hospital

HusamArman's picture

A Linear Programming Model to Optimize ‎the Decision-Making to Managing ‎Cogeneration System

Journal Title, Volume, Page: 
Clean Technologies and Environmental Policy, Volume 9, Issue 3, pp 235-240
Year of Publication: 
2007
Authors: 
Husam Arman
University of Nottingham, Nottingham, NG7 2RD, UK
Current Affiliation: 
Department of Industrial Engineering, Faculty of Engineering and Information Technology, An-Najah National University, Nablus, Palestine
Naser A. Tibi
United Arab Emirates University, P.O. Box 93330, Dubai, United Arab Emirates
Preferred Abstract (Original): 

A mathematical linear programming (LP) model was developed to optimize the decision-making for managing a cogeneration facility as a potential clean-development mechanism project in a hospital in Palestine. The model was developed to optimize the cost of energy and the cost of installation of a small cogeneration plant under constraints on electricity-and-heat supply and demand balances. In the model, the sources of electricity are either from cogeneration or public utilities and it was calculated the least cost to supply electricity and heat to the hospital. The hospital is using heat for their operation and that made the application for the cogeneration to be attractive and feasible. In this study, we will develop the LP model and will show the results and the time schedule for the cogeneration. This developed LP model can be used and run to any cogeneration application with little modification.

MSShtayeh's picture

Management of Healthcare Waste in Circumstances of Limited Resources: A Case Study in the Hospitals of Nablus City, Palestine

Journal Title, Volume, Page: 
Waste Manag Res June 2009 vol. 27 no. 4 305-312
Year of Publication: 
2009
Authors: 
Issam A. Al-Khatib
Institute of Environmental and Water Studies, Birzeit University, West Bank, Palestine
Yousef S. Al-Qaroot
Faculty of Medical Allied Sciences, Arab American University, Jenin, West Bank, Palestine
Mohammad S. Ali-Shtayeh
Faculty of Graduate Studies, An-Najah National University, Nablus, Palestine
Current Affiliation: 
Department of Biology and Biotechnology, Faculty of Science, An-Najah National University, Nablus. Palestine
Preferred Abstract (Original): 

The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed— 1 day—1. The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m— 3 with a mean value of 166.7 kg m—3. The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.

Waleed Sweileh's picture

Clinical Characteristics, Sex Differences and In-Hospital Mortality Among Stroke Patients with and without Diabetes Mellitus

Journal Title, Volume, Page: 
Diabetologia Croatica, 40-2
Year of Publication: 
2011
Authors: 
Waleed M. Sweileh
College of Pharmacy, An-Najah National University, Nablus,Palestine
Current Affiliation: 
College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Sa’ed H. Zyoud
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Palestine
Ansam F. Sawalha
College of Pharmacy, An-Najah National University, Nablus,Palestine
Samah W. Al-Jabi
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Palestine
Adham S. Abu-Taha
College of Pharmacy, An-Najah National University, Nablus,Palestine
Preferred Abstract (Original): 
The aim of the study was to investigate and compare clinical characteristics, sex differences and in-hospital mortality between stroke patients with and without diabetes mellitus (DM). All patients admitted to Al- Watani Governmental Hospital for 12 consecutive months and diagnosed with acute stroke were included in the study. Demographic data, clinical characteristics and in-hospital mortality were compared between diabetic and nondiabetic stroke patients. Pearson χ2-test and Student’s t-test were used on univariate analysis. Data were analyzed using SPSS 16. There were 186 stroke patients, mean age 69.09±0.9 years, with positive DM history recorded in 48.9% of male and 45.2% of female patients. Diabetic stroke patients were significantly younger (66.8±10.99 vs. 71±10.52 years; P=0.009) and had a higher proportion of ischemic heart disease (11.9% vs. 3.9%; P=0.04) compared to nondiabetic stroke patients. Inhospital mortality accounted for 39 (21%) patients, including 23 (27.4%) diabetic and 16 (15.7%) nondiabetic stroke patients (P=0.051). Univariate analysis of diabetic stroke patients based on sex showed male patients to have significantly more hemorrhagic strokes (P=0.04), recurrent strokes (P=0.003) and in-hospital mortality (P=0.034) compared to female patients. There was no sex difference in nondiabetic stroke patients. Analysis of diabetic stroke patients based on vital status indicated that in-hospital mortality was significantly associated with sex (P=0.034), type of stroke (P=0.006) and recurrent stroke (P=0.01). None of the variables was significantly associated with mortality in nondiabetic stroke patients. In conclusion, diabetic patients have different clinical characteristics, show sex differences and in-hospital mortality differences compared to nondiabetic patients after acute stroke.
Samahjabi's picture

