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Millenium : Journal of Education, Technologies, and Health
Number of Followers: 0

This is an Open Access Journal

Open Access journal
ISSN (Print) 1647-662X - ISSN (Online) 0873-3015
Published by Instituto Politécnico de Viseu (IPV)

[1 journal]

Practices' systematization of stoma site marking in patients undergoing
unplanned surgery: an improvement quality project
- Authors: Igor Soares-Pinto, Marta Ferreira Sá, Rui Cruz, Isabel de Jesus Oliveira
  Pages: e32837 - e32837
  Abstract: Introduction: In unplanned surgery, stoma site marking is unusual, increasing the risk of complications. Data on stoma site marking in a hospital in the northern region of Portugal and guidance in emergency situations are unavailable. Objective: To increase bowel elimination stoma site marking for patients undergoing unplanned surgery. Methods: A protocol for a best practice implementation project based on the Plan-Do-Check-Act cycle and consists of 4 phases: identification of the problem; analysis of the causes and the definition of the specific objectives; planning and implementing the intervention, checking the results, proposing corrective measures, standardizing procedures, and training the team. Data will be gathered using questionnaires for nurses, analysis of existing information systems, and the implementation of an audit grid. Results: The first two phases allowed the identification of the main shortcomings and draft of a multimodal intervention that will comprise educational strategies, implementation of a decision-making algorithm, and audit. A decrease in skin complications is expected. Increased confidence, independence in stoma self-care, and awareness of stoma living are also anticipated. Implementing this project may lead to a reduction in healthcare costs and an overall improvement in the quality of life of the person with a stoma. Conclusion: Evidence suggests that stoma site marking is paramount to improve patient’s health outcomes. Results from this project may offer new strategies to cope with management shortcomings in health systems.
  PubDate: 2023-11-23
  DOI: 10.29352/mill0223.32837
A methodological proposal to address the academic dropout phenomenon based
on an intelligent prediction model: a case study
- Authors: Adriana Villa-Murillo, Luís Costa, Carlos Vásquez
  Pages: e31378 - e31378
  Abstract: Introduction: University dropout is now considered a complex phenomenon that goes beyond the number of students not enrolled and that is continuously growing, especially in the first years of study. Objective: In the present study, a prediction model combining Survival Analysis, Decision Trees, and Random Forest, under the Machine Learning philosophy, is proposed for the early diagnosis of possible factors causing dropout in university students. Methods: The proposal consists of 3 phases: the Survival Analysis that allows estimating the probability of permanence of the student (survival). Phase 2 starts from the probability value obtained in the previous phase and uses it as a response variable in the modeling process based on Decision Trees to establish survival patterns around the variables considered. Finally, in phase 3, the critical variables in the model are identified using the Random Forest. Results: The proposed methodology allowed the design of a prediction model to identify the main segmentation variables in behavior patterns of possible cases of academic dropout. Conclusion: Even though the proposal was developed considering a particular case of a Chilean university, the efficient combination of metaheuristics allows the extrapolation of the methodology to any context and academic reality. However, the conditions and needs of each institution must be considered.
  PubDate: 2023-11-22
  DOI: 10.29352/mill0223.31378
Bioethics in Genetics: between science and art
- Authors: Ana Rita Soares, Ana Sofia Carvalho
  Pages: e32085 - e32085
  Abstract: Medical Genetics is a transversal and multidisciplinary medical speciality whose activity encompasses, in a general and simplistic perspective, the diagnosis of rare genetic diseases and genetic counselling of hereditary pathologies. Genetic information is, more than medical information, health information and it has implications not only for the self but also for family members. Although this medical specialization deals with risks and probabilities based on exact sciences and rigorous laboratory methodology, it also keeps challenging professionals to think ethically in different daily situations. Even in cases where the law is specific and quite rigorous on how to deal with the problem, it can be challenging to know which is the most ethical conduct in this rarity world. Henceforth, some examples will be given to make us think about how genetics can be a science art with certainties and queries.
  PubDate: 2023-09-07
  DOI: 10.29352/mill0223.32085

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