• Families of hospitalized soldiers request to remove their sons to their homes; army regulations forbid the removal of ill soldiers from military hospitals without a special order from the adjutant general of the army• Unnamed officer from Fort Douglas: "The hospital at the local post is one of the best equipped and conducted institutions, either military or private, that can be found anywhere."• Fort Douglas hospital had more than 15 doctors and 45 graduate nurses assigned to it prior to the flu outbreak, who provide the best care possible ; Newspaper article ; 14
A job satisfaction study among civilian nurses was conducted in 3 Military Hospitals in Malaysia. A Participant convenient sample of n=172 was selected for statistical analysis and the response rate was 63.7 %. Responsibility, Staff Relation, Opportunity to Develop and Patient Care were domains identified that had high level of job satisfaction. Staff Relation domain was significant with the highest P- value among demographic data. The dataset was not distributed normally as the distribution was skewed left. The findings of the study revealed that there was significant positive relationship that showed general satisfaction among the domains. From the study it could be concluded that there was the influence of general satisfaction with all the reviewed elements. There was correlation with each other by 45% as indicated by the R2 value in the regression test.
Shree Birendra Hospital is a 400 bedded referral military hosital situated in Kathmandu Nepal. It has been providing medical & Surgical services to regular and retired army personnel and tieir families, for the last 75 years. It also provides specialized services in medical and surgical sub specialties like Neuro Surgery, Cardio-thoracic surgery, Uro-surgery. Gastro-enterology surgery, Laproscopic surgery, Cardiology, Gynaecology, Neuro-Psychiatry, Nephrology & various other specialities. Diagnostic facilities are provided by advance Diagnostic facilities are provided by advance pathology and Radiology deparments (MRI CT scan, Bronchoscopy, G.I. Endoscopy, Echo-cardiocardiography etc).Cardio-Thoracic Surgery unit started its services in this hospital from the year 2050 B.S. (1994 A.D) The first Cardiac surgery started with a successful operation for a patient with mitral stenosis by closed heart surgery (closed mitral valvotomy) in the year 2051 B.S, 23 Chaitra; (6th April, 1995 A.D.). cardiac problems are not usually encountered among regular army personnel due to strict medical screening during army recruitment so cardiac surgery is generally required for family members of the serving & retired army personnel instead.
The purpose of the article is to structure and reflect the history of such medical institution as the Chernihiv Military Hospital on the basis of the studied materials (archive resources of SACR (State Archive of Chernihiv Region), Chernihiv Military Hospital, mass media, information provided by the respondents). Methodologically, the publication is based on analytical and statistical methods. The scientific novelty of this article is an attempt to cover the process of creation and operation of the Chernihiv Military Hospital from its inception to the present day. Also, the periods of change of localization of the medical institution on the territory of Chernihiv were traced, the key events were examined. Conclusions. The establishment of the Chernihiv Military Hospital in Chernihiv was happening in difficult conditions. The institution did not have its own premises, in key times for the history of Ukraine, it changed its location. Most of the buildings did not meet the proper conditions and were not equipped for medical needs, which to some extent affected the quality of service. However, this did not prevent from providing assistance to the military who took part in World War II in the post-war period. Overtime, the hospital received a renovated new building, deployed comprehensive assistance to the military with specialists, where it is located now. The authority stimulated the improvement of the quality of work by hold in socialist competitions, celebrating Soviet anniversaries, organizing annual military exercises etc. The change of managers of the institution helped to improve the professionalism of doctors by holding seminars on different topics, conferences, researches, equipment upgrades, etc. on the basis of the hospital and other institutions. Guarding the health of their defenders due to the beginning of military events in eastern Ukraine, thus confirming its necessity and significance.
