Multitudinous studies have suggested that a prolonged QT interval may be a marker of increased risk of sudden death in patients with a variety of diseases, and have discovered an inverse relationship between the QT interval and patient mortality in the general population that includes patients with or without heart attack. For safety, patients rely on the care of nurses, who have expertise in overseeing high-tech monitors. Existing nursing educational programs concerning QT interval as primarily focus on measurements of QT intervals, and they reveal much inappropriate measurement-taking and poor knowledge about QT intervals.

An educational program for critical care nurses on strategies for managing patients with QT prolongation to prevent related cardiovascular events is via mixed methods approach.

Thirty-nine subjects enrolled in this study completed three phases in one hospital.  Major findings of subjects’ knowledge, attittulde and practice are : 1. improved knowledge across all subjects; 2.moderate decreases in delay tests. 3.Low correct response in measurement of QT interval and prolongation causes of QT intervals. 3. subjects’ knowledge of normal ranges of QT intervals in post-tests showed increases; however, correct answer rates remained below 70%. 4.Qualitative findings on awareness and behavioral changes revealed that many subjects focused better while administering QT- prolonging drugs and discussed considerations with nursing or medical colleques.

Although some knowledge remained unclear for critical care nurses at the post-test, the total right response rate declined slightly for delay tests and the project raised awareness among subjects about QT interval prolongation and their behavioral changes when encountering this critical situation. Lastly, we opened up several new areas of investigation including multifaceted nursing issues.

In Bangladesh, about 18,000 students are admitted every year into 322 nursing institutes and colleges. BNMC have system to keep all students’ info into student’s registration database. There is demand for digitalization of nursing education specially the examination management for improving record keeping. HRH project designed an electronic NEMS for better education management for Nursing Institutes in consultation with DGNM, BNMC and MOHFW. Key developmental steps were followed to develop the NEMS software. NEMS is mainly divided into seven modules- Faculty, Student, and Exam result, Library, Hostel, Laboratory and Inventory. The NEMS software will support continuously to track information of nurse-midwife that will be compatible with the BNMC database and PMIS software. Objectives of this initiatives to improve ICT based nursing education management system with a phased introduction of web-based NEMS to nursing institutes under the MoHFW. The key approach of this paper will describe and share the methodological aspects with regard to database management, preparation of database reports, data security, privacy and queries, and network management. Keeping all the necessary requirements in mind, this web based NEMS has been designed and developed with the objective that the system is technically easy and fast to access on web with limited skills and interest. The software is mainly divided into seven dynamic modules- Faculty, Student, and Exam result, Library, Hostel, Laboratory and Inventory. This is the first kind of ICT based web intervention to replace the manual system at the institute level of nursing education sector.

Clinical studies have found that patients with acute respiratory distress syndrome (ARDS) account for approximately 5% of all hospitalized patients subjected to mechanical ventilation. Most studies have shown that patients with mild ARDS (PaO2/FiO2 200–300) represent only 25% of the cases, while the remaining 75% correspond to patients with moderate or severe ARDS (Estoben, etal., 2008)  Patients with acute pulmonary complications may benefit from prone therapy, which improves the ventilation/perfusion ratio (Sud et al., 2014). Relative to the supine position, rotating the patient while in the prone position can assist with moving the heart and lung tissue so that secretions and debris can be removed in order to allow expansion of the alveoli, and minimization of alveolar stretch and strain (Berry, 2015). Such positioning improves oxygenation sufficient that it can reduce the risk of mortality by hypoxia in patients suffering from acute pulmonary distress syndrome (Sud et al., 2014).

            In a systematic review and meta-analysis of 11 randomized controlled trials, prone positioning was found to significantly reduce mortality with a risk ratio of 0.74 (95% CI 0.59-0.95) relative to supine positioning (Sud et al., 2014). The study found that improvements in oxygenation in the prone group exceeded those in the supine group, although the risk of forming pressure ulcers, obstruction of the endotracheal tube, and dislodgement of the thoracotomy tube were also higher in the prone group. Another study of 466 patients with acute respiratory distress syndrome found statistically significant improvement in the mortality rates at 28 days and 90 days among prone patients relative to supine patients (Guérin et al., 2013). Prone therapy has thus been found to significantly benefit patients with acute pulmonary complications.

