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Sample records for carmen general hospital

  1. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX; Asesoria especializada en seguridad radiologica al hospital general Ciudad del Carmen, PEMEX

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Hernandez C, J. E.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  2. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX

    International Nuclear Information System (INIS)

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  3. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX. III.- September and October of 2002; Asesoria especializada en seguridad radiologica al hospital general Ciudad del Carmen, PEMEX. III.- Septiembre y Octubre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX. III.- September and October of 2002

    International Nuclear Information System (INIS)

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  5. Programa de hipertensión arterial. Hospital el Carmen de Santafé de Bogotá

    OpenAIRE

    Bottia Luis E.; Chiappe Félix M.

    1993-01-01

    El presente trabajo es el producto de la participación de docentes y estudiantes de pre y post-grado de la Facultad de Enfermería de la Universidad Nacional de Bogotá, en el desarrollo del programa de hipertensión arterial en el hasta hace algunos días llamado Hospital El Carmen, hoy Cami II El Carmen Sur, de Santafé de Bogotá, durante más de 14 años.

  6. The general NFP hospital model.

    Science.gov (United States)

    Al-Amin, Mona

    2012-01-01

    Throughout the past 30 years, there has been a lot of controversy surrounding the proliferation of new forms of health care delivery organizations that challenge and compete with general NFP community hospitals. Traditionally, the health care system in the United States has been dominated by general NFP (NFP) voluntary hospitals. With the number of for-profit general hospitals, physician-owned specialty hospitals, and ambulatory surgical centers increasing, a question arises: “Why is the general NFP community hospital the dominant model?” In order to address this question, this paper reexamines the history of the hospital industry. By understanding how the “general NFP hospital” model emerged and dominated, we attempt to explain the current dominance of general NFP hospitals in the ever changing hospital industry in the United States. PMID:22324062

  7. Carmen Chamizo Vega

    OpenAIRE

    Spector, Rachel E.

    2016-01-01

    In this text, the author describes the characteristics of their professional and personal relationship with Dr. Carmen Chamizo Vega and expresses regret for her loss. En este texto, la autora describe las características de su relación profesional y personal con la doctora Carmen Chamizo Vega y expresa su pesar por su pérdida. Neste texto, o autor descreve as características da sua relação profissional e pessoal com o Dr. Carmen Chamizo Vega e expressa pesar por sua perda.

  8. Epsom General Hospital orthopaedic theatre.

    Science.gov (United States)

    1992-11-01

    The Surrey Section of the London Branch held a very successful meeting on Wednesday 9th September 1992 at which Mr Stephen Kirby BSc, CEng, Director of Estates, gave a talk and tour of the new Private Ward Unit and Ultra Clean Ventilation Theatre at Epsom General Hospital. The new Northey Ward, is a result of the refurbishment of what was a 31 bed section of the Hospital Surgical Block on the 5th floor. The new Ward provides a total of 18 single bed Wards, each complete with bathroom/WC, the Unit also accommodates a 5 bed Day Ward. All the facilities provided are of extremely high standard, which given the very tight building programme, detailed elsewhere, is indicative of the dedication of both the Designers and Contractors who are congratulated on their achievement. With regard to the UCV Theatre the following information was prepared by Aidan Hardy who is a Project Engineer with Epsom General Hospital. We are delighted to be able to print this report for our readers. PMID:10122458

  9. Examining General Hospitals' Smoke-Free Policies

    Science.gov (United States)

    Whitman, Marilyn V.; Harbison, Phillip Adam

    2010-01-01

    Purpose: This paper aims to examine the level of smoke-free policies in general hospitals and the barriers faced in implementing restrictive policies banning smoking inside buildings and on surrounding grounds. Design/methodology/approach; A survey was developed to gather data on hospitals' current smoke-free policies, including the challenges…

  10. Psychiatric referrals in two general hospitals.

    Directory of Open Access Journals (Sweden)

    Doongaji D

    1989-07-01

    Full Text Available A prospective study was undertaken to compare the patterns of psychiatric referrals in two general hospitals in Bombay viz. the King Edward Memorial Hospital (64 cases and the Jaslok Hospital and Research Centre (62 cases. It was observed that depressive symptoms were the most common presenting symptoms in these patients attending either of the hospitals. Similarly, the commonest diagnoses were depression and organic mental disorder. Attempted suicide with organophosphorous compounds was the commonest reason for hospitalization at K.E.M. Hospital (p less than 0.001. A significant number of these patients were females (p less than 0.05. The psychiatric referrals at Jaslok had been hospitalized mainly for suspected medical or neurological illness (p less than 0.001. These patients belonged to higher economic strata and hence had a better paying capacity compared to patients at KEM hospital, a significant number of whom were unemployed (p less than 0.001. The duration of pre-referred illness of patients and their stay at Jaslok hospital were longer as compared to those at KEM Hospital (p less than 0.01. The number of non-relevant special investigations carried out on patients in Jaslok was more (p less than 0.01. Further analysis of diagnoses revealed that a significant number of patients at KEM Hospital were admitted as primary psychiatric illness (p less than 0.05.

  11. Do general practitioner hospitals reduce the utilisation of general hospital beds? Evidence from Finnmark county in north Norway

    OpenAIRE

    Aaraas, I.; Forde, O. H.; Kristiansen, I S; Melbye, H.

    1998-01-01

    STUDY OBJECTIVE: To assess whether populations with access to general practitioner hospitals (GP hospitals) utilise general hospitals less than populations without such access. DESIGN: Observational study comparing the total rates of admissions and of occupied bed days in general hospitals between populations with and without access to GP hospitals. Comparisons were also made separately for diagnoses commonly encountered in GP hospitals. SETTING: Two general hospitals serving the popula...

  12. Decontamination exercise at a general hospital

    International Nuclear Information System (INIS)

    By using a luminescent material as a substitute for radioactive contamination a realistic assessment of the emergency plans for dealing with contaminated radiation casualties at a Regional General Hospital was made. The areas where problems arose in these plans are described and the changes now made to them given. (author)

  13. Analysis of Niche Hospitals in Texas and the Financial Impact on General Hospitals

    OpenAIRE

    Deborah Chollet; Su Liu; Gilbert Gimm; Cheryl Fahlman; Laurie Felland; Anneliese Gerland; Michelle Banker; Allison Liebhaber

    2006-01-01

    In Texas, as in other states, the proliferation of niche hospitals has raised concern about the potential financial impact of these hospitals on full-service general hospitals. This report compares the financial status of physician-owned niche hospitals and general hospitals in Texas, analyzes the impact of niche hospitals on general hospital financial margins and levels of uncompensated care, analyzes potential bias in physician-owners' referral patterns, investigates stakeholders' perceptio...

  14. Nurse endoscopy in a district general hospital.

    OpenAIRE

    Goodfellow, P B; Fretwell, I. A.; Simms, J M

    2003-01-01

    INTRODUCTION: This study describes the first full year of independent practice by a newly appointed nurse endoscopist in a district general hospital. PATIENTS AND METHODS: Patients underwent either 'one stop' flexible sigmoidoscopy and barium enema or flexible sigmoidoscopy alone. Barium enema results, video photography, clinical follow-up, and histology were used to validate the results of the flexible sigmoidoscopy. One stop clinic: 161 endoscopies were performed, with 104 female patients (...

  15. Nuclear medicine in district general hospitals.

    OpenAIRE

    Staffurth, J. S.

    1983-01-01

    Nuclear medicine is a recognised clinical specialty both nationally and internationally. Compared with other countries, it is inadequately developed in Britain, particularly in district general hospitals. To create clinical radioisotope services at district level physicians or radiologists with experience in nuclear medicine need to be trained and appointed. Such appointments would allow facilities to evolve that would provide either a comprehensive nuclear medicine service formed around a ph...

  16. Carmen Kass ühines Res Publicaga / Lauri Tankler

    Index Scriptorium Estoniae

    Tankler, Lauri

    2004-01-01

    Ilmunud ka: Võta Võim : na russkom jazõke, 29. veebr. 2004, lk. 1. Modell Carmen Kass otsustas astuda Res Publica Juventuse liikmeks. Juventus tegi C. Kassile ettepaneku kandideerida europarlamenti. Vt. samas: Carmen Kassi manifest

  17. Perspectiva sobre una Personalidad Senera: Carmen Fischer Ramirez (Perspective on a Singular Personality: Carmen Fischer Ramirez).

    Science.gov (United States)

    Quezeda, Dina Alarcon

    1992-01-01

    Traces the career of Carmen Fischer Ramirez, focusing on her work in improving early childhood education in Chile. Reviews her university career, work with the World Organization for Early Childhood Education, and major publications. (AC)

  18. Terminal care: the role of the general practitioner hospital

    OpenAIRE

    Lyon, A; Love, D R

    1984-01-01

    A survey of all deaths occurring over a two-year period in a group practice population was carried out to assess the contribution of the local general practitioner hospital to terminal care overall. With the availability of the hospital, the general practitioners were able to provide a higher proportion of terminal care for their patients than in areas where general practitioners did not have access to hospital beds. This was particularly so in terminal care for patients dying of cancer.

  19. Standards for nursing documentation in general hospitals in South Africa

    Directory of Open Access Journals (Sweden)

    LR. Uys

    1989-09-01

    Full Text Available In this project standards for nursing records in general hospitals were formulated and then validated by a group o f nurses. An instrument was then designed to evaluate to what extent the standards are reached in a particular hospital. The instrument was then tested in a sample o f nine hospitals. The reliability and validity o f the instrument is discussed.

  20. Conceptions of nursing staff about psychiatric care in general hospital

    OpenAIRE

    Leila Mariza Hildebrandt; João Fernando Marcolan

    2016-01-01

    Objective: to understand the concepts of Nursing professionals about the hospitalization of people with mental disorders admitted to psychiatric units of general hospitals. Methods: this is a qualitative research developed in three general hospitals. The data collection was carried out through semi-structured interviews and systematic observation. Thirty Nursing professionals were interviewed. The data analysis was based on content analysis. Results: issues concerning fragility were identifie...

  1. 42 CFR 412.22 - Excluded hospitals and hospital units: General rules.

    Science.gov (United States)

    2010-10-01

    ... Register citations affecting § 412.22, see the List of CFR Sections Affected, which appears in the Finding... 42 Public Health 2 2010-10-01 2010-10-01 false Excluded hospitals and hospital units: General... HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL...

  2. CARMENES instrument control system and operational scheduler

    Science.gov (United States)

    Garcia-Piquer, Alvaro; Guàrdia, Josep; Colomé, Josep; Ribas, Ignasi; Gesa, Lluis; Morales, Juan Carlos; Pérez-Calpena, Ana; Seifert, Walter; Quirrenbach, Andreas; Amado, Pedro J.; Caballero, José A.; Reiners, Ansgar

    2014-07-01

    The main goal of the CARMENES instrument is to perform high-accuracy measurements of stellar radial velocities (1m/s) with long-term stability. CARMENES will be installed in 2015 at the 3.5 m telescope in the Calar Alto Observatory (Spain) and it will be equipped with two spectrographs covering from the visible to the near-infrared. It will make use of its near-IR capabilities to observe late-type stars, whose peak of the spectral energy distribution falls in the relevant wavelength interval. The technology needed to develop this instrument represents a challenge at all levels. We present two software packages that play a key role in the control layer for an efficient operation of the instrument: the Instrument Control System (ICS) and the Operational Scheduler. The coordination and management of CARMENES is handled by the ICS, which is responsible for carrying out the operations of the different subsystems providing a tool to operate the instrument in an integrated manner from low to high user interaction level. The ICS interacts with the following subsystems: the near-IR and visible channels, composed by the detectors and exposure meters; the calibration units; the environment sensors; the front-end electronics; the acquisition and guiding module; the interfaces with telescope and dome; and, finally, the software subsystems for operational scheduling of tasks, data processing, and data archiving. We describe the ICS software design, which implements the CARMENES operational design and is planned to be integrated in the instrument by the end of 2014. The CARMENES operational scheduler is the second key element in the control layer described in this contribution. It is the main actor in the translation of the survey strategy into a detailed schedule for the achievement of the optimization goals. The scheduler is based on Artificial Intelligence techniques and computes the survey planning by combining the static constraints that are known a priori (i.e., target

  3. The Risk of Decubitus on Hospitalized Patients in General Hospital of Haji Adam Malik Medan

    OpenAIRE

    Samsinar

    2014-01-01

    The risk of decubitus on hospitalized patients Decubitus risk in patients varies. Elderly patients with total care and partial care in hospitals a chance to suffer from decubitus. This research aims to know the risks in patients treated decubitus in General Hospital of Haji Adam Malik Medan. This research uses descriptive design with the total sample obtained 48 respondents. Samples were taken using the technique of total sampling. Data collection is done using the research instrument consist...

  4. LIGASURE (PRECISION HAEMORROIDECTOMY AT GOVT. GENERAL HOSPITAL

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    Anand

    2015-09-01

    Full Text Available BACKGROUND : Haemorrhoids is a common problem throughout the world. Many procedures are available for management of grade II and grade III hemorrhoids. The main postoperative complications associated with any of these procedures are pain and bleeding per rectum and pro longed healing time. Liga Surel TM haemorroidectomy was evaluated in this study for post - operative complications and symptomatic relief. METHODS: We analyzed 50 patients of hemorrhoids of grade II, III and IV who underwent Ligasure Precise haemorroidectomy by a classical Milligan - Morgan technique. The outcome factors analyzed were total operative time, blood loss, post - operative pain on visual analogue scale, any other complication and days of hospital stay. RESULTS: Of all the 50 patients, the operative ti me was less than 10 minutes in 27 patients (54% and the blood loss, as was measured by number of soaked gauze pieces only one gauze piece was soaked in 31 patients (62%. The Average Post - operative pain score measured on Visual Analogue Scale (VAS at 12, 24 & 48 hours were 6.54, 4.52 and 3.12 respectively. In all patients postoperative period and follow up was uneventful except for one patient who developed transient flatus incontinence. With physiotherapy and dietary management this problem resolved ther eafter. CONCLUSIONS: Liga Sure Hemarrhoidectomy is a safe, Technically easy and fast modality of treatment for 2 nd , 3 rd & 4 th degree of hemorrhoids whether single or multiple, requiring very less operating ti me, with no major post - operative complications an d early return to day to day activities

  5. Comparison of improvement process of addict and general coma patients hospitalized in Taleghani hospital

    OpenAIRE

    Akbari, Mostafa; Soleimani, Pezhman; Kohi, Farzaneh; Kahrizi, Somayeh

    2012-01-01

    Abstract: Background: Substance and other relative compounds prevents of physiological Adernocorticotropin secretion from pituitary gland and lead to mental exciting and arousal. Present study investigated impact of addiction on improvement process of coma in addiction and general patients. Methods: 170 coma patients hospitalized in Taleghani hospital in 1390 were investigated, that 10 persons of them were addict, therefore 10 addict patients and 10 general patients with GCS 5/6 were selected...

  6. Provision of general paediatric surgical services in a regional hospital.

    LENUS (Irish Health Repository)

    Zgraj, O

    2012-01-31

    BACKGROUND: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons\\/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement. AIM: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland. METHODS: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer. RESULTS: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed. CONCLUSION: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services\\/appropriate surgical training for general surgical trainees.

  7. Confidencias de artistas, de Carmen de Burgos

    Directory of Open Access Journals (Sweden)

    García Templado, José

    2010-06-01

    Full Text Available Confidencias de Artistas (Artists’ Confidences is a compendium of interviews made to successful stars of the stage. These interviews support or cause the ideological purposes that inspired Colombine’s particular feminism. The crisis at the end of the century, the enlightenment, the Constitutions, the Regenerationism and the new philosophic and literary trends enlighten her path and gave her a working method. The results highlighted the infringement or the ratification of the modern women rights that Carmen de Burgos collected in her essay on the same subject.Confidencias de Artistas reúne las entrevistas a estrellas de la escena que lograron el éxito. Esas entrevistas apoyan o motivan los objetivos ideológicos que inspiraron a Colombine su peculiar feminismo. La crisis de fin de siglo, la Ilustración, las Constituciones, el Regeneracionismo, las nuevas corrientes filosóficas y literarias, iluminaron su camino y le proporcionaron un método de trabajo. Los resultados ponen de relieve la conculcación o ratificación de los derechos de la mujer moderna que Carmen de Burgos recoge en su ensayo sobre el tema.

  8. House-fly distribution in certain general hospital in Cairo.

    Science.gov (United States)

    Radi, M; Merdan, A I; Labib, I

    1991-12-01

    Fly sampling was evaluated under laboratory conditions before starting the field surveys. Three different fly traps were tested, of which the Spiralettes (a commercial one) proved to be the most efficient. Sampling conditions were also considered in this laboratory evaluation, light, air current, swinging, height and temperature were tested, all of them have affected fly trapping except height. Fly density and distribution in two general hospitals and two specialized ones, were estimated in order to evaluate them epidemiologically in relation to hospital bacterial contamination. Results of these surveys revealed the followings: (1) The location of the hospital has no impact on the fly density. (2) Flies are attracted more to swinging hanged ribbon traps than to fixed ones. (3) Fly densities were relatively high in the main kitchens and the main garbages followed by toilets (common ones), patient wards, outpatients investigating rooms, surgical theaters and plasterrooms of the hospitals. (4) Fly density is higher during warm seasons than in cold ones. PMID:1765698

  9. Carmen Kass õnnelik ja Aasta modell / Mari Klein

    Index Scriptorium Estoniae

    Klein, Mari

    2000-01-01

    Eesti Aasta modelliks valiti Carmen Kass. Aasta Disainer - Tiina Talumees ; Aasta Noor Disainer - Aldo Järvsoo; Eesti Stiilseim Naine - Elle Kull; Eesti Stiilseim Mees - Mart Sander; Trenditeadlikum Mees - Hannes Võrno; Trenditeadlikum Naine - Eda-Ines Etti

  10. Primary Supervision: Massachusetts General Hospital's child and adolescent psychiatry seminar

    Science.gov (United States)

    Jellinek, Michael S.

    2007-01-01

    In this article, the author describes "Primary Supervision", a seminar he has led for approximately 20 years, which is designed for the entire class of nine first-year residents in Child and Adolescent Psychiatry training at Massachusetts General Hospital. The seminar meets for 1 hour each week throughout the first year. Through 900 hours of…

  11. Group of family companions of hospitalized patients: an occupational therapy intervention strategy in a general hospital

    Directory of Open Access Journals (Sweden)

    Daniel Ferreira Dahdah

    2013-08-01

    Full Text Available There is a consensus in the literature that the company of a family member during the hospitalization period increases patient recovery. However, this can have some negative effects on the caregiver’s health. With the purpose of reducing these negatives effects, it is useful to let family members express themselves. The State Hospital of Ribeirão Preto created a Group of Family Companions coordinated by the Occupational Therapy and Social Service. This study focuses on the assistance offered in a general hospital to families that undergo the whole illness and hospitalization process of their family member, suffering the impacts of this process in their daily lives, and on the intervention of Occupational Therapy in these cases.

  12. Auxilio Social en La casa de enfrente (1960) de Carmen de Icaza / Auxilio Social in La casa de enfrente (1960) by Carmen de Icaza

    OpenAIRE

    Carmen Fragero Guerra

    2014-01-01

    Resumen: El texto analiza La casa de enfrente (1960), última novela escrita por Carmen de Icaza (1899-1979), que ha sido ignorada por los críticos. Primero, tratamos de encontrar la voz narrativa en episodios relativos a Auxilio Social ‒organización dedicada a asistir a la población durante la Guerra Civil española‒. Los métodos de Auxilio Social y los ganadores de la guerra están considerados desde el punto de vista de los vencidos por una autora que fue secretaria general de Auxilio Social ...

  13. Neonatal outbreak of salmonella worthington in a general hospital

    Directory of Open Access Journals (Sweden)

    Muley V

    2004-01-01

    Full Text Available This is a report of an outbreak of Salmonella worthington in neonates at Sassoon General Hospitals, Pune, which occurred during August and September 2000. A total of 148 blood, 4 CSF and 6 stool specimens were received from neonates admitted to the hospital. Salmonella worthington could be isolated from 17 clinical specimens [15 blood (10.8%, 1 CSF (25% and 1 stool (16.6% sample]. Environmental swabs were also processed. An attempt was made to detect carriers in health care personnel. However, no source or carrier of Salmonella worthington in the hospital environment could be identified. Intensive cleaning measures and fumigation were undertaken. All these measures succeeded in aborting the outbreak.

  14. Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?

    Science.gov (United States)

    Ferrua, Marie; Sicotte, Claude; Lalloué, Benoît; Minvielle, Etienne

    2016-01-01

    Context The strategy of publicly reporting quality indicators is being widely promoted through public policies as a way to make health care delivery more efficient. Objective To assess general practitioners’ (GPs) use of the comparative hospital quality indicators made available by public services and the media, as well as GPs’ perceptions of their qualities and usefulness. Method A telephone survey of a random sample representing all self-employed GPs in private practice in France. Results A large majority (84.1%–88.5%) of respondents (n = 503; response rate of 56%) reported that they never used public comparative indicators, available in the mass media or on government and non-government Internet sites, to influence their patients’ hospital choices. The vast majority of GPs rely mostly on traditional sources of information when choosing a hospital. At the same time, this study highlights favourable opinions shared by a large proportion of GPs regarding several aspects of hospital quality indicators, such as their good qualities and usefulness for other purposes. In sum, the results show that GPs make very limited use of hospital quality indicators based on a consumer choice paradigm but, at the same time, see them as useful in ways corresponding more to the usual professional paradigms, including as a means to improve quality of care. PMID:26840429

  15. Evaluation of a radioisotope service in a general hospital

    International Nuclear Information System (INIS)

    The value of radioisotopes in medicine has become increasingly apparent over the last few years. Nuclear medicine however recent, has nevertheless reached adult hood and doctors appreciate its substantial contribution in the field of diagnosis especially. So far nuclear medicine has been confined to University Hospital Centres, mainly for legal reasons. However the considerable help offered by this discipline is now taken for granted in the medical world and the wholly experimental stage is long past. While this aspect of nuclar medicine still exists, and is still dealt with by the services of University Hospital Centres, radioisotopes are now used to a large extend and on a day-to-day basis in pathology. Owing to pressure of work it is difficult for UH Centres to meet all request for examinations, so would the presence of nuclear medicine Service be justified in general Hospitals. The existence of one such service at the Bayonne HC might help to answer this question. For this reason the activity of the Bayonne HC Nuclear Medicine Service during its first year of practice is examined here. For a better understanding of the position this report first presents the Bayonne Hospital and the place occupied by a nuclear Medicine service in such an establishment. The activity of this service during its first year is then studied and the situation weighed up generally

  16. Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?

    OpenAIRE

    Ferrua, Marie; Sicotte, Claude; Lalloué, Benoît; Minvielle, Etienne

    2016-01-01

    Context The strategy of publicly reporting quality indicators is being widely promoted through public policies as a way to make health care delivery more efficient. Objective To assess general practitioners’ (GPs) use of the comparative hospital quality indicators made available by public services and the media, as well as GPs’ perceptions of their qualities and usefulness. Method A telephone survey of a random sample representing all self-employed GPs in private practice in France. Results A...

  17. Terapia ocupacional en un hospital general de pacientes agudos = Occupational therapy in a general hospital for acute pacients

    Directory of Open Access Journals (Sweden)

    Ocello, M. G

    2006-09-01

    Full Text Available RESUMEN Desde su creación, el Hospital Provincial “Dr. José María Cullen” posee la característica de ser un hospital de emergencias, sostenido por la Sociedad de Beneficencia y la Hermanas de la Caridad.Su funcionamiento responde a un Modelo Clínico-Asistencial, lo cual influye en la inserción de Terapia Ocupacional debiendo adaptar sus funciones a las características de la Institución.Los marcos de referencia teóricos y programas que se implementandeber ser acordes con las necesidades surgidas de un Hospital General de Agudos y de emergencias.En el Sector de Terapia Ocupacional se desarrolla la actividad docente cumpliendo con los requisitos reglamentados por el Ministerio de Salud de la Provincia de Santa Fe.ABSTRACT Ever since its start the Provincial Hospital “Dr. José María Cullen” is characterised for being an emergency hospital under the guidance of the Benfit Society of Hermanas de la Caridad.Its function responds to a Clinical Assistential Model, which influences the insertion of Occupational Therapy, adapting its functiones to the characteristics of the Institution as and when called for.The theoretical points of reference and programmes that are used must be in accordance with tehe necessities that appear in an Acute and Emergency General Hospital.In the Occupational Therapy Sector the teaching activity is developed as required by rules and regulations of the Ministry of Health for the Province of Santa Fe.

  18. Hospital Anxiety and Depression Scale (HADS: validation in a Greek general hospital sample

    Directory of Open Access Journals (Sweden)

    Patapis Paulos

    2008-03-01

    Full Text Available Abstract Background The Hospital Anxiety and Depression Scale (HADS has been used in several languages to assess anxiety and depression in general hospital patients with good results. Methods The HADS was administered to 521 participants (275 controls and 246 inpatients and outpatients of the Internal Medicine and Surgical Departments in 'Attikon' General Hospital in Athens. The Beck Depression Inventory (BDI and the State-Trait Anxiety Inventory (STAI were used as 'gold standards' for depression and anxiety respectively. Results The HADS presented high internal consistency; Cronbach's α cofficient was 0.884 (0.829 for anxiety and 0.840 for depression and stability (test-retest intraclass correlation coefficient 0.944. Factor analysis showed a two-factor structure. The HADS showed high concurrent validity; the correlations of the scale and its subscales with the BDI and the STAI were high (0.722 – 0.749. Conclusion The Greek version of HADS showed good psychometric properties and could serve as a useful tool for clinicians to assess anxiety and depression in general hospital patients.

  19. Fetomaternal outcomes of hospitalized hypertensive gravida in Shaqra General Hospital: a retrospective study

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    Russel Abalos

    2015-01-01

    Full Text Available Background: Elevation of blood pressure during pregnancy can adversely affect both fetal and maternal outcomes. Other maternal and fetal complications may also arise which may result to maternal and fetal mortality. Objective: This study aimed to determine the fetal and maternal outcomes of hospitalized pregnant clients with hypertension. Methods: This 6-year retrospective research design was carried out in Shaqra General Hospital between January 2008 and November 2013. Following approval by the hospital research ethics committee and hospital administrators, hospital records were reviewed and examined using guide checklist. Universal sampling was applied totaling to 56 evaluable cases of pregnant women with hypertension. Results: Of 56 cases studied, year 2008 to 2013 had the most frequency of hypertensive mothers. Most women are in middle adulthood stage with age 25 years old and above, had more than one pregnancy (multigravida and more than one viable pregnancy (multipara. Fetal outcome resulted to high number of babies who were term, appropriate for gestational age, with good Apgar score, no birth defect but high frequency of neonatal intensive care unit (NICU admissions. Maternal outcome recorded no maternal deaths; however, 4% maternal complications (i.e., post-partum hemorrhage and HELLP syndrome and more caesarean section deliveries were observed. Conclusion: Good Apgar score and absence of birth defects is associated with higher frequency of roomed-in babies and less NICU admissions. There were lesser complications to mothers who had more than one pregnancy. There were more NICU admissions from caesarean section deliveries.

  20. Monitoring deliberate self-harm presentations to general hospitals.

    Science.gov (United States)

    Hawton, Keith; Bale, Liz; Casey, Deborah; Shepherd, Anna; Simkin, Sue; Harriss, Louise

    2006-01-01

    Monitoring of deliberate self-harm (DSH) presentations to hospitals (and in other settings) is receiving increased attention in many countries. This is due to greater recognition of the size of the problem and awareness of its relevance to suicide prevention policy initiatives, because of the strong association between DSH and suicide. A system for monitoring all DSH presentations has been in place in the general hospital in Oxford for 30 years. Based on our experience, in this paper we describe procedures for monitoring, including case definition and identification, linkage of persons and episodes in order to investigate repetition of DSH and other outcomes (including deaths), and data protection and ethical issues. We also provide details of how to carry out monitoring, including different models of data collection, and what data to collect. Finally we consider the potential uses of the data for both clinical and research purposes, including evaluation of national suicide prevention initiatives. PMID:17219747

  1. Undertaking capacity assessments for people with dementia in general hospitals.

    Science.gov (United States)

    Murray, Aileen

    2016-08-01

    Ensuring that older patients are discharged from hospital in a safe and appropriate manner is a fundamental aspect of nursing care. However, it is clear from the literature and clinical practice that determining people's capacity and whether they are able to decide where they live on discharge is a significant challenge. There is variation in practice despite the legal framework provided by the Mental Capacity Act (MCA) 2005, covering England and Wales, which raises questions about adherence to the legislation. Using a case study, this article explores aspects of the MCA and clinical practice that affect older patients' outcomes on discharge from general hospital settings. It demonstrates how effective multidisciplinary working, using the legal frameworks available, can ensure that an individual's independence and well-being are maintained. PMID:27573964

  2. Hospital discharge summary scorecard: a quality improvement tool used in a tertiary hospital general medicine service.

    Science.gov (United States)

    Singh, G; Harvey, R; Dyne, A; Said, A; Scott, I

    2015-12-01

    We assessed the impact of completion and feedback of discharge summary scorecards on the quality of discharge summaries written by interns in a general medicine service of a tertiary hospital. The scorecards significantly improved summary quality in the first three rotations of the intern year and could be readily adopted by other units as a quality improvement intervention for optimizing clinical handover to primary care providers. PMID:26444698

  3. El México de Carmen de Burgos

    OpenAIRE

    Portal, Marta

    2010-01-01

    The text shows in the first paragraphs Carmen de Burgos’ professional personality and her style features. Marta Portal refers to su propio México (her own Mexico), that she –the authoress of the comment– knew in the few visits to that country and which is materialized in her books and in her articles about Mexico. She makes a further analysis of Carmen de Burgos’ direct comments about that country as this authoress had visited and described Mexico in several articles and in...

  4. General medications utilization and cost patterns in hospitalized children

    Directory of Open Access Journals (Sweden)

    Kassis I

    2009-03-01

    Full Text Available Drug utilization in the in-patient setting can provide mechanisms to assess drug prescribing trends, efficiency and cost-effectiveness of hospital formularies and examine sub-populations such as children for which prescribing habits are different from adults. Objectives: The aim of this descriptive study was to analyze general medication utilization patterns and costs excluding antimicrobials prescriptions and to compare two pediatric admission units in a tertiary care university hospital. Methods: The total number of admitted children was 1,521 and 1,467 for the A and B admission units, respectively. The electronic data from 252 and 253 hospitalized children in the A and B admission unit were prospectively screened for general medication prescriptions, children on antimicrobials were excluded from the analysis. Their electronic charts were viewed once weekly from October 15, 2007 up to April 7, 2008 using the prescription-point prevalence method. One medication was considered to be one prescription. Results: The general medications prescription number was 790 for 94 children (8.4 prescription/patient in A and 959 for 88 children (10.9 prescription/patient in B (p=0.02. The general medications defined daily dose (DDD and drug utilization 90% (DU90% index were 2,509.63, 2,259 for A; and 6,110.35, 5,499 for B, respectively. The DU90% index placed salbutamol inhalation with 835 DDD and sodium heparin with 2,102 DDD in the first place for the A and B admission units, respectively. A net increment in medication cost was registered according to the calculated cost from the depicted DU90% when the A (20,263 NIS and B (6,269 NIS admission units were compared (p=0.04. Conclusions: A significant difference in the prescription utilization of general medications was shown between the A and B admission units. The A admission unit had lower prescriptions measured by the DU90% index with higher medication cost. Potential drug-drug interactions were depicted in

  5. Percutaneous injuries among healthcare workers at a general hospital

    Directory of Open Access Journals (Sweden)

    Ibak Gönen, Mehmet Faruk Geyik

    2011-06-01

    Full Text Available Objectives: Percutaneous injuries (PCIs remain a common incident among healthcare workers (HCWs despite the introductionof safety programs. The aim of this study was to assess the PCIs, required precautions, and applications after the injuries among healthcare workers in a small general hospital.Materials and methods: We assessed the occurrence of PCIs at a General Hospital (EGH from January 2007 to November2010. During this period, all injury cases among HCWs were reported to the Infection Control Committee (ICC using percutaneous injury notification form. The injury notification forms were evaluated retrospectively.Results: Totally 275 health personnel were working in our hospital, 36 healthy workers have been exposed to PCIs during this period. The incidence of PCIs was 2,9/10000 in 2007, 3,1/10000 in 2008, 3,8/10000 in 2009 and 3,9/10000 patient-days in 2010. Injured staff were recorded as, 16 nurses (44%, 12 cleaning staffs (34%, and eight (22% doctors. The device leading to damage was most frequently the needle-channel. Ten sources (27% were detected positive for hepatitis B virus (HBV, four (11% for hepatitis C virus (HCV, and two (5% for Crimean-Congo hemorrhagic fever virus (CCHFV. No case of seroconversion has been recognized for any of the above mentioned infections.Conclusions: Percutaneous injuries remain to occur among HCWs. Since some the sources were infected, the health personnel are endangered for infections due to PCIs. The health personnel should presume that all patients are infected,and thus should work following universal precautions to avoid complications about the PCIs. J Microbiol Infect Dis 2011;1(1:26-30.

