中风溶栓治疗实施案例研究（表2）

数据集获取（Figshare）

• 源站标题：Table_2_Stroke thrombolysis in a middle-income country: A case study exploring the determinants of its implementation.DOCX
• DOI：10.3389/fneur.2022.1048807.s002
• 发布日期：2022-11-24
• 文件数：1 个
• 文件总体积：33.90 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Table_2_Stroke_thrombolysis_in_a_middle-income_country_A_case_study_exploring_the_determinants_of_its_implementation_DOCX/21615879

命令行下载

curl -L -o "Table_2_Stroke thrombolysis in a middle-income country: A case study exploring the determinants of its implementation.DOCX" "https://ndownloader.figshare.com/files/38309247"

文件清单

• Table_2_Stroke thrombolysis in a middle-income country: A case study exploring the determinants of its implementation.DOCX（33.90 KB）

文件总体积 33.90 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

IntroductionTranslation of evidence into clinical practice for use of intravenous thrombolysis in acute stroke care has been slow, especially across low- and middle-income countries. In Malaysia where the average national uptake was poor among the public hospitals in 2018, one hospital intriguingly showed comparable thrombolysis rates to high-income countries. This study aimed to explore and provide in-depth understanding of factors and explanations for the high rates of intravenous stroke thrombolysis in this hospital.
MethodsThis single case study sourced data using a multimethod approach: (1) semi-structured in-depth interviews and focus group discussions, (2) surveys, and (3) review of medical records. The Tailored Implementation of Chronic Diseases (TICD) framework was used as a guide to understand the determinants of implementation. Twenty-nine participants comprising the Hospital Director, neurologists, emergency physicians, radiologists, pharmacists, nurses and medical assistants (MAs) were included. Thematic analyses were conducted inductively before triangulated with quantitative analyses and document reviews.
ResultsFavorable factors contributing to the uptake included: (1) cohesiveness of team members which comprised of positive interprofessional team dynamics, shared personal beliefs and values, and passionate leadership, and (2) facilitative work process through simplification of workflow and understanding the rationale of the sense of urgency. Patient factors was a limiting factor. Almost two third of ischemic stroke patients arrived at the hospital outside the therapeutic window time, attributing patients’’ delayed presentation as a main barrier to the uptake of intravenous stroke thrombolysis. One other barrier was the availability of resources, although this was innovatively optimized to minimize its impact on the uptake of the therapy. As such, potential in-hospital delays accounted for only 3.8% of patients who missed the opportunity to receive thrombolysis.
ConclusionsDespite the ongoing challenges, the success in implementing intravenous stroke thrombolysis as standard of care was attributed to the cohesiveness of team members and having fac

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/fneur.2022.1048807.s002（source: https://frontiersin.figshare.com/articles/dataset/Table_2_Stroke_thrombolysis_in_a_middle-income_country_A_case_study_exploring_the_determinants_of_its_implementation_DOCX/21615879）。