            In the past, however, manually rotating patients to the prone position was often difficult, especially if the individual had conditions such as aortic rupture, prominent external fixation, obesity, or instable pelvic fractures (Kim & Mullins, 2016)

Healthcare providers role to prevent and control infections in healthcare facilities by using advance strategies and to decrease transmission of infectious diseases from healthcare workers to patients and vice versa is very crucial. We will understand why Hand hygiene, Isolation, standard Precautions and correct use of personal protective equipment (PPE) during the patient care are important, to reduce healthcare associated infections and Occupational health hazards. We shall share Quality improvement methodologies (FOCUS-PDCA & FMEA) and importance of implementations in healthcare facilities.

We shall discuss about post exposure Interventions to infectious disease in healthcare field and how to prevent and treat employee and also share guidelines for work restrictions to employees suffering from infectious diseases like Meningococcal Meningitidis, HAV, HBV, HCV, HIV, MDRO, RSV, Varicella, TB and Influenza.

According to Centers for disease control and prevention (CDC), results of a project known as the HAI Prevalence Survey (2014 Data) were published in 2016. The Survey described the burden of HAIs in U.S. hospitals, and reported that, in 2011, there were an estimated 722,000 HAIs in U.S. acute care hospitals. Additionally, about 75,000 patients with HAIs died during their hospitalizations.

In Bangladesh, about 18,000 students are admitted every year into 322 nursing institutes and colleges. BNMC have system to keep all students’ info into student’s registration database. There is demand for digitalization of nursing education specially the examination management for improving record keeping. HRH project designed an electronic NEMS for better education management for Nursing Institutes in consultation with DGNM, BNMC and MOHFW. Key developmental steps were followed to develop the NEMS software. NEMS is mainly divided into seven modules- Faculty, Student, and Exam result, Library, Hostel, Laboratory and Inventory. The NEMS software will support continuously to track information of nurse-midwife that will be compatible with the BNMC database and PMIS software. Objectives of this initiatives to improve ICT based nursing education management system with a phased introduction of web-based NEMS to nursing institutes under the MoHFW. The key approach of this paper will describe and share the methodological aspects with regard to database management, preparation of database reports, data security, privacy and queries, and network management. Keeping all the necessary requirements in mind, this web based NEMS has been designed and developed with the objective that the system is technically easy and fast to access on web with limited skills and interest. The software is mainly divided into seven dynamic modules- Faculty, Student, and Exam result, Library, Hostel, Laboratory and Inventory. This is the first kind of ICT based web intervention to replace the manual system at the institute level of nursing education sector.

The Federal and State governments have declared the presence of an opioid addiction pandemic in the United States claiming the lives of more than 55,000 in 2015 (Rudd, R. A., Seth, P., David, F. and Scholl, L. 2016). The pharmaceutical manufacturers of the numerous FDA-approved opioid drugs are raking in more than $5 billion per year with about 2 million chronic pain sufferers addicted. The irony of this narcotic use and abuse conundrum is the existence of evidence-based technology for drug-free pain management which is not covered for reimbursement among public and private third-party payers. Therefore, this paper is presented a review of the recently published evidence that shows the efficacy of resolving the chronic inflammation, edema and ischemia that causes non-malignant chronic pain with PEMF therapy, a non-invasive, non-thermal radio transmission of electrical impulses. Thereby, we may conclude that there is evidentiary basis for providing a viable risk-free alternative to prescribing opioid analgesics in such cases. Additionally, the expected result of treatment is to wean opioid-dependent, chronic non-malignant pain patients off opioids while reducing pain and minimizing withdrawal symptoms.

Pediatric palliative care is often misunderstood and often enters in to a child and families lives too late. The overall goal of pediatric palliative care is to improve the quality of life for a child with an underlying life-threatening illness or problem. It focuses on prevention and relief of suffering, regardless of the stage of disease, and comprehensively addresses the physical, psychosocial, or spiritual needs of the child and family. The World Health Organization (WHO) describes pediatric palliative care as “the active overall care of the child's body, mind, and spirit, and involves providing support to the family. It begins when illness is diagnosed and continues regardless of whether or not a child receives treatment directed at the disease”.  It is hoped that families of infants and children with a diagnosis where cure may not be possible are introduced to the palliative care team at the time of diagnosis, yet often is this the case. Palliative care for children ideally should be introduced from the beginning of diagnosis or treatment as it helps to ensure an ongoing focus on quality of life and relief of symptoms, so the child may continue to enjoy life.