  6. Financial management challenges for general hospital psychiatry 2001.

    Science.gov (United States)

    Goldberg, R J

    2001-01-01

    Psychiatry programs are facing significant business and financial challenges. This paper provides an overview of these management challenges in five areas: departmental, hospital, payment system, general finance, and policy. Psychiatric leaders will require skills in a variety of business management areas to ensure their program success. Many programs will need to develop new compensation models with more of an emphasis on revenue collection and overhead management. Programs which cannot master these areas are likely to go out of business. For academic programs, incentive systems must address not only clinical productivity, but academic and teaching output as well. General hospital programs will need to develop increased sophistication in differential cost accounting in order to be able to advocate for their patients and program in the current management climate. Clinical leaders will need the skills (ranging from actuarial to negotiations) to be at the table with contract development, since those decisions are inseparable from clinical care issues. Strategic planning needs to consider the value of improving integration with primary care, along with the ability to understand the advantages and disadvantages of risk-sharing models. Psychiatry leaders need to define and develop useful reports shared with clinical division leadership to track progress and identify problems and opportunities. Leaders should be responsible for a strategy for developing appropriate information system architecture and infrastructure. Finally, it is hoped that some leaders will emerge who can further our needs to address inequities in mental health fee schedules and parity issues which affect our program viability. PMID:11313073

  7. Alcohol misuse in the general hospital: some hard facts.

    LENUS (Irish Health Repository)

    Bradshaw, P

    2012-02-03

    AIMS: To examine (1) the prevalence of alcohol use disorders in adult general hospital inpatients; (2) the accuracy of documentation in relation to alcohol use. METHODS: A total of 210 random patients were interviewed out of 1,448 consecutive new admissions to CUH over 7 days. Case notes were reviewed for 206 (98%). Alcohol consumption was assessed using the Fast Alcohol Screening Test (FAST) and weekly drinking diary. FAST-positive (and a random sample of FAST-negative) patients then had a standardized interview. RESULTS: A total of 82% admitted for drinking alcohol. Among them 22% were drinking in excess of guidelines, 9% had DSM-IV Alcohol Abuse and 7% dependence. The sensitivity and specificity of the FAST for detecting those drinking above guidelines were 89 and 94% and for detecting a DSM-IV diagnosis was 100 and 73%. The majority of case notes contained inadequate information about alcohol intake. CONCLUSION: Alcohol use disorders are common and often undetected in the general hospital setting.

  8. Riesgo cardiovascular en la población con sobrepeso u obesidad en el cantón Central de Cartago, CARMEN 2001

    OpenAIRE

    Marlene Roselló-Araya; Sonia Guzmán-Padilla

    2008-01-01

    Objetivo general: Determinar el nivel de riesgo cardiovascular global de la población con sobrepeso u obesidad del cantón Central de Cartago, CARMEN 2001. Metodología: Estudio de tipo descriptivo, transversal, basado en los datos del proyecto CARMEN, realizado en 2001 en Cartago, utilizando la tabla de Framingham clásica. Muestra 373 personas (142 hombres y 231 mujeres) con sobrepeso u obesidad, con edades comprendidas entre 30 y 64 años. Resultados: El 61,9% eran mujeres; la edad promedio fu...

  9. Supermodell Carmen Kass osaleb Eestis filmivõtetel / Risto Berendson

    Index Scriptorium Estoniae

    Berendson, Risto, 1975-

    2003-01-01

    Produtsent Kristian Taska uue mängufilmi "Täna öösel me ei maga" võtted algasid 28. juunil Tallinna vanalinnas. Lavastab Ilmar Taska, operaatoriks on Istvan Borbas, peaosades Carmen Kass, Peter Franzen, Maria Avdjushko, Priit Võigemast

  10. Film Remakes as Ritual and Disguise : From Carmen to Ripley

    NARCIS (Netherlands)

    Zanger, Anat

    2006-01-01

    Wat is de reden van filmproducenten voor het maken van een 'remake', waarin een succesvol verhaal opnieuw verteld wordt? En waarin schuilt de aantrekkingskracht voor het publiek om deze verhalen steeds opnieuw te beleven? Wat maakt Carmen, Jeanne d'Arc of Ripley zo bijzonder? Film Remakes as Ritual

  11. Maritime radio-medical services: the Singapore General Hospital experience.

    Science.gov (United States)

    Lateef, Fatimah; Anantharaman, Venkataraman

    2002-07-01

    Medical care for the sick and injured on a variety of sea-faring vessels throughout the world represents a challenging area of medical care. The scope is extremely broad and unique in terms of the problems encountered at sea, logistical difficulties in assessment and treatment of patients, as well as the provision of definitive care. The problems of sparse resources availability, great distances, isolation, communications, accessibility, and weather are also very real. In Singapore, radio-medical advice was first coordinated by the Port Health Authority. In 1980, the accident and emergency department at Singapore General Hospital took over this responsibility. This report analyzes 2,320 calls received over a period of 21 years (January 1980 to December 2000). It highlights the common consultations, modes of communications, treatment and management prescribed, training requirements, as well as the challenges for the future. PMID:12098185

  12. 42 CFR 412.370 - General provisions for hospitals located in Puerto Rico.

    Science.gov (United States)

    2010-10-01

    ... Prospective Payment System for Inpatient Hospital Capital Costs Special Rules for Puerto Rico Hospitals § 412.370 General provisions for hospitals located in Puerto Rico. Except as provided in § 412.374, hospitals located in Puerto Rico are subject to the rules in this subpart governing the prospective...

  13. General Characteristics of HIV/AIDS Patients in Ditan Hospital

    Institute of Scientific and Technical Information of China (English)

    刘彦春; 徐克沂; 张福杰; 赵红心; 李兴旺; 李秀兰; 闫会文

    2004-01-01

    Objective: To elucidate general characteristics of HIV/AIDS patients seeking care at Ditan Hospital in an attempt to guide early diagnosis in routine medical care. Materials and methods: A retrospective analysis of 185 HIV/AIDS cases from January 1990 to June 2002 was completed using SPSS statistical analysis. Results: Male to female ratio was 1.8:1. Subjects ranged in age from 1 year old to 64 years old. 16 cases were younger than 20 years old with the median age among the younger subset at 7.7 years. 169 cases were older than 20 years old with a median age of 36 years old. 29% of the subjects were peasants. The remaining 71%, were of other unspecifiedoccupations. 90.8% of individuals were of Han descent while 3.7% of individuals were of a minority heritage. 50.3% of subjects were married; 23.8% have never married; 8.1% were divorced; and the remaining 17.8% were of unknown marital status. Of those represented in this study, 36.8% came from the Henan province; 17.8% were from Beijing; 8.6% were from Shanxi; 31.4% from the other 20 provinces of China; and 5.4% from outside of China. Mode of transmission: 40.0% (74/185) contracted HIV through unprotected sexual contact; 29.2% (54/185) through receiving blood or plasma transfusions; 21.1%(39/185) through donating plasma; 7 cases were intravenous drug users; 7 cases were vertically transmitted. Mode of transmission was unknown in 4 cases. Clinical categories: An included 45 cases; B included 85 cases: C consisted of 76 cases. 12 cases were deceased. Initial presentation: 39 cases presented with_fever ,cough and diarrhea. 37 cases had fever and cough only-38 cases presented with chronic diarrhea. 16 cases were discovered incidentally at time of operation. 8 cases presented with fungal infection of the oral cavity or in esophagus. The common HIV associated symptoms and opportunistic infections were: weight loss and diarrhea, respiratory diseases, dermatologic diseases, anemia, neutropenia. Diseases of other organ

  14. Profilaxia para tromboembolia venosa em um hospital geral Venous thromboembolism prophylaxis in a general hospital

    Directory of Open Access Journals (Sweden)

    Fernanda Fuzinatto

    2011-04-01

    Full Text Available OBJETIVO: Avaliar a prática de profilaxia para tromboembolia venosa (TEV em pacientes em um hospital geral. MÉTODOS: Estudo de coorte transversal conduzido no Hospital Nossa Senhora da Conceição, localizado na cidade de Porto Alegre (RS, com uma amostra constituída de pacientes internados selecionados randomicamente entre outubro de 2008 e fevereiro de 2009. Foram incluídos pacientes maiores de 18 anos e internados por mais de 48 h. Os critérios de exclusão foram pacientes em uso de anticoagulantes, história de doença tromboembólica, gestação e puerpério. A adequação da profilaxia foi avaliada seguindo as recomendações de um protocolo criado pela instituição e tendo como base principal a diretriz da American College of Chest Physician, oitava edição. RESULTADOS: Foram incluídos 262 pacientes com média de idade de 59,1 ± 16,6 anos. Os fatores de risco mais comuns foram imobilização (70,6%, infecção (44,3%, câncer (27,5%, obesidade (23,3% e cirurgia maior (14,1%. Na avaliação do nível de risco para TEV, 143 (54,6% e 117 pacientes (44,7%, respectivamente, foram classificados como de risco alto e moderado. No geral, 46,2% dos pacientes tiveram profilaxia adequada, assim como 25% dos pacientes com três ou mais fatores de risco e 18% dos pacientes com câncer, e houve diferenças estatisticamente significativas entre esses grupos quando comparados àqueles com menos de três fatores de risco e sem câncer (p OBJECTIVE: To evaluate the use of venous thromboembolism (VTE prophylaxis in a general hospital. METHODS: A cross-sectional cohort study at the Hospital Nossa Senhora da Conceição, located in the city of Porto Alegre, Brazil, involving a random sample of patients admitted between October of 2008 and February of 2009. We included patients over 18 years of age and hospitalized for more than 48 h. The exclusion criteria were anticoagulant use, pregnancy, puerperium, and a history of thromboembolic disease. The

  15. Health System Responsiveness: A Case Study of General Hospitals in Iran

    OpenAIRE

    Marjan Vejdani; Alireza Rezazadeh; Marzieh Javadi; Arefeh Pourtaleb; Ahmad Khanijahani; Ali Vafaei Najjar; Hossein Ebrahimipour; Arash Shirdel

    2013-01-01

    Background Considering patients’ needs and expectations in the process of healthcare delivery improves the quality of services. This study aimed to investigate the responsiveness of general public and private hospitals in Mashhad, Iran. Methods In this cross-sectional and explanatory study, hospitalized patients (with at least 2 days of stay) in general private and public hospitals in Mashhad were investigated. In total 425 patients (259 from private and 166 from public hospitals) were sele...

  16. La técnica narrativa del espejo en Carmen de Icaza (1899-1979) y en Carmen Martín Gaite (1925-2000) / The mirror’s narrative technique in Carmen de Icaza (1899-1979) and in Carmen Martín Gaite (1925-2000)

    OpenAIRE

    Carmen Fragero Guerra

    2013-01-01

    Resumen: El texto muestra algunas coincidencias entre las técnicas narrativas de la olvidada novelista Carmen de Icaza (1899-1979) y Carmen Martín Gaite (1925-2000). Analizamos en La fuente enterrada (1947) y en Yo, la reina (1950) de Carmen de Icaza el uso del espejo como una técnica narrativa para describir la apariencia física de los personajes y sus sentimientos interiores. Luego, estudiamos cómo estos dos aspectos han sido tomados por Carmen Martín Gaite y desarrollados en un modo más am...

  17. A comparison of antibiotic point prevalence survey data from four Irish regional/general hospitals.

    LENUS (Irish Health Repository)

    Naughton, C

    2011-06-01

    Point prevalence surveys (PPS) are increasingly used to examining and compare hospital antibiotic consumption. The aim of this study was to identify the (1) point prevalence of antibiotic use in one regional hospital and (2) compare PPS data from similar regional\\/general hospitals.

  18. DISASTER PSYCHIATRIC SERVICE AT A GENERAL HOSPITAL FOLLOWING THE GREAT HANSHIN EARTHQUAKE

    OpenAIRE

    Tohyama, Teruhiko; Senko, Yoshitaka

    1997-01-01

    This report is a kind of empirical study on disaster psychiatric services following the Great Hanshin Earthquake.Our work was performed at a general hospital (the Higashi-Kobe Hospital) located in the middle of the disaster area. Before the quake there were no psychiatric facilities at that hospital ; nevertheless many patients with mental problems visited there. And our team; consisting of several volunteer psychiatrists from all over Japan and some nurses of that hospital, immediately set u...

  19. Radiation Protection for Medical Research Laboratories in the General Hospital of Vienna (University Hospital)

    International Nuclear Information System (INIS)

    Full text: In the floors six, seven and eight of the general hospital of Vienna over eighty research laboratories for medical investigations with open and closed radioactive sources are installed. In these laboratories different working places and digestors for the handling of open radioactive materials in gaseous, liquid and aerosol form are placed for medical research purposes. These laboratories are divided due to the manner of handling and the amount of activity in three categories. The laboratories themselves and the different types of digestors are mantled and shielded with lead of variable thickness. For all these categories of working places and digestors the radionuclides were listed and the highest amount of these different radionuclides were calculated and tabulated in a form sheet, which is the basis for working procedures in these laboratories. Also the paper shows all radiation protection measures and the results of the dose- and dose rate measurements and the various inspection tests. At least the licensing procedures for radiation protection in detail will be shown and the important features listed. (author)

  20. Readmissions due to traffic accidents at a general hospital

    Directory of Open Access Journals (Sweden)

    Luciana Paiva

    2015-08-01

    Full Text Available AbstractObjective: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents.Methods: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories.Results: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%. The causes of the return to the hospital were: need to continue the surgical treatment (63.2%, surgical site infection (26.3% and fall related to the physical sequelae of the trauma (10.5%. The rehospitalization rate corresponded to 174/1,000 people/year.Conclusion: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.

  1. Evaluation of utilization and efficacy of general hospitals in Serbia: Is there a shift forward?

    Directory of Open Access Journals (Sweden)

    Crnčević-Radović Ljiljana

    2012-01-01

    Full Text Available Introduction. In the Republic of Serbia the activity of general hospitals has not been sufficiently evaluated. Objective. The aim of this study was to evaluate, by analyzing the basic indicators of general hospitals condition and functioning, the network, utilization and efficacy of general hospitals for further improvement of their organization and work. Methods. The paper is a part of a retrospective-prospective analysis of hospital healthcare services which we performed in 2011. The research involved all 40 general hospitals in Serbia evaluated as a general hospitals system. We selected seven basic indicators of hospitals condition and functioning that we followed-up in the period 2000-2009. As the data source we used the Reports of the Office for Hospital Stationary Treatment of general hospitals and the Report of the Republican Institution for Statistics entitled Vital Events in the Republic of Serbia. Numerical data were analyzed using the methods of descriptive statistics and the program Microsoft Office Excel 2007 and SPSS for Windows. Statistical significance indicators of differences were determined by Student’s t-test. Results. In general hospitals during the studied years, the number of beds decreased by 16.5% (pt=0.057. The number of discharged patients was increased by 11.8% (pt=0.035. The number of hospitalization days was reduced by 11.2% (pt=0.038. The average length of treatment was reduced by 1.9 days (pt=0.074. The average daily bed occupancy was increased by 4% (pt=0.020. The utilization of beds was increased by 4.5% (pt=0.019. Throughput capacity of beds increased by 8.5 patients per bed or by 27.8% (pt=0.091. Conclusion. The most significant indicators of the utilization and efficacy of general hospitals were improved. Nevertheless, European and domestic guidelines were achieved only in the average length of treatment.

  2. Transferable and non-transferable drug resistance in enteric bacteria from hospital and from general practice

    DEFF Research Database (Denmark)

    Møller, JK; Bak, AL; Bülow, P;

    1976-01-01

    strains from general practice. Multiple resistance was common especially in strains from hospital. R factors was found in 23% of the 317 drug-resistant strains from hospital and in 11% of the 46 drug-resistant strains from general practice. Resistance to streptomycin, sulphonamide and tetracycline either...

  3. Behavior Assessment in Children Following Hospital-Based General Anesthesia versus Office-Based General Anesthesia

    Directory of Open Access Journals (Sweden)

    LaQuia A. Vinson

    2016-08-01

    Full Text Available The purpose of this study was to determine if differences in behavior exist following dental treatment under hospital-based general anesthesia (HBGA or office-based general anesthesia (OBGA in the percentage of patients exhibiting positive behavior and in the mean Frankl scores at recall visits. This retrospective study examined records of a pediatric dental office over a 4 year period. Patients presenting before 48 months of age for an initial exam who were diagnosed with early childhood caries were included in the study. Following an initial exam, patients were treated under HBGA or OBGA. Patients were followed to determine their behavior at 6-, 12- and 18-month recall appointments. Fifty-four patients received treatment under HBGA and 26 were treated under OBGA. OBGA patients were significantly more likely to exhibit positive behavior at the 6- and 12-month recall visits p = 0.038 & p = 0.029. Clinicians should consider future behavior when determining general anesthesia treatment modalities in children with early childhood caries presenting to their office.

  4. Carmen system: a code block for neutronic PWR calculation by diffusion theory with spacedependent feedback effects

    International Nuclear Information System (INIS)

    The Carmen code (theory and user's manual) is described. This code for assembly and core calculations uses diffusion theory (Citation), with feedback in the cross sections by zone due to the effects of burnup, water density, fuel temperature, Xenon and Samarium. The burnup calculation of a full cycle is solved in only an execution of Carmen, and in a reduced computer time. (auth.)

  5. 78 FR 55765 - Compensatory and Alternative Regulatory Measures for Nuclear Power Plant Fire Protection (CARMEN...

    Science.gov (United States)

    2013-09-11

    ... COMMISSION Compensatory and Alternative Regulatory Measures for Nuclear Power Plant Fire Protection (CARMEN... Measures for Nuclear Power Plant Fire Protection (CARMEN-FIRE).'' In response to comments from members of... to offset the degradation in fire safety caused by impaired fire protection features at nuclear...

  6. La técnica narrativa del espejo en Carmen de Icaza (1899-1979 y en Carmen Martín Gaite (1925-2000 / The mirror’s narrative technique in Carmen de Icaza (1899-1979 and in Carmen Martín Gaite (1925-2000

    Directory of Open Access Journals (Sweden)

    Carmen Fragero Guerra

    2013-01-01

    Full Text Available Resumen: El texto muestra algunas coincidencias entre las técnicas narrativas de la olvidada novelista Carmen de Icaza (1899-1979 y Carmen Martín Gaite (1925-2000. Analizamos en La fuente enterrada (1947 y en Yo, la reina (1950 de Carmen de Icaza el uso del espejo como una técnica narrativa para describir la apariencia física de los personajes y sus sentimientos interiores. Luego, estudiamos cómo estos dos aspectos han sido tomados por Carmen Martín Gaite y desarrollados en un modo más amplio e imaginativo. Abstract: The text shows some coincidences in narrative techniques between the forgotten novelist Carmen de Icaza (1899-1979 and Carmen Martín Gaite (1925-2000. We analyze in La Fuente Enterrada (1947 and in Yo, la Reina (1950 by Carmen de Icaza the use of mirror as a narrative technique intended to describe the characters’ appearance and their inner feelings. Then we study how this aspect has been taken by Carmen Martin Gaite and developed in a broader and more imaginative way.

  7. Group of family companions of hospitalized patients: an occupational therapy intervention strategy in a general hospital

    OpenAIRE

    Daniel Ferreira Dahdah; Ana Maria Pimenta Carvalho; Juliana Carla Delsim; Bruna Romano Gomes; Vanessa Spera de Miguel

    2013-01-01

    There is a consensus in the literature that the company of a family member during the hospitalization period increases patient recovery. However, this can have some negative effects on the caregiver’s health. With the purpose of reducing these negatives effects, it is useful to let family members express themselves. The State Hospital of Ribeirão Preto created a Group of Family Companions coordinated by the Occupational Therapy and Social Service. This study focuses on the assistance offered ...

  8. INTERVIEW WITH MS. CARMEN GRIGORAȘ, PRESIDENT OF SPEHRO ASSOCIATION IN ROMANIA

    Directory of Open Access Journals (Sweden)

    George Pascaru

    2012-05-01

    Full Text Available The present interview focuses on the vocational training and professional insertion of people with disabilities and on the efforts to change the attitude of the general public towards this vulnerable group. The interview covers the activities carried out by the REVIS Center in Hârlău which was set up in Romania on the basis of a Swiss social economy model. Ms. Carmen Grigoraș, President of SPEhRO Association in Romania, provides an overview of the main similarities and differences between the Swiss and the Romanian models, with reference to the key social economy stakeholders. The interview reflects the developmental journey taken by the center’s beneficiaries. Their social and labor insertion is ensured through a pre-vocational sponsorship project, a novelty in Romania.

  9. Collaboration between physicians and a hospital-based palliative care team in a general acute-care hospital in Japan

    Directory of Open Access Journals (Sweden)

    Nishikitani Mariko

    2010-06-01

    Full Text Available Abstract Background Continual collaboration between physicians and hospital-based palliative care teams represents a very important contributor to focusing on patients' symptoms and maintaining their quality of life during all stages of their illness. However, the traditionally late introduction of palliative care has caused misconceptions about hospital-based palliative care teams (PCTs among patients and general physicians in Japan. The objective of this study is to identify the factors related to physicians' attitudes toward continual collaboration with hospital-based PCTs. Methods This cross-sectional anonymous questionnaire-based survey was conducted to clarify physicians' attitudes toward continual collaboration with PCTs and to describe the factors that contribute to such attitudes. We surveyed 339 full-time physicians, including interns, employed in a general acute-care hospital in an urban area in Japan; the response rate was 53% (N = 155. We assessed the basic characteristics, experience, knowledge, and education of respondents. Multiple logistic regression analysis was used to determine the main factors affecting the physicians' attitudes toward PCTs. Results We found that the physicians who were aware of the World Health Organization (WHO analgesic ladder were 6.7 times (OR = 6.7, 95% CI = 1.98-25.79 more likely to want to treat and care for their patients in collaboration with the hospital-based PCTs than were those physicians without such awareness. Conclusion Basic knowledge of palliative care is important in promoting physicians' positive attitudes toward collaboration with hospital-based PCTs.

  10. Carmen Dauset Moreno, primera musa del cine estadounidense

    OpenAIRE

    Mora Contreras, Francisco Javier

    2014-01-01

    Este artículo se propone analizar la importancia de la bailarina española Carmen Dauset Moreno para la historia del cine. Conocida en el mundo del vaudeville como Carmencita, fue la primera mujer que apareció en dos breves películas para kinetoscopio realizadas en el estudio de Edison en marzo de 1894. En este sentido, el artículo trata de contextualizar la aparición de la artista española en estas películas y plantea cuestiones sobre el significado de las mismas en el desarrollo de las fases...

  11. Involving older people in improving general hospital care.

    Science.gov (United States)

    Hayes, Nicky; Dearnley, Barbara

    2007-05-01

    User involvement is high on the NHS agenda. At King's College Hospital, London, older people helped to develop the Improving Hospital Care for Older People project by producing teaching and learning materials for staff using e-learning. The project was set up by holding focus groups with older people. Staff surveys were also conducted to explore views and identify issues to be addressed. Older people's representatives were selected and directly involved in developing learning materials. This article describes the process of working together and includes the personal reflections of some of the key players. It discusses barriers to effective user involvement work between staff and older people, and identifies some benefits and opportunities presented by this approach. PMID:17518196

  12. Parasuicide among youth in a general hospital in South Africa

    OpenAIRE

    T Mhlongo

    1999-01-01

    Parasuicide cases among youth (15-24 years) referred to the clinical psychology section of a regional hospital from 1995 to 1998 were reviewed. In all 100 cases (37 males and 63 females) were identified being about 10% of the caseload. As part of the clinical psychological assessment sociodemographic, clinical characteristics, trigger factors, employed methods and suicide intentions were analysed. Most patients were students (79%) or unemployed (16%). The major method employed to attempt suic...

  13. Dispositivos clínicos em hospital geral Clinical dispositives in the general hospital

    OpenAIRE

    Ana Cleide Guedes Moreira; Cassandra Regina de Amorim Pamplona

    2006-01-01

    Este trabalho participa de investigação sobre a inserção da Psicanálise no campo institucional e hospitalar de saúde, objetivando formular contribuições, a partir da clínica da melancolia e dos estados depressivos, para a construção de dispositivos clínicos em hospital geral do Sistema Único de Saúde.This paper is a part of a research project that investigates the insertion of Psychoanalysis into the health institutional field and hospitals; the objective is to formulate contributions from th...

  14. Planning Development for a Family Planning Centre in Nursing Unit of the General Hospital of Argolida

    OpenAIRE

    Koukoufilippou J; Koinis A.

    2015-01-01

    Introduction: The family planning centres must be upgraded to a cornerstone of primary health care, and prevent, advise and protect the citizen's health while reducing hospitalization costs for hospitals. Aim: The purpose of this literature review is the family planning centre development in general hospital of Argolida that has a similar clinic. Material and Methods: Literature review was conducted of published English and Greek Articles from bibliographic databases Medline, Goog...

  15. Risk Factor to Chronic Disease no Transmitted In Cienfuegos, Cuba 2010. Preliminaries results of CARMEN II Factores de Riesgo para Enfermedades Crónicas en Cienfuegos, Cuba 2010. Resultados preliminares de CARMEN II

    Directory of Open Access Journals (Sweden)

    Pedro Ovidio Orduñez García

    2011-04-01

    Full Text Available Chronic diseases are the leading causes of morbidity and mortality in Cuba, the monitoring of them is an important element to alert health care system on its evolution. The aim of this study was to describe the prevalence of four of the most important risk factors for these diseases during the preliminary data of the second survey of Cienfuegos CARMEN project, with emphasis on the differences with the first survey results. Method: Preliminary results of the second CARMEN survey are presented, corresponding to the first (847 cases measured integrally from a probabilitic and representative sample of the adult population of Cienfuegos City. Studied variables included: hypertension; obesity, measured by the body mass index, smoking and diabetes mellitus. Results: 33.7% of interviewed persons were smokers, slightly lower than the first measurement, obesity BMI> = 30 kg/m2 was 18.8%, almost 8% higher than the baseline survey, the arterial hypertension to 35.5% and diabetes mellitus to 6.8%, both well above the measurement of 2001-2002. Conclusions: the risk factors discussed show that the problem after improving over the past 10 years, and generally worsens the values are much higher than those observed during the first measurement CARMEN.Las enfermedades crónicas constituyen la primera causa de morbilidad y también de mortalidad en Cuba, la vigilancia de ellas constituye un elemento importante para alertar al sistema de salud sobre su evolución. El objetivo de esta comunicación breve es describir la prevalencia de cuatro de los más importante factores de riesgo de estas enfermedades durante el primer corte que se hace de la segunda medición del proyecto CARMEN Cienfuegos, mostrándose también las diferencias con los resultados de la primera medición. Método: Se presenta un corte de la segunda medición de la iniciativa CARMEN en Cienfuegos

  16. Auxilio Social en La casa de enfrente (1960 de Carmen de Icaza / Auxilio Social in La casa de enfrente (1960 by Carmen de Icaza

    Directory of Open Access Journals (Sweden)

    Carmen Fragero Guerra

    2014-10-01

    Full Text Available Resumen: El texto analiza La casa de enfrente (1960, última novela escrita por Carmen de Icaza (1899-1979, que ha sido ignorada por los críticos. Primero, tratamos de encontrar la voz narrativa en episodios relativos a Auxilio Social ‒organización dedicada a asistir a la población durante la Guerra Civil española‒. Los métodos de Auxilio Social y los ganadores de la guerra están considerados desde el punto de vista de los vencidos por una autora que fue secretaria general de Auxilio Social en la vida real. Segundo, comparamos estos episodios con sus anteriores discursos políticos de apoyo al régimen. Concluimos que la autora critica algunas intervenciones de Auxilio Social y tiene una visión más compleja de la realidad lo que la lleva a una técnica narrativa más elaborada. Tenemos que señalar que hemos encontrado un personaje secundario en la trama de la novela que es un alter ego de la misma autora. Abstract: The text analyses La casa de enfrente (1960, the last novel written by Carmen de Icaza (1899-1979, which has been ignored by the critics. Firstly, we try to find the narrative voice in the episodes related to Auxilio Social –an institution devoted to assist the population during the Spanish Civil War and the dictatorship–. Auxilio Social methods and the war winners are considered from the losers’ point of view by an author who was General Secretary of Auxilio Social in real life; secondly, we compare these episodes to her early political discourses aimed to back up the regime. We conclude that the author criticizes some interventions of Auxilio Social and that she has a more complex view of the reality which she expresses with a more elaborate technique. We have to point out that we have found a secondary character in the plot of the novel which is an alter ego of the author herself.

  17. Operation of a support service team in the emergency department of a general hospital.

    OpenAIRE

    Condra, M; Groll, L; Walker, D M; Abrams, M O; Sims, P.

    1987-01-01

    We describe the development and operation of an emergency support service team in the Emergency Department of the Kingston General Hospital, Kingston, Ont. The team, composed of professionals from other departments of the hospital, provides emotional and practical support to family members or survivors in medical emergencies. We discuss the roles of the team members and their procedures for dealing with distress and grief.

  18. Parasuicide among youth in a general hospital in South Africa

    Directory of Open Access Journals (Sweden)

    T Mhlongo

    1999-09-01

    Full Text Available Parasuicide cases among youth (15-24 years referred to the clinical psychology section of a regional hospital from 1995 to 1998 were reviewed. In all 100 cases (37 males and 63 females were identified being about 10% of the caseload. As part of the clinical psychological assessment sociodemographic, clinical characteristics, trigger factors, employed methods and suicide intentions were analysed. Most patients were students (79% or unemployed (16%. The major method employed to attempt suicide was ingestion of harmful substances (like paraffin, pesticides or battery acid(73%. Acute social conflicts (38%, socio-economic deprivation (17%, AIDS phobia (17%, academic failure (14%, teenage pregnancy (10% and mental illness (5% triggered suicide attempts. Fifty-eight percent of the attempts were categorised as demonstrative and 27% as genuine. The psychodynamics of parasuicides are discussed in case studies and with reference to other studies.

  19. SELF MEDICATION AMONGST GENERAL OUTPATIENTS IN A NIGERIAN COMMUNITY HOSPITAL

    OpenAIRE

    Omolase, C.O.; Adeleke, O.E.; Afolabi, A. O.; Afolabi, O.T.

    2007-01-01

    Aim: This study was designed to determine the proportion of general out patients who practice self medication, the drugs employed and the reasons for resorting to self medication. Methodology: This study was conducted between June and December, 2007 at the General Outpatient Clinic of the Federal Medical Centre, Owo, Ondo State, Nigeria. Two hundred consenting respondents were selected by simple random sampling and interviewed with the aid of semi structured questionnaire by the authors with ...

  20. Evaluation of thromboprophylaxis in medium-sized general hospital

    Directory of Open Access Journals (Sweden)

    Cesar Roberto Busato

    2014-03-01

    Full Text Available CONTEXT: Deep vein thrombosis (DVT is a serious, common disease whose complications include pulmonary thromboembolism (PTE and postthrombotic syndrome. The importance and benefits of correct and effective pharmacological prophylaxis for DVT are well documented. OBJECTIVES: The aims of this study were to evaluate adequacy of prophylaxis for DVT and PTE at the Santa Casa de Misericórdia de Ponta Grossa (SCMPG, Paraná, Brazil, and determine risk stratification for patients hospitalized in this institution. METHODS: A cohort study was conducted to assess DVT prophylaxis of patients hospitalized on May 15th, 2009. The study population consisted of a sample of 104 patients, subdivided into clinical and surgical groups and stratified into different specialties. Correct use of DVT prophylaxis was evaluated according to recommendations published by The Brazilian Society for Angiology and Vascular Surgery and took into account prophylactic methods specified explicitly in information found in each patient's medical chart. RESULTS: Of the 104 patients interviewed, 51 (49.04% were clinical patients and 53 (50.96% surgical. Based on risk stratification, 17 (16.35% were classified as low risk, 37 (35.58% as moderate risk, 46 (44.23% as high risk and 4 (3.85% as extremely high risk for DVT/PTE. A total of 68 patients (65.38% received prophylaxis, but of these only 56 (53.85% received the correct prophylaxis, and 36 (34.62% did not receive any prophylaxis. CONCLUSION: The rates of prophylaxis use for DVT and PTE in this service are higher than rates published in the literature.

