Monthly ArchiveMay 2014

The significance of the Research by Mohapatra et al.

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There are several species of malaria-causing Plasmodium; however, the common organisms that lead to the infection by malaria are the Plasmodium vivax and Plasmodium falciparum (Mohapatra, Samantaray, Arulselvi, & Ghosh, 2013). Some reports indicate that disease that one develops due to Plasmodium falciparum infection is severe while the Plasmodium vivax causes a benign issue. However, recent researches have disclosed that Plasmodium vivax also causes severe infection (Mohapatra et al., 2013). For instance, the malaria infection that results from vivax has the symptoms as acute anemia, renal failure, metabolic imbalance and thrombocytopenia among others. The research that Mohapatra et al. conducted aimed at analyzing the relationship between the development of DIC and Plasmodium vivax. Also, the researchers mentioned above focused on examining the effectiveness of the TEG in the early detection of DIC in the patients with severe levels of infection by malaria.
The sampling method that the researchers mentioned above used is the stratified sampling method. For instance, Mohapatra et al. conducted their sampling process by identifying a total of 31 individuals whom clinicians had diagnosed with malaria. After that, the researchers grouped the study elements concerning the complexity of the patients’ infections. One can also observe that the statistical method that Mohapatra et al. used is the inferential process of conducting research. In particular, the study by Mohapatra et al. involved the gathering of data from the multiple levels of malarial infection and using the data to conclude on the relationship between Plasmodium vivax and DIC. Besides, the researchers also analyzed the data relating to the effectiveness of the use of TEG in the early and accurate detection of DIC in several malaria patients.
The research by Mohapatra et al. involved data obtained through the stratified sampling methods. Consequently, the researchers were able to make reliable conclusions from the survey results. Indeed, the scientists mentioned above used a total of 31 individuals who were Plasmodium Vivax positive and the researchers grouped the people in two broad categories. The examination of patients who had complicated infections revealed that 59% percent of the patients had anemia, 21% acute renal failure among other symptoms. On the other hand, the use of TEG in the detection of DIC in the patients who had complicated and uncomplicated Plasmodium vivax infections detected 76% and 64% cases infections respectively. Therefore, one can conclude that the hypothesis was alternative as there was a significant difference in the data and results of the methods that the scientists used.
Apart from the previously mentioned scientists other researchers have also surveyed the use of TEG in the early and accurate detection of DIC in the patients suffering from complicated malaria infections. Ferasatkish, Naddafnia, Alavi and Naseri (2007) state that the use of TEG to detect DIC in patients provides results within a period of 20 to 30 minutes after the test hence reliable. Furthermore, the previously mentioned method of analyzing the cases of DIC in many patients helps in the detection of the level of infection in different individuals. Besides, the TEG is significant for the clinicians in differentiating surgical bleeding and bleeding due to an infection (Ferasatkish et al., 2007).
From the surveys that various scientists have conducted, it is evident that Plasmodium vivax leads to equally complicated cases of malarial infections as Plasmodium falciparum. The research on the effectiveness of TEG in examining DIC is critical for the practicing clinicians as it leverages the doctors’ ability to treat the disseminated intravascular coagulation in their clients efficiently. Also, the p-level of the TEG in the examination of patients is reliable as it provides quick and accurate results. On the other hand, the research concerning Plasmodium vivax is significant as it helps scientists to develop effective drugs and modalities of limiting its effects. Mohapatra et al. (2013), postulates that there is high certainty that Plasmodium vivax also leads to complicated cases of malaria.
Some limitations existed in the research that Mohapatra et al. conducted thereby eliciting the need for other research on the use of TEG in the early and accurate detection of DIC and the complexities those results from the infection by Plasmodium vivax. The first limitation that the sample population was small (31 people), thus it was not easy to develop a reliable conclusion regarding the results that the scientists obtained. Besides, the researchers were not able to perform PCR on the samples that they obtained from the patients. Therefore, it is critical that clinicians develop strategies through which they can use PCR on the samples they collect from their respondents so as to make reliable and accurate deductions.
To conclude, the research by Mohapatra et al. concerning the complexity of malaria that Plasmodium vivax and the use of TEG in an early and accurate detection of DIC is significant for the clinicians. Indeed, one can observe that the Plasmodium vivax also causes server levels of infections in individuals. On the other hand, the use of TEG is efficient in examining DIC in various people, thus, clinicians need to adopt it while caring for their patients. read more

Code Blue. Part II

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The code blue team has to be educated through the provision of the program that is presented to all nurses, doctors and the other auxiliary staff. The nursing staff should support mandatory code through training. Nurses have to believe that the necessary code does enhance both their ability and comforts of managing the situations of code blue and the patients’ outcomes. All the educational programs have to state that the blue codes will be employed only in cases of cardiac arrests. Taking care of the patient is paramount. Based on the case study, the nurse was supposed to have been around near the patient for her/him to take care of the patient. The case is traumatizing. It was expected that the nurse would be on the patient to inform the code team not to resuscitate the patient as stated. The code team assumed everything since the patient had no code. The nurse is the one to be blamed for the death of the patient. She never turned on the nozzle of the oxygen and was absent during the arrival of the code (Avis et al, 2016). read more