Problems with inappropriate use of medicines leading to antimicrobial resistance and increased healthcare costs are a major global concern. In Timor-Leste, concerns of inappropriate use of medicines at public health facilities are current among stakeholders in the health community. Therefore this descriptive, cross-sectional and retrospective study investigated the pattern of medicine use at co...

OBJECTIVE The Royal College of Obstetricians and Gynaecologists recommends that patient-focused terminology be used in early pregnancy care. The objective of the study was to evaluate whether inappropriate terminology is continuing to be used in Scottish gynaecology services. METHODS A case note review (1259 records) and a patient survey (648 replies) assessed usage of four inappropriate term...

Outcomes from cardiopulmonary resuscitation (CPR) remain distressingly poor. Overuse of CPR is attributable to unrealistic expectations, unintended consequences of existing policies and failure to honour patient refusal of CPR. We analyzed the CPR outcomes literature using the bioethical principles of beneficence, non-maleficence, autonomy and justice and developed a proposal for selective use ...

results the mean age and work experience of workers were 31.39 ± 5.6 and 4.35 ± 2.5 years, respectively. among the exposed-to-noise personnel, 7.35% used hpds constantly; 75% used hpds for only short periods of time (less than four hours) and 17.65% did not make use of them at all. regarding the sound intensity and the level of noise reduction of hpds, among the 112 workers who used such device...

the aim of this study was evaluation of enoxaparin utilization in hospitalized patients who had received enoxaparin either for prophylaxis or for treatment of thromboembolic disorders. a total of 356 patients were included in this retrospective study and were analyzed for enoxaparin utilization in terms of prescription patterns, treatment strategy, dosing regimen, indications/contraindications,...

This study investigated the adequacy of a rating scale with a large number of response categories that is often used in panel surveys for assessing diverse aspects of job satisfaction. An inappropriate scale usage is indicative of overstraining respondents and of diminished psychometric scale quality. The mixed Item Response Theory (IRT) approach for polytomous data allows exploring heterogeneo...