  1. Epidemiology of carbapenemase producing Enterobacteriaceae in a general hospital

    Directory of Open Access Journals (Sweden)

    Amina Kandeel

    2015-06-01

    Full Text Available Objective: Detect the presence of carbapenemases producing Enterobacteriaceae (CPE and associated epidemiologi­cal, microbiological, and clinical characteristics of patients in our hospital Methods: During 15 months period, all non duplicate Enterobacteriaceae isolates with reduced susceptibility to car­bapenem detected by MicroScan WalkAway system and confirmed by E test were collected. These suspected isolates were further screened by modified Hodge test and carbapenemase inhibition discs to identify CPE. Results: Out of 54 suspected Enterobacteriaceae isolates, 44 (88.5% isolates were either extended spectrum beta-lac­tamases (ESBLs or AmpC producers with porin loss whereas 10 isolates (18.5% were confirmed to produce carbapen­emase representing (0.74% of the total Enterobacteriaceae. Among these 10 isolates, 6 were OXA 48 producers and 2 isolates were class B and class A each. Six out of the 10 CPE were detected in ICU and specimen source was tracheal aspirate in 5 CPE isolates. All CPE isolates were sensitive to colistin and all but one to tigecycline. All patients had history of previous antibiotic exposure and hospital stays for more than 5 days. Conclusion: Although CPE is not the main cause of carbapenem resistance in Enterobacteriaceae in our setting, its emergence there represents a serious infection control and therapeutic challenge. This mandates its early detection using MHT and carbapenemase inhibition tests together with strict infection control measures to limit its spread. J Mi­crobiol Infect Dis 2015;5(2: 57-62

  2. Intermediate care at a community hospital as an alternative to prolonged general hospital care for elderly patients: a randomised controlled trial

    OpenAIRE

    Johnsen Roar; Windspoll Rolf; Garåsen Helge

    2007-01-01

    Abstract Background Demographic changes together with an increasing demand among older people for hospital beds and other health services make allocation of resources to the most efficient care level a vital issue. The aim of this trial was to study the efficacy of intermediate care at a community hospital compared to standard prolonged care at a general hospital. Methods In a randomised controlled trial 142 patients aged 60 or more admitted to a general hospital due to acute illness or exace...

  3. Knowledge and Attitude of 851 Nursing Personnel toward Depression in General Hospitals of Korea

    OpenAIRE

    Park, Seon-Cheol; Lee, Hwa-Young; Lee, Dong-Woo; Hahn, Sang-Woo; Park, Sang-Ho; Kim, Yeo-Ju; Choi, Jae Sung; Lee, Ho-Sung; Lee, Soyoung Irene; Na, Kyoung-Sae; Jung, Sung Won; Shim, Se-Hoon; Choi, Joonho; Paik, Jong-Woo; Kwon, Young-Joon

    2015-01-01

    Our study aimed to examine the knowledge and attitude of nursing personnel toward depression in general hospitals of Korea. A total of 851 nursing personnel enrolled at four university-affiliated general hospitals completed self-report questionnaires. Chi-square tests were used to compare the knowledge and attitude of registered or assistant nurses toward depression. In addition, binary logistic regression analysis was used to adjust for the following confounders: age-group and workplace. Reg...

  4. Physical Violence against General Practitioners and Nurses in Chinese Township Hospitals: A Cross-Sectional Survey

    OpenAIRE

    Kai Xing; Mingli Jiao; Hongkun Ma; Hong Qiao; Yanhua Hao; Ye Li; Lijun Gao; Hong Sun; Zheng Kang; Libo Liang; Qunhong Wu

    2015-01-01

    Purpose The purpose of this study is to identify risk factors of physical violence in Chinese township hospitals. Methods A cross-sectional survey was used in a sample of 442 general practitioners and 398 general nurses from 90 township hospitals located in Heilongjiang province, China (response rate = 84.8%). Results A total of 106 of the 840 (12.6%) respondents reported being physically attacked in their workplace in the previous 12 months. Most perpetrators were the patients’ relatives (62...

  5. A review of governance of maternity services at South Tipperary general hospital

    LENUS (Irish Health Repository)

    Flory, David

    2015-09-01

    This review of the governance of maternity services at South Tipperary General Hospital has focussed on the systems and processes for assurance of service quality, risk management and patient safety primarily inside the hospital but also in the Hospital Group structure within which it operates. The effectiveness of the governance arrangements is largely determined by the quality of the leadership and management – both clinical and general – which designs, implements, and oversees those systems and processes and is ultimately responsible and accountable.\\r\

  6. DRUG MANAGEMENT REVIEWS IN DISTRICT DRUG MANAGEMENT UNIT AND GENERAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    Max Joseph Herman

    2009-12-01

    Full Text Available Drug is one of the essential elements in healthcare that should be effectively and efficiently managed. Following thedecentralization in 2001 in Indonesia, drug management has changed in district drug management units and also in District General Hospitals. Certainly this condition influences the sustainability of drug access in primary health care such as in Community Health Center and District General Hospital, especially in drug financing policy. A cross sectional descriptive study to obtain information on drug management in public healthcare in district had been carried out between July and December 2006 in 10 District Public Drug Management Units from 10 district health offices and 9 district general hospitals as samples. Data were collected by interviewing heads of Drug Section in District Health Offices and heads of Hospital Pharmacies using structured questionnaires and observing drug storage in District Drug Management Units, Community Health Centers, and Hospital Pharmacies. Results of the study show that drug planning in District Health Offices and General Hospitals did not meet the basic real need in some districts nor District Hospitals. The minimum health service standards had no been achieved yet. Furthermore, drug procurement, storage and recording as well as reporting was not good enough either, such as shown by the existence of expired drugs. Lead time for drug delivery to community health centers in some districts was longer than the average of lead time in the past 3 years.

  7. HOSPITAL PATIENT DATABASE MANAGEMENT SYSTEM ‘A Case Study of General Hospital NORTH-BANK Makurdi- Nigeria’

    Directory of Open Access Journals (Sweden)

    Oye Nathaniel David

    2014-03-01

    Full Text Available Health care in Nigeria as in many other countries is confronted with growing demand for medical treatment and services. The medical records must appropriately have all of the patients’ medical history. Physicians must maintain flawless records, because this document serves a number of purposes. This study on hospital patient datable management system was design to transform the manual way of searching, sorting, keeping and accessing patient medical information (files into electronic medical record (EMR in order to solve the problem associate with manual method. The existing system (manual has been studied and hence a computer based application was provided to replace this manual method. These computer based systems generate the patient report as the patient register in and out of the hospital. This paper generally looks for a more accurate, reliable and efficient method of computer to facilitate patient record’s keeping in General Hospitals to ensure efficient outcome that will lessen time consuming. The study proposed that the design of hospital patient database record will be a solution to the problem being experienced by the current manual method of keeping patient medical record.

  8. Evaluation of an electroconvulsive therapy service in a general hospital.

    Science.gov (United States)

    Lamont, Scott; Brunero, Scott; Barclay, Christopher; Wijeratne, Chanaka

    2011-06-01

    There has been much recent literature on the technical parameters of electroconvulsive therapy (ECT) with regard to improving efficacy and minimizing adverse effects, but relatively little on ECT service delivery. This paper will discuss the development and characteristics of an ECT service at a teaching hospital in metropolitan Sydney, New South Wales, Australia. A mixture of qualitative and quantitative methods, including a selective literature review and audit of ECT use were used. The results of the audit were compared with the 2007 revision of the Royal Australian and New Zealand College of Psychiatrists' clinical memorandum on ECT. We discuss issues, such as the optimal site for ECT delivery, ECT mental health nurse coordinator role, credentialing of psychiatrists, registrar supervision, and the development of an ECT committee. A significant finding of the audit was that the majority of patients were treated under the New South Wales Mental Health Act, and voluntary patients were more likely to have a diagnosis of a depressive disorder, whereas involuntary patients were more likely to have a non-mood disorder diagnosis. This study has shown that auditing of ECT practices and services by mental health nurses is essential for quality improvement processes. The audit highlighted areas of service delivery that should be subject to review and evaluation against professional standards. PMID:21492361

  9. Renewable energy load assessment for Boquillas Del Carmen Coahuila, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Foster, R. [Southwest Technology Development Institute, Las Cruces, NM (United States)

    1995-08-01

    This report outlines the estimates that were made in 1992 of the potential load requirements for Boquillas del Carmen, a small Mexican village on the northern border of the state of Coahuila, Mexico near Big Bend National Park in southern Texas. The study was made to help determine the possibility that village might be electrified by solar or wind energy. Various estimates of are given of the potential load based on estimates ranging from basic use of lights, radio, television, and small household appliances to microwave ovens, refrigerators, and direct evaporative coolers. The low-energy consumption case was estimated to be at 23.0 kWh/month per residence per month, and the high-energy consumption case (with cooling) was 140.7 kWh/month per residence. On average, the typical residence is occupied by five individuals.

  10. Etiological study of generalized lymphadenopathy in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Subrata Halder

    2016-08-01

    Results: Among 116 patients of generalized lymphadenopathy 59.5% were non-malignant causes where 40.5% diagnosed as malignant causes. Among them tuberculosis consist of 39 (33.6%, NHL 18 (15.5%, reactive lymphadenopathy 16 (13.8%, CLL and HD 8 (6.9% each, ALL 7 (6%, SLE 5(4.3%, Kikuchi's disease 4 (3.4%, AML and RA 3 (2.6% each and castleman's disease, phenytoin lymphadenopathy, metastatic lung and breast carcinoma 1 (0.9% each. Cervical groups of lymph nodes were most commonly involved 86 patients (74.1% followed by axillary groups 73 patients (62.9%. Lymph nodes size 1.5cm were due to malignant and non-malignant granulomatous cases. FNAC give definite diagnosis 80.9% malignant cases where 76.8% in non-malignant cases. HPE shown definite diagnosis in 100% cases both malignant and non-malignant diseases. Conclusions: Tuberculosis is most common cause of generalized lymphadenopathy followed by lymphoma. And reactive lymphadenitis is also an important consideration. [Int J Res Med Sci 2016; 4(8.000: 3542-3548

  11. Modelliagentuurid toodavad Carmen Kassile tasemel järglasi / Kerli Nõu

    Index Scriptorium Estoniae

    Nõu, Kerli

    2006-01-01

    Eestis tegutsevatest modelliagentuuridest Beatrice Mass Modelnet, Baltic Models OÜ ja Eesti Modelliagentuuri OÜ. Kommentaarid: Tasane algus kulisside taga, Edukad Eesti modellid (Annika Vohta), Eesti uus Carmen Kass (Claudia Meriküla)

  12. Psychiatric screening in general practice: comparison of the general health questionnaire and the hospital anxiety depression scale

    OpenAIRE

    Wilkinson, M J B; Barczak, P.

    1988-01-01

    The prevalence of psychiatric disorder in 100 patients attending their general practitioner was found to be 33% based on the criteria of the DSM-3 diagnostic system. Using the DSM-3 diagnosis as a yardstick, the performance of the hospital anxiety depression scale was compared with that of the general health questionnaire. Relative operating coefficient analysis showed good discrimination between `cases' and `non-cases' for both questionnaires, and the optimum threshold score was found to be ...

  13. [Pharmaceutical Service after the Fukushima Disaster: A Case Report of Soma General Hospital].

    Science.gov (United States)

    Fukunaga, Hisanori; Momonoi, Toshiyuki; Kumakawa, Hiromi

    2016-01-01

      Despite being damaged by the 2011 Tohoku earthquake, tsunami, and nuclear disaster, Soma General Hospital, located approximately 40 km north of Fukushima Daiichi nuclear power plant, was able to fulfill its role as a key regional hospital in northeast Fukushima. To elucidate the pharmaceutical service in response to the disaster, we investigated the hospital's operations in 2011 according to the medical records and prescriptions. One of the difficulties that the department of pharmaceutical service faced at that time was the increase in emergency healthcare requests by evacuated patients from other hospitals and clinics. Herein, we propose the following countermeasures to be considered in future disaster preparations: (1) establishing a medical and pharmaceutical service coordinator for disaster relief; (2) sharing all local patients' medical information in emergencies (at least contraindicated drugs or allergy history); and (3) reviewing disaster stockpiles, especially pharmaceuticals (both at the hospital and in nearby locations). PMID:26725681

  14. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. VI. - December of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  15. Antibiotic utilization evaluation of inpatient and outpatient prescriptions in a rural general hospital in Iran

    OpenAIRE

    Aida Sefidani Forough; Seyed Reza Hosseini; Shiva Jabbari

    2015-01-01

    Background: High rate of antibiotic prescription is commonly encountered in hospital settings. Although the problem of the irrational use of antibiotics is particularly acute in rural health centers of developing countries, antibiotic utilization studies in such areas are scarce. In this study, we aimed to compare antibiotic prescription patterns between inpatients and outpatients in a rural general hospital. Methods: Inpatient and outpatient records were evaluated during a 1-month period....

  16. Medical Patients’ Treatment Decision Making Capacity: A Report from a General Hospital in Greece

    OpenAIRE

    Bilanakis, Nikolaos; Vratsista, Aikaterini; Athanasiou, Eleni; Niakas, Dimitris; Peritogiannis, Vaios

    2014-01-01

    This study aimed to assess the decision-making capacity for treatment of patients hospitalized in an internal medicine ward of a General Hospital in Greece, and to examine the views of treating physicians regarding patients’ capacity. All consecutive admissions to an internal medicine ward within a month were evaluated. A total of 134 patients were approached and 78 patients were interviewed with the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) and the Mini Mental State Exami...

  17. STUDY ON THE USE PATTERN OF NSAIDS IN SOME GENERAL AND SPECIALIZED HOSPITALS OF BANGLADESH

    OpenAIRE

    Hasan Md. Mahadi; Rahman Kazi Jamiur; Wahed Tania Binte; Chowdhury Sanchita Sharmin

    2012-01-01

    This study was designed to assess the present use pattern of both traditional nonsteroidal anti-inflammatory drugs (tNSAIDs) and cyclooxygenase 2 (COX-2)-selective NSAIDs (coxibs) in terms of demographic characteristics, prevalence of use of NSAIDs type, gastro-protective drug use frequency among the patients of four general hospitals and another five specialized hospitals of Dhaka city. The study was conducted during 3 May to 18 May 2011. Total 480 patients were asked to answer the questions...

  18. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. IV. - October of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  19. Bone densitometry at a district general hospital: evaluation of service by doctors and patients.

    OpenAIRE

    Madhok, R; Kirby, P.; Fordham, J.; Stamp, P.; Green, S.; Cooper, C

    1996-01-01

    OBJECTIVE--To assess doctors' and patients' views about a district general hospital bone densitometry service and to examine existing practice to influence future provision. DESIGN--Three postal surveys: (a) of doctors potentially using the service, (b) of patients undergoing a bone densitometry test during a six month period, and (c) of the referring doctors of the patients undergoing the test. SETTING--Bone densitometry service at South Cleveland Hospital, Middlesbrough and two district hea...

  20. Metabolic control of diabetes in general practice clinics: comparison with a hospital clinic.

    OpenAIRE

    Singh, B. M.; Holland, M R; Thorn, P.A.

    1984-01-01

    An assessment was made of the degree of metabolic control achieved in diabetic patients attending mini clinics run by general practitioners compared with that in matched diabetic patients attending a hospital clinic. Patients were grouped according to whether they were being treated with diet alone, an oral hypoglycaemic, insulin once daily, or insulin twice daily. Statistical analysis showed no significant difference between patients attending mini clinics and those attending the hospital cl...

  1. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. I.- July of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic. The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  2. Recreational activities performed with neoplasia carrier Inpatients in a general hospital

    OpenAIRE

    Caroline de Castro Moura; Zélia Marilda Rodrigues Resck; Eliza Maria Rezende Dázio

    2012-01-01

    This study aims at apprehending the contribution of recreational activities in the treatment of hospitalized cancer patients and identifying the most stimulating resources for them. This is a qualitative research of phenomenological nature, it was approved by the Ethics in Research Committee, Protocol 139/2010. It was conducted with patients with cancer in a general hospital, located in Alfenas, in March and April, 2011.The research began from these guiding questions: What are your thoughts o...

  3. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. II.- August of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. III.- September of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  5. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. V. - November of 2001

    International Nuclear Information System (INIS)

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  6. Effectiveness of an acute pain service inception in a general hospital

    OpenAIRE

    Bardiau, Françoise; Braeckman, M.M.; Seidel, Laurence; Albert, Adelin; Boogaerts, J.G.

    1999-01-01

    STUDY OBJECTIVES: To assess the effects of an Acute Pain Service (APS) inception on postoperative pain management in a general teaching hospital using pain indicators as performance measures. DESIGN: Open, prospective, nonrandomized, observational study. SETTING: Postanesthesia Care Unit, surgical wards of University Hospital Center of Charleroi. PATIENTS: 1304 patients in the pre-APS inception phase and 671 patients after its implemention who have undergone various types of surgery (orthoped...

  7. Evaluation of audit of medical inpatient records in a district general hospital.

    OpenAIRE

    Gabbay, J.; Layton, A J

    1992-01-01

    OBJECTIVE--To evaluate an audit of medical inpatient records. DESIGN--Retrospective comparison of the quality of recording in inpatients' notes over three years (1988, 1989, 1990). SETTING--Central Middlesex Hospital. MATERIALS--Random sample of 188 notes per year drawn systematically from notes from four selected one month periods and audited by two audit nurses and most hospital physicians. MAIN MEASURES--General quality of routine clerking, assessment, clinical management, and discharge, a...

  8. Control costs, enhance quality, and increase revenue in three top general public hospitals in Beijing, China.

    Directory of Open Access Journals (Sweden)

    Lue-Ping Zhao

    Full Text Available BACKGROUND: With market-oriented economic and health-care reform, public hospitals in China have received unprecedented pressures from governmental regulations, public opinions, and financial demands. To adapt the changing environment and keep pace of modernizing healthcare delivery system, public hospitals in China are expanding clinical services and improving delivery efficiency, while controlling costs. Recent experiences are valuable lessons for guiding future healthcare reform. Here we carefully study three teaching hospitals, to exemplify their experiences during this period. METHODS: We performed a systematic analysis on hospitalization costs, health-care quality and delivery efficiencies from 2006 to 2010 in three teaching hospitals in Beijing, China. The analysis measured temporal changes of inpatient cost per stay (CPS, cost per day (CPD, inpatient mortality rate (IMR, and length of stay (LOS, using a generalized additive model. FINDINGS: There were 651,559 hospitalizations during the period analyzed. Averaged CPS was stable over time, while averaged CPD steadily increased by 41.7% (P<0.001, from CNY 1,531 in 2006 to CNY 2,169 in 2010. The increasing CPD seemed synchronous with the steady rising of the national annual income per capita. Surgical cost was the main contributor to the temporal change of CPD, while medicine and examination costs tended to be stable over time. From 2006 and 2010, IMR decreased by 36%, while LOS reduced by 25%. Increasing hospitalizations with higher costs, along with an overall stable CPS, reduced IMR, and shorter LOS, appear to be the major characteristics of these three hospitals at present. INTERPRETATIONS: These three teaching hospitals have gained some success in controlling costs, improving cares, adopting modern medical technologies, and increasing hospital revenues. Effective hospital governance and physicians' professional capacity plus government regulations and supervisions may have played a role

  9. Producción científica institucional y posicionamiento nacional: el caso del Hospital General México

    OpenAIRE

    Macías-Chapula, C A; Rodea-Castro, I. P.; Gutiérrez-Carrasco, A.; Mendoza-Guerrero, J. A.

    2004-01-01

    The purpose of this work was to identify the scientific production, position and visibility of Mexico’s General Hospital (Hospital General de México - HGM). A literature search in the following databases was conducted for the period 1990-2003, in order to obtain the hospital scientific production: ISI’s National Citation Report, MEDLINE, LILACS, ARTEMISA, PERIODICA, and CLASE.

  10. Supporting carrier grade services over wireless mesh networks: The approach of the European FP-7 Strep CARMEN

    OpenAIRE

    Azcorra A.; Banniza T.; Chieng D.; Fitzpatrick J.; Von-Hugo D.; Natkaniec M.; Robitzsch S.; Zdarsky F.

    2009-01-01

    CARMEN is a three-year Specific Targeted Research Project (STREP) funded by the European Commission within the 7th Framework Program. The CARMEN access network will complement existing access technologies by exploiting low cost mesh networking techniques, thus minimizing deployment and maintenance costs. The CARMEN architecture introduces an abstraction layer that hides the specifics of the underlying access technology providing an abstract interface on top of which higher layers can be easil...

  11. A comparative analysis of exposure doses between the radiation workers in dental and general hospital

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Nam Hee; Chung, Woon Kwan; Dong, Kyung Rae; Ju, Yong Jin; Song, Ha Jin [Dept. of Nuclear Engineering, Chosun University, Gwangju (Korea, Republic of); Choi, Eun Jin [Dept. of Public Health and Medicine, Dongshin University, Naju (Korea, Republic of)

    2015-02-15

    Research and investigation is required for the exposure dose of radiation workers to work in the dental hospital as increasing interest in exposure dose of the dental hospital recently accordingly, study aim to minimize radiation exposure by making a follow-up study of individual exposure doses of radiation workers, analyzing the status on individual radiation exposure management, prediction the radiation disability risk levels by radiation, and alerting the workers to the danger of radiation exposure. Especially given the changes in the dental hospital radiation safety awareness conducted the study in order to minimize radiation exposure. This study performed analyses by a comparison between general and dental hospital, comparing each occupation, with the 116,220 exposure dose data by quarter and year of 5,811 subjects at general and dental hospital across South Korea from January 1, 2008 through December 31, 2012. The following are the results obtained by analyzing average values year and quarter. In term of hospital, average doses were significantly higher in general hospitals than detal ones. In terms of job, average doses were higher in radiological technologists the other workers. Especially, they showed statistically significant differences between radiological technologists than dentists. The above-mentioned results indicate that radiation workers were exposed to radiation for the past 5 years to the extent not exceeding the dose limit (maximum 50 mSv y{sup -1}). The limitation of this study is that radiation workers before 2008 were excluded from the study. Objective evaluation standards did not apply to the work circumstance or condition of each hospital. Therefore, it is deemed necessary to work out analysis criteria that will be used as objective evaluation standard. It will be necessary to study radiation exposure in more precise ways on the basis of objective analysis standard in the future. Should try to minimize the radiation individual dose of

  12. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  13. Legal Outcomes of Sexually Abused Children Evaluated at the Philippine General Hospital Child Protection Unit

    Science.gov (United States)

    Sugue-Castillo, Mariella

    2009-01-01

    Objectives: To describe the legal outcomes and factors associated with case reaching court and conviction for sexual abuse of children seen at the Philippine General Hospital Child Protection Unit (PGH-CPU) from 1997 to 2000. Methods: Mixed transdisciplinary research design combined longitudinal cohort with qualitative methods. Data were obtained…

  14. Assessment of the Penta-XT radiography table at Mansfield General Hospital

    International Nuclear Information System (INIS)

    A DHSS assessment report, prepared by Mansfield General Hospital, is presented for a Penta-XT radiographic table. The table has a fully floating table top with longitudinal and lateral movement and a variable height which has proved to be very acceptable to both staff and patients utilising the equipment. Details of operational experience and reliability are given. (U.K.)

  15. Study of Patients Absconding Behavior in a General Hospital at Southern Region of Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Khammarnia

    2015-03-01

    Full Text Available Background Patients’ escape from hospital imposes a significant cost to patients as well as the health system. Besides, for these patients, exposure to adverse events (such as suicide, self-harm, violence and harm to hospital reputation are more likely to occur compared to others. The present study aimed to determine the characteristics of the absconding patients in a general hospital through a case-control design in Shiraz, Iran. Methods This case-control study was conducted on 413 absconded patients as case and 413 patients as control in a large general hospital in Shiraz, southern Iran. In this study, data on the case and control patients was collected from the medical records using a standard checklist in the period of 2011–3. Then, the data were analyzed using descriptive and analytical statistics, through SPSS 16. Results The finding showed that 413 patients absconded (0.50% and mean of age in case group was 40.98 ± 16.31 years. In univariate analysis, variables of gender [Odds Ratio (OR= 2], ward (OR= 1.22, insurance status (OR= 0.41, job status (OR= 0.34 and residence expenditure were significant. However, in multivariate analysis significant variables were age (ORadj= 0.13, gender (ORadj= 2.15, self-employment/unemployed (ORadj= 0.47, emergency/admission (ORadj= 2.14, internal/admission (ORadj= 3.16, insurance status (ORadj= 4.49 and residence expenditure (ORadj= 1.15. Conclusion Characteristics such as middle age, male gender, no insurance coverage, inability to afford hospital expenditures and admission in emergency department make patients more likely abscond from the hospital. Therefore, it may be necessary to focus efforts on high-risk groups and increase insurance coverage in the country to prevent absconding from hospital.

  16. Health System Responsiveness: A Case Study of General Hospitals in Iran

    Directory of Open Access Journals (Sweden)

    Marjan Vejdani

    2013-05-01

    Full Text Available Background Considering patients’ needs and expectations in the process of healthcare delivery improves the quality of services. This study aimed to investigate the responsiveness of general public and private hospitals in Mashhad, Iran. Methods In this cross-sectional and explanatory study, hospitalized patients (with at least 2 days of stay in general private and public hospitals in Mashhad were investigated. In total 425 patients (259 from private and 166 from public hospitals were selected using a stratified and simple random sampling. Standard responsiveness questionnaire was used as the data collection tool. Data were analysed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05. Results Access to the social support during hospitalization as well as confidentiality of the patient’s information achieved the highest score (3.21±0.73 while the patient participation in decision-making process of treatment received the least score (2.34±1.24. Among the research population 1.6%, 4.1%, 17.6%, 63.3% and 13.2% commented on the responsiveness level as very low, low, moderate, good, and excellent, respectively. There was no significant difference between the overall responsiveness scores of public and private hospitals ( P-Value ≥0.05. Conclusion The hospitals have enough potential to improve various aspects of their responsiveness. We suggest a number of measures can help improve the non-clinical aspects of care. These include: using educational courses to improve the knowledge and attitudes of medical and nonmedical staff, changing the resource allocation method, and using quality tools such as reengineering to modify the healthcare delivery processes.

  17. Delivery of surgical care in a district general hospital without high dependency unit facilities

    OpenAIRE

    Coggins, R

    2000-01-01

    BACKGROUND—Many hospitals lack the facilities for high dependency care, and patients requiring this level of care are nursed on the surgical ward. The aim of this study was to assess the extent of this problem in a district general hospital, looking at the impact of providing high dependency unit (HDU) care at ward level.
METHODS—A 28 bed surgical ward was studied for 39 consecutive days. Patients were assessed as being either appropriately placed (routine) or inappropriately placed (HDU). Nu...

  18. The shape of general hospital nursing: the division of labour at work

    OpenAIRE

    Allen, Davina

    1996-01-01

    This thesis is about nursing work and the ways in which nurses in a general hospital accomplished occupational jurisdiction. It is based on ethnographic data generated on a surgical ward and a medical ward in a single NHS trust hospital. The study is set in the context of recent developments in nursing and medical education (DHSS, 1987; GMC, 1993; UKCC, 1987) and health policy (DH, 1989) which have created the impetus for shifts in the division of labour in health care, reviving deep-rooted h...

  19. Maailma aasta ärinaiseks valiti Carmen Kass : 2010 Eestist on saanud Põhjamaade Singapur / Aavo Kokk, Paavo Kangur

    Index Scriptorium Estoniae

    Kokk, Aavo, 1964-

    2000-01-01

    Tulevikunägemus Eesti edust ärimaailmas, näiteks 2006. a. mai - Singapuri-Bombay-Tallinna lennukist astub välja maailma edukaim äritandem Rein Kilk ja Carmen Kass, kes juhivad moefirmat Carmen Kass Fashion

  20. Factors Affecting The Adoption Of Mhealth In Maternal Health Care In Nakuru Provincial General Hospital

    Directory of Open Access Journals (Sweden)

    Simon Munyua

    2015-08-01

    Full Text Available Abstract Access to timely and quality maternal health care remains to be a major development challenge in many developing economies particularly in Kenya. The countrys system of providing maternal health care also continue to be anchored on conventional methods of physical presence of the patient and the doctor in a hospital setup. The countrys ICT and health policies also place very little emphasis on the use of these platforms. This study therefore sought to establish the factors affecting the adoption of mHealth by focusing on maternal health in Nakuru Provincial General Hospital. Objectives of the study were to determine the extent to knowledge and awareness affects the adoption of mHealth in maternal health care at Nakuru PGH to identify the government policies affecting the adoption of mHealth in maternal health care at Nakuru PGH to assess how access to technology affects the adoption of mHealth in maternal healthcare to establish the effects of ICT infrastructure on the adoption of mHealth in maternal health care and to identify the cost aspects affecting the adoption of mHealth in maternal health care at Nakuru Provincial General Hospital. It is envisaged that the study could provide useful information on the adoption of mHealth in managing maternal health care in Nakuru Provincial General Hospital. Descriptive survey research design will be used where all the medical staff and patients of Nakuru Provincial General Hospital was surveyed. The study population therefore was made up of 24 medical staff and 3460 mothers visiting the antenatal clinic selected using clustered random sampling technique. The main instrument for primary data collection was the questionnaire. Data analysis was then done using both descriptive and inferential statistics. Descriptive statistics to be used include frequency counts percentages and measures of central tendency. Inferential statistics on the other hand include t-test analysis and spearman correlation

  1. Analysis of Prescribing Pattern and the Availability of Medicines at General Hospitals in Indonesia

    Directory of Open Access Journals (Sweden)

    Selma Siahaan

    2014-08-01

    Full Text Available Objective: The study aim to provide description analyses of prescribing pattern and the availability of medicines ingeneral hospital as access components to medicines. Methods: This is non-intervention analysis using data from national health facilities research 2011. Samples: 40 items of essential medicines were surveyed at all general hospitals that belong to government in all districts in Indonesia. Bivariate and descriptive analyses intent to analyses the availability of medicines in hospital in Indonesia and pattern of drug prescription. Results: The availability of drugs in the government’s hospital is quite good, except fixed dose combination for tuberculosis, vitamin A and vaccines. Those are program’s medicines of health ministries. The results also show that the prescription using generic medicines for adults and childrenin the hospital were 62.1% and 62.6%. The prescription using essential medicines for adults and children were 32.6% and 35.2%. Conclusion: Drug prescription pattern have not been rational. Recommendation: Based on the results, the use of rational medicines should be keep promoting by the government. In line with this the incentive should be provided to thedoctors and pharmacist who serve the patient with the rational use medicines.

  2. Good Dances Make Good Neighbors: The U.S. Welcome Carmen Miranda

    OpenAIRE

    Canelo, Maria José

    2006-01-01

    This paper looks into issues of visuality in Carmen Miranda’s image in tandem with some of the cultural and political aims established in Franklin D. Roosevelt’s 1941 Message to Congress, “The Four Freedoms”. Carmen Miranda’s image of the stylized baiana (as constructed in Carmen’s films in the United States) is tentatively set within the framework of Guy Debord’s theory of the ‘culture of spectacle’. The analysis explores the contribution of Carmen’s baiana to the war effort, ...

  3. Qualitative Performance Evaluation of Hospitals Using DEA, Balanced Scorecard and Servqual; A Case Study of General Hospitals of Yazd

    Directory of Open Access Journals (Sweden)

    M Asadi

    2011-02-01

    Full Text Available Introduction: Evaluation is an important factor in productivity context, and acts as a control system for other areas of productivity. Hospitals are large organizations incurring heavy expenses in every country. The level of efficiency in a hospital is a good criterion to understand how hospitals consume their resources. The goal of this research was to determine relative efficiency of 13 public hospitals in Yazd province by using integrated DEA, BSC and SERVQUAL model. Methods: In this study, relative efficiency of 13 public hospitals of Yazd province was calculated using data envelopment analysis technique(DEA and balanced score card and servqual. BSC was used as a tool for designing of performance evaluation indexes, while DEA was used as a tool of evaluating performance and ranking. Results: The mean relative efficiency of hospitals under study was about 0.945 in the Persian calendar year 2008-9. The efficiency levels of nine hospitals were borderline and the efficiency of four hospitals was less than 1. Hospital no.3 had the highest efficiency levels and hospital no.10 had the lowest efficiency level. Conclusion: In this stage, on the basis of references presented by the DEA model, solutions for increasing the quality performance levels of inefficient hospitals in fourth dimensions were determined and some suggestions were proposed. Although all performance indices of the inefficient hospitals need to be addressed, priorities have to be determined by the respective managers.

  4. From the emergency department to the general hospital: hospital ownership and market factors in the admission of the seriously mentally ill.

    Science.gov (United States)

    Shen, Jay J; Cochran, Christopher R; Moseley, Charles B

    2008-01-01

    General hospitals are becoming the safety net provider for the seriously mentally ill (SMI) in the United States, but these patients are faced with a number of potential barriers when accessing these hospitals. Hospital ownership and market forces are two potential organizational and healthcare system barriers that may affect the SMI patient's access, because the psychiatric and medical services they need are unprofitable services. This study examines the relationship among hospital ownership, market forces, and admission of the SMI patient from the emergency department into the general hospital. This was a cross-sectional study of a large sample of SMI patients from the 2002 State Inpatient Datasets for five states. Multiple logistic regression was applied in the multivariable analysis. After controlling for patient, hospital, and county covariates and when compared with not-for-profit hospitals, public hospitals were more likely to admit while investor-owned hospitals were less likely to admit SMI patients. Hospitals in competitive markets were less likely to admit while hospitals with capitation revenues were slightly less likely to admit these patients. Policy options that can address this "market failure" include strengthening the public psychiatric inpatient care system, making private health insurance coverage of the SMI more equitable, revising Medicare prospective payment system to better reimburse the treatment of the SMI, and allowing not-for-profit hospitals to count care of the SMI as a community benefit. Results of this study will be useful to healthcare managers searching for ways to reduce unnecessary administrative costs while continuing to maintain the level of administrative activities required for the provision of safe, effective, and high-quality care. PMID:18720688

  5. Results of the Purulent Wound Treatment Microbiological Monitoring in Conditions of Generally Surgical Hospital

    Directory of Open Access Journals (Sweden)

    Beschastnov V.V.