Abstract Objective: To evaluate HMS in terms of user satisfaction, time management, data retrieval, record keeping, confidentiality in terms of medical records and comparison of user preference according to job description. Study Design: Cross sectional study. Place of Study: Combined Military Hospital Lahore, from 1" Dec to 31" March 2018. Methodology: All doctors and hospital personnel using HMS for more than 6 months in CMH Lahore were included by means of nonprobability convenient sampling. The total sample size was of 200 participants. Questionnaire was filled regarding user satisfaction, time management, data retrieval, record keeping, confidentiality in terms of medical records and comparison of user preference according to job description and results were analyzed using SPSS 20. Results: Out of a total of 200 participants, 58 (29%) were satisfied while 142 (71%) were dissatisfied with HMS mostly due to system hang-ups (34.5%) which were observed while using this software. Out of the total respondents, 133 (66.5%) participants believed it increased time spent per patient mostly due to too much information being present on patient encounter form (28%), and 66 (33%) participants were wary of its confidentiality. 142 (71%) participants believed that manual records needed to be kept alongside HMS. However, 141 (70.5%) thought it is an efficient tool for data retrieval, and 156 (78%) believed it to be reliable software. Conclusion: Most personnel- young and old-were largely dissatisfied with HMS, even though it is believed to be reliable and an efficient tool for data retrieval. Many would still keep manual records and were wary of its confidentiality.
Objective: To evaluate HMS in terms of user satisfaction, time management, data retrieval, record keeping, confidentiality in terms of medical records and comparison of user preference according to job description. Study Design: Cross sectional study. Place of Study: Combined Military Hospital Lahore, from 1" Dec to 31" March 2018. Methodology: All doctors and hospital personnel using HMS for more than 6 months in CMH Lahore were included by means of nonprobability convenient sampling. The total sample size was of 200 participants. Questionnaire was filled regarding user satisfaction, time management, data retrieval, record keeping, confidentiality in terms of medical records and comparison of user preference according to job description and results were analyzed using SPSS 20. Results: Out of a total of 200 participants, 58 (29%) were satisfied while 142 (71%) were dissatisfied with HMS mostly due to system hang-ups (34.5%) which were observed while using this software. Out of the total respondents, 133 (66.5%) participants believed it increased time spent per patient mostly due to too much information being present on patient encounter form (28%), and 66 (33%) participants were wary of its confidentiality. 142 (71%) participants believed that manual records needed to be kept alongside HMS. However, 141 (70.5%) thought it is an efficient tool for data retrieval, and 156 (78%) believed it to be reliable software. Conclusion: Most personnel- young and old-were largely dissatisfied with HMS, even though it is believed to be reliable and an efficient tool for data retrieval. Many would still keep manual records and were wary of its confidentiality.
Cataract surgery by means of phacoemulsification was started at a large Military Hospital in March 2001. First 70 cases in whom phacoemulsification was performed between 15 March 2001 and 31 December 2001 were followed-up and evaluated. The surgical techniques used, complications and post-operative recovery following this new surgical technique have been discussed. Our experience of conversion from standard extracapsular cataract extraction to phacoemulsification has also been shared.
In: Zaboli, R. and Seyedin, H. and Nasiri, A. and Malmoon, Z. (2020) Standardization and validation of organizational resilience tools in military hospitals. Journal of Military Medicine, 22 (7). pp. 719-727.
Background From August 2006–August 2010, as part of the ISAF mission, the Armed Forces of the Netherlands deployed a role 2 enhanced Medical Treatment Facility (R2E-MTF) to Uruzgan province, Afghanistan. Although from the principle doctrine not considered a primary task, care was delivered to civilians, including many children. Humanitarian aid accounted for a substantial part of the workload, necessitating medical, infrastructural, and logistical adaptations. Particularly pediatric care demanded specific expertise and equipment. In our pre-deployment preparations this aspect had been undervalued. Because these experiences could be influential in future mission planning, we analyzed our data and compared them with international reports. Methods This is a retrospective, descriptive study. Using the hospital's electronic database, all pediatric cases, defined as patients\17 years of age, who were admitted between August 2006 and August 2010 to the Dutch R2EMTF at Multinational Base Tarin Kowt (MBTK), Urzugan, Afghanistan were analyzed. Results Of the 2736 admissions, 415 (15.2 %) were pediatric. The majority (80.9 %, 336/415) of these admissions were for surgical, often trauma-related, pathology and required 610 surgical procedures, being 26 % of all procedures. Mean length of stay was 3.1 days. The male to female ratio was 70:30. Girls were significantly younger of age than boys. In-hospital mortality was 5.3 %. Conclusion Pediatric patients made up a considerable part of the workload at the Dutch R2E-MTF in Uruzgan, Afghanistan. This is in line with other reports from the recent conflicts in Iraq and Afghanistan, but used definitions in reported series are inconsistent, making comparisons difficult. Our findings stress the need for a comprehensive, prospective, and coalition-wide patient registry with uniformly applied criteria. Civilian disaster and military operational planners should incorporate reported patient statistics in manning documents, future courses, training manuals, logistic planning, and doctrines, because pediatric care is a reality that cannot be ignored.
