We have previously reported the access control mechanism and audit strategy of the "patient-doctor relation and clinical situation at the point-of-care" model with multi-axial access control matrix (ACM). This mechanism overcomes the deficit of ACM in the aspect of data accessibility but does not resolve the representation of the staff's affiliate and/or plural membership in the complex real wo...

The selection of input and output variables usually pose a problem when carrying out efficiency assessment in hospitals. Data Envelopment Analysis (DEA) is an instrument that used to calculate the hospital using some inputs outputs. Therefore, this study aims identify most frequently outputs from existing paper,, order assist management staffs choosing relevant can represent available inputs, a...

Rapid sequence spinal anesthesia is a recently developed technique for the most urgent, category-1 cesarean section. To successfully perform this technique, it is important to multi-disciplinarily discuss with all staffs related to delivery, make a local protocol in each hospital and simulate the procedure with them. Owing to the above preparation, we were able to perform the technique smoothly...

The aim of this study was to determine the factors affecting hepatitis B vaccine immunogenicity among nursing staff of Teaching Hospital, Jaffna. 152 nursing staffs were recruited from April to July 2013. Those who received three doses had 7.7% failure rate in developing protective immune response. Failure rates were 20% in those who received one dose and 10.6% in two doses. Following vaccinati...

The coronavirus disease outbreak 2019 (COVID-19) is foreseen to precipitate the increase in mental health issues such as stress, depression, and anxiety. This article aims share suggest strategies, experience actions taken by Hospital Tengku Ampuan Jemaah (HTAJ) a small unit district hospital through Mental Health Psychological Support Service (MHPSS) supporting amidst COVID-19 pandemic. existi...

This paper reports on a study in which unique access to three locked psycho-geriatric wards of a hospital allowed ethnographic exploration into everyday social worlds of fourteen people with dementia. Findings indicate abusive practice in the wards and show that participants in receipt of such practice responded with self-defence and resistance, but ultimately were defeated. In a development of...

Methicillin resistant Staphylococcus aureus (MRSA) carriage in the hands among 109 nursing staffs of Teaching Hospital, Jaffna, Sri Lanka was screened. Of those screened, 43 (39.44%) strains of S. aureus were isolated and among that one third were MRSA. Antibiotic resistant pattern of MRSA strains were found to be highly variable. Resistance to ampicillin, cefuroxime, ciprofloxacin, netilmicin ...