    2015-09-01

    Full Text Available Aim of investigation is a study of the wound infection agent quantitative and qualitative composition alterations in a process of the patient with the soft tissue purulent wound treatment by different methods in conditions of a generally surgical hospital. Materials and Methods. 166 results of the initial and 286 dynamic bacteriological investigations in patients with purulent wounds at a local treatment by the open and closed methods are analyzed. Results. It is revealed, that a secondary infection of wound with a hospital flora, resistant to antibacterial therapy, is at the open method treatment at the 10—15 days in 37% of cases. The enterobacteria were the main part of the soft tissue purulent wound nosocomial infections in a general surgery department, which must be considered at the antimicrobic therapy tactics detection.

  6. Antibiotic-Resistant Gram Negative Bacilli in Meals Delivered at a General Hospital, Italy

    OpenAIRE

    Maria Rosa Anna Plano; Anna Maria Di Noto; Alberto Firenze; Sonia Sciortino; Caterina Mammina

    2009-01-01

    This study aimed at detecting the presence of antibiotic-resistant Gram-negatives in samples of meals delivered at the University General Hospital of Palermo, Italy. Antibiotic resistant Gram negatives were isolated in July—September 2007 ffrom cold dishes and food contact surfaces and utensils. Bacterial strains were submitted to susceptibility test and subtyped by random amplification of polymorphic DNA (RAPD). Forty-six of 55 (83.6%) food samples and 14 of 17 (82.3%) environmental swabs ...

  7. The efficiency of management of emergency surgery in a district general hospital--a prospective study.

    OpenAIRE

    Flook, D. J.; Crumplin, M. K.

    1990-01-01

    In a 6-month prospective study of management of surgical emergencies in a district general hospital, we have tried firstly to determine the degree to which non-life-threatening emergencies could be managed within 'social hours' (0800-1800), and secondly to identify examples of and reasons for potentially hazardous delay in the performance of urgent procedures. Emergency referrals undergoing surgery were categorised into three groups: Group A--patients requiring surgery either immediately or a...

  8. An audit of blood component therapy in a Canadian general teaching hospital.

    OpenAIRE

    Brien, W F; Butler, R J; Inwood, M J

    1989-01-01

    As part of a quality assurance program a retrospective audit of transfusion practices for packed red blood cells, fresh frozen plasma and albumin was undertaken with predetermined criteria in a general teaching hospital. Of 520 transfusion episodes with 1218 units of packed red blood cells given to 297 patients 88% were considered appropriate; of 106 episodes with 405 units of fresh frozen plasma given to 83 patients 90% were deemed appropriate; and of 187 episodes with 320 units of albumin g...

  9. Incidence of postoperative urinary retention after pelvic organ prolapse surgery in Cipto Mangunkusumo National General Hospital

    OpenAIRE

    Tyas Priyatini; Joan M. Sari

    2015-01-01

    Background: After vaginal delivery, every woman has 50% risk for pelvic organ prolapse (POP). The lifetime risk for a woman to undergo surgical treatment for POP was 11%, with the incidence of postoperative urinary retention (POUR) after POP surgery of 2%-43%. The aim of our study is to identify the incidence of POUR after POP surgery in Cipto Mangunkusumo National General Hospital (RSCM) and the risk factors.Methods: Medical records of 124 women undergoing pelvic prolapse surgery between 201...

  10. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    OpenAIRE

    Kontodimopoulos Nick; Lambrou Persefoni; Niakas Dimitris

    2010-01-01

    Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co...

  11. Hypertension among Outpatients at a General Hospital in South Angola: Prevalence, Awareness, Treatment, and Control

    OpenAIRE

    Feliciano C. Paquissi; Arminda B.P. Cuvinje; Almeida B. Cuvinje; Arlindo M. Paquissi

    2016-01-01

    OBJECTIVE This study aimed to assess the prevalence, awareness, treatment, and control of hypertension in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. METHODS A total of 265 subjects aged 18 years and older were included. Evaluation included complete interview and blood pressure measurement using a validated automatic device. RESULTS The prevalence rates of hypertension and prehypertension were 38.5% (95% confidence interval [CI]: 32.83%–44.90%) and 3...

  12. Acute Arterial Thromboembolism In The Extremities: A Case Series In Sina General Hospital,1991-97

    OpenAIRE

    Zafarghandy MRt Nasiri Sheikhani N

    2002-01-01

    "Arterial Thromboembolism" is the most common cause of "Acute Arterial Ischemia" of extremities. In this study, It is attempted to collect retrospectively some documentary information of all "acute arterial thromboembolic occlusions of the limbs"."nMaterials and Methods: In descriptive retrograde study in Sina General hospital, all related records in this regard were collected from March 1991 to March 1997. To reveal the statistical o...

  13. Computer aided diagnosis of acute abdominal pain at Middlesbrough General Hospital.

    OpenAIRE

    Scarlett, P. Y.; Cooke, W M; Clarke, D.; Bates, C.; Chan, M.

    1986-01-01

    This presentation reports the experience of the surgical house staff and registrars at Middlesbrough General Hospital who used a desk-top computer system to support their clinical diagnosis of acute abdominal pain. The results cover a two year period and are compared with a baseline period of one year. Substantial benefits followed the introduction of the computer-aided diagnostic support system; increased diagnostic accuracy of the whole surgical team, reduction in negative laparotomy rates,...

  14. Laboratory investigation of monoclonal gammopathy during 10 years of screening in a general hospital.

    OpenAIRE

    V. Malacrida; De Francesco, D.; Banfi, G; Porta, F A; Riches, P G

    1987-01-01

    Protein electrophoresis was carried out on 102,000 samples from the patients of a district general hospital over 10 years, and a monoclonal protein was detected in 730 cases; of these, 114 could be classified as B cell malignancies and 261 as monoclonal gammopathy of undefined significance (MGUS). The various clinical and laboratory features of monoclonal gammopathy were examined with respect to distinguishing the malignant conditions from MGUS at first presentation.

  15. Trends in surgical site infections in general surgery at a tertiary hospital

    Directory of Open Access Journals (Sweden)

    B. Ravinder Reddy

    2012-01-01

    Full Text Available Surgical site infections (SSI are a preventable cause of hospital acquired infections, which increase morbidity and mortality. This is a retrospective analysis of SSIs in patients undergoing general surgical and gastroenterological operations. The observed incidence was 3.63%. The commonest procedures resulting in SSI were those who underwent laparotomy for bowel resections. The commonest organisms isolated were Enterococcus and Klebsiella species. SSIs can be further reduced by strict adherence to SSI prevention guide-lines.

  16. When Suicide Is Not Suicide: Self-induced Morbidity and Mortality in the General Hospital

    OpenAIRE

    J. Michael Bostwick

    2015-01-01

    Suicidal phenomena in the general hospital can take a variety of forms that can be parsed by taking into account whether or not the patient 1) intended to hasten death, and 2) included collaborators, including family and health care providers, in the decision to act. These two criteria can be used to distinguish entities as diverse as true suicide, non-compliance, euthanasia/physician-assisted suicide, and hospice/palliative care. Characterizing the nature of “suicide” events facilitates appr...

  17. Occupational stress and coping resources in physiotherapists: a survey of physiotherapists in three general hospitals

    OpenAIRE

    Santos, Manuel C.; Barros,Luísa; Carolino, Elisabete

    2010-01-01

    Objectives - To identify occupational stressors and coping resources in a group of physiotherapists, and to analyse interactions between subjective levels of stress, efficacy in stress resolution and coping resources used by these professionals. Design - A sample of 55 physiotherapists working in three general hospitals in Portugal completed the Coping Resources Inventory for Stress, the Occupational Stressors Inventory and two subjective scales for stress and stress resolution. Main resul...

  18. Carmen Martínez Sancho y el Instituto Murillo de Sevilla : una relación de entrega y generosidad

    OpenAIRE

    Núñez Valdés, Juan; Maraver Alonso, Rocío

    2009-01-01

    El objetivo principal de esta ponencia no consiste tanto en poner de manifiesto las dificultades de género que pudiera sufrir María del Carmen Martínez Sancho (Toledo, 1901 – Málaga, 1995), durante sus estudios de bachillerato y de la licenciatura de Matemáticas, así como también durante el ejercicio de su actividad profesional, que ciertamente sufrió, como en dar a conocer al mundo científico en general y matemático en particular, la figura insigne y encantadora de esta ...

  19. Two decades of external peer review of cancer care in general hospitals; the Dutch experience.

    Science.gov (United States)

    Kilsdonk, Melvin J; Siesling, Sabine; Otter, Rene; van Harten, Wim H

    2016-03-01

    External peer review was introduced in general hospitals in the Netherlands in 1994 to assess and improve the multidisciplinary team approach in cancer care. This paper aims to explore the value, perceived impact, and (future) role of external peer review in cancer care. Semistructured interviews were held with clinicians, oncology nurses, and managers from fifteen general hospitals that participated in three rounds of peer review over a period of 16 years. Interviewees reflected on the goals and expectations, experiences, perceived impact, and future role of external peer review. Transcriptions of the interviews were coded to discover recurrent themes. Improving clinical care and organization were the main motives for participation. Positive impact was perceived on multiple aspects of care such as shared responsibilities, internal prioritization of cancer care, improved communication, and a clear structure and position of cancer care within general hospitals. Establishing a direct relationship between the external peer review and organizational or clinical impact proved to be difficult. Criticism was raised on the content of the program being too theoretical and organization-focussed after three rounds. According to most stakeholders, external peer review can improve multidisciplinary team work in cancer care; however, the acceptance is threatened by a perceived disbalance between effort and visible clinical impact. Leaner and more clinically focused programs are needed to keep repeated peer reviews challenging and worthwhile. PMID:26714788

  20. Knowledge and Attitude of 851 Nursing Personnel toward Depression in General Hospitals of Korea.

    Science.gov (United States)

    Park, Seon-Cheol; Lee, Hwa-Young; Lee, Dong-Woo; Hahn, Sang-Woo; Park, Sang-Ho; Kim, Yeo-Ju; Choi, Jae Sung; Lee, Ho-Sung; Lee, Soyoung Irene; Na, Kyoung-Sae; Jung, Sung Won; Shim, Se-Hoon; Choi, Joonho; Paik, Jong-Woo; Kwon, Young-Joon

    2015-07-01

    Our study aimed to examine the knowledge and attitude of nursing personnel toward depression in general hospitals of Korea. A total of 851 nursing personnel enrolled at four university-affiliated general hospitals completed self-report questionnaires. Chi-square tests were used to compare the knowledge and attitude of registered or assistant nurses toward depression. In addition, binary logistic regression analysis was used to adjust for the following confounders: age-group and workplace. Registered and assistant nurses differed in their knowledge and attitude toward depression. The proportion of rational and/or correct responses were higher in registered nurses than assistant nurses for the following: constellation of depressive symptoms defined by DSM-IV (adjusted odds ratio [aOR], 3.876; Psuicide risk in depression recovery (aOR, 3.223; P=0.001) and psychological stress as a cause of depression (aOR, 4.370; P<0.001); the relationship between chronic physical disease and depression (aOR, 8.984; P<0.001); and other items. Our results suggest that in terms of the biological model of depression, the understanding of registered nurses is greater than that of assistant nurses. Moreover, specific psychiatric education programs for nursing personnel need to be developed in Korea. Our findings can contribute to the development of a general hospital-based model for early detection of depression in patients with chronic medical diseases. PMID:26130960

  1. Trends in fatalities due to poisoning at Umtata General Hospital, Mthatha (1993–2005

    Directory of Open Access Journals (Sweden)

    Banwari L. Meel

    2009-04-01

    Full Text Available Poisoning is a common method of committing suicide in this region of South Africa. Females generally ingest poisons but it is increasingly becoming common in males too. This is a record review of autopsies carried out at the Umtata (Mthatha General Hospital mortuary, which forms part of the teaching hospital of the Walter Sisulu University Medical School. There were 10 230 unnatural deaths between 1993 and 2005. Of these deaths, 161 (1.6% were deaths due to poisoning. There was a marked increase in death by poisoning from 2.5% in 1993 to 13.7% in 2004. The highest percentage (17.4% of poison-related deaths was in 2001, and the lowest (2.5% was in 1993 and 1994. About two-thirds of victims (66% were males, and more than half of the victims (51.5% were in the 11 to 30 age group. There is an increasing trend in fatalities due to poisoning at Umtata General Hospital, Mthatha.

  2. Short and medium-term outcomes for general surgery in nonagenarian patients in a district general hospital.

    Science.gov (United States)

    Hayes, A J; Davda, A; El-Hadi, M; Murphy, P; Papettas, T

    2016-07-01

    Introduction Surgeons are increasingly performing surgery on older patients. There are currently no tools specifically for risk prediction in this group. The aim of this study was to review general surgical operations carried out on patients aged over 90 years and their outcome, before comparing these with predictors of morbidity and mortality. Methods A retrospective review was carried out at our district general hospital of all general surgery patients aged over 90 years who underwent a general surgical operation over a period of 14 years. Information collected included demographics, details of procedures, P-POSSUM (Portsmouth Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity), complications and outcomes. Results A total of 119 procedures were carried out, 72 involving entry into the peritoneal cavity. Overall, 14 patients (12%) died within 30 days and 34 (29%) died within one year. Postoperative complications included infection (56%), renal failure (24%), need for transfusion (17%) and readmission within 30 days (11%). Logistical regression analysis showed that the P-POSSUM correlated well with observed mortality and infection was a significant predictor of in-hospital mortality (p=0.003). Conclusions The P-POSSUM correlates significantly with outcome and should be used when planning major elective or emergency surgery in patients over 90 years of age. Infective complications appear to be a significant predictor of postoperative mortality. This study supports operative intervention as an option in this extreme age group but we emphasise the importance of appropriate patient selection and judicious clinical care. PMID:27138856

  3. Stenotrophomonas maltophilia infections in a general hospital: patient characteristics, antimicrobial susceptibility, and treatment outcome.

    Directory of Open Access Journals (Sweden)

    George Samonis

    Full Text Available INTRODUCTION: Stenotrophomonas maltophilia is acquiring increasing importance as a nosocomial pathogen. METHODS: We retrospectively studied the characteristics and outcome of patients with any type of S. maltophilia infection at the University Hospital of Heraklion, Crete, Greece, between 1/2005-12/2010. S. maltophilia antimicrobial susceptibility was tested with the agar dilution method. Prognostic factors for all-cause in-hospital mortality were assessed with multivariate logistic regression. RESULTS: Sixty-eight patients (median age: 70.5 years; 64.7% males with S. maltophilia infection, not related to cystic fibrosis, were included. The 68 patients were hospitalized in medical (29.4%, surgical (26.5%, hematology/oncology departments (23.5%, or the intensive care units (ICU; 20.6%. The most frequent infection types were respiratory tract (54.4%, bloodstream (16.2%, skin/soft tissue (10.3%, and intra-abdominal (8.8% infection. The S. maltophilia-associated infection was polymicrobial in 33.8% of the cases. In vitro susceptibility was higher to colistin (91.2%, trimethoprim/sulfamethoxazole and netilmicin (85.3% each, and ciprofloxacin (82.4%. The empirical and the targeted treatment regimens were microbiologically appropriate for 47.3% and 63.6% of the 55 patients with data available, respectively. Most patients received targeted therapy with a combination of agents other than trimethoprim/sulfamethoxazole. The crude mortality and the mortality and the S. maltophilia infection-related mortality were 14.7% and 4.4%, respectively. ICU hospitalization was the only independent prognostic factor for mortality. CONCLUSION: S. maltophilia infection in a general hospital can be associated with a good prognosis, except for the patients hospitalized in the ICU. Combination reigmens with fluoroquinolones, colistin, or tigecycline could be alternative treatment options to trimethoprim/sulfamethoxazole.

  4. IRS General Counsel Memorandum threatens some hospital-physician joint ventures.

    Science.gov (United States)

    Driscoll, T L; Schieble, M T

    1992-03-01

    To defend against the heightened scrutiny of hospital-physician relations expected from the IRS, hospital management should closely examine any activities now conducted with physicians to determine whether each activity, as organized and operated, furthers the hospital's charitable mission of promoting the health of its community, rather than merely enhancing the financial health of the institution itself. Any arrangements that do not appear to satisfy the principles enunciated in GCM 39862 should be examined to see if they should be restructured or dissolved. In structuring new transactions and examining existing arrangements, the following principles should be kept in mind: 1. Transactions should not be premised upon increased utilization or physician referrals. Enhancing or protecting market share, even for the purpose of preserving an institution's presence in the community, will likely no longer be accepted as a justification for pursuing joint venture arrangements. In justifying such ventures, management must distinguish between benefit to the community and benefit to the institution. 2. Transactions whereby existing services or equipment are "spun off" to a hospital-physician joint venture run a serious risk of enhanced IRS scrutiny. 3. Transactions creating or providing new facilities or services should be more favorably perceived, particularly where participants other than the hospital take an active role in managing the venture. Where the hospital is the sole general partner and merely manages what it would have managed had there been no physician investors, the question of why physicians are involved will likely be of greater concern than it has been in the past.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10118472

  5. Why are family carers of people with dementia dissatisfied with general hospital care? a qualitative study

    Directory of Open Access Journals (Sweden)

    Jurgens Fiona J

    2012-09-01

    Full Text Available Abstract Background Families and other carers report widespread dissatisfaction with general hospital care for confused older people. Methods We undertook a qualitative interviews study of 35 family carers of 34 confused older patients to ascertain their experiences of care on geriatric and general medical, and orthopaedic wards of a large English hospital. Transcripts were analysed using a grounded theory approach. Themes identified in interviews were categorised, and used to build a model explaining dissatisfaction with care. Results The experience of hospital care was often negative. Key themes were events (illness leading to admission, experiences in the hospital, adverse occurrences including deterioration in health, or perceived poor care; expectations (which were sometimes unrealistic, usually unexplored by staff, and largely unmet from the carers’ perspective; and relationships with staff (poor communication and conflict over care. Expectations were influenced by prior experience. A cycle of discontent is proposed. Events (or ‘crises’ are associated with expectations. When these are unmet, carers become uncertain or suspicious, which leads to a period of ‘hyper vigilant monitoring’ during which carers seek out evidence of poor care, culminating in challenge, conflict with staff, or withdrawal, itself a crisis. The cycle could be completed early during the admission pathway, and multiple cycles within a single admission were seen. Conclusion People with dementia who have family carers should be considered together as a unit. Family carers are often stressed and tired, and need engaging and reassuring. They need to give and receive information about the care of the person with dementia, and offered the opportunity to participate in care whilst in hospital. Understanding the perspective of the family carer, and recognising elements of the ‘cycle of discontent’, could help ward staff anticipate carer needs, enable relationship

  6. Riesgo cardiovascular en la población con sobrepeso u obesidad en el cantón Central de Cartago, CARMEN 2001 Cardiovascular risk of an overweight and obese population in Central County of Cartago, CARMEN 2001

    Directory of Open Access Journals (Sweden)

    Marlene Roselló-Araya

    2008-06-01

    Full Text Available Objetivo general: Determinar el nivel de riesgo cardiovascular global de la población con sobrepeso u obesidad del cantón Central de Cartago, CARMEN 2001. Metodología: Estudio de tipo descriptivo, transversal, basado en los datos del proyecto CARMEN, realizado en 2001 en Cartago, utilizando la tabla de Framingham clásica. Muestra 373 personas (142 hombres y 231 mujeres con sobrepeso u obesidad, con edades comprendidas entre 30 y 64 años. Resultados: El 61,9% eran mujeres; la edad promedio fue de 45,1 ± 9,4 años; el 38,8% de la población se ubicó en el grupo de edad de 35 a 44 años. El 39,8% de los hombres y el 18,3% de las mujeres con sobrepeso se ubicó en riesgo cardiovascular de moderado a alto. El 73% de los hombres y el 28,2% de las mujeres con obesidad se ubicó en la categoría de riesgo cardiovascular moderado y alto. El 80,0% de los diabéticos, 21,3% de los fumadores, el 55,4% de los hipertensos, el 24,3% con colesterol elevado, el 42,9% con triglicéridos de más de 150 mg/dl, el 37,2% con el LDL mayor de 130 mg/dl y el 46,6% con HDL bajo se ubicaron en un riesgo cardiovascular de moderado a alto. Conclusiones: Este estudio evidenció los altos porcentajes de lípidos elevados, hipertensión y fumado en esta población, lo que confirma que cuanto mayor es el grado de sobrepeso u obesidad, mayores serán también los valores de la presión sanguínea, glicemias, triglicéridos y colesterol total. El control del peso corporal es, por lo tanto, una medida clave para prevenir el riesgo de un problema cardiovascular.Aim: To determine the global cardiovascular risk of a population with overweight and obesity from Central Cartago County, CARMEN 2001. Methodology: Descriptive crossed study based on the data of the CARMEN Project, carried out in Cartago, in 2001, using as a reference the classic Framingham Table. Sample, 373 persons with overweight and obesity were studied there were 142 men and 231 women, aged from 30 to 64 years

  7. Physical Violence against General Practitioners and Nurses in Chinese Township Hospitals: A Cross-Sectional Survey.

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    Kai Xing

    Full Text Available The purpose of this study is to identify risk factors of physical violence in Chinese township hospitals.A cross-sectional survey was used in a sample of 442 general practitioners and 398 general nurses from 90 township hospitals located in Heilongjiang province, China (response rate = 84.8%.A total of 106 of the 840 (12.6% respondents reported being physically attacked in their workplace in the previous 12 months. Most perpetrators were the patients' relatives (62.3%, followed by the patient (22.6%; 73.6% of perpetrators were aged between 20 and 40 years. Of the physical violence incidents, about 56.6% (n = 60 resulted in a physical injury, and 45.4% of respondents took two or three days of sick leave. Reporting workplace violence in hospitals to superiors or authorities was low (9.4%. Most respondents (62.8% did not receive training on how to avoid workplace violence. Logistic regression analyses indicated that general nurses, aged 35 years or younger, and with a higher-level professional title were more likely to experience physical violence. Healthcare workers with direct physical contact (washing, turning, lifting with patients had a higher risk of physical violence compared to other health care workers. Procedures for reporting workplace violence were a protective factor for physical violence; when in place, reporting after psychological violence (verbal abuse, bullying/mobbing, harassment, and threats was more protective than waiting until an instance of physical violence (beating, kicking, slapping, stabbing, etc..Physical violence in Chinese township hospitals is an occupational hazard of rural public health concern. Policies, procedures, and intervention strategies should be undertaken to manage this issue.

  8. Changing Smoking Behavior of Staff at Dr. Zainoel Abidin Provincial General Hospital, Banda Aceh

    Directory of Open Access Journals (Sweden)

    Said Usman

    2014-01-01

    Full Text Available Smoking tobacco is a habit of individuals. Determinants of smoking behavior are multiple factors both within the individual and in the social environment around the individual. Staff smoking has been an undesirable phenomenon at Dr. Zainoel Abidin Provincial General Hospital in Banda Aceh. Health promotion efforts are a strategy that has resulted in behavioral changes with reductions in smoking by staff. This action research was designed to analyze changes in smoking behavior of hospital staff. The sample for this research was all 152 male staff who were smokers. The results of this research showed that Health Promotion Interventions (HPI consisting of personal empowerment plus social support and advocacy to improve employee knowledge and attitudes influenced staff to stop or to significantly. HPI employed included counseling programs, distribution of antismoking leaflets, putting up antismoking posters, and installation of no smoking signs. These HPI proved effective to increase knowledge and create a positive attitude to nonsmoking that resulted in major reductions in smoking by staff when offsite and complete cessation of smoking whilst in the hospital. Continuous evaluation, monitoring, and strengthening of policies banning smoking should be maintained in all hospitals.

  9. Idosos asilados em hospitais gerais Long-term care elderly residents in general hospitals

    Directory of Open Access Journals (Sweden)

    Milton Luiz Gorzoni

    2006-12-01

    Full Text Available Instituições de longa permanência para idosos interagem periodicamente com hospitais gerais para internações de casos agudos ou dos que necessitam de métodos diagnósticos complexos e da atenção de várias especialidades simultaneamente. A decisão de indicar hospitalização é multifatorial, sendo influenciada por circunstâncias como a gravidade do quadro clínico e a infra-estrutura das instituições de longa permanência para idosos. Internações hospitalares apresentam benefícios e riscos, como o desenvolvimento de iatrogenias, delirium e declínios funcionais, podendo resultar em piora do estado geral e da qualidade de vida do idoso asilado durante e/ou após a hospitalização. O objetivo do estudo foi abordar aspectos peculiares na avaliação, tratamento e manejo de idosos asilados em internações hospitalares, particularmente quanto a cuidados que os auxiliem efetivamente nessas circunstâncias. Discutiram-se situações freqüentes como delirium, iatrogenias, desnutrição, declínio funcional e cuidados paliativos e características próprias de residentes em instituições para idosos durante internações em hospitais gerais.Long-term care facilities for the elderly have regularly to work together with general hospitals to provide care to acutely ill residents or when they require all together more complex diagnostic procedures and multi-specialty care. The decision to hospitalize a nursing home elderly resident is multifactorial and it is based on factors such as illness severity and care facility infrastructure. Hospitalizations have benefits and risks such developing iatrogenic diseases, delirium, and functional decline, which may deteriorate patients' general condition and their quality of life during and/or after hospitalization. This study aimed at addressing specific aspects of assessment, treatment and management of nursing home elderly who require to be hospitalized, especially focusing on their effective care

  10. Evolution of nutritional status of pediatric in patients of a tertiary care general hospital in Brazil Evolución del estado nutritivo de pacientes pediátricos ingresados en hospital general terciario de Brasil

    OpenAIRE

    C. R. De Moraes Silveira; E. D. De Mello; P. R. Antonacci Carvalho

    2008-01-01

    Justification and objective: Identify changes in the nutritional status of hospitalized children is fundamental for the early establishment of interventions. This study aims at describing the prevalence of undernutrition at admission and over the weeks of in-hospital stay in pediatric patients and evaluate the association between nutritional status and length of in-hospital stay. Materials and methods: A cohort study was carried out. It followed all the in-patients admitted to the general ped...

  11. Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

    Directory of Open Access Journals (Sweden)

    Amilton dos Santos Jr.

    2013-01-01

    Full Text Available Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02. Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5% reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

  12. Manufacturing, Assembly, Integration and Verification of CARMENES and Preparation of its Input Catalogue

    Science.gov (United States)

    Quirrenbach, A.; Caballero, J. A.; Amado, P. J.; Ribas, I.; Reiners, A.; Mundt, R.; Montes, D.

    2015-01-01

    CARMENES is a next-generation radial-velocity instrument under construction for the 3.5 m telescope at the Calar Alto Observatory by a consortium of eleven Spanish and German institutions. It consists of two separate échelle spectrographs covering the wavelength range from 0.55 to 1.7 μm at a spectral resolution of R ≈ 82 000, fed by fibers from the Cassegrain focus of the telescope. CARMENES passed its final design review in February 2013 and is planned to start the Guaranteed Time Observations programme at the end of 2015. We discuss critical design decisions, present the final design, and report on the ongoing MAIV phase of the project. CARMENES will conduct a radial-velocity survey of 300 M dwarfs with a precision sufficient for detecting Earth-like planets in their habitable zones. We compile an exhaustive data base of M stars, dubbed CARMENCITA, from which the CARMENES guaranteed-time sample will be selected. CARMENCITA contains information on all relevant properties of the potential targets. Dedicated imaging, photometric, and spectroscopic observations are underway to provide crucial data on these stars that are not available in the literature.

  13. 78 FR 45573 - Compensatory and Alternative Regulatory Measures for Nuclear Power Plant Fire Protection (CARMEN...

    Science.gov (United States)

    2013-07-29

    ... COMMISSION Compensatory and Alternative Regulatory Measures for Nuclear Power Plant Fire Protection (CARMEN.../CR-7135, ``Compensatory and Alternative Regulatory Measures for Nuclear Power Plant Fire Protection... features at nuclear power plants. The report documents the history of compensatory measures and details...

  14. "Kõige mugavam oli filmis öötööd teha Carmen Kassil" / Verni Leivak

    Index Scriptorium Estoniae

    Leivak, Verni, 1966-

    2003-01-01

    Lõppesid produtsent Kristian Taska uue mängufilmi "Täna öösel me ei maga" võtted. Lavastab Ilmar Taska, operaatoriks on Istvan Borbas, peaosades Carmen Kass, Peter Franzen; Maria Avdjushko, Priit Võigemast. Esilinastus tuleb 13. veebruaril 2004

  15. Recreational activities performed with neoplasia carrier Inpatients in a general hospital

    Directory of Open Access Journals (Sweden)

    Caroline de Castro Moura

    2012-09-01

    Full Text Available This study aims at apprehending the contribution of recreational activities in the treatment of hospitalized cancer patients and identifying the most stimulating resources for them. This is a qualitative research of phenomenological nature, it was approved by the Ethics in Research Committee, Protocol 139/2010. It was conducted with patients with cancer in a general hospital, located in Alfenas, in March and April, 2011.The research began from these guiding questions: What are your thoughts on the recreational team work and the activities they do? What do you suggest for this group to be developed? It was perceived that ludic activities help patients to face the disease, that they eased the interaction between the recreational group and the multiprofessional team, besides providing a happy and welcoming environment. The most well accepted activities were music and games the clowns provided. We suggest implementing the humanization by using ludic resources.

  16. [Suicidality at the general hospital – perspective of consultation and liaison psychiatry].

    Science.gov (United States)

    Imboden, Christian; Hatzinger, Martin

    2015-10-01

    Suicidality is a common problem in the general hospital. Patients with comorbid psychiatric disorders or during a psychosocial crisis can develop suicidal ideation during their stay at the general hospital, especially if they suffer from chronic disease. Some somatic disorders, such as cancer, epilepsy, chronic obstructive pulmonary disease, asthma, stroke and chronic pain conditions are associated with an increased risk of suicide. The fact that (1) a major part of patients are treated in the emergency room (ER) after a suicide attempt and (2) a suicide attempt is the strongest predictor for later completed suicide emphasizes the importance of expertise in dealing with suicidal patients in the ER. In order to improve prevention of suicides and suicide attempts within the general hospital and after discharge it is important to educate staff concerning suicidality and enhance detection of suicidal patients. A consultation and liaison psychiatrist should always be involved when there are suicidal patients on wards and in the ER. Assessment of suicidal patients has always to include clear recommendations concerning patient safety and treatment of the underlying condition as well as specific approaches in dealing with suicidal thoughts. Safety measures can include close monitoring, constant observation, restriction to means of suicide, referral to a psychiatric clinic and treatment with sedatives, generally benzodiazepines. Psychiatric disorders are ideally treated according to guidelines and clear recommendations should be given concerning treatment after discharge. Specific psychotherapy for suicidal behaviour possibly reduces the risk of future suicides. A special situation is created by assisted suicides which attribute to suicides in the elderly with a recent increase in the Swiss population. In some cases, undiagnosed depression may contribute to the decision making process, hence, underlining the importance of improved detection and treatment of depression in

  17. CARMENES: First Results from the CAHA 3.5m Telescope

    Science.gov (United States)

    Quirrenbach, Andreas; Consortium, CARMENES

    2015-12-01

    CARMENES (Calar Alto high-Resolution search for M dwarfs with Exo-earths with Near-infrared and optical Echelle Spectrographs) is a next-generation instrument currently undergoing commissioning at the 3.5m telescope at the Calar Alto Observatory. It has been developed by a consortium of eleven Spanish and German institutions (see also Quirrenbach et al. 2010; 2012; 2014). CARMENES will conduct a 600-night exoplanet survey targeting ~300 M dwarfs. An important and unique feature of the CARMENES instrument is that it consists of two separate échelle spectrographs, which together cover the wavelength range from 0.55 to 1.7 μm at a spectral resolution of R = 82,000. The spectrographs are fed by fibers from the Cassegrain focus of the telescope.The main scientific objective of the CARMENES project is to carry out a survey of late-type main sequence stars with the goal of detecting low-mass planets in their habitable zones (HZs). In the focus of the project are very cool stars later than spectral type M4 and moderately active stars. We aim at being able to detect a 2M⊕ planet in the HZ of an M5 star. A long-term radial velocity precision of 1ms-1 per measurement will permit to attain such goals. For stars later than M4 (M trove for follow-up studies probing their habitability.Quirrenbach, A., Amado, P.J., Mandel, H., et al. (2010). CARMENES: Calar Alto high-Resolution search for M dwarfs with Exo-earths with Near-infrared and optical Echelle Spectrographs. In Ground-based and airborne instrumentation for astronomy III. Eds. McLean, I.S., Ramsay, S.K., & Takami, H., SPIE 773513Quirrenbach, A., Amado, P.J., Seifert, W., et al. (2012). CARMENES. I: Instrument and survey overview. In Ground-based and airborne instrumentation for astronomy IV. Eds. McLean, I.S., Ramsay, S.K., & Takami, H., SPIE 84460RQuirrenbach, A., Amado, P.J., Caballero, J.A., et al. (2014). CARMENES instrument overview. In Ground-based and airborne instrumentation for astronomy V. Eds. Ramsay, S

  18. Historical review: First facial pain patient admitted to Massachusetts General Hospital, February 1823 and first case series.

