Addressing Nursing Safety Hazards and Mitigation Strategies for Elderly Endocrinology Patients in Hospital Care

Objective:To investigate the safety hazards in nursing and explore mitigation strategies for elderly patients in the endocrinology department.Methods:A total of 240 bedridden elderly patients from February 2021 to January 2023 were recruited and divided into two groups using the random number table method.The control group(n=120)received conventional nursing care,and the observation group(n=120)received personalized nursing care.Patients’quality of life,the incidence rate of pressure sores,and patient satisfaction with nursing care were observed and analyzed.Results:The incidence of pressure ulcers in the observation group was significantly lower at 17.50%compared to 30.00%in the control group(P<0.05).Quality of life in the observation group was significantly higher than that in the control group(P<0.05).The satisfaction rate in the observation group was significantly higher at 93.33%compared to 84.17%in the control group(P<0.05).Conclusion:These findings emphasize that only through the implementation of scientific and rational nursing measures can effectively reduce nursing risks,enhance therapeutic outcomes,and improve the quality of life for elderly patients.

Application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery

Objective:To explore the application effect of safety hazard self-examination mode in nursing risk management in hepatobiliary surgery.Methods:Sixty patients underwent hepatobiliary surgery in two tertiary hospitals in Shandong Province from May 2021 to October 2021.According to the different implementation time,they were divided into 30 cases in the observation group and 30 cases in the control group.The control group adopts routine risk assessment,and the observation group adopts the self-examination mode of potential safety hazards on the basis of routine risk assessment to compare the incidence of nursing risk between the two groups.Results:The observation group had a significantly lower incidence of safety hazards in terms of missing surgical instruments,lack of aseptic operation,and postoperative pressure injuries than the control group(P<0.05).Conclusion:The appropriate hazard self-examination mode in the hepatobiliary operation room is of positive significance to improve the safety awareness of operating staff and the comprehensive ability of operating room nurses.

Analysis of Concrete Crack Treatment Technologies in Buildings

With the continuous development of civil engineering,concrete crack treatment technology has become an important research field.This paper proposes treatment techniques for different types of cracks,including the prevention and repair of surface cracks,the reinforcement and grouting of structural cracks,and the design and construction of controlled cracks through the analysis of the causes and classification of concrete cracks.The methods and suggestions proposed in this paper are practical and can improve the quality and safety of buildings.

Newly developed histological tray for the application of identifying exact lymph node dissections in uro-logical surgical oncology

In any urologic cancer surgery, lymph node dissection and its processing play a significant role in staging and management of the patients. Accordingly, precise handling of the dissected lymph nodes is important for histopathological work-up. The authors have developed a lymph node plastic tray shaping the abdomen and pelvis in which the dissected lymph nodes are placed in its determined location. This can be applied for any urologic cancer surgery. The research was designed to test the usage of a new histological tray. The objective was to assess how helpful it was for the surgical team and in the pathological process. The newly developed lymph node tray has been applied in 150 urological cancer surgeries and its efficacy and outcome have been evaluated in all these cases by involved doctors and assistants. This new tray simplifies lymph node removing and identification (staging), making it safer and quicker in any uro-oncological surgery. It facilitates the work of the pathologist and the flow of reliable information along the surgeon—pathologist-oncologist team. With usage of the tray, lymph node dissections are more structured by methodical means compared to any of the present methods.

Fish from a polluted lake(Lake Chivero,Zimbabwe):a food safety issue of concern

Objectives:A study to determine food safety hazard status of fish products from Lake Chivero was conducted in selected high density suburbs of Harare.Lake water and fish were tested for E.coli O157:H7,total bacterial,fungal counts,mercury(Hg)and aflatoxin B1(AFB1)to determine contamination levels and assessing human health hazard exposure.Materials and Methods:Membrane filtration method was used to determine E.coli O157:H7 viable counts using CHROM agar.Plate count and Potato dextrose agar were used for determination of total viable bacterial and fungal counts.Concentrations of Hg and AFB1 in fish and water were determined by Atomic Absorption Spectrophotometer and High Performance Liquid Chromatography-Mass Spectrometry.A questionnaire survey was conducted on 136 adult fish consumers to determine the fish consumption patterns to assess hazard exposure against international standards.Results:Significant levels of microbial contamination above international standards in both fish and water were recorded.Mean E.coli O157:H7 counts were 106±10(cfu/cm^(2))in fish and 52±14(cfu/100ml)in water.Mean Log10 TBC were 8.98±0.26(cfu/cm^(2))in fish and 9.05±0.05(cfu/ml)in water.Mean Log10 TFC were 4.83±0.02(cfu/cm^(2))in fish and 4.56±0.03(cfu/ml)in water.Hg and AFB1 were 0.018(μg/kg)and 0.025(μg/kg)in fish and 0.008(μg/kg)and 0.005(μg/kg)in water,both with a hazard quotient(HQ)<1 using CODEX STAN 193-1995 of 2015.Conclusion:Fish and water are contaminated with E.coli O157:H7,contain bacterial and fungal loads above international food safety guidance levels.Fish were caught already contaminated with pathogens together with toxigenic Hg and carcinogenic AFB1 although their concentration levels are within international food safety toxicological levels.Levels of Hg and AFB1 in water were almost double that of fish,implying bio-accumulation occurred in fish.Thus,fish consumers are exposed to food safety hazards and are at risk of contracting foodborne illnesses from consuming contaminated fish.