Clinical Characteristics, Sex Differences and In Hospital Mortality among Stroke Patients with and Without Diabetes Mellitus

Journal Title, Volume, Page: 
Diabetologia Croatica 40-2, 2011
Year of Publication: 
2011
Authors: 
Waleed M. Sweileh
College of Pharmacy, An-Najah National University, Nablus, Palestine
Sa’ed H. Zyoud
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Palestin
Samah W. Al-Jabi
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Palestin
Current Affiliation: 
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Adham S. Abu-Taha
College of Pharmacy, An-Najah National University, Nablus, Palestine
Ansam F. Sawalha
College of Pharmacy, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

The aim of the study was to investigate and compare clinical characteristics, sex differences and in-hospital mortality between stroke patients with and without diabetes mellitus (DM). All patients admitted to Al- Watani Governmental Hospital for 12 consecutive months and diagnosed with acute stroke were included in the study. Demographic data, clinical characteristics and in-hospital mortality were compared between diabetic and nondiabetic stroke patients. Pearson χ2-test and Student’s t-test were used on univariate analysis. Data were analyzed using SPSS 16. There were 186 stroke patients, mean age 69.09±0.9 years, with positive DM history recorded in 48.9% of male and 45.2% of female patients. Diabetic stroke patients were significantly younger (66.8±10.99 vs. 71±10.52 years; P=0.009) and had a higher proportion of ischemic heart disease (11.9% vs. 3.9%; P=0.04) compared to nondiabetic stroke patients. Inhospital mortality accounted for 39 (21%) patients, including 23 (27.4%) diabetic and 16 (15.7%) nondiabetic stroke patients (P=0.051). Univariate analysis of diabetic stroke patients based on sex showed male patients to have significantly more hemorrhagic strokes (P=0.04), recurrent strokes (P=0.003) and in-hospital mortality (P=0.034) compared to female patients. There was no sex difference in nondiabetic stroke patients. Analysis of diabetic stroke patients based on vital status indicated that in-hospital mortality was significantly associated with sex (P=0.034), type of stroke (P=0.006) and recurrent stroke (P=0.01). None of the variables was significantly associated with mortality in nondiabetic stroke patients. In conclusion, diabetic patients have different clinical characteristics, show sex differences and in-hospital mortality differences compared to nondiabetic patients after acute stroke.

saedzyoud's picture

Availability of Decontamination, Elimination Enhancement, And Stabilization Resources For The Management of Acute Toxic Exposures And Poisonings In Emergency Departments In Malaysia

Journal Title, Volume, Page: 
Internal and Emergency Medicine, 2011, Volume 6, Number 5, Pages 441-448
Year of Publication: 
2011
Authors: 
Rahmat Awang
WHO Collaborating Centre for Drug Information, Clinical Toxicology Program, National Poison Centre, Universiti Sains Malaysia (USM), 11800, Penang, Malaysia
Sulaiman I. Al-Sohaim
WHO Collaborating Centre for Drug Information, Clinical Toxicology Program, National Poison Centre, Universiti Sains Malaysia (USM), 11800, Penang, Malaysia
Sa’ed H. Zyoud
WHO Collaborating Centre for Drug Information, Clinical Toxicology Program, National Poison Centre, Universiti Sains Malaysia (USM), 11800, Penang, Malaysia
Halilol Rahman Mohamed Khan
Disease Control Division, Ministry of Health, Kuala Lumpur, Malaysia
Sirajuddin Hashim
Disease Control Division, Ministry of Health, Kuala Lumpur, Malaysia
Preferred Abstract (Original): 