    Science.gov (United States)

    Keith, David A; Dodson, Thomas B; Kaban, Leonard B

    2013-08-01

    Founded in 1811, the Massachusetts General Hospital recently celebrated its bicentennial. The War of 1812 delayed construction of the building so the first patient actually was admitted to the hospital 10 years later, on September 3, 1821. By 1823, the 60 hospital beds were full. Patient 66 was admitted on February 28, 1823, and his hospital course, as described in the admissions book, was transcribed for the Massachusetts General Hospital bicentennial celebration. That case history is reproduced and a case series of 6 similar patients published in 1828 by Dr John Warren, surgeon-in-chief and a founder of the hospital, is presented. In this report, the authors comment on the diagnosis, treatment, and outcome of these patients in the context of the contemporaneous health care environment and in light of the current knowledge of facial pain disorders. This article was adapted from the authors' commentary for the bicentennial celebration. PMID:23866949

  19. STUDY ON THE USE PATTERN OF NSAIDS IN SOME GENERAL AND SPECIALIZED HOSPITALS OF BANGLADESH

    Directory of Open Access Journals (Sweden)

    Hasan Md. Mahadi

    2012-02-01

    Full Text Available This study was designed to assess the present use pattern of both traditional nonsteroidal anti-inflammatory drugs (tNSAIDs and cyclooxygenase 2 (COX-2-selective NSAIDs (coxibs in terms of demographic characteristics, prevalence of use of NSAIDs type, gastro-protective drug use frequency among the patients of four general hospitals and another five specialized hospitals of Dhaka city. The study was conducted during 3 May to 18 May 2011. Total 480 patients were asked to answer the questions of the previously designed questionnaire covered with some closed ended dichotomous and multichotomous questions. Most prevalent age group of the patients was between 40-65years. Again, use of tNSAIDs was relatively higher than that of coxibs. Besides, among the NSAIDs, ketorolac tromethamine (a tNSAID was the most frequently used drug (29.3% in the general hospitals (GnH whereas diclofenac sodium (a tNSAID was common (58% in the specialized hospitals (SpH counterpart. Moreover, a significant number of patients did not use gastro-protective medication whenever taking NSAIDs. Most prevailing gastroprotectives were Proton Pump Inhibitor (PPI and H2 receptor antagonist. Apart from these, another critical observation from this study was the lack of following proper indication related to medication specially for taking the gastroprotective drugs. In conclusion, it can be said that although in most cases, the use pattern of NSAIDs is proper and justified but to avoid unwanted complications and misuse of the drugs, both physicians as well as drug users need to be more aware.

  20. Partnerships between Medical Centres and General Hospitals Providing Normal Care Standards in Gynaecology and Obstetrics in Germany.

    Science.gov (United States)

    Schütz, F; Maleika, A; Poeschl, J; Domschke, C; Seitz, H; Beuter-Winkler, P; Sohn, C

    2012-10-01

    Hospital managers and the heads of medical departments are nowadays being faced with ever increasing demands. It is becoming difficult for some small hospitals to find highly experienced or even experienced medical staff, to provide specific health-care services at break-even prices and to maintain their position in competition with other hospitals. On the other hand, large hospitals are facing enormous pressure in the investment and costs fields. Cooperation could provide a solution for these problems. For an optimal strategic exploitation of the hospitals, their direction could be placed in the hands of a joint medical director. However, the directorship of two hospitals is associated both with opportunities and with risks. The present article illustrates the widely differing aspects of the cooperation between a medical centre and a general hospital providing standard care from both a theoretical point of view and on the basis of practical experience with an actual cooperation of this type in Heidelberg. PMID:25308978

  1. Implementation of a pre-hospital decision rule in general practice. Triage of patients with suspected myocardial infarction

    OpenAIRE

    Grijseels, Els; Deckers, Jaap; Hoes, Arno; Boersma, Eric; Hartman, J.A.M.; van der Does, Emiel; Simoons, Maarten

    1996-01-01

    textabstractOBJECTIVE: To improve pre-hospital triage of patients with suspected acute cardiac disease. DESIGN: Prospective study. SUBJECTS. Patients with symptoms suggestive of acute cardiac pathology, who were seen by a general practitioner, for whom acute admission into hospital was requested, and in whom a pre-hospital electrocardiogram was recorded by the ambulance service. METHODS: The study consisted of two phases. In the first phase, a decision rule was developed based on clinical cha...

  2. Psychological sequelae of miscarriage: a controlled study using the general health questionnaire and the hospital anxiety and depression scale.

    OpenAIRE

    Thapar, A K; Thapar, A

    1992-01-01

    This study was carried out to assess whether psychiatric morbidity after a miscarriage is higher than that associated with early pregnancy. A total of 60 consecutive women admitted to a Swansea hospital with a miscarriage were compared with 62 consecutive women who attended an antenatal clinic at the same hospital, using the 28-item general health questionnaire and the hospital anxiety and depression scale. These were completed both at initial contact and six weeks later. Women who had had a ...

  3. The role of general practitioners in the pre hospital setting, as experienced by emergency medicine technicians: a qualitative study

    OpenAIRE

    Hjortdahl, Magnus; Zakariassen, Erik; Wisborg, Torben

    2014-01-01

    Background: Together with the ambulances staffed with emergency medical technicians (EMTs), general practitioners (GPs) on call are the primary resources for handling emergencies outside hospitals in Norway. The benefit of the GP accompanying the ambulance to pre-hospital calls is a matter of controversy in Norway. The purpose of the present study was to gain better insight into the EMT ’ s experiences with the role of the GPs in the care for critically ill patients in the pre-hospital ...

  4. General aspects of radiological protection to consider for the licensing a hospital cyclotron

    International Nuclear Information System (INIS)

    The use of PET/PET-CT studies for a variety of diagnoses has increased significantly on a global scale. Modern medical cyclotrons must be placed in or near hospitals on account of the short radioactive half-life of the pharmaceuticals used in such studies. Many countries in Latin America are now licensing cyclotrons and laboratories for the production of radio-pharmaceuticals for the first time, and most are expected to have installations within the near future. This report outlines the general aspects of radiological protection important to consideration during the licensing of these facilities, and includes the following: general operation of the cyclotron and laboratory for the production of radiopharmaceuticals, safety systems (shielding, interlocks, ventilation, manual safety systems, alarms and monitors), and general aspects for licensing an installation (monitoring, accidental and incidental events, activation of components, etc.) and personnel. (authors)

  5. Carmen de Burgos y Ramón Gómez de la Serna

    Directory of Open Access Journals (Sweden)

    Ubach Medina, Antonio

    2010-06-01

    Full Text Available Carmen de Burgos, born in the southern province of Almería, arrives to Madrid at the beginning of the 20th century. She has decided to maintain her independence after an unhappy marriage and to earn her bread with her writings. She also uses them to promote different social issues, her idea of literature and the young writers who are starting their careers. Ramón Gómez de la Serna, twenty years her younger, meets her in 1908, when he is starting his career. Carmen represents the ideal woman he describes in his conference titled “The New Literature”. Along the next twenty years they share their lives, travels and writing in a rich partnership that ends suddenly in 1929 after the short flirt of Carmen’s daughter with the writer.

    Carmen de Burgos, proveniente de la sureña provincia de Almería, llega a Madrid a principios del s. XX, decidida a mantener su independencia tras un desdichado matrimonio y a ganarse la vida escribiendo, apoyando una serie de causas sociales, su idea de la literatura y los jóvenes valores. Ramón Gómez de la Serna, veinte años más joven que ella, la conoce en 1908, cuando comienza su carrera literaria. Carmen encarna el ideal de mujer que describe en su conferencia sobre “La nueva literatura”. Durante veinte años comparten vida, viajes y escritura en una fructífera compañía que termina bruscamente en 1929 tras la relación fugaz de la hija de Carmen con el escritor.

  6. Factors associated with suicide method among psychiatric patients in a general hospital in Korea.

    Science.gov (United States)

    Park, Subin; Ahn, Myung Hee; Na, Riji; Kim, Seon-Ok; Yoon, Jin Sang; Park, Jun-Hyuk; Hong, Jin Pyo

    2013-12-30

    This study aims to highlight the factors associated with suicide method among psychiatric patients in a general hospital in Korea. In a sample of 467 suicides by patients who had received mental health care in a general hospital in Korea, the relationship between suicide method and time of death as well as clinical characteristics, including psychiatric adiagnosis, was examined using multinomial logistic regression analysis. Compared with the general population, psychiatric patients, regardless of disorder, committed suicide by jumping from heights more often than by hanging (OR=2.35-8.64). In particular, patients with psychotic disorders and female patients were more likely to use jumping from a height than hanging to kill themselves (OR=2.98 and 1.83, respectively). Patients were more likely to use suicide methods other than hanging (e.g., OR=6.7 for jumping, 5.3 for drowning, and 2.7 for self-poisoning) between midnight and dawn. Possible suicide-prevention strategies suggested by this study include limiting access to or fencing off tall structures in close proximity to psychiatric institutions and residential care homes. At night, limiting access to or instituting heightened supervision of tall structures is specifically indicated. PMID:24055162

  7. Implementation of a pre-hospital decision rule in general practice. Triage of patients with suspected myocardial infarction

    NARCIS (Netherlands)

    E.W.M. Grijseels (Els); J.W. Deckers (Jaap); A.W. Hoes (Arno); H. Boersma (Eric); J.A.M. Hartman; E. van der Does (Emiel); M.L. Simoons (Maarten)

    1996-01-01

    textabstractOBJECTIVE: To improve pre-hospital triage of patients with suspected acute cardiac disease. DESIGN: Prospective study. SUBJECTS. Patients with symptoms suggestive of acute cardiac pathology, who were seen by a general practitioner, for whom acute admission into hospital was requested, an

  8. Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese elderly in general practice?

    OpenAIRE

    Lam, CLK; Pan, PC; Chan, AWT; Chan, SY; Munro, C

    1995-01-01

    A study was carried out in a general practice in Hong Kong to find out if the Hospital Anxiety and Depression (HAD) Scale could be used to detect psychological problems in Chinese elderly. The HAD Scale was translated into Cantonese and administered by an interviewer to 298 Chinese aged 60 or above before their doctor consultations. The acceptance rate of the Scale was 96% and each interview took only 5-10 min to complete. All 298 elderly understood and completed the HAD Scale. Validation of ...

  9. When Suicide Is Not Suicide: Self-induced Morbidity and Mortality in the General Hospital

    Science.gov (United States)

    Bostwick, J. Michael

    2015-01-01

    Suicidal phenomena in the general hospital can take a variety of forms that can be parsed by taking into account whether or not the patient 1) intended to hasten death, and 2) included collaborators, including family and health care providers, in the decision to act. These two criteria can be used to distinguish entities as diverse as true suicide, non-compliance, euthanasia/physician-assisted suicide, and hospice/palliative care. Characterizing the nature of “suicide” events facilitates appropriate decision-making around management and disposition. PMID:25973265

  10. When Suicide Is Not Suicide: Self-induced Morbidity and Mortality in the General Hospital

    Directory of Open Access Journals (Sweden)

    J. Michael Bostwick

    2015-04-01

    Full Text Available Suicidal phenomena in the general hospital can take a variety of forms that can be parsed by taking into account whether or not the patient 1 intended to hasten death, and 2 included collaborators, including family and health care providers, in the decision to act. These two criteria can be used to distinguish entities as diverse as true suicide, non-compliance, euthanasia/physician-assisted suicide, and hospice/palliative care. Characterizing the nature of “suicide” events facilitates appropriate decision-making around management and disposition.

  11. Evaluation of tumor markers for the detection of hepatocellular carcinoma in Yangon General Hospital, Myanmar.

    OpenAIRE

    Taketa K; Okada S.; Win N; Hlaing NK; Wind KM

    2002-01-01

    Levels of alpha-fetoprotein (AFP), its glycoforms AFP-L3 and AFP-P4, and proteins induced by vitamin K absence or antagonist-II (PIVKA-II) were determined in sera obtained from patients in Yangon General Hospital (20 with hepatocellular carcinoma (HCC), 29 with chronic liver diseases, including 3 with chronic hepatitis and 26 with cirrhosis of the liver, and 9 with other hepatobiliary diseases). Forty-five percent of the patients with HCC had serum AFP levels above 10,000 ng/ml, indicating th...

  12. Suitable time of treating maxillofacial trauma caused by traffic accident in general hospitals

    Institute of Scientific and Technical Information of China (English)

    桑修文; 赵宏伟; 等

    1999-01-01

    Objective To explore sutitable time of treating maxillofacial trauma caused by traffic accident in general hospitals to decrease adverse effect caused by delayed therapy.Methods:In recent 10 years we have treated 154 cases of maxillofacial trauma by traffic accidents and their data were analyzed.Results:Early surgical therapy could be done in maxillofacial soft tissue trauma.The therapy of returning occlusion relation or temporary fixing was performed in bone fracture before porosis.Conclusions:For maxilloficial trauman and trauman of other parts caused by traffic accidents.early treatment should be done in order to decrease dysfunction and deformity caused by maxillofacial trauma.

  13. Planning Development for a Family Planning Centre in Nursing Unit of the General Hospital of Argolida

    Directory of Open Access Journals (Sweden)

    Koukoufilippou J

    2015-01-01

    Full Text Available Introduction: The family planning centres must be upgraded to a cornerstone of primary health care, and prevent, advise and protect the citizen's health while reducing hospitalization costs for hospitals. Aim: The purpose of this literature review is the family planning centre development in general hospital of Argolida that has a similar clinic. Material and Methods: Literature review was conducted of published English and Greek Articles from bibliographic databases Medline, Google Scholar and Scopus for the period 2001-2014, using keywords like: "Family Planning», «SWOT analysis", "functional design" "prevention", "health promotion", "economic cost". The option of creating inpatient center was made after analysis SWOT, by defining objectives, performance indicators and existing alternatives. Also the timing of implementation and functional design, provide the springboard effort for effective operation. Conclusions: The development of family planning centres in the country and abroad is designed to address very important problems in the bud, in order to improve the quality of citizens' health, then reduce the financial burden on the health system as a result of prevention, and contribute indirectly to the mental balance of citizens.

  14. Diagnosis and first-line treatment of breast cancer in Italian general hospitals

    International Nuclear Information System (INIS)

    The quality of the diagnostic and therapeutic process of 1262 newly diagnosed breast cancer patients was evaluated in 63 Italian general hospital over the period March 1983 - April 1984. Most of the patients (91%) discovered their own lesion, which was a nodule in 83% of the cases. Practice of breast self examination was reported by 418 (33%) patients, only 28% of whom did that on a regular monthly basis. A diagnostic delay>3 months was present in 36% of the patients. Among the preoperative work-up examinations, skeletal X-ray or bone scan was not performed in 20% of patients, whereas other essential examinations were done in most. The Patey type of radical mastectomy was the most frequent surgical procedure; quadrantectomy was performed in only 26% of eligible patients, more frequently in younger (34%) than in older patients (21%). Adjuvant chemotherapy was recommended for 11% and 6% of pre- and postmenopausal N- patients, and for 78% and 47% of pre- and postmenopausal N+ patients. Forty-three of the 63 participating hospitals reported they adhered to the guidelines defined by the Italian Breast Cancer Task Force (F.O.N.Ca.M.) but this was not associated with substantial evidence of better quality of care. Similary, no associations emerged between several hospitals' organizational features and adherence to recommended treatment guidelines. The study is ongoing to assess the quality of postsurgical treatment and to measure its impact on patients' survival

  15. Interconsulta psicológica: demanda e assistência em hospital geral Interconsulta psicológica: demanda y asistencia en hospital general Consultation-liaison psychology: demand and assistance in general hospital

    Directory of Open Access Journals (Sweden)

    Nátali Castro Antunes Santos

    2011-06-01

    Full Text Available A interconsulta psicológica no hospital geral representa uma modalidade de atendimento clínico e um instrumento metodológico utilizado pelo psicólogo na assistência ao paciente internado, mediante solicitação de outros profissionais da saúde. O estudo objetivou caracterizar a demanda da interconsulta psicológica em um hospital geral, a partir da análise dos registros de solicitação de atendimento. Cento e sete pacientes foram atendidos entre janeiro e junho de 2010, dos quais 53% eram do sexo masculino e 57% eram adultos acima de 45 anos. A maioria das solicitações foi realizada por médicos (44% e enfermeiros (38%, formalmente (59%, e mediante contato prévio entre interconsultor e solicitante (85%. Os principais motivos alegados para a solicitação da interconsulta foram sintomas psicológicos relacionados ao adoecimento (43% e identificação de comprometimento na adaptação do paciente à hospitalização (41%. O modelo de interconsulta psicológica adotado no contexto estudado foi adequado, havendo engajamento da equipe multiprofissional na efetivação da prática.La interconsulta psicológica en los hospitals generales representan una modalidad de clínica y una herramienta metodológica utilizada por los psicólogos en la atención hospitalaria del paciente, a petición de los profesionales de la salud. El objetivo del estudio fue caracterizar la demanda psicológica para referirlo a un hospital general, desde el análisis del servicio de solicitud de registros. Ciento siete pacientes fueron tratados entre enero y junio de 2010, siendo 53% hombres y 57% de los adultos mayores de 45 años. La mayoría de las solicitudes fueron realizadas por los médicos (44% y enfermeras (38%, de manera formal (59% y el contacto previo entre interconsultor y su interés (85%. Las razones principales de la solicitud de remisión fueron: síntomas psicológicos relacionados con la enfermedad (43% y la identificación de la deficiencia en la

  16. The impact of a 10-year audit cycle on blood usage in a district general hospital.

    Science.gov (United States)

    James, R M; Brown, S; Parapia, L A; Williams, A T

    2001-10-01

    As clinical governance moves from concept to practice, it is emerging as a realistic strategy to promote and improve quality within the National Health Service, as well as satisfying the demand for external accountability. In the context of blood transfusion, the area of responsibility encompasses product liability, as well as efficient use of blood as a resource and transfusion as an appropriate clinical response. Clinical governance may be a modern catch phrase, but the principles it enshrines have long been established within blood transfusion, and in other aspects of haematology. Here, an audit cycle comprising four audits over a 10-year period to monitor the use of cross-matched blood in a large district general hospital is described. Initially, blood use was considered by hospital site, and by the surgical procedure for which it was requested. Later, the scope of the audit was expanded to consider usage by individual consultant. A standard of efficient use of cross-matched blood was taken to be a cross-match to transfusion ratio of committee, who have a key role in co-ordinating and assessing the practice of transfusion within a hospital. In this hospital, audit has been one of the main tools for improving practice, in particular by enabling the implementation and continuous revision of a maximum blood order schedule. Further, as the process of audit has developed, problem areas have been highlighted, and strategies to improve usage have been brought in with encouraging results. The audit is now being expanded again to include a greater focus on usage of cross-matched blood in the nonsurgical setting. PMID:11696230

  17. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn...... in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users......’ satisfaction. Social space: attention to spatial qualities, volume and interior design in terms of encouraging physical contact between users in wards, waiting areas and semi-private rooms. Outdoor space: Landscape and gardens are not enough in themselves; they should be visible, centrally or strategically...

  18. Surveillance of nosocomial infections in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, 1999-2002

    Directory of Open Access Journals (Sweden)

    Djoko Widodo

    2004-06-01

    Full Text Available Nosocomial infection are one of the main problem in hospital which are associated with significant morbidity, mortality and increased economic cost. Surveillance should be attempted regularly to obtain local data of incidence of nosocomial infections, types of infection, pathogen and resistance pattern. We reported the results of nosocomial surveillance in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, in year 1999 to 2002. The data were obtained from surveillance, conducted by Nosocomial Infection Control Committee. Surveillance were performed to patient in risk of nosocomial infections such as underwent surgical procedure, urinary catheter, peripheral or central venous catheter, ventilator and other invasive procedure. Criteria for nosocomial infection which were used, based on technical guidelines of nosocomial infection in Dr. Cipto Mangunkusumo National General Hospital, year 1999; which referred to CDC definition of nosocomial infections. Incidence rate of nosocomial infections in year 1999, 2000, 2001 and 2002 were 1.1, 0.9, 0.6 and 0.4 % respectively. Type of nosocomial infection include catheter related, surgical wound, urinary tract and respiratory tract infections, ranged between 0 to 5.6 %. Gram negative bacteria consist of Pseudomonas sp, Enterobacter aerogenes, Escherichia coli, Proteus mirabilis were the most common nosocomial pathogen. Gram positive bacteria consist of Staphylococcus epidermidis, Staphylococcus aureus and Streptococcus anhemolyticus. Trend of increasing incidence of Gram positive nosocomial infection also showed in our surveillance. Mostly Gram negative bacteria had been resistant to penicillin, co amoxicillin-clavulanic acid and 3rd generation cephalosporin, but still sensitive to 4th generation cephalosporin and aminoglycoside. The Gram positive bacteria were still sensitive to penicillin, co amoxicillin-clavulanic acid, 4th generation cephalosporin and aminoglycoside. (Med J Indones 2004; 13: 107

  19. Aetiology and prognosis of encephalopathic patterns on electroencephalogram in a general hospital.

    LENUS (Irish Health Repository)

    O'Sullivan, S S

    2012-02-03

    The purpose of this study was to investigate the frequency and clinical outcome of patients with encephalopathic electroencephalograms (EEGs) in a neurophysiology department based in a general hospital. We performed a retrospective review of all EEGs obtained during an 18-month period in a large tertiary referral hospital. The referral reasons for EEG, the diagnoses reached, and patient outcomes were reviewed according to EEG severity. One hundred and twenty-three patients with encephalopathic EEGs were reviewed. The most common referral reason found was for an assessment of a possible first-onset seizure. The most common diagnosis found was one of dementia or learning disability. Of patients who were followed-up for a median of 19 months, 20.7% had died. The mortality rate generally increased according to the severity of the encephalopathy on EEG. However, 21.4% of those patients with excessive theta activity only on EEG had died. This study highlights an increased mortality even in the apparently \\'milder\\' degrees of EEG abnormalities.

  20. Manual on radiation protection in hospitals and general practice. Unsealed sources

    International Nuclear Information System (INIS)

    The present volume review of radiation protection requirements in hospitals using unsealed radioactive sources, and discusses the problems associated with the administration, handling, and transportation of these sources. Also described are the design, construction, and management of nuclear medicine departments and give guidance on methods of reducing the exposure of patient, attendant personnel, and the general public to a level consistent with sound medical practice, without impeding the acquisition of necessary medical information. Separate chapters are devoted to the characteristics and radiation hazards of unsealed sources, the diagnostic and therapeutic application of radionuclides, the organization and staffing, planning of facilities, general layout of a department for the use of unsealed sources, examples of departments for diagnosis and therapy with unsealed sources, the safe handling of unsealed sources prior to administration, equipment for safe handling of radioactive materials, waste treatment and disposal, monitoring, special problems relating to 3H and 14C, decontamination, protection of patients, handling of cadavers with incorporated radionuclides, protection of personnel and members of the public, and measures for dealing with accidents. Five annexes deal with characteristics of some commonly used radionuclides, typical activities administered for diagnostic purposes in Swedish hospitals, integrated doses received by patients in diagnostic examinations using radionuclides, radionuclides used in scintigraphy and resulting radiation doses, and calculated exposure rates from point sources at various distances, respectively

  1. Lahore general hospital protocol for treatment of neovascular glaucoma caused by retinal disease

    International Nuclear Information System (INIS)

    To evaluate efficacy of LGH (Lahore General Hospital) protocol for treatment of neovascular glaucoma caused by retinal diseases. Material and Methods: This case series was performed on 9 consecutive eyes of nine patients with uncontrolled neovascular glaucoma at Department of Ophthalmology, Unit II, Lahore General Hospital/PGMI, Lahore. All nine patients completed six months follow up. Among them 6 patients were having PDR (proliferative diabetic retinopathy) and 3 patients having CRVO (central retinal vein occlusion). LGH protocol for treatment of neovascular glaucoma was: To give intravitreal injection of avastin and then PRP (Pan Retinal Photocoagulation) or Trabeculectomy with MMC (Mitomycin C), if PRP and intravitreal avastin fails to control the intra ocular-pressure (IOP). Results: Three patients had IOP control after intravitreal injection of avastin and PRP, 5 patients had uncontrolled IOP after intravitreal avastin and two sessions of PRP, so they under went trabeculectomy with MMC. One patient had uncontrolled IOP despite of full treatment protocol. All other 8 patients IOP remained stable for six months. Conclusion: Significant decrease in intraocular pressure was achieved after observing LGH protocol for treatment of NVG (Neovascular Glaucoma) caused by retinal diseases. (author)

  2. End-of-life hospital referrals by out-of-hours general practitioners: a retrospective chart study

    Directory of Open Access Journals (Sweden)

    De Korte-Verhoef Maria C

    2012-08-01

    Full Text Available Abstract Background Many patients are transferred from home to hospital during the final phase of life and the majority die in hospital. The aim of the study is to explore hospital referrals of palliative care patients for whom an out-of-hours general practitioner was called. Methods A retrospective descriptive chart study was conducted covering a one-year period (1/Nov/2005 to 1/Nov/2006 in all eight out-of-hours GP co-operatives in the Amsterdam region (Netherlands. All symptoms, sociodemographic and medical characteristics were recorded in 529 charts for palliative care patients. Multivariate logistic regression analysis was performed to identify the variables associated with hospital referrals at the end of life. Results In all, 13% of all palliative care patients for whom an out-of-hours general practitioner was called were referred to hospital. Palliative care patients with cancer (OR 5,1, cardiovascular problems (OR 8,3, digestive problems (OR 2,5 and endocrine, metabolic and nutritional (EMN problems (OR 2,5 had a significantly higher chance of being referred. Patients receiving professional nursing care (OR 0,2 and patients for whom their own general practitioner had transferred information to the out-of-hours cooperative (OR 0,4 had a significantly lower chance of hospital referral. The most frequent reasons for hospital referral, as noted by the out-of-hours general practitioner, were digestive (30%, EMN (19% and respiratory (17% problems. Conclusion Whilst acknowledging that an out-of-hours hospital referral can be the most desirable option in some situations, this study provides suggestions for avoiding undesirable hospital referrals by out-of-hours general practitioners at the end of life. These include anticipating digestive, EMN, respiratory and cardiovascular symptoms in palliative care patients.

  3. CARMEN: a system Monte Carlo based on linear programming from direct openings; CARMEN: Un sistema de planficiacion Monte Carlo basado en programacion lineal a partir de aberturas directas

    Energy Technology Data Exchange (ETDEWEB)

    Ureba, A.; Pereira-Barbeiro, A. R.; Jimenez-Ortega, E.; Baeza, J. A.; Salguero, F. J.; Leal, A.

    2013-07-01

    The use of Monte Carlo (MC) has shown an improvement in the accuracy of the calculation of the dose compared to other analytics algorithms installed on the systems of business planning, especially in the case of non-standard situations typical of complex techniques such as IMRT and VMAT. Our treatment planning system called CARMEN, is based on the complete simulation, both the beam transport in the head of the accelerator and the patient, and simulation designed for efficient operation in terms of the accuracy of the estimate and the required computation times. (Author)

  4. An Outbreak of SARS in a Diabetes Room of a General Hospital without Infected Medical Staff

    Institute of Scientific and Technical Information of China (English)

    Chun-ling Liu; Jun Cheng; He Gao; Bo Zhang; Qun Yuan; Ao Tong; Yi-an Liang; Hong Tang; Xiao-hong Guan

    2013-01-01

    Objective To investigate the epidemiologic features of an outbreak of SARS that occurred in a single diabetes room of a general hospital in Beijing in late March 2003. Methods Field investigation was carried out in the ward, the nursing log and the hospitalization medical record of correlative patients were consulted. SARS-CoV in serum specimen from SARS patient was detected by PCR. Results The room where SARS outbreak occurred was on the 13th lfoor of the 16-story main ward building. There were 6 beds in the room, living with 6 female patients (aged 45-67) who were all hospitalized due to type 2 diabetes. On March 24, 2003, Patient 1 began to have a fever and cough, chest X-ray showed pneumonia. Five and six days later, Patient 2 and Patient 3 began to have a fever, respectively. Finally, all of these 3 patients died. Their beds were all at the same side of the room, and the other 3 patients at the opposite side were not infected. Serum SARS CoV-RNA of the Patient 3 was positive by nest-PCR. The daughter-in-law of Patient 1 who accompanied Patient 1 by the bedside several days, mainly near the window, upwind of Patient 1, was not infected. Medical staff, family members and visitors of the 6 patients were not infected. Conclusions This outbreak was not transmitted by aerosol. The distance droplets travels could be up to 3.43 meters. Droplet spread has direction, and the droplets direction of propagation is closely related with the wind direction and speed. Those at the downwind position of SARS patients were susceptible to be infected. Medical staff wore face masks and good natural ventilation of this ward building may be important reasons for the prevention of infection.

  5. Bloodstream infection among children presenting to a general hospital outpatient clinic in urban Nepal.

    Directory of Open Access Journals (Sweden)

    Rahul Pradhan

    Full Text Available BACKGROUND: There are limited data on the etiology and characteristics of bloodstream infections in children presenting in hospital outpatient settings in South Asia. Previous studies in Nepal have highlighted the importance of murine typhus as a cause of febrile illness in adults and enteric fever as a leading bacterial cause of fever among children admitted to hospital. METHODS: We prospectively studied a total of 1084 febrile children aged between 2 months and 14 years presenting to a general hospital outpatient department in Kathmandu Valley, Nepal, over two study periods (summer and winter. Blood from all patients was tested by conventional culture and by real-time PCR for Rickettsia typhi. RESULTS: Putative etiological agents for fever were identified in 164 (15% patients. Salmonella enterica serovar Typhi (S. Typhi was identified in 107 (10%, S. enterica serovar Paratyphi A (S. Paratyphi in 30 (3%, Streptococcus pneumoniae in 6 (0.6%, S. enterica serovar Typhimurium in 2 (0.2%, Haemophilus influenzae type b in 1 (0.1%, and Escherichia coli in 1 (0.1% patient. S. Typhi was the most common organism isolated from blood during both summer and winter. Twenty-two (2% patients were PCR positive for R. typhi. No significant demographic, clinical and laboratory features distinguished culture positive enteric fever and murine typhus. CONCLUSIONS: Salmonella infections are the leading cause of bloodstream infection among pediatric outpatients with fever in Kathmandu Valley. Extension of immunization programs against invasive bacterial disease to include the agents of enteric fever and pneumococcus could improve the health of children in Nepal.

  6. Investigation of Hepatitis C Virus Infection Rate of Patients in a General Hospital

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    Objective To investigate the infection rate of hepatitis C virus among the ambulatory patients and in-patients of a tertiary teaching hospital, and study the demographic factors related to the prevalence of hepatitis C virus infection. Methods All patients tested for hepatitis C virus antibody from July 2008 to July 2009 in Peking Union Medical College Hospital were enrolled in this cross-sectional analysis. The prevalence of hepatitis C virus infection was compared according to age, gender, and departments, respectively. Among patients with positive serology hepatitis C virus marker, the positivity of hepatitis C virus RNA was analysed. Results Among 29 896 subjects included, the hepatitis C virus antibody of 494 patients were positive (1.7%). When patients were divided into 9 age groups, the age speciifc prevalence of hepatitis C virus antibody were 0.2%, 1.7%, 1.2%, 1.1%, 1.5%, 1.9%,2.6%, 2.4%and 2%, respectively. The prevalence of hepatitis C virus antibody in non-surgical department and surgical department was 3%and 1%, respectively. The prevalence of hepatitis C virus antibody of males was higher than that of the females. Total of 194 patients with positive hepatitis C virus antibody were tested for hepatitis C virus RNA, the RNA level of 113 patients (58.2%) were higher than the low detection limit. Conclusions The prevalence of hepatitis C virus antibody was relatively high among patients of general tertiary hospital. Age group of 60-69, males and patients in non-surgical departments were factors associated with high rate of hepatitis C virus infection.