Changes within the German demographics resulting in an increased need of health care professionals. In times of a nurse shortage this development is a challenge for hospitals to provide adequate nurse staffing for their patients. But the alleged solution to hire temporary nurses impacts the inpatient care. This study presents international and national research on the phenomenon and examines head nurses’ experiences with temporary nurses. Through expert interviews and utilizing qualitative content analysis, themes were identified, such as the impact of temporary nurses on daily routines, health promotion, the nursing profession, staff booking and as well as the future perspectives. The findings of this research indicate that temporary nurse staffing is affecting daily routines and the dynamics in the health care team. The temporary staffs’ influence depends much on if a they are hired short-term or long-term on a ward. Consequently, hospital procedures need to be adapted and regulations on temporary staffing needs to be set in place to guarantee a continuous and high-quality patient care.

Federal, state and local officials and health care professionals are researching, developing and implementing initiatives targeted at reducing opioid use, abuse, overdose and related-deaths. These efforts have focused on prescribing; developing guidelines for opioid prescribing and expanding use of Prescription Drug Monitoring Programs to reduce the prescribing of opioid medications. Yet the death rate continues to climb (~64,000 in 2017, an increase from 2016).

With approximately 30% rehabilitation costs being covered by Medicaid programs nationally and the promise that machine learning and predictive modeling bring to healthcare, the focus of the data analytics needs to shift from describing the problem to treating it.

Join leaders and partners from DXC Technology as they make the case and address the following;

• Data sharing difficulties
• Problems operationalizing the findings of data analysis, and;
• Remaining compliant with current rules and regulations regarding privacy and security
• Current available solutions to effectively address the changing opioid crisis

.To introduce the history and current status of university health care program of South Korea

.To identify the strength and limitation of university health care in South Korea  

The University Health Care Program of South Korea

. The history of university health

.To introduce Yi et al study

.Other university health study

.The strength of South Korean university health

.The limitation of South Korean university health

.For the future

Clinical studies have found that patients with acute respiratory distress syndrome (ARDS) account for approximately 5% of all hospitalized patients subjected to mechanical ventilation. Most studies have shown that patients with mild ARDS (PaO2/FiO2 200–300) represent only 25% of the cases, while the remaining 75% correspond to patients with moderate or severe ARDS (Estoben, etal., 2008)  Patients with acute pulmonary complications may benefit from prone therapy, which improves the ventilation/perfusion ratio (Sud et al., 2014). Relative to the supine position, rotating the patient while in the prone position can assist with moving the heart and lung tissue so that secretions and debris can be removed in order to allow expansion of the alveoli, and minimization of alveolar stretch and strain (Berry, 2015). Such positioning improves oxygenation sufficient that it can reduce the risk of mortality by hypoxia in patients suffering from acute pulmonary distress syndrome (Sud et al., 2014).

            In a systematic review and meta-analysis of 11 randomized controlled trials, prone positioning was found to significantly reduce mortality with a risk ratio of 0.74 (95% CI 0.59-0.95) relative to supine positioning (Sud et al., 2014). The study found that improvements in oxygenation in the prone group exceeded those in the supine group, although the risk of forming pressure ulcers, obstruction of the endotracheal tube, and dislodgement of the thoracotomy tube were also higher in the prone group. Another study of 466 patients with acute respiratory distress syndrome found statistically significant improvement in the mortality rates at 28 days and 90 days among prone patients relative to supine patients (Guérin et al., 2013). Prone therapy has thus been found to significantly benefit patients with acute pulmonary complications.

            In the past, however, manually rotating patients to the prone position was often difficult, especially if the individual had conditions such as aortic rupture, prominent external fixation, obesity, or instable pelvic fractures (Kim & Mullins, 2016).  The technical difficulties in manually rotating patients often precluded pronation therapy as a treatment for severe acute pulmonary complications (Berry, 2015). The RotoProne Therapy system (RotoProne; Arjo Huntleigh, Addison, Illinois) is a bed that provides kinetic therapy to patients by rotating them at an angle from 40-62 degrees side to side in a slow and gentle fashion (Jackson, Verano, Fry, Rodriguez, & Russian, 2012). Multiple studies have shown that the use of the RotoProne Therapy system can allow for a wider range of respiratory care patients to receive pronation therapy, but care must be used with this system in order to avoid skin breakdown and concomitant pressure ulcers.