Objective: This study was conducted to explore the etiological factors and some clinical profile of patients with Adhesive Capsulitis (AC). Methods: The study was conducted in Prince Hashim Military Hospital at the Physiotherapy department and Rheumatology clinic. Eighty patients fulfilling the criteria for the diagnosis of adhesive capsulitis were included in this study. They suffered from shoulder pain, the range of shoulder movements and the presence of various etiological factors for Adhesive Capsulitis (AC) were examined. Results: Age of the subjects ranged from 20-60 years and the duration of symptoms averaged four months; the left shoulder was more commonly involved (60%), (7.5%) had bilateral involvement and (66%) of the subjects were sedentary workers. Adhesive capsulitis was seen most commonly in patients with diabetes mellitus (39%). Other risk factors included previous myocardial infarction (7.5%), stroke 4%, COPD (5%) and immobilization (7.5%). Conclusion: Adhesive Capsulitis (AC) mostly affects people in the forth up to sixth decade. The majority of the affected individuals have sedentary life style at the time of the sickness and patients with diabetes mellitus may be at a particular risk. Further, detailed studies are needed in this regard for a complete understanding of this painful, disabling and protracted clinical syndrome.
Objective: The purpose of this study was to determine the indications and complications of intracorporeal lithotripsy in our institution.Methods: Retrospective study carried out at the urology unit of the 37 Military Hospital between 2012-2015. 42 patients had intracorporeal lithotripsy out of 359 patients who had surgery within the period. Records of all patients who had intracorporeal lithotripsy between December 2012 to December 2015 were collected and analysed. An endourology log sheet was used to record data of patient's name, age, sex, indication for operation, location of stone, intraoperative complications, type of instruments/materials used, stone analysis and follow-up dates. All patients between the ages of six months to seventy years presenting with urinary stones diseases within the period were included, whilst patients with urinary stone disease who were managed with open surgery were excluded. Ethical clearance was obtained from the 37 Military Hospital institutional review boardResults: Lithotripsy constituted 42/359(11.7%) of the methods used in the surgical cases done within the period. The commonest age of presentation was between 31-40 years (26.2%), with a male to female ratio of 2:1. The commonest indications for lithotripsy were pain (92.8%) and hydronephrosis (61.9%). Ureteric stones are more common (50%), followed by renal stones (45%) with the commonest site being the proximal ureter. The commonest procedure was ureteroscopy. Ureteral mucosal injury (5/43) (11.62%), was the commonest intraoperative complication. Postoperative complications were reno-cutaneous fistula (1/43) (2.32%), severe bleeding (1/43) (2.32%) haematuria (4/43) (9.30%).Conclusion: Pain was the commonest indication for intra-corporeal lithotripsy (92.8%) and also the commonest postoperative complication (9.30%).Keywords: lithotripsy, intracorporeal, percutaneous nephrolithotomy, ureteroscopy, urolithiasisFunding: None declared
Forty-two male patients with reactive spondyloarthropathies in a Dutch military hospital are described with mean age of onset 21.9 years. Peripheral arthritis or sacroiliitis was present in all, eye symptoms in 21 (50%), and genitourinary disease in 15 (35.7%). Evidence of antecedent sexually acquired or enterocolitic infection was found only in three (7.2%). HLA-B27 antigen was detected in 34 (81%) of 42 patients. Additional data suggest that reactive spondyloarthropathies are the most common form of inflammatory arthritis in young men.
