were used to feed different urban centres. This has important implications for understanding the development of the earliest cities in South Asia, particularly the organisation of labour and provisioning throughout the year.UK India Education and Research Initiative (Standard Award), British Academy (Stein Arnold Fund and International Mobility Scheme), Isaac Newton Trust, McDonald Institute for Archaeological Research, Natural Environment Research Council (NERC Radiocarbon Facility (Project IDs: NF/2009/2/7, NF/2013/1/6)), Arts and Humanities Research Council (Studentship), Trinity College (University of Cambridge), Division of Archaeology, Department of Archaeology and Anthropology (University of Cambridge

Tidal and gravity waves study from the airglow measurements at Kolhapur(India)

Simultaneous photometric measurements of the OI 557.7 nm and OH (7, 2) band from a low latitude station, Kolhapur (16.8° N, 74.2° E) during the period 2004-2007 are analyzed to study the dominant waves present in the 80-100 km altitude region of the atmosphere. The nocturnal intensity variations of different airglow emissions are observed using scanning temperature controlled filter photometers. Waves having period lying between 2 and 12 hours have been recorded. Some of these waves having subharmonic tidal oscillation periods 4, 6, 8 and 12 hours propagate upward with velocity lying in the range 1.6-11.3 m/s and the vertical wave length lying between 28.6 and 163 kms. The other waves may be the upward propagating gravity waves or waves resulting from the interaction of inter-mode tidal oscillations, interaction of tidal waves with planetary waves and gravity waves. Some times, the second harmonic wave has higher vertical velocity than the corresponding fundamental wave. Application of these waves in studying the thermal structure of the region is discussed

Biochemical modulation in male specimens of Channa punctatus (Bloch) under different habitats and seasons

Studies were undertaken to identify the changes in biochemical parameters including water content, lipid and protein in tissues of liver, testis and muscle of Channa punctatus under natural and captive conditions along with physico-chemical parameters for the period January to December, 2008. Result shows that values of lipid in captive condition in muscle, liver and testis ranged from 1 to 4, 1.98 to 5.57 and 1.25 to 4.40%, respectively while in natural habitat, values ranged from 1 to 5, 1.94 to 5.16 and 1.21 to 5.13%, respectively. Water content in captive condition was observed to be in the range of 74.72 to 80.73, 73.97 to 76.92 and 75.56 to 77.97%, respectively and in natural habitat it varied from 72.65 to 80.70, 71.61 to 76.89 and 72.41 to 77.94%, respectively. An increase in water content was observed towards maturation in testis. Protein content in muscle under captive and natural habitat was in the range of 15.97 to 19.37 and 16.70 to 19.40%, respectively. All parameters showed a significant variation (p<0.01) and significant correlation (p<0.01) among the muscles, liver and testis in specimens under captive as well as natural habitat. Peak spawning period in nature was observed during May to August in captive condition indicating that gonadal development and its cyclicity is influenced by the physico-chemical parameters, food and feeding conditions, environmental factors and other stresses. This study shows that the variation in biochemical changes are influenced by variation in seasons due to physico-chemical parameters of the habitat and perhaps the niche.Key words: Habitat, Channa punctatus, testis, biochemical change, physico-chemical parameter

Tubercular tenosynovitis of extensor tendons of foot--a rare presentation of musculoskeletal tuberculosis in an infant

Tuberculosis of soft tissues as a result of spread from adjacent bone or joint is a well recognized entity. However isolated tuberculous pyomyositis, bursitis and tenosynovitis are rare, constituting about 1% of skeletal tuberculosis. Tubercular tenosynovitis commonly involves tendon sheaths of wrist and hand. Cases of tuberculous tenosynovitis of foot and ankle are rare. A rare case of tubercular tenosynovitis of extensor tendons in a one year child has been reported here with its clinical presentation, treatment and a brief review of literature.Keywords: Tuberculosis; Musculoskeletal; TenosynovitisInternet Journal of Medical Update 2012 July;7(2):45-4