Acute poisoning is a common medical emergency in Malaysia. Life can be saved if the patient is diagnosed properly and receives the appropriate treatment such as gastrointestinal decontamination techniques and resources to increase poison elimination according to clinical guidelines at a reasonable time. The aims of this study were to determine the availability of decontamination, elimination enhancement, and stabilization resources for the management of acute toxic exposures and poisonings in accident and emergency departments in Malaysia, and to compare the availability of such facilities among various types of hospitals. A comparative, descriptive cross-sectional study was conducted using a structured questionnaire. Seventy-four (58.3%) out of the targeted 127 hospitals replied and completed the questionnaire. The availabilities of most items related to stabilization resources were far better in general hospitals compared to district hospitals with specialists and district hospitals without specialists. These items were mechanical ventilators (p = 0.011), non-invasive positive pressure ventilators (0.024), pacemakers (p = 0.019), and transcutaneous cardiac pacing (p < 0.001). The availability of decontamination resources varied substantially with hospital type. Nevertheless, these differences did not reach statistical significance in any of the cases, whereas sodium sulphate, sorbitol, and polyethylene glycol were almost never available. The availabilities of most items related to elimination enhancement resources were far better in general hospitals and district hospitals with specialists compared to district hospitals without specialists. These items were haemodialysis (p = 0.046), haemoperfusion (p = 0.002), haemofiltration (p = 0.002), acid diuresis (p = 0.04), peritoneal dialysis (p < 0.001), and exchange transfusion (p < 0.001). Most Malaysian hospitals have certain important immediate interventions such as gastrointestinal decontamination techniques and resources to increase poison elimination. The availabilities of most facilities were far better in the general hospitals. Coordination between the National Poison Centre in Malaysia and hospitals should be established regarding the emergency facilities for effective management of poisoning cases in each hospital in order to direct the poisoned patients to the hospital where the appropriate management resources is available.

saedzyoud's picture

Evaluate The Impact of Hospital Types on The Availability of Antidotes For The Management of Acute Toxic Exposures And Poisonings In Malaysia

Journal Title, Volume, Page: 
Human & Experimental Toxicology; 2011 Apr 8. [Epub ahead of print]
Year of Publication: 
2011
Authors: 
Sulaiman I Al-Sohaim
WHO Collaborating Centre for Drug Information, National Poison Centre, Universiti Sains Malaysia (USM), Penang, Malaysia
Rahmat Awang
WHO Collaborating Centre for Drug Information, National Poison Centre, Universiti Sains Malaysia (USM), Penang, Malaysia
Sa'ed H Zyoud
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Occupied Palestinian Territory
Current Affiliation: 
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Sazaroni Md Rashid
WHO Collaborating Centre for Drug Information, National Poison Centre, Universiti Sains Malaysia (USM), Penang, Malaysia
Sirajuddin Hashim
Disease Control Division, Ministry of Health, Kuala Lumpur, Malaysia
Preferred Abstract (Original): 

The availability of antidotes may be considered essential and lifesaving in the management of certain poisonings. Surveys carried out in a number of countries have demonstrated inadequate availability of a variety of poisoning antidotes.
Objectives: The purpose of this study was to determine the availability of antidote stocking at hospitals, based on published guidelines for antidote stocking, and to evaluate the impact of hospital types on the availability of antidotes for the management of acute toxic exposures and poisonings in Malaysia.
Methods: A questionnaire on the availability of antidotes was sent to all government accident and emergency departments in Malaysia. The list of commonly required antidotes and essential drugs was compiled from published guidelines. Collected data were analysed in SPSS version 16 using descriptive and comparative analysis.
Results: The response rate was 59.06%. None of the responding hospitals stocked all of the antidotes on the lists. In relation to hospital type, there was great variability in the availability of antidotes (there were significant differences between hospitals for 13 antidotes). The availabilities of most antidotes were far better in the General Hospitals and the District Hospitals with specialists compared to District Hospitals without specialists. Calcium gluconate, sodium bicarbonate, atropine sulphate, naloxone, flumazenil, vitamin K, and pyridoxine were available at all general hospitals. Atropine sulphate and naloxone were available at all district hospitals with specialists.
Conclusion: Most Malaysian government hospitals stocked some important antidotes. Raising awareness of the importance of antidotes by education, regular review of antidote storage, distribution plans, and appropriate legislation might provide solutions. Coordination between Malaysian hospitals and the National Poison Centre at Universiti Sains Malaysia is also important.

saedzyoud's picture

Clinical Characteristics, Sex Differences And Inhospital Mortality Among Stroke Patients With And Without Diabetes Mellitus