  7. CARMEN-SYSTEM, Programs System for Thermal Neutron Diffusion and Burnup with Feedback

    International Nuclear Information System (INIS)

    1 - Description of problem or function: CARMEN is a system of programs developed for the neutronic calculation of PWR cycles. It includes the whole chain of analysis from cell calculations to core calculations with burnup. The core calculations are based on diffusion theory with cross sections depending on the relevant space-dependent feedback effects which are present at each moment along the cycles. The diffusion calculations are in one, two or three dimensions and in two energy groups. The feedback effects which are treated locally are: burnup, water density, power density and fission products. In order to study in detail these parameters the core should be divided into as many zones as different cross section sets are expected to be required in order to reproduce reality correctly. A relevant difference in any feedback parameter between zones produces different cross section sets for the corresponding zones. CARMEN is also capable to perform the following calculations: - Multiplication factor by burnup step with fixed boron concentration - Buckling and control rod insertion - Buckling search by burnup step - Boron search by burnup step - Control rod insertion search by burnup step. 2 - Method of solution: The cell code (LEOPARD-TRACA) generates the fuel assembly cross sections versus burnup. This is the basic library to be used in the CARMEN code proper. With a planar distribution guess for power density, water density and fluxes, the macroscopic cross sections by zone are calculated by CARMEN, and then a diffusion calculation is done in the whole geometry. With the distribution of power density, heat accumulated in the coolant and the thermal and fast fluxes determined in the diffusion calculation, CARMEN calculates the values of the most relevant parameters that influence the macroscopic cross sections by zone: burnup, water density, effective fuel temperature and fission product concentrations. If these parameters by zone are different from the reference

  8. CARMENES at PPVI. High-Resolution Spectroscopy of M Dwarfs with FEROS, CAFE and HRS

    Science.gov (United States)

    Alonso-Floriano, F. J.; Montes, D.; Jeffers, S.; Caballero, J. A.; Zechmeister, M.; Mundt, R.; Reiners, A.; Amado, P. J.; Casal, E.; Cortés-Contreras, M.; Modroño, Z.; Ribas, I.; Rodríguez-López, C.; Quirrenbach, A.

    2013-07-01

    To ensure an efficient use of CARMENES observing time, and the highest chances of success, it is necessary first to select the most promising targets. To achieve this, we are observing ~500 M dwarfs at high-resolution (R = 30,000-48,000), from which we determine the projected rotational velocity vsini with an accuracy better than 0.5-0.2 km/s and radial-velocity stability better than 0.2-0.1 km/s. Our aim is to have at least two spectra at different epochs of the final 300 CARMENES targets. Our observations with FEROS at ESO/MPG 2.2m La Silla , CAFE at 2.2m Calar Alto and HRS at Hobby Eberly Telescope allow us to identify single- and double-line spectroscopic binaries and, especially, fast rotators, which should be discarded from the target list for exoplanet searches. Here we present preliminary results.

  9. Large-eddy simulation of airflow and heat transfer in a general ward of hospital

    Science.gov (United States)

    Hasan, Md. Farhad; Himika, Taasnim Ahmed; Molla, Md. Mamun

    2016-07-01

    In this paper, a very popular alternative computational technique, the Lattice Boltzmann Method (LBM) has been used for Large-Eddy Simulation (LES) of airflow and heat transfer in general ward of hospital. Different Reynolds numbers have been used to study the airflow pattern. In LES, Smagorinsky turbulence model has been considered and a discussion has been conducted in brief. A code validation has been performed comparing the present results with benchmark results for lid-driven cavity problem and the results are found to agree very well. LBM is demonstrated through simulation in forced convection inside hospital ward with six beds with a partition in the middle, which acted like a wall. Changes in average rate of heat transfer in terms of average Nusselt numbers have also been recorded in tabular format and necessary comparison has been showed. It was found that partition narrowed the path for airflow and once the air overcame this barrier, it got free space and turbulence appeared. For higher turbulence, the average rate of heat transfer increased and patients near the turbulence zone released maximum heat and felt more comfortable.

  10. Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital

    Directory of Open Access Journals (Sweden)

    Kontodimopoulos Nick

    2010-11-01

    Full Text Available Abstract Background The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation. Furthermore, to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. Methods A previously developed and validated instrument addressing four work-related motivators (job attributes, remuneration, co-workers and achievements was used. Two categories of health care professionals, medical doctors and dentists (N = 67 and nurses (N = 219 participated and motivation and job satisfaction was compared across socio-demographic and occupational variables. Results The survey revealed that achievements was ranked first among the four main motivators, followed by remuneration, co-workers and job attributes. The factor remuneration revealed statistically significant differences according to gender, and hospital sector, with female doctors and nurses and accident and emergency (A+E outpatient doctors reporting greater mean scores (p 55 years of age reported higher job satisfaction when compared to the other groups. Conclusions The results are in agreement with the literature which focuses attention to management approaches employing both monetary and non-monetary incentives to motivate health care professionals. Health care professionals tend to be motivated more by intrinsic factors, implying that this should be a target for effective employee motivation. Strategies based on the survey's results to enhance employee motivation are suggested.

  11. Liver biopsy in a district general hospital: Changes over two decades

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To study liver biopsy practice over two decades in a district general hospital in the United Kingdom. METHODS: We identified all patients who had at least one liver biopsy between 1986 and 2006 from the databases of the radiology and gastroenterology departments. Subjects with incomplete clinical data were excluded from the study. RESULTS: A total of 103 liver biopsies were performed. Clinical data was available for 88 patients, with 95 biopsies. Between 1986 and 1996, 18 (95%) out of the 19 liver biopsies performed were blind and 6 (33%) were for primary biliary cirrhosis. Between 1996 and 2006, 14 (18%) out of 76 biopsies were blind; and the indications were abnormal liver tests (33%), hepatitis C (12%) and targeted-biopsies (11%). Liver biopsies were unhelpful in 5 (5%) subjects. Pain was the most common complication of liver biopsy (5%). No biopsy-related mortality was reported. There was a trend towards more technical failures and complications with the blind biopsy technique. CONCLUSION: Liver biopsies performed in small district hospitals are safe and useful for diagnostic and staging purposes. Abnormal liver tests, non-alcoholic fatty liver disease and targeted biopsies are increasingly common indications. Ultrasound-guided liver biopsies are now the preferred method and are associated with fewer complications.

  12. FLU IN CHILDREN AFTER A PANDEMIC IN ST. PETERSBURG GENERAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    E. A. Dondurey

    2014-01-01

    Full Text Available Flu monitoring was carried out in children’s general hospital in St. Petersburg within three epidemic seasons (2010–2011, 2011–2012 and 2012–2013. 1916 patients under the age of 18 years were examined with the complex of virologic tests . The natural decreasing of flu incidence and predominant diagnosing in etiologic structure one of the virus serotypes [in the first A(H1N1pdm09, in the second — A(H3N2] have been observed during the first two years after a pandemic. In the third season restoration of the main characteristics of epidemic flu situation were detected: polietiology with annual change of serotypes proportions, late start (winter and spring, majority of younger children among hospitalaized patients and a mild course of disease. The most probable candidates [viruses of a subtype A(H3N2] are revealed as a causal factor of significant increasing of disease incidence with the severe forms in the near future. Laboratory data were confirmed by increase in frequency of the complicated by pneumonia ARI at hospitalized patients during the periods of their maximum registration. All isolates received during the study were corresponded to the referens-strains included in vaccines. Thus, timely and appropriate vaccination during the studied period had to become an effective protection against a flu.

  13. Child abuse and neglect as seen in General Hospital, Kuala Lumpur--a two year study.

    Science.gov (United States)

    Kassim, M S; George, R; Kassim, K; Begum, M; Cherian, M P; Tajudin, A K; Chandran, V; Anan, A; Reddy, R; Singh, J

    1989-06-01

    Eighty-six children diagnosed as child abuse and/or neglect were admitted to the Paediatric wards of the General Hospital, Kuala Lumpur during 1985 and 1986. Of these cases, 62 were of physical abuse, six of sexual abuse, one case of both physical and sexual abuse and 17 of neglect. There were 25 boys and 61 girls. Thirty-four of these children were Malays, 16 Chinese, 26 Indians, three mixed and seven illegal immigrants. Twenty-one were below the age of one year, 24 from one to four years, 25 from five to nine years and 16 were ten years and above. The abusers were mainly close members of the family. Of these children, 24 were sent back to their parents and 11 to their relatives home. Twenty-seven were taken into care by the Ministry of Social Welfare and the remaining seven children who were illegal immigrants, were deported with their parents. Only one child was successfully fostered. Eleven children were taken away from the hospital by their parents or guardians without the knowledge of the health staff. There were five deaths in the series. PMID:2626119

  14. Studies on failure kind analysis of the radiologic medical equipment in general hospital

    International Nuclear Information System (INIS)

    This paper included a data analysis of the unit of medical devices using maintenance recording card that had medical devices of unit failure mode, hospital of failure mode and MTBF. The results of the analysis were as follows : 1. Medical devices of unit failure mode was the highest in QC/PM such A hospital as 33.9%, B hospital 30.9%, C hospital 30.3%, second degree was the Electrical and Electronic failure such A hospital as 23.5%, B hospital 25.3%, C hospital 28%, third degree was mechanical failure such A hospital as 19.6%, B hospital 22.5%, C hospital 25.4%. 2. Hospital of failure mode was the highest in Mobile X-ray device(A hospital 62.5%, B hospital 69.5%, C hospital 37.4%), and was the lowest in Sono devices(A hospital 16.76%, B hospital 8.4%, C hospital 7%). 3. Mean time between failures(MTBT) was the highest in SONO devices and was the lowest in Mobile X-ray devices which have 200 - 400 failure hours. 4. Average failure ratio was the highest in Mobile X-ray devices(A hospital 31.3%, B hospital 34.8%, C hospital 18.7%), and was the lowest in Sono(Ultrasound) devices (A hospital 8.4%, B hospital 4.2%, C hospital 3.5%). 5. Failure ratio results of medical devices according to QC/PM part of unit failure mode were as follows ; A hospital was the highest part of QC/PM (50%) in Mamo X-ray device and was the lowest part of QC/PM(26.4%) in Gastro X-ray. B hospital was the highest part of QC/PM(56%) in Mobile X-ray device, and the lowest part of QC/PM(12%) in Gastro X-ray. C hospital was the highest part of QC/PM(60%) in R/F X-ray device, and the lowest a part of QC/PM(21%) in Universal X-ray. It was found that the units responsible for most failure decreased by systematic management. We made the preventive maintenance schedule focusing on adjustment of operating and dust removal

  15. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. I.- July of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic. The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  16. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. VI. - December of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. VI.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  17. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. V.- Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  18. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  19. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. II.- August of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-10-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  20. Monitoring of the general population with an installed whole body counter at West Cumberland Hospital, Whitehaven

    International Nuclear Information System (INIS)

    Body radioactivity in the general public has been measured in 395 volunteers in the Whitehaven area, using a whole-body monitor at West Cumberland Hospital. Between October 1986 and October 1987, estimates of total body radiocaesium in 240 volunteers ranged from below detection level to 1844 Bq with a mean of 415 Bq. From October 1987 until May 1988, a further 155 volunteers were monitored, and radiation levels ranged from 34 Bq to 685 Bq, with a mean of 257 Bq. In all volunteers, the ratio of body radiocaesium to body potassium, was well below unity. The average ratio of caesium-137 to caesium-134 from October 1987 to May 1988 was 3.28, corresponding to a ratio of 1.99 at the date of Chernobyl accident. This is consistent with a Chernobyl origin as the primary source for the radiocaesium. There were discernible, but not marked, trends of increasing body radiocaesium with milk and meat/fish consumption. (author)

  1. Development of the FISH technique for biological dosimetry applications in the Gregorio Maranon General University Hospital

    International Nuclear Information System (INIS)

    Since 1989 cytogenetic analysis for dose estimation has been regularly used In the Gregorio Maranon General University Hospital (HGUGM) of Madrid on individuals suspected of having accidentally been exposed to ionizing radiation. The method used is the study of chromosomal aberrations found in lymphocytes of peripheral blood. The technique recommended by the IAEA in 1986 permits to establish a dicentrics/dose ratio through an effective dose calibration curve prepared in-vitro. This methodology of dose estimation presents serious limitations which can partially be eliminated by means of new molecular cytogenetic techniques, such as chromosomal painting through in-situ hybridization with fluorescence (FISH). At HGUGM, research work has been finished for standardization of the above mentioned technique including effective dose calibration curves, the utilization of adequate aberrations and the intercomparision of the results with other centres

  2. Quality of stroke care at an Irish Regional General Hospital and Stroke Rehabilitation Unit.

    LENUS (Irish Health Repository)

    Walsh, T

    2012-01-31

    BACKGROUND: Robust international data support the effectiveness of stroke unit (SU) care. Despite this, most stroke care in Ireland are provided outside of this setting. Limited data currently exist on the quality of care provided. AIM: The aim of this study is to examine the quality of care for patients with stroke in two care settings-Regional General Hospital (RGH) and Stroke Rehabilitation Unit (SRU). METHODS: A retrospective analysis of the stroke records of consecutive patients admitted to the SRU between May-November 2002 and April-November 2004 was performed applying the UK National Sentinel Audit of Stroke (NSAS) tool. RESULTS: The results of the study reveal that while SRU processes of care was 74% compliant with standards; compliance with stroke service organisational standards was only 15 and 43% in the RGH and SRU, respectively. CONCLUSION: The quality of stroke care in our area is deficient. Comprehensive reorganisation of stroke services is imperative.

  3. [Anxiety and depression in the general population: normal values in the Hospital Anxiety and Depression Scale].

    Science.gov (United States)

    Hinz, A; Schwarz, R

    2001-05-01

    For the Hospital Anxiety and Depression Scale (HADS) psychometric properties were tested and standardised values were calculated on the basis of a representative sample of the German adult population with 2037 persons. The main result was the evidence of age and gender differences for anxiety and depression. Females were more anxious than males. For both dimensions of the HADS a nearly linear age dependency was found which was more pronounced for depression (r = 0.36) than for anxiety (r = 0.14). Standardised values are given for different age and gender groups, and the results of regression analyses are presented. The psychometric properties were satisfying or good, the two-dimensional factorial structure could be replicated. By means of the standardised values and regression coefficients it is now possible to compare patient groups of different age and gender distributions with the general population. PMID:11417357

  4. Recruiting and retaining competent clinical nurses. The Clinical Promotion Project Victoria General Hospital, Halifax, Nova Scotia.

    Science.gov (United States)

    Grantham, M; Ross, S E; MacKay, R; Banfield, V; Brown, J; Beanlands, H

    1989-06-01

    A career advancement program for nurses has been developed and implemented at the Victoria General Hospital, Halifax, as part of a manpower planning strategy for recruitment and retention of clinical nurses. A competency based performance appraisal system was developed and implemented as part of the program. This system identifies four levels of clinical expertise. Progression through each level indicates that a nurse has achieved a certain level of skill, knowledge and abilities. Demonstrated competence in one level is a prerequisite to promotion to the next level of practice. Implementation of this system provides clinical career opportunities for nurses in direct patient care. This article will provide the nurse administrator with an insight into the development and implementation of a clinical career advancement program. Future articles will described the research evaluation of the Clinical Performance Appraisal System and clinical nurses' reactions to the new system. PMID:2486680

  5. Monitoramento epidemiológico da tuberculose em um hospital geral universitário Epidemiological monitoring of tuberculosis in a general teaching hospital

    Directory of Open Access Journals (Sweden)

    Berenice das Dores Gonçalves

    2010-06-01

    Full Text Available OBJETIVO: Descrever o monitoramento epidemiológico da exposição à tuberculose realizado em ambiente hospitalar e analisar o perfil da doença em um hospital geral universitário. MÉTODOS: Estudo descritivo e retrospectivo dos casos diagnosticados de tuberculose no período entre 2000 e 2006, com a determinação de indicadores de morbidade e mortalidade, que foram comparados a população geral de pacientes atendidos no hospital e com o total de funcionários do hospital que desenvolveram tuberculose ativa. RESULTADOS: Foram atendidos 763 pacientes com tuberculose ativa (média, 109 pacientes/ano, sendo 481 (63,1% do sexo masculino. A faixa etária mais atingida foi a de 30 a 59 anos. As formas clínicas pulmonares e extrapulmonares exclusivas foram predominantes. Entretanto, entre os pacientes internados, as formas pulmonares associadas às extrapulmonares e as formas pulmonares não bacilíferas exclusivas foram mais frequentes. A presença de comorbidades foi mais prevalente entre os pacientes internados e entre os que evoluíram para óbito. Apenas 52,8% dos casos atendidos no hospital foram notificados. Os indicadores hospitalares gerais demonstraram maior tempo de internação hospitalar e mortalidade entre os pacientes com tuberculose. CONCLUSÕES: A incidência e prevalência indicam um alto risco de exposição à tuberculose no hospital no período estudado. Os indicadores propostos apresentam um potencial de padronização dos procedimentos de monitoramento da tuberculose hospitalar, e o perfil epidemiológico aqui descrito poderá contribuir para um melhor entendimento da situação da doença no país.OBJECTIVE: To describe the epidemiological monitoring of exposure to tuberculosis in a hospital environment and to analyze the profile of the disease in a general teaching hospital. METHODS: A descriptive and retrospectivestudy of tuberculosis cases diagnosed between 2000 and 2006, with the determination of indicators of morbidity

  6. ENTEROPARASITOS EN NIÑOS RESIDENTES EN ZONA RURAL DEL PARTIDO DE CARMEN DE PATAGONES. PROVINCIA DE BUENOS AIRES. ARGENTINA

    Directory of Open Access Journals (Sweden)

    SIXTO COSTAMAGNA

    1999-01-01

    Full Text Available RESUMEN Como parte del Programa de Atención Primaria de la Salud (APS del año 1996, y en virtud de que no existían datos epidemiológicos referidos a enteroparásitos hallados en niños de 0 a 14 años, residentes en una zona rural del Partido de Carmen de Patagones, Provincia de Buenos Aires, es que se realizó el presente estudio epidemiológico descriptivo. Se estudiaron 210 niños a los que se les efectúo un estudio parasitoscópico seriado de materia fecal y mucus anal. Los resultados mostraron que el 60,5% de la población estudiada era portadora de algún parásito intestinal. El monoparasitismo hallado fue de 67%, mientras que el 33% restante presentó entre 2 y 5 formas parasitarias. El espectro parasitario fue el siguiente: Entamoeba coli 31,5%; Giardia lamblia 24,7 %; Enterobius vermicularis 18%; Hymenolepis nana 10,4%; Blastocystis hominis 10,3%; Chilomastix mesnili 2,5%; Uncinarias 1%; Entamoeba histolytica 0,9% y Trichuris trichiura 0,5%. La distribución parasitaria en los distintos sectores estudiados fue en general homogénea excepto para H. nana la cual presentó una prevalencia más alta en zonas de riego con relación a la zona seca . Los resultados obtenidos fueron comunicados a las autoridades sanitarias correspondientesENTEROPARASITES IN CHILDREN LIVING IN RURAL AREAS AT THE PARTIDO DE CARMEN DE PATAGONES. PROVINCE OF BUENOS AIRES.ARGENTINA In the absence of epidemiological data on enteroparasites in a population of 0-14 year-old residents in the rural area of Partido de Carmen de Patagones, Province of Buenos Aires, Argentina, a descriptive and epidemiologic study was carried out as part of a Primary Health Care Program ( PHCP. Faecal matter and anal mucus serial parasitoscopic studies were carried out on 210 children. Results indicate that 60,5% ofthe studied population is intestinal-parasite carrier. Positive monoparasitism was of 67%, while the remaining 33% was manifested in 2-to-5 parasite forms. Parasite

  7. Collaboration between general hospitals and community health services in the care of suicide attempters in Norway: a longitudinal study

    Directory of Open Access Journals (Sweden)

    Fadum Elin

    2010-06-01

    Full Text Available Abstract Background The aim of this paper was to study the collaboration between emergency departments (EDs in general hospitals and community health services (CHS in Norway when providing psychosocial care and aftercare to patients treated in EDs following a suicide attempt. We wanted to explore the extent to which quality indicators at the hospital level measured in 1999 and 2006 could predict the presence or absence of a chain of care structure in the CHS in 2006. Methods Data were collected through structured interviews with informants from 95% of all general hospitals in Norway in 1999 and 2006, and informants from CHS, in a stratified sample of Norwegian municipalities in 2006 (n = 47. Results In 15 of the 47 municipalities (32%, the CHS reported having a chain of care structure in 2006. A discriminant function analysis revealed that the hospitals that in 1999 had: (a a collaboration agreement with aftercare providers, and (b written guidelines, including a quality assurance system, were significantly more likely to have municipalities with a chain of care structure in their catchment area in 2006. Conclusions Hospitals' and municipalities' self-reported provision of aftercare services for patients treated after a suicide attempt was markedly below the recommendations given in national standards. Systems at the hospital level for the management and care of patients admitted after a suicide attempt and systematic collaboration between hospitals and aftercare providers seem to be important elements in the long-term maintenance of continuity of care for suicide attempters.

  8. Impact of a restorative dentistry service on the prescription of apical surgery in a district general hospital.

    OpenAIRE

    Beckett, H.

    1996-01-01

    The case records of a group of patients who had undergone periapical surgery in a district general hospital were examined and compared with the criteria agreed by a group of hospital restorative dentists as to whether apical surgery was appropriate rather than, at least initially, a non-surgical treatment option. Only 65% of the patients met the audit criteria. As a result, changes have been made to clinical practice, including a greater involvement of restorative clinicians in the decision-m...

  9. Prevalence of Current DSM-IV Alcohol Use Disorders in Short-Stay, General Hospital Admissions, United States, 1994.

    OpenAIRE

    Barbara A. Smothers; Harold T. Yahr; Michael D. Sinclair

    2003-01-01

    Provides the first national prevalence estimates of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) alcohol use disorders, based on a structured, diagnostic instrument for inpatient admissions to U.S. general hospitals. Existing prevalence estimates for inpatient admissions come from studies conducted in one or two hospitals and do not support national inference. Notes that the prevalence of alcohol abuse or dependence in current-drinking admissions was substant...

  10. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study

    OpenAIRE

    Sampson, E L; White, N.; Lord, K; Leurent, B.; Vickerstaff, V.; Scott, S; Jones, L.

    2015-01-01

    Abstract Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/...

  11. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study

    OpenAIRE

    Sampson, EL; White, N.; Lord, K; Leurent, B.; Vickerstaff, V.; Scott, S; Jones, L.

    2015-01-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no questi...

  12. Cardiovascular disease in human immunodeficiency virus-infection as a cause of hospitalization: a case-series in a General Hospital in Peru

    Directory of Open Access Journals (Sweden)

    Germán Valenzuela-Rodríguez

    2015-08-01

    Full Text Available Background: Cardiovascular disease in the context of human immunodeficiency virus infection has become a major clinical concern in recent years. In the current report we assess hospitalizations due to cardiovascular disease in human immunodeficiency virus patients in a Social Security reference hospital in Peru.Methods:A retrospective study was carried out between January 1996 and December 2012 in a General Hospital in Lima, Peru.Results: We included 26 patients hospitalized due to cardiovascular disease. Mean age was 46.3 years (SD 12.5, predominantly male (57.7%. Ten patients (38.4% were in Acquired Immunodeficiency Syndrome stages. Seventeen (65.4% received high-active-antiretroviral therapy. Eleven (42.3% had cardiac involvement and 15 (57.7% had non-cardiac vascular involvement. The most frequent causes of cardiac involvement were pericardial effusion and myocardial infarction. On the other hand, deep vein thrombosis and stroke were the most frequent for non-cardiac vascular involvement.Conclusions: Cardiovascular disease is an important cause of hospitalization in Peruvian human immunodeficiency virus patients, with differences between immunosuppression stages. Further studies analyzing associated factors are warranted.

  13. Nurses' experiences of caring for South Asian minority ethnic patients in a general hospital in England.

    Science.gov (United States)

    Vydelingum, Vasso

    2006-03-01

    Healthcare provision for minority ethnic groups in the UK has generally revealed inequalities in access and differential service provision. British healthcare policy has started to address such issues. However, very few studies have specifically examined the experiences of nurses caring for minority ethnic patients. This paper focuses on the focus group interviews of a broader ethnographic study, aimed at describing nurses' experiences of caring for South Asian minority ethnic patients, in a general hospital in the south of England. A sample of 43 nurses of all grades from six medical wards took part in the focus groups: three ward sisters, 22 staff nurses and 18 care assistants; 40 participants were white, one was African-Caribbean and two were South Asian. Data analysis revealed eight themes: changes in service provision; false consciousness of equity; limited cultural knowledge; victim blaming; valuing of the relatives; denial of racism; ethnocentrism, and self-disclosure. The study revealed a good local service response to government policies in addressing inequality. However, there was a tendency to treat all minority ethnic patients the same, with evidence of ethnocentric practices, victim-blaming approaches and poor cultural competence in nursing staff, which raise questions about the quality of service provision. The study indicates that ongoing training and development in the area of cultural competence is necessary. PMID:16494664

  14. Pattern of traumatic brain injury treated by general surgeons in a tertiary referral hospital.

    Science.gov (United States)

    Chattopadhyay, Shankar Das; Karmakar, Nisith Chandra; Sengupta, Ritankar; SenGupta, Tamal Kanti; Ray, Debasis; Basus, Shibaji

    2013-09-01

    The number of polytrauma patient with associated brain injury or commonly referred as 'head injury' has increased tremendously in recent times courtesy to road traffic accident or other causes. This prospective observational study was conducted in patients of head injury admitted through emergency in the department of general surgery in NRS Medical College, Kolkata during the year 2011 to determine the pattern of head injury patients admitted and nature of intervention. A total number of 3861 patients were admitted in a single year. Obviously this represents the tip of the iceburg. Traumatic brain injury was the highest in the age group of 31-40 years (33.5%) followed by 21-30 years (29.1%) in the most fruitful phase of life. The traumatic brain injury death was more common in males. The maximum number of cases was from rural areas ie, farmers and labours. To minimise the morbidity and mortality resulting from head injury there is need for better maintenance of roads, improvement of road visibility and lighting, rigid enforcement of traffic rules and imparting road safety education to school children. Despite valiant efforts and advancement in medical sciences and infrastructure in the form of neurosurgery departments and trauma care units to cope with the changing world of trauma, there still remains a huge responsibility and a definite part to be played by the general surgeons to manage head injury patient even in tertiary hospitals. PMID:24968524

  15. Frecuencia e incidencia de la tromboembolia venosa en un hospital general Frequency and incidence of venous thromboembolism in a general hospital

    Directory of Open Access Journals (Sweden)

    Juan A. Mazzei

    2005-08-01

    Full Text Available El objetivo de este estudio fue determinar la frecuencia y la incidencia de la tromboembolia venosa (TEV, objetivamente diagnosticada, en un hospital universitario argentino. Se utilizó un diseño retrospectivo, observacional y longitudinal. Se analizaron las historias clínicas de todos los pacientes mayores de 16 años que habían egresado o fallecido en las unidades de internación clínica, obstétrica y quirúrgica del Hospital de Clínicas José de San Martín con el diagnóstico de TEV durante un período de 24 meses. La frecuencia y la incidencia de TEV fueron 0.92% y 0.40% (intervalo de confianza de 95% (IC95%: 0.37 a 0.42% respectivamente. La incidencia más alta de TEV se presentó en la novena década de la vida (0.80%; IC95%: 0.78% a 0.82%. Solamente el 31% de los pacientes que desarrollaron TEV durante la internación habían recibido tromboprofilaxis con heparina. La mortalidad intrahospitalaria global de los pacientes con TEV fue 19%.The objective of this study was to determine the frequency and incidence of venous thromboembolism (VTE in an Argentine universitary hospital. We used a longitudinal, retrospective, observational design. Participants were all over-16 year patients who were discharged or died in clinical, obstetrical and surgical units in the Hospital de Clínicas José de San Martín during a 24 month period between July 1, 2001 and June 30, 2003, with a diagnosis on release of VTE. VTE frequency reached 0.92% and incidence was 0.40%; 95% confidence interval (95% CI: 0.37 to 0.42%. Incidence was highest in the 9th decade of life (0.80%; 95% CI: 0.78% to 0.82%. Only 31% of patients who developed VTE during hospitalization had received thromboprophylaxis. Total in-hospital mortality of VTE patients was 19%.

  16. Acute Arterial Thromboembolism In The Extremities: A Case Series In Sina General Hospital,1991-97

    Directory of Open Access Journals (Sweden)

    Zafarghandy MRt Nasiri Sheikhani N

    2002-07-01

    Full Text Available "Arterial Thromboembolism" is the most common cause of "Acute Arterial Ischemia" of extremities. In this study, It is attempted to collect retrospectively some documentary information of all "acute arterial thromboembolic occlusions of the limbs"."nMaterials and Methods: In descriptive retrograde study in Sina General hospital, all related records in this regard were collected from March 1991 to March 1997. To reveal the statistical outcomes and analysis the associations between them as well, the statistical tests like nonparametric ones were employed."nResults: Total number of the cases was 24 with " Acute Thromboembolic Arterial limb Ischemia" (3 in upper and 21 in lower limbs. The results were as follows: Female to male ratio =1/2, "Range of Age": 34-91, "Mode"=8th decade of life, "Mean"-64.48, "Etiology"; Cardiac Origin in majority of cases ("A.F" in 57 percent and Unknown Origin in 1/4 of cases. "Pain" was find in 95 percent, Grade HI ischemia in only 38 percent of patients on presentation and the others in Grade n. The most common "site of embolic occlusion" was "Femoral Ar." (76 percent. "Simultaneous Embolic Events" were fined in 29 percent. "Embolectomy" was performed in 79 percent (84 percent success rate and "Primary Amputation" in 12.5 percent. "In hospital Mortality Rate" was fined in 24 percent and "Limb Salvage rate" in 68 percent. In conclusion, there were some logic relationship only between "Limb Salvage rate" and "Ischemic Grading" and also "Delayed diagnosis". There was also some significant direct relationship between "Mortality rate" and "Concomitant Embolic events"."nConclusion: This study was an explorative one that paves the way for further complementary investigations. Although there are many recommendations due to upgrading knowledge, attitude and practice of physicians as well as lay people Besides, the upgrading of educational and curative facilities should not be neglected.

  17. Awareness of Stroke Risk after TIA in Swiss General Practitioners and Hospital Physicians.

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    Sven Streit

    Full Text Available Transient ischemic attacks (TIA are stroke warning signs and emergency situations, and, if immediately investigated, doctors can intervene to prevent strokes. Nevertheless, many patients delay going to the doctor, and doctors might delay urgently needed investigations and preventative treatments. We set out to determine how much general practitioners (GPs and hospital physicians (HPs knew about stroke risk after TIA, and to measure their referral rates.We used a structured questionnaire to ask GPs and HPs in the catchment area of the University Hospital of Bern to estimate a patient's risk of stroke after TIA. We also assessed their referral behavior. We then statistically analysed their reasons for deciding not to immediately refer patients.Of the 1545 physicians, 40% (614 returned the survey. Of these, 75% (457 overestimated stroke risk within 24 hours, and 40% (245 overestimated risk within 3 months after TIA. Only 9% (53 underestimated stroke risk within 24 hours and 26% (158 underestimated risk within 3 months; 78% (473 of physicians overestimated the amount that carotid endarterectomy reduces stroke risk; 93% (543 would rigorously investigate the cause of a TIA, but only 38% (229 would refer TIA patients for urgent investigations "very often". Physicians most commonly gave these reasons for not making emergency referrals: patient's advanced age; patient's preference; patient was multimorbid; and, patient needed long-term care.Although physicians overestimate stroke risk after TIA, their rate of emergency referral is modest, mainly because they tend not to refer multimorbid and elderly patients at the appropriate rate. Since old and frail patients benefit from urgent investigations and treatment after TIA as much as younger patients, future educational campaigns should focus on the importance of emergency evaluations for all TIA patients.

  18. Level of awareness about breast cancer among females presenting to a general hospital in Pakistan

    International Nuclear Information System (INIS)

    Majority of the female patients in Pakistan with breast cancer present in advance stages, unawareness being a major factor. As surgery has a limited role in the later stages of breast cancer, the surgeons lose fight against this deadly disease before the fight has even begun, early detection of breast cancer in only possible if patients are made aware and are motivated to present early. A one-year study was carried out in Rawalpindi General Hospital to find out the level of awareness about breast cancer among females presenting to a public hospital. Among 400 patients with a breast problem 84 (21 %) had breast cancer of which 73.81% were in stage III and IV. Average time lapse was 16 months. The underlying cause of delay was ignorance. Six hundred females with no breast problem were also interviewed for their knowledge about breast cancer, 69.80% were totally ignorant, 18.40% were partly aware and only 11.80% were fully aware. 87.75% had no idea about breast self-examination, 68.2% did not understand the significance of a lump in the breast and its lethal potential. Unawareness was even prevalent among the highly educated and well to do (55%) as well as among all age groups although it was less than the illiterate (82%) and lowest income group (85%). The prime source of information were friends or relatives followed by the electronic and print media with health education playing a minor role. The level of awareness about breast cancer among Pakistani females in an urban setting was dismal and majority had a careless attitude towards seeking treatment. To ensure earlier detection of breast cancer there in a dire need of educating our female population about this deadly disease through the media and health care system in Pakistan. (author)

  19. Contributing factors to influenza vaccine uptake in general hospitals: an explorative management questionnaire study from the Netherlands

    Directory of Open Access Journals (Sweden)

    Riphagen-Dalhuisen Josien

    2012-12-01

    Full Text Available Abstract Background The influenza vaccination rate in hospitals among health care workers in Europe remains low. As there is a lack of research about management factors we assessed factors reported by administrators of general hospitals that are associated with the influenza vaccine uptake among health care workers. Methods All 81 general hospitals in the Netherlands were approached to participate in a self-administered questionnaire study. The questionnaire was directed at the hospital administrators. The following factors were addressed: beliefs about the effectiveness of the influenza vaccine, whether the hospital had a written policy on influenza vaccination and how the hospital informed their staff about influenza vaccination. The questionnaire also included questions about mandatory vaccination, whether it was free of charge and how delivered as well as the vaccination campaign costs. The outcome of this one-season survey is the self-reported overall influenza vaccination rate of health care workers. Results In all, 79 of 81 hospitals that were approached were willing to participate and therefore received a questionnaire. Of these, 42 were returned (response rate 52%. Overall influenza vaccination rate among health care workers in our sample was 17.7% (95% confidence interval: 14.6% to 20.8%. Hospitals in which the administrators agreed with positive statements concerning the influenza vaccination had a slightly higher, but non-significant, vaccine uptake. There was a 9% higher vaccine uptake in hospitals that spent more than €1250,- on the vaccination campaign (24.0% versus 15.0%; 95% confidence interval from 0.7% to 17.3%. Conclusions Agreement with positive statements about management factors with regard to influenza vaccination were not associated with the uptake. More economic investments were related with a higher vaccine uptake; the reasons for this should be explored further.

