ABSTRACT
AIM: In the blood transfusion, the interruption of work (IW) can lead to serious incidents and/or adverse effects. The aim of our work is to evaluate the wearing of a distinctive tabard in the IW. METHODS: Several voluntary departments from 5 establishments of health in the Center-Val de Loire region have participated in this work from October to December 2017. The survey was given to nurses (identified by the first three letters of the first name) before and after wearing the tabard (for 2 months) for all transfusions realized in their respective department. We matched the survey by nurse and by department. The Student t test was conducted to evaluate the contribution of the tabard during IW. RESULTS: One hundred and one survey (31 in surgery, 70 in medicine) were collected before wearing and 91 (27 in surgery, 64 in medicine) after wearing the tabard. Before wearing the tabard, the number of nurse having or not IW was the same. After wearing the tabard, 42% had an IW and 58% didn't had IW (P=0.43; χ2). Sixty-four surveys were matched (27 exclusions : different IDEs) according to IW before and after wearing the tabard. The wearing of the tabard allows a statistically significant decrease IW (z=2.61, P=0.009, student test). CONCLUSION: Wearing the tabard during blood transfusions is statistically significant means of reducing IW. It's probably a first solution to increase the security of the act, to which must be added other means (poster, phone management, poster and information campaign). It's easier to eliminate IW than to manage.
Subject(s)
Blood Transfusion , Clothing , Workflow , Hospital Departments , Humans , Internal Medicine , Nursing Service, Hospital , Program Evaluation , Surgery Department, Hospital , Surveys and QuestionnairesABSTRACT
We report two cases of xanthogranulomatous pyelonephritis observed in elderly women. Diagnosis before surgery is difficult. CT is the best single examination.
Subject(s)
Kidney Neoplasms/diagnosis , Pyelonephritis, Xanthogranulomatous/diagnosis , Aged , Aged, 80 and over , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Pyelonephritis, Xanthogranulomatous/diagnostic imaging , Tomography, X-Ray Computed , UltrasonographyABSTRACT
The physiopathology of Graves' ophthalmopathy is poorly understood. Therefore, the best treatment of Graves' ophthalmopathy is still a matter of debate. Steroids, X-ray therapy, surgery and more recently cyclosporine, plasma exchange and somatostatine analogs have been tried. There is no doubt that we are dealing with an autoimmune process. The use of immunoglobulins has been shown to be safe and efficient.
Subject(s)
Autoimmune Diseases/drug therapy , Eye Diseases/drug therapy , Graves Disease/drug therapy , Immunoglobulins, Intravenous/therapeutic use , Thyroid Gland/immunology , Adrenal Cortex Hormones/economics , Adrenal Cortex Hormones/therapeutic use , Adult , Eye Diseases/complications , Female , France , Graves Disease/immunology , Guidelines as Topic , Humans , Immunoglobulins, Intravenous/economics , Male , Middle Aged , Thyroid Gland/drug effectsABSTRACT
Authors report on a case of emphysematous pyelonephritis in a woman affected with diabetes and renal failure. In order to avoid chronic dialysis, no nephrectomy was performed and the patient was treated only with drugs. Full recovery was obtained, without worsening of the renal function.
Subject(s)
Emphysema/microbiology , Escherichia coli Infections/microbiology , Pyelonephritis/microbiology , Aged , Anti-Bacterial Agents , Drug Therapy, Combination/administration & dosage , Drug Therapy, Combination/therapeutic use , Emphysema/diagnostic imaging , Emphysema/drug therapy , Escherichia coli Infections/diagnostic imaging , Escherichia coli Infections/drug therapy , Female , Humans , Pyelonephritis/diagnostic imaging , Pyelonephritis/drug therapy , Tomography, X-Ray Computed , UrographyABSTRACT
Tracheoesophageal fistulas resulting from a Mycobacterium tuberculosis infection are uncommon. We describe a patient with such a lesion that had the radiologic and clinic appearance of a malignant tracheoesophageal fistula. Use of an anterior cervical approach with one-stage esophageal repair along with tracheal resection and anastomosis allowed definitive diagnosis and treatment of this life-threatening complication.