Journal Title, Volume, Page: 
Diabetologia Croatica 40-2, 2011
Year of Publication: 
2011
Authors: 
Waleed M. Sweileh
Faculty of Pharmacy, An-Najah National University, Nablus, Palestine
Sa’ed H. Zyoud
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Occupied Palestinian Territory
Current Affiliation: 
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Ansam F. Sawalha
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Occupied Palestinian Territory
Samah W. Al-Jabi
Faculty of Pharmacy, An-Najah National University, Nablus, Palestine
Adham S. Abu-Taha
Faculty of Pharmacy, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

The aim of the study was to investigate and compare clinical characteristics, sex differences and in-hospital mortality between stroke patients with and without diabetes mellitus (DM). All patients admitted to Al- Watani Governmental Hospital for 12 consecutive months and diagnosed with acute stroke were included in the study. Demographic data, clinical characteristics and in-hospital mortality were compared between diabetic and nondiabetic stroke patients. Pearson χ2-test and Student’s t-test were used on univariate analysis. Data were analyzed using SPSS 16. There were 186 stroke patients, mean age 69.09±0.9 years, with positive DM history recorded in 48.9% of male and 45.2% of female patients. Diabetic stroke patients were significantly younger (66.8±10.99 vs. 71±10.52 years; P=0.009) and had a higher proportion of ischemic heart disease (11.9% vs. 3.9%; P=0.04) compared to nondiabetic stroke patients. Inhospital mortality accounted for 39 (21%) patients, including 23 (27.4%) diabetic and 16 (15.7%) nondiabetic stroke patients (P=0.051). Univariate analysis of diabetic stroke patients based on sex showed male patients to have significantly more hemorrhagic strokes (P=0.04), recurrent strokes (P=0.003) and in-hospital mortality (P=0.034) compared to female patients. There was no sex difference in nondiabetic stroke patients. Analysis of diabetic stroke patients based on vital status indicated that in-hospital mortality was significantly associated with sex (P=0.034), type of stroke (P=0.006) and recurrent stroke (P=0.01). None of the variables was significantly associated with mortality in nondiabetic stroke patients. In conclusion, diabetic patients have different clinical characteristics, show sex differences and in-hospital mortality differences compared to nondiabetic patients after acute stroke.

Samahjabi's picture

Antidote Stocking At Hospitals In North Palestine

Journal Title, Volume, Page: 
Online Journal of Health and Allied Sciences, ISSN0972-5997 Volume5, Issue4; Oct-Dec 2006
Year of Publication: 
2007
Authors: 
Ansam F. Sawalha
Poison Control And Drug Information Center (PCDIC), An-Najah National University, P.O. Box 7, Nablus, Palestine
Waleed M. Sweileh
Department of Pharmacy, Faculty of Medicine and Health sciences, An-Najah National University, Nablus, Palestine
Sa'ed H. Zyoud
Poison Control and Drug Information Center (PCDIC), An-Najah National University, Nablus, Occupied Palestinian Territory
Samah W. Al-Jabi
Department of Pharmacy, Faculty of Medicine and Health sciences, An-Najah National University, Nablus, Palestine
Current Affiliation: 
Department of Pharmacy, Faculty of Medicine and Health sciences, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

Objective: The purpose of this study was to determine the availability and adequacy of antidote stocking at hospitals in north Palestine based on published guidelines for antidote stocking.
Methodology: This study is a cross sectional survey of all hospitals at north Palestine (n=11) using a questionnaire which was completed by the director of the pharmacy department at each hospital. The questionnaire was divided into 2 parts. The first part contained a list of 25 antidotes while the second part contained a list of 12 antidotes. This classification is based on the guideline proposed by the British Association for Emergency Medicine (BAEM). The net antidote stock results were compared with the American guidelines as well. Result: The overall availability of each antidote in the first list varied widely from zero for glucagon to 100% for atropine. The number antidotes of the first list that were stocked in the 11 hospitals ranged from 5 to 12 antidotes but none of the hospitals stocked all the 25 antidotes. Additionally, availability of antidotes in the second list varied widely from zero for polyethylene glycol to 100% for dobutamine. The number of antidotes stocked ranged from 5 to 9 but none of the hospitals stocked all the 12 antidotes.
Discussion and Conclusion: hospitals in north Palestine do not have adequate stock of antidotes. Raising awareness of the importance of antidotes by education, regular review of antidote storage, distribution plans, and appropriate legislation might provide solutions. Coordination between Palestinian hospitals and the PCDIC at An-Najah National University is also important.

