Objectives: To assess pediatrics residents’ self-reported competency in placing peripheral intravenous (IV) lines at baseline; to conduct a peripheral intravenous simulationbased training session for residents; and to measure peripheral intravenous (PIV) competency on manikins following the intervention as well as changes in scores of self-reported knowledge, confidence, and success from baseli...

Nepal experienced a devastating earthquake measuring 7.8 Richter scale on 25th April 2015. Although the heightened effects were secondary to trauma, the indirect effects were also of prime importance. We came across different dermatoses, directly or indirectly secondary to earthquake. We here present an audit of the cutaneous effects following four months of the major shock presenting to a tert...

BACKGROUND Hospital disaster resilience can be defined as a hospital's ability to resist, absorb, and respond to the shock of disasters while maintaining critical functions, and then to recover to its original state or adapt to a new one. This study aims to explore the status of resilience among tertiary hospitals in Shandong Province, China. METHODS A stratified random sample (n = 50) was de...

INTRODUCTION A disproportionate number of surgeries in low- and middle-income countries (LMICs) are performed in tertiary facilities. The referral process may be an under-recognized barrier to timely and cost-effective surgical care. This study aimed to assess the quality of referrals for surgery to a tertiary hospital in Ghana and identify ways to improve access to timely care. METHODS All e...

Chiral tertiary phosphines were synthesized by asymmetric hydrophosphination of aromatic enones catalyzed by an organopalladium complex with high yields and stereoselectivity. The procedure offers practical access to chiral tertiary phosphines.

The concept of Family Physicians with special interest in a particular field of medicine is currently gaining popularity. It is a new trend in medicine, at least in countries where there is lack of specialists in the many disciplines of medicine. There is also an increasing need to reduce demand for secondary and tertiary care services by developing community based services. Training of Family ...

Introduction / objectives The burden of methicillin-resistant Staphylococcus aureus (MRSA) impacts on the effectiveness of infection control strategies to prevent MRSA transmission. Few studies examining the admission and acquisition burden of MRSA exist. We investigated the prevalence of MRSA in patients admitted to a tertiary referral hospital that does not conduct universal screening, to det...

Enteric fever in high-income countries is diagnosed mainly in patients returning from endemic countries. We assess the clinical, microbiological, and prognosis aspects of enteric fever in 2 Spanish tertiary hospitals. A retrospective observational study was conducted at Vall d'Hebron University Hospital and Ramón y Cajal University Hospital in Spain. We reviewed medical records of all patients ...

INTRODUCTION A medical record is a systematic documentation of a patient's medical history and care for legal and future use. A poor quality medical record can negatively affect patient care and safety. The study aims to assess the adequacy of medical records in Bir Hospital, a central hospital. METHODS A cross-sectional study was conducted by analyzing consecutive discharge summaries of pati...

BACKGROUND The Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness. The aim of this study was to describe the results of Emergency Department (ED) waiting times after the implementation of the CTAS in a major tertiary care hospital emergency department outside of Canada. METHODS A to...