  20. Mortality Analysis of Trauma Patients in General Intensive Care Unit of a State Hospital

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    İskender Kara

    2015-08-01

    Full Text Available Objective: The aim of this study was to determine the mortality rate and factors affecting the mortality of trauma patients in general intensive care unit (ICU of a state hospital. Material and Method: Data of trauma patients hospitalized between January 2012 and March 2013 in ICU of Konya Numune Hospital were retrospectively analyzed. Demographic characteristics and clinical data of patients were recorded. Patients were divided into two groups as survivors and dead. Mortality rate and factors affectin mortality were examined. Results: A total of 108 trauma patients were included in the study. The mortality rate of overall group was 19.4%. Median age of the patients was 44.5 years and 75.9% of them were males. Median Glasgow Coma Scale of death group was lower (5 (3-8 vs. 15 (13-15, p<0.0001, median APACHE II score was higher (20 (15-26 vs. 10 (8-13, p<0.0001 and median duration of ICU stay was longer (27 (5-62,5 vs. 2 (1-5, p<0.0001 than those in the survival group. The most common etiology of trauma was traffic accidents (47.2% and 52.7% of patients had head trauma. The rate of patients with any fracture was significantly higher in the survival group (66.7% vs. 33.3%, p=0.007. The rate of erythrocyte suspension, fresh frozen plasma, trombocyte suspension and albumin were 38.9%, 27.8%, 0.9% and 8.3%, respectively in all group. The number of patients invasive mechanically ventilated was 27.8% and median length of stay of these patients were 5 (1.75-33.5 days. The rate of operated patients was 42.6%. The rate of tracheostomy, renal replacement therapy, bronchoscopy and percutaneous endoscopic gastrostomy enforcements were higher in the death group. The advanced age (p=0.016, OR: 1.054; 95% CI: 1.010-1100 and low GCS (p<0.0001, OR: 0.583; 95% CI: 0.456-0.745 were found to be independent risk factors the ICU mortality of trauma patients in logistic regression analysis. Conclusion: We believe that the determination of these risk factors affecting

  1. Exploration of burnout syndrome in nurses of general hospital in Larnaka of Cyprus

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    Maritsa Gourni

    2012-10-01

    Full Text Available Health professionals belong to the group of high risk to develop burn out syndrome. According to Maslach & Jackson, "emotional exhaustion", "depersonalization" and the "reduced feeling of personal accomplishment" are the three parameters that consist the burn out syndrome. The aim of the present study was to explore burn out syndrome among nursing workforce in General Hospital of Larnaka in Cyprus. Method and material: The sample studied consisted of 100 nurses coming from 10 different departments of the hospital. Data were collected by the completion of a specially designed questionnaire for the needs of the research which apart from the socio-demographic variables included Maslach burn out questionnaire. Data analysis was conducted by the statistical package SPSS 16 and the statistical method was t-test and Anova. Results: From the 100 participants, 76% were women and 24% men. The mean age of the participants was 35,8 years old. The results showed that the participants experienced median level of burnout syndrome. Men of the sample studied experienced higher level of "emotional exhaustion" with average value 19,4 and "depersonalization" with average value 7,5 whereas reduced feeling of personal accomplishment with average 39,7. Married participants had "emotional exhaustion" with average value 20,2, "depersonalization" with average 7,6 and "feeling of personal accomplishment" with average 38,5. Presence of children had positive relation with all subscales and more specifically those who had 3 and more children had 21,1 average value of "emotional disturbance", 7,9 average "depersonalization" and 40,5 average value of "feeling of personal accomplishment". Nurses with 1-5 years previous experience had 19,9 average value of "emotional exhaustion", 7,7 of "depersonalization" and 38,7 of "feeling of personal accomplishment". Statistical analysis showed no relation with socio-demographic variables of nurses with burn out syndrome.Conclusions: It is

  2. Cuidado ecológico: o significado para profissionais de um hospital geral Cuidado ecológico: el significado para profesionales de un hospital general Ecological care: meaning for health care professionals from a general hospital

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    Marli Terezinha Stein Backes

    2009-01-01

    Full Text Available OBJETIVO: Compreender à luz do pensamento complexo, o significado do cuidado ecológico e como este vem sendo associado à prática de profissionais que trabalham em um hospital geral. MÉTODOS: Estudo descritivo de natureza qualitativa realizado com 15 profissionais que atuam em três diferentes setores: Serviço de Lavanderia, Serviço de Nutrição e uma Unidade de Internação. Os dados foram coletados por meio de um questionário semi-estruturado e submetidos à análise de conteúdo proposta por Bardin. RESULTADOS: As categorias encontradas foram: Significando o cuidado ecológico, Salientando a importância do cuidado ecológico para a prática profissional e Medidas preventivas em saúde associadas ao cuidado ecológico. CONCLUSÕES: O estudo evidenciou que existe uma preocupação geral, ainda que incipiente, a respeito da problemática ambiental. A preocupação principal está relacionada à separação, reciclagem e destino adequado do lixo, mesmo que alguns profissionais tenham sinalizado para a importância de medidas preventivas como a lavagem das mãos, utilização de produtos biodegradáveis, entre outros.OBJETIVO: Comprender a La luz del pensamiento complejo, el significado del cuidado ecológico y cómo éste viene siendo asociado a la práctica de profesionales que trabajan en un hospital general. MÉTODOS: Estudio descriptivo de naturaleza cualitativa realizado con 15 profesionales que actúan en tres diferentes sectores: Servicio de Lavandería, Servicio de Nutrición y una Unidad de Internamiento. Los datos fueron recolectados por medio de un cuestionario semi-estructurado y sometidos al análisis de contenido propuesto por Bardin. RESULTADOS: Las categorías encontradas fueron: Significando el cuidado ecológico, resaltando la importancia del cuidado ecológico para la práctica profesional y Medidas preventivas en salud asociadas al cuidado ecológico. CONCLUSIONES: El estudio evidenció que existe una preocupaci

  3. Borderline Personality Disorder and Posttraumatic Stress Disorder at Psychiatric Discharge Predict General Hospital Admission for Self-Harm.

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    Mellesdal, Liv; Gjestad, Rolf; Johnsen, Erik; Jørgensen, Hugo A; Oedegaard, Ketil J; Kroken, Rune A; Mehlum, Lars

    2015-12-01

    We investigated whether posttraumatic stress disorder (PTSD) was predictor of suicidal behavior even when adjusting for comorbid borderline personality disorder (BPD) and other salient risk factors. To study this, we randomly selected 308 patients admitted to a psychiatric hospital because of suicide risk. Baseline interviews were performed within the first days of the stay. Information concerning the number of self-harm admissions to general hospitals over the subsequent 6 months was retrieved through linkage with the regional hospital registers. A censored regression analysis of hospital admissions for self-harm indicated significant associations with both PTSD (β = .21, p treatment targets for a reduction in the risk of severe self-harm in high-risk psychiatric patients. PMID:26581019

  4. The Toronto General Hospital Transitional Pain Service: development and implementation of a multidisciplinary program to prevent chronic postsurgical pain

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    Katz J

    2015-10-01

    Full Text Available Joel Katz,1–3 Aliza Weinrib,1,2 Samantha R Fashler,2 Rita Katznelzon,1,3 Bansi R Shah,1 Salima SJ Ladak,1 Jiao Jiang,1 Qing Li,1 Kayla McMillan,1 Daniel Santa Mina,5,6 Kirsten Wentlandt,7 Karen McRae,1,3 Diana Tamir,1,3 Sheldon Lyn,1,3 Marc de Perrot,8 Vivek Rao,9 David Grant,10 Graham Roche-Nagle,11 Sean P Cleary,12 Stefan OP Hofer,13 Ralph Gilbert,14 Duminda Wijeysundera,1,3 Paul Ritvo,15 Tahir Janmohamed,16 Gerald O’Leary,1,3 Hance Clarke1,3 1Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 2Department of Psychology, York University, 3Department of Anesthesia, University of Toronto, 4Palliative Care, University Health Network, University of Toronto, 5Princess Margaret Cancer Centre, University Health Network, University of Toronto, 6Faculty of Kinesiology and Physical Education, University of Toronto, 7Department of Family and Community Medicine, University of Toronto, 8Division of Thoracic Surgery, Toronto General Hospital, 9Division of Cardiovascular Surgery, Toronto General Hospital, 10Multiorgan Transplant Program, Toronto General Hospital, 11Division of Vascular Surgery, Toronto General Hospital, 12Division of General Surgery, Toronto General Hospital, 13Division of Plastic Surgery, Toronto General Hospital, 14Division of Otolaryngology – Head and Neck Surgery, Toronto General Hospital, 15Department of Kinesiology and Health Science, York University, 16ManagingLife, Toronto, ON, CanadaAbstract: Chronic postsurgical pain (CPSP, an often unanticipated result of necessary and even life-saving procedures, develops in 5–10% of patients one-year after major surgery. Substantial advances have been made in identifying patients at elevated risk of developing CPSP based on perioperative pain, opioid use, and negative affect, including depression, anxiety, pain catastrophizing, and posttraumatic stress disorder-like symptoms. The Transitional Pain Service (TPS at

  5. General Considerations on Leadership in the Hospitality Industry. Conceptual Analysis and Practical Studies

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    Andreia ISPAS

    2010-01-01

    Leadership in the hospitality industry is still an open research field especially in describing the effects of leadership style on hotel employees. The purpose of the paper is to present and analyze the following concepts: leadership and leadership style, hospitality industry; the practical aspects of leadership in the hospitality industry and to identify relevant studies regarding the importance of leadership styles applied in this industry. The research methodology consists of analyzing the...

  6. Tromboprofilaxis en pacientes no quirúrgicos internados en un hospital general Venous thromboembolism prevention in non-surgical adult patients admitted in a general hospital

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    Marcelo J. Melero

    2012-10-01

    Full Text Available Los pacientes adultos internados por una enfermedad no quirúrgica tienen un riesgo alto de padecer una tromboembolia venosa y pueden desarrollar alguna forma de esta enfermedad cuando no reciben un tratamiento preventivo adecuado. Los objetivos de este estudio prospectivo, analítico, observacional y transversal, fueron: 1 determinar cuál es el porcentaje de pacientes adultos internados por una enfermedad aguda no quirúrgica en el Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, que tienen indicación de tromboprofilaxis, 2 establecer cuántos de ellos reciben un tratamiento preventivo para la tromboembolia venosa, y 3 comprobar cuántos estaban medicados con alguna forma de tromboprofilaxis sin tener causas que justificaran este tratamiento. Se estudiaron 93 pacientes durante un lapso de 72 horas consecutivas. Se encontró que el 90.3% de ellos necesitaba un tratamiento preventivo para la tromboembolia venosa y el 76.2% de estos enfermos recibían tromboprofilaxis farmacológica. Un 33.3% de los pacientes internados tenía indicado un tratamiento farmacológico preventivo sin tener una causa que justificara esta prescripción. El porcentaje encontrado de pacientes tratados con tromboprofilaxis es más alto que el comunicado en otros estudios observacionales.Adult patients hospitalized for a non-surgical condition, usually have a high risk of venous thromboembolism and may develop some form of this disease when they do not receive appropriate preventive treatment. The objectives of this prospective, analytical, observational and cross-sectional study were: 1 to determine what percentage of adult patients hospitalized for a non-surgical acute condition at the Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, had indication for preventive thromboprophylaxis, 2 to establish how many of them had been prescribed a preventive treatment of venous thromboembolism, 3 to establish how many of them had been

  7. Incidence of postoperative urinary retention after pelvic organ prolapse surgery in Cipto Mangunkusumo National General Hospital

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    Tyas Priyatini

    2015-01-01

    Full Text Available Background: After vaginal delivery, every woman has 50% risk for pelvic organ prolapse (POP. The lifetime risk for a woman to undergo surgical treatment for POP was 11%, with the incidence of postoperative urinary retention (POUR after POP surgery of 2%-43%. The aim of our study is to identify the incidence of POUR after POP surgery in Cipto Mangunkusumo National General Hospital (RSCM and the risk factors.Methods: Medical records of 124 women undergoing pelvic prolapse surgery between 2010 and 2013 were analyzed. The incidence of POUR and the risk factors were identified by performing univariate and bivariate analysis using chi-Square test and its alternative with using SPSS 20.0. Independent variables include age, body mass index (BMI, parity, degree of prolapse, type of surgery technique, type of anesthesia, type of suture material, amount of intra-operative blood loss, and duration of surgery. POUR defined as urine residual volume more than 100cc.Results: The incidence of urinary retention after pelvic prolapse surgery was 29%. There was no correlation between age, BMI, parity, degree of prolapse, type of surgery technique, anesthesia, suture, intra-operative blood loss, duration of surgery, and the occurrence of urinary retention after pelvic organ prolapse surgery.Conclusion: The incidence of urinary retention after pelvic organ prolapse surgery was 29%. There was no correlation between the risk factors and the occurrence of urinary retention after pelvic organ prolapse surgery.

  8. Factors Affecting the Agreement Between Emergency Psychiatrists and General Practitioners Regarding Involuntary Psychiatric Hospitalizations.

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    Geoffroy, Pierre Alexis; Duhamel, Alain; Behal, Hélène; Zouitina-Lietaert, Nadia; Duthilleul, Julie; Marquette, Louise; Ducrocq, François; Vaiva, Guillaume; Rolland, Benjamin

    2016-01-01

    Important discrepancies exist between physicians in deciding when to perform involuntary hospitalization measures (IHMs). The factors underlying these differences are poorly known.We conducted a two-year single-center retrospective study in France on patients who were referred to the emergency department (ED) with an IHM certificate written by a private-practice General Practitioner (GP). For each consultation, the official IHM motive was categorized into four groups: Suicide; Psychosis, Mania, or Melancholia (PMM); Agitation; and Other. The alcohol status of the patient was also noted. The factors underlying the ED psychiatrists' confirmation of the use of IHMs were determined using a logistic regression model. One hundred eighty-nine cases were found (165 patients; 44.2 ± 16 years, 41.3% women). The ED psychiatrists confirmed the use of IHMs in 123 instances (65.1% agreement rate). Multivariate analyses found that IHM disagreement was significantly associated with patient alcohol status and the reason for referral. Specifically, there was an increased risk of IHM disagreement when the patient had an alcohol-positive status (OR = 15.80; 95% CI [6.45-38.67]; p IHM was "agitation" compared with "suicide" (OR = 11.44; 95% CI[3.38-38.78]; p IHM. PMID:27324574

  9. Hypertension among Outpatients at a General Hospital in South Angola: Prevalence, Awareness, Treatment, and Control

    Science.gov (United States)

    Paquissi, Feliciano C.; Cuvinje, Arminda B.P.; Cuvinje, Almeida B.; Paquissi, Arlindo M.

    2016-01-01

    OBJECTIVE This study aimed to assess the prevalence, awareness, treatment, and control of hypertension in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. METHODS A total of 265 subjects aged 18 years and older were included. Evaluation included complete interview and blood pressure measurement using a validated automatic device. RESULTS The prevalence rates of hypertension and prehypertension were 38.5% (95% confidence interval [CI]: 32.83%–44.90%) and 30.20% (95% CI: 24.52%–36.22%), respectively. Hypertension was associated with age (>35 years; odds ratio [OR] = 10.09, 95% CI: 5.46–18.66, P < 0.01) and female gender (OR = 1.81, 95% CI: 1.08–3.05, P = 0.02). Among total hypertensive patients, 54.9% were aware of their diagnosis, 28.43% were in treatment, and 7.84% had controlled blood pressure. Lack of awareness was significantly higher in younger (age ≤ 37 years; OR = 3.28, 95% CI: 1.13–9.49, P = 0.02). CONCLUSION This study revealed a high prevalence of hypertension, with low awareness, treatment, and control rates. Greater efforts are necessary to overcome these challenges. PMID:27398036

  10. Chemical restraint in routine clinical practice: a report from a general hospital psychiatric ward in Greece

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    Papamichael Georgios

    2011-02-01

    Full Text Available Abstract Background There is a dearth of studies regarding chemical restraint in routine clinical psychiatric practice. There may be wide variations between different settings and countries. Methods A retrospective study on chemical restraint was performed in the 11-bed psychiatric ward of the General Hospital of Arta, in northwestern Greece. All admissions over a 2-year-period (from March 2008 to March 2010 were examined. Results Chemical restraint was applied in 33 cases (10.5% of total admissions. From a total of 82 injections, 22 involved a benzodiazepine and/or levomepromazine, whereas 60 injections involved an antipsychotic agent, almost exclusively haloperidol (96.7% of cases, usually in combination with a benzodiazepine (61.7% of cases. In 36.4% of cases the patient was further subjected to restraint or seclusion. Conclusions In our unit, clinicians prefer the combined antipsychotic/benzodiazepine regimen for the management of patients' acute agitation and violent behaviour. Conventional antipsychotics are administrated almost exclusively and in a significant proportion of cases further coercive measures are applied. Studies on the practice of chemical restraint should be regularly performed in clinical settings.

  11. Evaluation of tumor markers for the detection of hepatocellular carcinoma in Yangon General Hospital, Myanmar.

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    Taketa K

    2002-12-01

    Full Text Available Levels of alpha-fetoprotein (AFP, its glycoforms AFP-L3 and AFP-P4, and proteins induced by vitamin K absence or antagonist-II (PIVKA-II were determined in sera obtained from patients in Yangon General Hospital (20 with hepatocellular carcinoma (HCC, 29 with chronic liver diseases, including 3 with chronic hepatitis and 26 with cirrhosis of the liver, and 9 with other hepatobiliary diseases. Forty-five percent of the patients with HCC had serum AFP levels above 10,000 ng/ml, indicating that nearly half of the HCC patients were at an advanced stage of the disease. Thus, the AFP sensitivity was as high as 70% with 100% specificity for a cutoff level of 200 ng/ml. The sensitivity of AFP-L3 was 75% and a specificity 90% for a cutoff level of 15%. AFP-P4 showed a higher sensitivity of 80% and a similar specificity of 86% for a cutoff level of 12%. Combined evaluation of AFP-L3 and/or AFP-P4 increased the sensitivity to 90% with the same specificity of 86%, indicating that AFP-L3 and AFP-P4 are useful as adjuncts for diagnosis of HCC in the present population. PIVKA-II had a high sensitivity of 90%, although the specificity was lower than 45%, probably due to the low cutoff level, as some cholestatic patients were included in the control group.

  12. Insulinoma: Report of two cases in the general surgery service in Hospital Carlos Andrade Marin

    International Nuclear Information System (INIS)

    There is a variety of endocrine tumours of the pancreas capable of producing hyperinsulinism and neuroendocrinologic symptoms due to hypoglycaemia. Initially they are treated as neurologic or psychiatric disorders and can take years to establish a definitive diagnosis. We present two cases of patients admitted to the service of General Surgery department of the Carlos Andrade Marin Hospital in the years 1999 and 2000. These patients were transferred from the endocrinology department l. The clinical diagnosis was based on monitoring of glycemic and insulin base levels and were complemented with CAT scan and MRI. Surgical procedures were performed obtaining satisfactory enucleating of the tumours. They were localized in the body and the tail of the pancreas respectively. We evidenced immediate normalization of the glycemia during and post operatively. The most important complication in the first case was pancreatic abscess that was drained in an open manner surgically, afterwards a pancreatic leak was determined, and it so was successfully treated with octreotide, the second patient presented a pulmonary atelectacy in the first 24 hours after the post operatory and a week later the presence of a sufrenic abscess on the right side was quite evident, which was treated through percutaneous draining guided by computerized tomography and magnetic resonance. (The author)

  13. Preparing for the aged in investigative medicine in a General Hospital setting

    International Nuclear Information System (INIS)

    Full text: The inequalities which exist today between the health of various sectors of society have grown partly out of the different rates of improvement experienced during the 18th, 19th and 20th Centuries. This is especially so for social class, racial and regional differences. Differential health problems between various age groups and disease groups have probably arisen for other reasons. People can now expect to live well into their 70s or early 80s. Many things have contributed to these health gains, including improved public health measures, high quality clinical treatment services, social and environmental conditions and lifestyle changes. The purpose of this paper is to highlight the major health problems of the community served by the Department of Nuclear Medicine at the Launceston General Hospital (Northern Regional Health) with the following perspectives: (i) How an ageing population is impacting in the level of service; (ii) How the aged are to be managed during investigation, after care and follow-up; and (iii) Major areas of investigations and age group analysis

  14. Alterations of Serum Electrolytes and Malondialdehyde in Cataract Patients Attending General Hospital Owerri

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    Nnodim Johnkennedy

    2015-07-01

    Full Text Available Aim: This study was carried out to determine the level of serum electrolyte and malondialdehyde in cataract patients. Material and Methods: 80 cataract patients within the age of 55 years to 75 years attending General Hospital Owerri for routine blood glucose check were used in this study. Also 80 apparently healthy subjects without cataract within the age of 55 years and 75 years were used as control. The level of electrolytes particularly sodium and potassium were measured. The levels of glucose, urea, creatinine were measured in order to rule out diabetes and kidney malfunction respectively in both study and control groups. Result:It was observed that the level of sodium and Malondialdehyde (MDA were significantly increased in cataract patients when compared with controls (p0.05. Conclusion: This observation shows that increased sodium level in cataract patients could probably result in elevation of aqueous humor of the lens which contributes to osmotic disorder across the lens membrane. This could aggravate the progression of cataract as a result of MDA elevation. Therefore, salt restricted diet could be beneficial to cataract patients by preventing electrolyte disorder, hypernatremia and maintain the electrolyte balance.

  15. Prevalence and Predisposing Factors of Urinary Tract Infections among Pregnant Women in Abha General Hospital

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    Mona Abdullah Almushait

    2013-06-01

    Full Text Available This study aimed to assess the prevalence of urinary tract infection (UTI in pregnant women, to identify infectious agents causing the infection, and to explore relationship of specific socio–cultural factors with UTI. This study was conducted at the antenatal clinic of Abha General Hospital, Saudi Arabia from September 2012 to January 2013 on 402 pregnant Saudi women. Midstream urine sample was obtained. A urine analysis test and culture were done as well as socio-demographic data sheet was completed. Among the 402 studied pregnant women, 12.7% were affected with UTI. The main causative agent was escherichia coli(e-coli followed by staphylococci. It was found that UTI was strongly affected by the presence of previous history of reproductive tract inflammation, history of previous UTI attacks, the presence of UTI related complaints, washing and drying the perineum area, the direction of washing and drying the perineum area, frequency of changing diaper during menstruation and the average of cleaning the bathtub (P= 0.002, 0.000, 0.000, 0.000, 0.05, 0.000 and 0.002 respectively. Our study showed a significant percentage on prevalence of UTI among Saudi pregnant women.

  16. Diagnostic imaging to select the candidates to orthotopic transplantation: Experience in a general hospital

    International Nuclear Information System (INIS)

    The authors report the experience of our general hospital in selecting the patients for orthotopic liver transplantation (OLT). The accuracy of duplex Doppler and color flow Doppler for portal and/or mesenteric vein thrombosis was evaluated by correlation with resected livers, computerized tomography and angiographic findings. Pathologic examinations diagnosed HCC in 5/20 transplant recipients: 2 lesions were found in 2 resected specimens (total hepatectomy) and 1 lesion was found in 3 cases. The sensitivity of US, plain and dynamic computerized tomography in identifying HCC patients was 20%; US and computerized tomography specificity rates were 100% and 87%, respectively. CTAP sensitivity was 75% and the sensitivity of Lipiodol computerized tomography and angiography was 100%. Therefore, in our series, US was poorly sensitivity in the detection of liver cancers, which may depend on the small number of patients, lesion size and the radiologists ignoring clinical and laboratory data on purpose. Nevertheless, the patients with a single HCC not exceeding 5 cm in diameter or with no more than 3 tumors, none of them exceeding 3 cm in diameter, are generally considered eligible for transplantation: therefore, our patients chosen for OLT on the basis of US and computerized tomography findings were actually eligible for transplantation in spite of US and computerized tomography false negative results. In conclusion, considering also the long stand-by list for OLT, the first selection of transplant candidates could be performed with US and color flow Doppler, plain and dynamic computerized tomography. The patients who are not ruled out as candidates for OLT on the basis of the findings of these imaging techniques and of clinical and laboratory findings are submitted to no further examination and referred to the transplantation unit. Otherwise, if conventional and color flow Doppler US and conventional computerized tomography are not enough to exclude a patient from OLT, the

  17. Estudio de utilización de analgésicos opiáceos en un hospital general universitario Study of opioid analgesic use in a general university hospital

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    P. Gómez Salcedo

    2009-10-01

    Full Text Available Objetivo: El objetivo de este trabajo ha sido realizar un estudio de utilización de analgésicos opiáceos en el Hospital Universitario La Paz (Madrid en el año 2008 para conocer cómo se está utilizando este grupo de medicamentos y cuál es la tendencia del consumo. Para ello, se presentan los datos de uso de opiáceos en pacientes ingresados de forma global, por hospitales y por servicios clínicos. Se exponen los datos de consumo de los 5 últimos años y se ha cuantificado el uso del resto de principios activos empleados como analgésicos en nuestro hospital. Material y métodos: Haciendo uso de la metodología recomendada por la Organización Mundial de la Salud para los estudios de utilización de medicamentos en hospitales, presentamos nuestros datos en dosis diarias definidas (DDD por 100 estancias. Los datos de consumo se han obtenido del programa de gestión de medicamentos del Servicio de Farmacia Farma Tools (Dominion® Resultados: El valor global de utilización de opiáceos en 2008 ha sido de 8,1 DDD/100 estancias. Los principios activos más consumidos han sido la morfina parenteral y el fentanilo transdérmico, y entre los 2 representan el 83% del consumo total de opiáceos. En el análisis por hospitales apreciamos que el Hospital General y el de Traumatología son los que presentan un mayor empleo de opiáceos y siguen el mismo patrón de utilización que el global. Los servicios más representativos del consumo de opiáceos han sido las reanimaciones del Hospital General y de Traumatología, los Servicios de Oncología, Cuidados paliativos y Hematología. En estos últimos 5 años se ha producido un incremento global del consumo de aproximadamente el 20%, viéndose implicados todos los principios activos. Con relación al consumo total de analgésicos, los datos reflejan una amplia utilización en el hospital (104 DDD/100 estancias. Los opiáceos representan un 7,4% del consumo total de analgésicos, siendo el paracetamol y

  18. Serviço de Emergência Psiquiátrica em hospital geral: estudo retrospectivo Servicio de emergencia psiquiátrica en hospital general: estudio retrospectivo Emergency psychiatric service in general hospitals: a retrospective study

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    Fernando Sérgio Pereira de Sousa

    2010-09-01

    Full Text Available O Serviço de Emergência Psiquiátrica em Hospital Geral (SEPHG é uma proposta articulada com o movimento da reforma psiquiátrica. Objetivou-se caracterizar os clientes com sofrimento psíquico assistidos no SEPHG Dr. Estevam, em Sobral-CE. Este é um estudo do tipo documental, com abordagem quantitativa, envolvendo 191 clientes atendidos no SEPHG no período de janeiro a dezembro de 2007. Os dados foram coletados a partir de um livro de registro, cujas informações nele contidas foram retiradas dos prontuários dos clientes. Observou-se predomínio de pacientes do sexo masculino (70,15%, com idade entre 30-49 anos (48,71% e solteiros (74,86%. A maioria era proveniente da cidade de Sobral (69,64 %. Em 42,40% dos casos, o diagnóstico foi transtorno do uso de álcool. Grande parte da clientela (66,50% deu entrada no serviço por demanda espontânea. Após avaliação do SEPHG, 43,45% desses clientes foram encaminhados ao CAPS-ad. Pelos resultados, depreende-se o quão imprescindíveis são os serviços de saúde mental.El Servicio de Emergencia Psiquiátrica en Hospital General (SEPHG es una propuesta vinculada al movimiento de la reforma psiquiátrica. Se objetivó caracterizar a los pacientes con trastornos psiquiátricos atendidos en el SEPHG Dr. Estevam, en Sobral-Ceará-Brasil. Estudio de tipo documental con abordaje cualitativa, involucrando 191 pacientes atendidos en el SEPHG entre enero y diciembre de 2007. Los datos fueron recogidos a partir de un libro de registro, cuyas informaciones fueron extraídas de las historias clínicas de los pacientes. Se observó prevalencia de pacientes de sexo masculino (70,15%, con edad entre 30-49 años (48,71% y solteros (74,86%. La mayoría provenía de la ciudad de Sobral (69,64%. En el 42,40% de los casos, el diagnóstico fue trastorno provocado por abuso de alcohol. Una gran cantidad de pacientes (66,50% se presentó en el servicio en forma espontánea. Con posterioridad a la evaluación del

  19. An observational study in psychiatric acute patients admitted to General Hospital Psychiatric Wards in Italy

    Directory of Open Access Journals (Sweden)

    Margari Francesco

    2007-01-01

    Full Text Available Abstract Objectives this Italian observational study was aimed at collecting data of psychiatric patients with acute episodes entering General Hospital Psychiatric Wards (GHPWs. Information was focused on diagnosis (DSM-IV, reasons of hospitalisation, prescribed treatment, outcome of aggressive episodes, evolution of the acute episode. Methods assessments were performed at admission and discharge. Used psychometric scales were the Brief Psychiatric Rating Scale (BPRS, the Modified Overt Aggression Scale (MOAS and the Nurses' Observation Scale for Inpatient Evaluation (NOSIE-30. Results 864 adult patients were enrolled in 15 GHPWs: 728 (320 M; mean age 43.6 yrs completed both admission and discharge visits. A severe psychotic episode with (19.1% or without (47.7% aggressive behaviour was the main reason of admission. Schizophrenia (42.8% at admission and 40.1% at discharge and depression (12.9% at admission and 14.7% at discharge were the predominant diagnoses. The mean hospital stay was 12 days. The mean (± SD total score of MOAS at admission, day 7 and discharge was, respectively, 2.53 ± 5.1, 0.38 ± 2.2, and 0.21 ± 1.5. Forty-four (6.0% patients had episodes of aggressiveness at admission and 8 (1.7% at day 7. A progressive improvement in each domain/item vs. admission was observed for MOAS and BPRS, while NOSIE-30 did not change from day 4 onwards. The number of patients with al least one psychotic drug taken at admission, in the first 7 days of hospitalisation, and prescribed at discharge, was, respectively: 472 (64.8%, 686 (94.2% and 676 (92.9%. The respective most frequently psychotic drugs were: BDZs (60.6%, 85.7%, 69.5%, typical anti-psychotics (48.3%, 57.0%, 49.6%, atypical anti-psychotics (35.6%, 41.8%, 39.8% and antidepressants (40.9%, 48.8%, 43.2%. Rates of patients with one, two or > 2 psychotic drugs taken at admission and day 7, and prescribed at discharge, were, respectively: 24.8%, 8.2% and 13.5% in mono-therapy; 22.0%, 20

  20. 75 FR 1396 - The General Hospital and Personal Use Devices Panel of the Medical Devices Advisory Committee...

    Science.gov (United States)

    2010-01-11

    ... HUMAN SERVICES Food and Drug Administration The General Hospital and Personal Use Devices Panel of the...-market actions in response to insulin pump failures. Insulin pumps are intended for continuous delivery of insulin at set and variable rates and as an aid in the management of diabetes mellitus in...

