Objective.To assess patients’ knowledge,attitudes,and concerns regarding anesthetic management.Method.A survey of 55items was developed and administered preoperatively to 500patients including 190men and 310women in ...Objective.To assess patients’ knowledge,attitudes,and concerns regarding anesthetic management.Method.A survey of 55items was developed and administered preoperatively to 500patients including 190men and 310women in our hospital.Patients were interviewed on their know ledge of the role of anesthesiolo-gists,their preferences regarding anesthetic management,and also their concernaboutpotential anesthetic complica-tions.Results.Patients’ perceptions ofanesthesiologists’ training androle have reacheda certainlevel.Mostsignifi-cant preoperative concerns regardi ng the anesthesiologists focused on experience,qualifications,and pr esence or absence during the anesthesia.Patients’ concerns also included the possibility of not being waken up following anesthesia,experiencing postoperative pain,and becoming paralyzed.The variations of concerns depended partial-ly on patients’ sex,type of anesthesia,and propose d surgical procedure,partially on t heir education and living environments.Conclusion.It is suggested that anesthesiologists address significant patient con cerns during the preopera-tive visit to enhance their effectiv eness in patient care.Efforts to educate the public on the anesthesiologists’ role in preoperative care would improve p atients’ confidence.展开更多
Today, Social Networking Sites （SNS）, online forum, and e-mail communication have become a daily phenomenon in Indonesia. Thousands and even millions of the people have been using Blog, Facebook, MySpace, Twitter, a...Today, Social Networking Sites （SNS）, online forum, and e-mail communication have become a daily phenomenon in Indonesia. Thousands and even millions of the people have been using Blog, Facebook, MySpace, Twitter, and others as a communication medium. Many of them are mobile connected and have made it a daily practices. Interestingly, all these changes are not followed by Onmi International Hospital which it ultimately in 2009 led to the crisis. This crisis was beginning from the customer, Prita Mulyasari, who felt disappointed at the hospital service, and wrote an e-mail to her friend. Suddenly, in a short time the e-mail was disseminated widely on the Internet and produced a lot of support and public humiliation to the Omni International Hospital. This paper aims at explaining the cybcr crisis experienced by Omni International Hospital and how to overcome the problem at corporate level.展开更多
Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and ca...Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.展开更多
文摘Objective.To assess patients’ knowledge,attitudes,and concerns regarding anesthetic management.Method.A survey of 55items was developed and administered preoperatively to 500patients including 190men and 310women in our hospital.Patients were interviewed on their know ledge of the role of anesthesiolo-gists,their preferences regarding anesthetic management,and also their concernaboutpotential anesthetic complica-tions.Results.Patients’ perceptions ofanesthesiologists’ training androle have reacheda certainlevel.Mostsignifi-cant preoperative concerns regardi ng the anesthesiologists focused on experience,qualifications,and pr esence or absence during the anesthesia.Patients’ concerns also included the possibility of not being waken up following anesthesia,experiencing postoperative pain,and becoming paralyzed.The variations of concerns depended partial-ly on patients’ sex,type of anesthesia,and propose d surgical procedure,partially on t heir education and living environments.Conclusion.It is suggested that anesthesiologists address significant patient con cerns during the preopera-tive visit to enhance their effectiv eness in patient care.Efforts to educate the public on the anesthesiologists’ role in preoperative care would improve p atients’ confidence.
文摘Today, Social Networking Sites （SNS）, online forum, and e-mail communication have become a daily phenomenon in Indonesia. Thousands and even millions of the people have been using Blog, Facebook, MySpace, Twitter, and others as a communication medium. Many of them are mobile connected and have made it a daily practices. Interestingly, all these changes are not followed by Onmi International Hospital which it ultimately in 2009 led to the crisis. This crisis was beginning from the customer, Prita Mulyasari, who felt disappointed at the hospital service, and wrote an e-mail to her friend. Suddenly, in a short time the e-mail was disseminated widely on the Internet and produced a lot of support and public humiliation to the Omni International Hospital. This paper aims at explaining the cybcr crisis experienced by Omni International Hospital and how to overcome the problem at corporate level.
文摘Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.