saedzyoud's picture

Antidote Stocking At Hospitals In North Palestine

Journal Title, Volume, Page: 
Online Journal of Health and Allied Sciences
Year of Publication: 
2007
Authors: 
Ansam F. Sawalha
Poison Control And Drug Information Center (PCDIC), An-Najah National University, P.O. Box 7, Nablus, Palestine
Waleed M Sweileh
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Sa'ed H Zyoud
Poison Control And Drug Information Center (PCDIC), An-Najah National University, P.O. Box 7, Nablus, Palestine
Current Affiliation: 
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Samah W. Al-Jabi
Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

Objective: The purpose of this study was to determine the availability and adequacy of antidote stocking at hospitals in north Palestine based on published guidelines for antidote stocking.
Methodology: This study is a cross sectional survey of all hospitals at north Palestine (n=11) using a questionnaire which was completed by the director of the pharmacy department at each hospital. The questionnaire was divided into 2 parts. The first part contained a list of 25 antidotes while the second part contained a list of 12 antidotes. This classification is based on the guideline proposed by the British Association for Emergency Medicine (BAEM). The net antidote stock results were compared with the American guidelines as well.
Result: The overall availability of each antidote in the first list varied widely from zero for glucagon to 100% for atropine. The number antidotes of the first list that were stocked in the 11 hospitals ranged from 5 to 12 antidotes but none of the hospitals stocked all the 25 antidotes. Additionally, availability of antidotes in the second list varied widely from zero for polyethylene glycol to 100% for dobutamine. The number of antidotes stocked ranged from 5 to 9 but none of the hospitals stocked all the 12 antidotes.
Discussion and Conclusion: hospitals in north Palestine do not have adequate stock of antidotes. Raising awareness of the importance of antidotes by education, regular review of antidote storage, distribution plans, and appropriate legislation might provide solutions. Coordination between Palestinian hospitals and the PCDIC at An-Najah National University is also important.

ansam's picture

Antidote Stocking At Hospitals In North Palestine

Journal Title, Volume, Page: 
Online Journal Of Health And Allied Sciences Vol 5 Issue 4(4)
Year of Publication: 
2006
Authors: 
Ansam F. Sawalha
Poison Control And Drug Information Center (PCDIC), An-Najah National University, P.O. Box 7, Nablus, Palestine
Current Affiliation: 
Faculty of Medicine & Health Sciences, Department of Biomedical Sciences, An-Najah National University, Nablus, Palestine
Waleed M. Sweileh
College Of Pharmacy, Chairman, Clinical Pharmacy Graduate Program, An-Najah National University, Nablus, Palestine
Sa'ed H. Zyoud
Poison Control And Drug Information Center (PCDIC), An-Najah National University. Nablus, Palestine
Samah W. Al-Jabi
College Of Pharmacy, Chairman, Clinical Pharmacy Graduate Program, An-Najah National University, Nablus, Palestine
Preferred Abstract (Original): 

Objective: The purpose of this study was to determine the availability and adequacy of antidote stocking at hospitals in north Palestine based on published guidelines for antidote stocking.
Methodology: This study is a cross sectional survey of all hospitals at north Palestine (n=11) using a questionnaire which was completed by the director of the pharmacy department at each hospital. The questionnaire was divided into 2 parts. The first part contained a list of 25 antidotes while the second part contained a list of 12 antidotes. This classification is based on the guideline proposed by the British Association for Emergency Medicine (BAEM). The net antidote stock results were compared with the American guidelines as well.
Result: The overall availability of each antidote in the first list varied widely from zero for glucagon to 100% for atropine. The number antidotes of the first list that were stocked in the 11 hospitals ranged from 5 to 12 antidotes but none of the hospitals stocked all the 25 antidotes. Additionally, availability of antidotes in the second list varied widely from zero for polyethylene glycol to 100% for dobutamine. The number of antidotes stocked ranged from 5 to 9 but none of the hospitals stocked all the 12 antidotes.
Discussion and Conclusion: hospitals in north Palestine do not have adequate stock of antidotes. Raising awareness of the importance of antidotes by education, regular review of antidote storage, distribution plans, and appropriate legislation might provide solutions. Coordination between Palestinian hospitals and the PCDIC at An-Najah National University is also important.

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