  1. Antibody screening & identification in the general patient population at a tertiary care hospital in New Delhi, India

    OpenAIRE

    Raj Nath Makroo; Aakanksha Bhatia; Vikas Hegde; Mohit Chowdhry; Uday Kumar Thakur; N L Rosamma

    2014-01-01

    Background & objectives: The development of alloantibodies can significantly complicate transfusion therapy and results in difficulties in cross-matching of blood. Most literature on alloimmunization is limited to multitransfused individuals, with very few studies on the general hospital patients. This study was aimed at assessing the frequency and type of unexpected red cell antibodies in the general patient population at a multispecialty tertiary care centre in New Delhi, India. Methods...

  2. General practice based physiotherapy: its use and effect on referrals to hospital orthopaedics and rheumatology outpatient departments.

    OpenAIRE

    O Cathain, A.; Froggett, M; Taylor, M. P.

    1995-01-01

    BACKGROUND. In November 1992, a pilot scheme was established in Doncaster to provide an on-site physiotherapy service in six non-fundholding general practices covering a population of approximately 44,000 people. AIM. The aim of the pilot scheme was to transfer a hospital-based physiotherapy service, to which general practitioners had direct access, to a primary care setting and to reduce referrals to an orthopaedics outpatient department. METHOD. Use of physiotherapy services and referrals t...

  3. [Practice and experience about construction of pharmacy automation at general hospital].

    Science.gov (United States)

    Chen, Minya; Xia, Yong; Shi, Jiayi

    2011-03-01

    This paper introduce how to combining the whole package automatic dispensing machine with intelligent storage cabinets at outpatient pharmacy. Furthermore, this paper introduce how to integrated this system with hospital information systems which can provide references for the construction of automatic hospital pharmacy in our country. PMID:21706808

  4. Noches de adrenalina de Carmen Ollé como poesía integral neovanguardista

    OpenAIRE

    Giovanna Iubini Vidal

    2015-01-01

    Este artículo se propone analizar el poemario de Carmen Ollé, Noches de adrenalina, desde la perspectiva de la poesía integral, es decir, desde la estética del grupo peruano Hora Zero. Esta interpretación enfatiza en los aspectos neovanguardistas del texto, especialmente, en el proyecto hipervitalista de la relación entre el arte, la vida y la política, así como en la metarreflexión e intertextualidad.

  5. Comprehensive transient-state study for CARMENES-NIR high thermal stability

    OpenAIRE

    Becerril, S.; Sánchez, M. A.; Cárdenas, M. C.; Rabaza, O.; de Ramón, A.; Abril, M.; Costillo, L. P.; R. Morales; Rodríguez, A; Amado, P. J.; team, the international CARMENES

    2010-01-01

    CARMENES has been proposed as a next-generation instrument for the 3.5m Calar Alto Telescope. Its objective is finding habitable exoplanets around M dwarfs through radial velocity measurements (m/s level) in the near-infrared. Consequently, the NIR spectrograph is highly constraint regarding thermal/mechanical requirements. As a first approach, the thermal stability has been limited to \\pm 0.01K (within year period) over a working temperature of 243K. This can be achieved by means of several ...

  6. CARMEN: a system Monte Carlo based on linear programming from direct openings

    International Nuclear Information System (INIS)

    The use of Monte Carlo (MC) has shown an improvement in the accuracy of the calculation of the dose compared to other analytics algorithms installed on the systems of business planning, especially in the case of non-standard situations typical of complex techniques such as IMRT and VMAT. Our treatment planning system called CARMEN, is based on the complete simulation, both the beam transport in the head of the accelerator and the patient, and simulation designed for efficient operation in terms of the accuracy of the estimate and the required computation times. (Author)

  7. "Soñar la vida". La narrativa de Carmen de Icaza (1936-1960)

    OpenAIRE

    Fragero Guerra, Carmen

    2014-01-01

    Estudiamos a Carmen de Icaza y León (1899-1979), novelista “rosa”, muy popular en el primer franquismo. Analizamos varios aspectos de su narrativa: primero, su reelaboración de los estereotipos populares postrománticos y realistas, destinados a adoctrinar a su público en los valores morales del régimen; segundo, sus técnicas narrativas (ágiles diálogos, focalizaciones e incipientes monólogos interiores, que muestran la dualidad de las protagonistas), que facilitan la comunicación con lectoras...

  8. A descriptive study of TB cases finding practices in the three largest public general hospitals in Vietnam

    Directory of Open Access Journals (Sweden)

    Nguyen Binh Hoa

    2012-09-01

    Full Text Available Abstract Background A project was implemented in 2010 to improve TB notification and TB screening and diagnostic routines in large general hospitals. The aims of present study was to assess baseline TB screening and diagnostic practices in the three largest general hospitals in Vietnam. Objectives To assess baseline TB screening and diagnostic practices in the three largest general hospitals in Vietnam. Method The study had three elements: 1 Focus group discussions with hospital physicians; 2 review of hospital records and structured interviews of people who had a chest X-ray on any indication; and 3 record reviews and structured interviews of people newly diagnosed with TB. Results The most commonly reported diagnostic pathway for pulmonary TB was chest X-ray followed by sputum-smear microscopy. Among 599 individuals who had a chest X-ray performed, 391 (65.1% had recorded any abnormality, significantly higher in males (73.8% than in females (54.7%, (p  Of 103 consecutive TB cases enrolled in the study, 92 (90% had chest X-ray as the initial test. Sixty-three (61.2% fulfilled the TB suspect criteria based on respiratory symptoms (productive cough >2 weeks. Conclusion Chest X-ray is the preferred first test for TB in the largest hospitals in Vietnam. Chest X-ray is a sensitive screening tool for TB, which should be followed by a confirmatory TB test. While the majority of those with chest X-ray abnormalities are investigated with smear-microscopy, the high sputum-smear positivity ratio among them suggests that sputum-smear microscopy is done mainly for persons with quite clear TB signs or symptoms. TB screening and use of confirmatory diagnostic tests on wider indications seem warranted.

  9. A STUDY OF RISK FACTORS IN STROKE PATIENTS IN GOVT., GENERAL HOSPITAL, KURNOOL, A.P

    Directory of Open Access Journals (Sweden)

    B.S. Isaac

    2013-10-01

    Full Text Available ABSTRACT : A study was undertaken on 50 patients admitted in Govt. General Hospital, Kurnool with acute cerebrovascular disease by using a pretested questionnaire. Parameters studied were age, sex, blood pressure, diabetes mellitus, smoking, alcohol, and hypercholesterolemia. 30(60% patients gave the history of hypertension in the past and were on treatment, apart from 10 more pa tients recorded a high blood pressure (>140/90 at the time of admission, making a total of 40(80% patients with hypertension. Out of 40 cases of hypertension, 30(75% had cerebral infarction and 10(25% had cerebral hemorrhage. 18 patients gave the hist ory of diabetes, and 14 more had blood sugar more than 140 mgs% at the time of admission, making a total of 32(64%. Out of 30 cases of diabetes, 20(66% had infarction and 10(33% had hemorrhage. 25 (50% patients were in the habit of smoking at a frequen cy of 5 - 25 cigarettes per day. Out of 25 patients with smoking 20(80% had infarction and 5(20% had hemorrhage. 16 patients gave the history of alcoholism. Out of which 7(43.7% had infarction and 9(56.3% had hemorrhage. Out of the 25 patients with smok ing habit 16 were hypertensive patients and 9 patients revealed raised serum cholesterol. Out of 16 patients with alcohol habit, 11 were hypertensive patients and 5 had raised serum cholesterol. Out of these 11 hypertensive patients 5 had infarction and 6 had hemorrhage. The 5 patients who had raised cholesterol 3 had infarction and 2 had hemorrhage. Out of the 32 diabetes cases, 21 had hypertension, and 11 had raised serum cholesterol. Out of 21 hypertensive’s, 12 had infarction and 9 had hemorrhage. Out o f 11 patients who had raised serum cholesterol, 8 had infarction and 3 had hemorrhage

  10. Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan

    Directory of Open Access Journals (Sweden)

    Ji Hye Suk

    2014-06-01

    Full Text Available BackgroundData regarding the prescription status of individuals with diabetes are limited. This study was an analysis of participants from the relationship between cardiovascular disease and brachial-ankle pulse wave velocity in patients with type 2 diabetes (REBOUND Study, which was a prospective multicenter cohort study recruited from eight general hospitals in Busan, Korea. We performed this study to investigate the current status of prescription in Korean type 2 diabetic patients.MethodsType 2 diabetic patients aged 30 years or more were recruited and data were collected for demographics, medical history, medications, blood pressure, and laboratory tests.ResultsThree thousands and fifty-eight type 2 diabetic patients were recruited. Mean age, duration of diabetes, and HbA1c were 59 years, 7.6 years, and 7.2%, respectively. Prevalence of hypertension was 66%. Overall, 7.3% of patients were treated with diet and exercise only, 68.2% with oral hypoglycemic agents (OHAs only, 5.3% with insulin only, and 19.2% with both insulin and OHA. The percentage of patients using antihypertensive, antidyslipidemic, antiplatelet agents was similar as about 60%. The prevalence of statins and aspirin users was 52% and 32%, respectively.ConclusionIn our study, two thirds of type 2 diabetic patients were treated with OHA only, and one fifth with insulin plus OHA, and 5% with insulin only. More than half of the patients were using each of antihypertensive, antidyslipidemic, or antiplatelet agents. About a half of the patients were treated with statins and one third were treated with aspirin.

  11. The profile of patients with obstructive uropathy in Cameroon: case of the Douala General Hospital

    Science.gov (United States)

    Halle, Marie Patrice; Toukep, Linda Njonkam; Nzuobontane, Samuel Ekane; Ebana, Hermine Fouda; Ekane, Gregory Halle; Priso, Eugene Belley

    2016-01-01

    Introduction Obstructive uropathy can lead to irreversible kidney damage. The etiology largely determined by the patient's age can be benign or malignant. This study aimed at determining the profile and outcome of patients with obstructive uropathy in Cameroon. Methods A cross sectional study carried out in the urology unit of the Douala General Hospital, including patients with a diagnosis of obstructive uropathy seen from January 2004 to December 2013. Clinical profile, treatment and outcome data were obtained from patients records. Results Of the 229 patients included 69% were men, mean age 50 ±18 years. Associated comorbidities were hypertension, diabetes, and HIV. Mean haemoglobin 8,40±2,4g/dl, mean GFR 10,3 ±10ml/min, 94 (41%) patients needed emergency dialysis. Symptoms at presentation: asthenia (57%), anorexia (55%), loin pain (37%), vomiting (28%), oedema (20%), and anuria (15%). Urinary tract infection was present in 33 patients. Main aetiologies of obstruction: urolithiasis (35%), begnin prostatic hypertrophy (27%), prostatic cancer (12%), cervical cancer (16%), and congenital malformations (5%). Drainage was effective in 102 (45%) patients, 63 (28%) recovered completely, 91 (41%) were loss to follow up, 49 (22%) died and more women (p = 0.02). Mortality was associated with prostatic cancer (p = 0.000), cervical cancer (p = 0.004) and radiotherapy (p = 0.03). Conclusion Patients with obstructive uropathy presented with significant impaired renal function. Main causes were urinary stones, prostatic hypertrophy, prostatic and cervical cancers. Renal recovery was poor, loss to follow up and mortality high. Specific strategies to target improvement in renal recovery and patient's survival are needed in this patient's group.

  12. Lower respiratory tract infection hospitalizations among American Indian/Alaska Native children and the general United States child population

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    Eric M. Foote

    2015-11-01

    Full Text Available Background: The lower respiratory tract infection (LRTI-associated hospitalization rate in American Indian and Alaska Native (AI/AN children aged <5 years declined during 1998–2008, yet remained 1.6 times higher than the general US child population in 2006–2008. Purpose: Describe the change in LRTI-associated hospitalization rates for AI/AN children and for the general US child population aged <5 years. Methods: A retrospective analysis of hospitalizations with discharge ICD-9-CM codes for LRTI for AI/AN children and for the general US child population <5 years during 2009–2011 was conducted using Indian Health Service direct and contract care inpatient data and the Nationwide Inpatient Sample, respectively. We calculated hospitalization rates and made comparisons to previously published 1998–1999 rates prior to pneumococcal conjugate vaccine introduction. Results: The average annual LRTI-associated hospitalization rate declined from 1998–1999 to 2009–2011 in AI/AN (35%, p<0.01 and the general US child population (19%, SE: 4.5%, p<0.01. The 2009–2011 AI/AN child average annual LRTI-associated hospitalization rate was 20.7 per 1,000, 1.5 times higher than the US child rate (13.7 95% CI: 12.6–14.8. The Alaska (38.9 and Southwest regions (27.3 had the highest rates. The disparity was greatest for infant (<1 year pneumonia-associated and 2009–2010 H1N1 influenza-associated hospitalizations. Conclusions: Although the LRTI-associated hospitalization rate declined, the 2009–2011 AI/AN child rate remained higher than the US child rate, especially in the Alaska and Southwest regions. The residual disparity is likely multi-factorial and partly related to household crowding, indoor smoke exposure, lack of piped water and poverty. Implementation of interventions proven to reduce LRTI is needed among AI/AN children.

  13. The attitudes of nurses towards mentally ill people in a general hospital setting in Durban

    Directory of Open Access Journals (Sweden)

    T. R. Mavundla

    1997-05-01

    Full Text Available A quantitative survey was undertaken to determine the attitudes of nurses towards mentally ill people at King Edward VIII Hospital, large academic hospital in Durban. Data were collected by a questionnaire intended to measure attitudes according to cognitive, affective and behavioral components in a sample of 100 black nurses. The results of this study were analyzed through a statistical software package, the statgraphic version 5.

  14. General Practitioners' and Hospital Physicians' Preference for Morphine or Oxycodone as First-Time Choice for a Strong Opioid

    DEFF Research Database (Denmark)

    Poulsen, Karen K; Andersen, Stig E; Moreno, Søren I;

    2013-01-01

    opioid naive. The odds ratio (OR) was calculated to investigate whether general practitioners (GPs) and hospital physicians had similar preferences for oxycodone over morphine for strong opioid-naive patients. We included 69,110 first-time prescriptions, of which 59,316 (86%) were for strong opioid......-naive patients. Opioid-naive patients received 79% of the first-time prescriptions for morphine and 91% of the prescriptions for oxycodone. Hospital physicians had a greater preference for oxycodone over morphine than GPs (OR 1.34, 95% CI 1.29-1.39). However, GPs were responsible for approximately 61% of all...... first-time prescriptions for both oxycodone and morphine for strong opioid-naive patients. In conclusion, oxycodone is to a great extent prescribed as the first-choice strong opioid, and both GPs and hospital physicians seem to contribute to this prescribing pattern of strong opioids to outpatients....

  15. Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study

    Directory of Open Access Journals (Sweden)

    Zou Guanyang

    2012-01-01

    Full Text Available Abstract Background In the majority of China, the Centre for Disease Control (CDC at the county level provides both clinical and public health care for TB cases, with hospitals and other health facilities referring suspected TB cases to the CDC. In recent years, an integrated model has emerged, where the CDC remains the basic management unit for TB control, while a general hospital is designated to provide clinical care for TB patients. This study aims to explore the factors that influence the integration of TB services in general hospitals and generate knowledge to aid the scale-up of integration of TB services in China. Methods This study adopted a qualitative approach using interviews from sites in East and West China. Analysis was conducted using a thematic framework approach. Results The more prosperous site in East China was more coordinated and thus had a better method of resource allocation and more patient-orientated service, compared with the poorer site in the West. The development of public health organizations appeared to influence how effectively integration occurred. An understanding from staff that hospitals had better capacity to treat TB patients than CDCs was a strong rationale for integration. However, the economic and political interests might act as a barrier to effective integration. Both sites shared the same challenges of attracting and retaining a skilled workforce for the TB services. The role of the health bureau was more directive in the Western site, while a more participatory and collaborative approach was adopted in the Eastern site. Conclusion The process of integration identifies similarities and differences between sites in more affluent East China and poorer West China. Integration of TB services in the hospitals needs to address the challenges of stakeholder motivations and resource allocation. Effective inter-organizational collaboration could help to improve the efficiency and quality of TB service. Key

  16. Spectroscopic characterisation of CARMENES target candidates from FEROS, CAFE and HRS high-resolution spectra

    CERN Document Server

    Passegger, V M; Jeffers, S V; Wende, S; Schöfer, P; Amado, P J; Caballero, J A; Montes, D; Mundt, R; Ribas, I; Quirrenbach, A

    2016-01-01

    CARMENES (Calar Alto high-Resolution search for M dwarfs with Exoearths with Near-infrared and optical Echelle Spectrographs) started a new planet survey on M-dwarfs in January this year. The new high-resolution spectrographs are operating in the visible and near-infrared at Calar Alto Observatory. They will perform high-accuracy radial-velocity measurements (goal 1 m s-1) of about 300 M-dwarfs with the aim to detect low-mass planets within habitable zones. We characterised the candidate sample for CARMENES and provide fundamental parameters for these stars in order to constrain planetary properties and understand star-planet systems. Using state-of-the-art model atmospheres (PHOENIX-ACES) and chi2-minimization with a downhill-simplex method we determine effective temperature, surface gravity and metallicity [Fe/H] for high-resolution spectra of around 480 stars of spectral types M0.0-6.5V taken with FEROS, CAFE and HRS. We find good agreement between the models and our observed high-resolution spectra. We sh...

  17. Carmen Martín Gaite: la escritura terapéutica

    Directory of Open Access Journals (Sweden)

    Escartín Gual, Montserrat

    2014-12-01

    Full Text Available This article discusses the therapeutic power of the written and oral communication, as well as the benefit of reading literary texts proposed by the narrative of Carmen Martín Gaite. If the author prioritized spoken communication in her first novels, with the passing of time, defended her narrative writing versus orality, making it the vehicle of choice for characters to communicate and ultimately for herself, to find the healing through the word.En este artículo se analiza el poder terapéutico de la comunicación oral y escrita, así como el beneficio de la lectura de textos literarios que propone la narrativa de Carmen Martín Gaite. Si la autora priorizó la comunicación hablada en su primeras novelas, con el paso del tiempo, su discurso narrativo defendió la escritura frente a la oralidad, convirtiéndola en el vehículo elegido por sus personajes para comunicarse y, en definitiva por ella misma, para buscar la curación a través de la palabra.

  18. CARMENES input catalogue of M dwarfs. I. Low-resolution spectroscopy with CAFOS

    CERN Document Server

    Alonso-Floriano, F J; Caballero, J A; Montes, D; Klutsch, A; Mundt, R; Cortes-Contreras, M; Ribas, I; Reiners, A; Amado, P J; Quirrenbach, A; Jeffers, S V

    2015-01-01

    Context. CARMENES is a stabilised, high-resolution, double-channel spectrograph at the 3.5 m Calar Alto telescope. It is optimally designed for radial-velocity surveys of M dwarfs with potentially habitable Earth-mass planets. Aims. We prepare a list of the brightest, single M dwarfs in each spectral subtype observable from the northern hemisphere, from which we will select the best planet-hunting targets for CARMENES. Methods. In this first paper on the preparation of our input catalogue, we compiled a large amount of public data and collected low-resolution optical spectroscopy with CAFOS at the 2.2 m Calar Alto telescope for 753 stars. We derived accurate spectral types using a dense grid of standard stars, a double least-squares minimisation technique, and 31 spectral indices previously defined by other authors. Additionally, we quantified surface gravity, metallicity, and chromospheric activity for all the stars in our sample. Results. We calculated spectral types for all 753 stars, of which 305 are new ...

  19. Incidence rates of in-hospital carpal tunnel syndrome in the general population and possible associations with marital status

    Directory of Open Access Journals (Sweden)

    Melani Carla

    2008-10-01

    Full Text Available Abstract Background Carpal tunnel syndrome (CTS is a socially relevant condition associated with biomechanical risk factors. We evaluated age-sex-specific incidence rates of in-hospital cases of CTS in central/northern Italy and explored relations with marital status. Methods Seven regions were considered (overall population, 14.9 million over 3–6-year periods between 1997 and 2002 (when out-of-hospital CTS surgery was extremely rare. Incidence rates of in-hospital cases of CTS were estimated based on 1 codified demographic, diagnostic and intervention data in obligatory discharge records from all Italian public/private hospitals, archived (according to residence on regional databases; 2 demographic general population data for each region. We compared (using the χscore test age-sex-specific rates between married, unmarried, divorced and widowed subsets of the general population. We calculated standardized incidence ratios (SIRs for married/unmarried men and women. Results Age-standardized incidence rates (per 100,000 person-years of in-hospital cases of CTS were 166 in women and 44 in men (106 overall. Married subjects of both sexes showed higher age-specific rates with respect to unmarried men/women. SIRs were calculated comparing married vs unmarried rates of both sexes: 1.59 (95% confidence interval [95% CI], 1.57–1.60 in women, and 1.42 (95% CI, 1.40–1.45 in men. As compared with married women/men, widows/widowers both showed 2–3-fold higher incidence peaks during the fourth decade of life (beyond 50 years of age, widowed subjects showed similar trends to unmarried counterparts. Conclusion This large population-based study illustrates distinct age-related trends in men and women, and also raises the question whether marital status could be associated with CTS in the general population.

  20. A strategy for enhancing financial performance: a study of general acute care hospitals in South Korea.

    Science.gov (United States)

    Choi, Mankyu; Lee, Keon-Hyung

    2008-01-01

    In this study, the determinants of hospital profitability were evaluated using a sample of 142 hospitals that had undergone hospital standardization inspections by the South Korea Hospital Association over the 4-year period from 1998 to 2001. The measures of profitability used as dependent variables in this study were pretax return on assets, after-tax return on assets, basic earning power, pretax operating margin, and after-tax operating margin. Among those determinants, it was found that ownership type, teaching status, inventory turnover, and the average charge per adjusted inpatient day positively and statistically significantly affected all 5 of these profitability measures. However, the labor expenses per adjusted inpatient day and administrative expenses per adjusted inpatient day negatively and statistically significantly affected all 5 profitability measures. The debt ratio negatively and statistically significantly affected all 5 profitability measures, with the exception of basic earning power. None of the market factors assessed were shown to significantly affect profitability. In conclusion, the results of this study suggest that the profitability of hospitals can be improved despite deteriorating external environmental conditions by facilitating the formation of sound financial structures with optimal capital supplies, optimizing the management of total assets with special emphasis placed on inventory management, and introducing efficient control of fixed costs including labor and administrative expenses. PMID:19011410

  1. Histerectomia Laparoscópica em um Hospital Geral Comunitário Experiência Inicial e Comparação de Custos Hospitalares Laparoscopic Hysterectomy in a Community General Hospital Initial Experience and Comparison of Hospital Costs

    Directory of Open Access Journals (Sweden)

    Randal Henrique de Oliveira

    2000-03-01

    Full Text Available Objetivo: comparar os custos hospitalares entre a histerectomia vaginal assistida por laparoscopia (HVAL e a histerectomia total abdominal (HTA, relatando a experiência inicial com a nova abordagem em um hospital geral comunitário. Pacientes e Métodos: foram comparados 11 casos de HVAL e 23 de HTA, realizados de setembro de 1998 a julho de 1999. Prontuários e demonstrativos das despesas hospitalares de cada paciente foram revistos para coletar as variáveis analisadas. Resultados: não houve diferença estat��stica entre os grupos quanto à idade, paridade e cirurgia abdominal prévia. A principal indicação cirúrgica para ambos os grupos foi leiomiomatose uterina. O grupo das HVAL apresentou tempo de internação menor, com mediana de 1 dia e o das HTA, de 2 dias (pPurpose: to compare hospital costs between laparoscopically assisted vaginal hysterectomy (LAVH and total abdominal hysterectomy (TAH, reporting the initial experience with the new approach in a communitary general hospital. Patients and Methods: eleven cases of LAVH and 23 of TAH, carried out from September 1998 to July 1999, were compared. Each patient's records and hospital charges were reviewed to collect the analyzed variables. Results: there was no statistical difference between the groups in relation to age, parity, and previous abdominal surgery. The main surgical indication for both groups was uterine leiomyomatosis. The LAVH group presented a shorter hospital stay with a median of one day, and the TAH group, of two days (p<0.01. LAVH showed to be 40.2% more expensive than TAH (p<0.01. Operating room charges contributed to the major part of hospital costs for both groups, corresponding to 79.8 and 57.9% of the total, for LAVH and TAH, respectively. LAVH infirmary charges were smaller than for TAH, with a statistically significant difference (p = 0.002. Conclusion: with shorter hospital stay and smaller infirmary costs, we demonstrated that LAVH provides better

  2. Vascular disease in women: comparison of diagnoses in hospital episode statistics and general practice records in England

    Directory of Open Access Journals (Sweden)

    Wright F

    2012-10-01

    Full Text Available Abstract Background Electronic linkage to routine administrative datasets, such as the Hospital Episode Statistics (HES in England, is increasingly used in medical research. Relatively little is known about the reliability of HES diagnostic information for epidemiological studies. In the United Kingdom (UK, general practitioners hold comprehensive records for individuals relating to their primary, secondary and tertiary care. For a random sample of participants in a large UK cohort, we compared vascular disease diagnoses in HES and general practice records to assess agreement between the two sources. Methods Million Women Study participants with a HES record of hospital admission with vascular disease (ischaemic heart disease [ICD-10 codes I20-I25], cerebrovascular disease [G45, I60-I69] or venous thromboembolism [I26, I80-I82] between April 1st 1997 and March 31st 2005 were identified. In each broad diagnostic group and in women with no such HES diagnoses, a random sample of about a thousand women was selected for study. We asked each woman’s general practitioner to provide information on her history of vascular disease and this information was compared with the HES diagnosis record. Results Over 90% of study forms sent to general practitioners were returned and 88% of these contained analysable data. For the vast majority of study participants for whom information was available, diagnostic information from general practice and HES records was consistent. Overall, for 93% of women with a HES diagnosis of vascular disease, general practice records agreed with the HES diagnosis; and for 97% of women with no HES diagnosis of vascular disease, the general practitioner had no record of a diagnosis of vascular disease. For severe vascular disease, including myocardial infarction (I21-22, stroke, both overall (I60-64 and by subtype, and pulmonary embolism (I26, HES records appeared to be both reliable and complete. Conclusion Hospital admission data

  3. INCIDENCE OF ASYMPTOMATIC BACTERIURIA IN ANTE- NATAL PATIENTS ATTENDING GENERAL HOSPITAL MINNA – NIGER STATE

    OpenAIRE

    Daniyan S. Y.; M. E. Abalaka

    2010-01-01

    Objective: To evaluate the occurrences of asymptomatic bacteriuria among healthy pregnant women attending ante-natal clinic of General Hospital Minna, Nigeria. To test for sensitivity to commonly used treatments. Methodology: Two hundred mid- stream urine samples were collected in a sterile universal bottle. The cultured plates were examined. The morphological and biochemical characteristics were determined. Results: The bacteria isolates recovered from urine samples includes E. coli 32 (51.6...

  4. Stigma, medication adherence and coping mechanism among people living with HIV attending General Hospital, Lagos Island, Nigeria

    OpenAIRE

    Sekoni, Adekemi O.; Obidike, Obinna R.; Mobolanle R. Balogun

    2012-01-01

    Background: People living with HIV and AIDS (PLWHA) experience some form of stigma which could lead to poor medication adherence.Objectives: This study assessed the various domains of stigma experienced by PLWHAs attending an HIV clinic at General Hospital, Lagos Island, their medication adherence patterns and their coping mechanisms for ensuring adherence to antiretroviral therapy.Method: A cross-sectional study design with a sample size of 200 was used. Respondents were selected using syste...

  5. Prevalence of Peripheral Arterial Disease among Adult Patients Attending Outpatient Clinic at a General Hospital in South Angola

    OpenAIRE

    Feliciano Chanana Paquissi; Arminda Bimbi Paquissi Cuvinje; Almeida Bailundo Cuvinje

    2016-01-01

    Background. Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. However, no study has assessed this disease in Huambo. The aim of this study was to evaluate the prevalence of PAD in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. ...

  6. Mechanical ventilation in patients in the intensive care unit of a general university hospital in southern Brazil: an epidemiological study

    OpenAIRE

    Léa Fialkow; Maurício Farenzena; Iuri Christmann Wawrzeniak; Janete Salles Brauner; Sílvia Regina Rios Vieira; Alvaro Vigo; Mary Clarisse Bozzetti

    2016-01-01

    OBJECTIVES: To determine the characteristics, the frequency and the mortality rates of patients needing mechanical ventilation and to identify the risk factors associated with mortality in the intensive care unit (ICU) of a general university hospital in southern Brazil. METHOD: Prospective cohort study in patients admitted to the ICU who needed mechanical ventilation for at least 24 hours between March 2004 and April 2007. RESULTS: A total of 1,115 patients admitted to the ICU needed mecha...

  7. Epidemiology of Suicide and Associated Socio-Demographic Factors in Emergency Department Patients in 7 General Hospitals in Northwestern China

    OpenAIRE

    Zhao, Cheng-jin; Dang, Xing-bo; Su, Xiao-Li; Bai, Jia; Ma, Long-yang

    2015-01-01

    Background This study aimed to illustrate the characteristics of suicide attempters treated in the Emergency Departments of 7 general hospitals in Xi’an and to provide relevant data for early psychological treatment. Material/Methods Between October 2010 and September 2014, 155 suicide attempters were treated in the Emergency Departments. Data were collected using a semi-structured questionnaire. Descriptive statistics, chi-square tests, and multivariate analyses were used to identify the fac...

  8. Consultation-Liaison Psychiatry—from theory to clinical practice: an observational study in a general hospital

    OpenAIRE

    De Giorgio, Giuseppina; Quartesan, Roberto; Sciarma, Tiziana; Giulietti, Martina; Piazzoli, Angela; Scarponi, Laura; Ferrari, Silvia; Ferranti, Laura; Moretti, Patrizia; Piselli, Massimiliano

    2015-01-01

    Background To investigate significant association between various clinical and extra-clinical factors brought out the activities of Consultation-Liaison Service. Methods Data from all psychiatric consultations for patients admitted to the Perugia General Hospital and carried out over a 1-year period (from July the 1st 2009 to June the 30th 2010) were collected by a structured clinical report including: socio-demographic features, features of referrals, features of back-referrals. T-test, Mann...

  9. Mechanical ventilation in patients in the intensive care unit of a general university hospital in southern Brazil: an epidemiological study

    OpenAIRE

    Fialkow, Léa; Farenzena, Maurício; Wawrzeniak, Iuri Christmann; Brauner, Janete Salles; Vieira, Sílvia Regina Rios; Vigo, Alvaro; Bozzetti, Mary Clarisse

    2016-01-01

    OBJECTIVES: To determine the characteristics, the frequency and the mortality rates of patients needing mechanical ventilation and to identify the risk factors associated with mortality in the intensive care unit (ICU) of a general university hospital in southern Brazil. METHOD: Prospective cohort study in patients admitted to the ICU who needed mechanical ventilation for at least 24 hours between March 2004 and April 2007. RESULTS: A total of 1,115 patients admitted to the ICU needed mechani...

  10. Antibiotic utilization evaluation of inpatient and outpatient prescriptions in a rural general hospital in Iran

    Directory of Open Access Journals (Sweden)

    Aida Sefidani Forough

    2015-06-01

    Conclusion: Our study showed that implementation of strict regulations for antibiotic use is extremely needed in this rural hospital. Establishing local guidelines, providing adequate education for healthcare professionals and putting restrictions for broad-spectrum antibiotic use can be beneficial. [Int J Basic Clin Pharmacol 2015; 4(3.000: 531-536

  11. The responses of nursing system to the outbreak of SARS in a general hospital

    Institute of Scientific and Technical Information of China (English)

    张黎明; 王建荣; 冯志英; 杨晓秋; 刘钰; 袁彬

    2003-01-01

    Severe Acute Respiratory Syndrome (SARS), referred to as "contagious atypical pneumonia" is the fastest spreading communicable disease known in recent history. This disease is different from other kinds of respiratory contagion due to the following aspects: the syndrome happens quickly and the infectivity is high. New problems encountered by the nursing management staff are the precipitate, pestiferous, and large numbers of in-patients and the understanding of appropriate responses, within large complex hospitals, to ensure patient care is actively supported and infectivity is prevented. To deal with these problems, we implemented the following strategies: reinforcement of the management system; optimization of the nursing flow; amendments to related hospital policies;collection of relevant information; adherence to stringent disinfection protocols; isolation of areas; reallocation of hospital resources and more efficient utilization of resources. The above strategies have reinforced the nursing management system's active response, guaranteed daily operation of the hospital'snursing activities, including the quality of care provided by the nurses, and ensured the health of patients, nurses and doctors.

  12. Prescribing patterns of celecoxib and prescribers′ perceptions among three general hospitals in Northern Malaysia

    Directory of Open Access Journals (Sweden)

    Huan-Keat Chan

    2014-01-01

    Conclusion: Overall, this study revealed the prescribing patterns of celecoxib among the government-subsidized hospitals in Northern Malaysia. Certain issues like its high usage in patients without gastrointestinal risk factors and in those with cardiovascular comorbidities may require a review from clinical perspectives.

  13. Generalization of the Right Acute Stroke Prevention Strategies in Reducing in-Hospital Delays.

    Directory of Open Access Journals (Sweden)

    Qiang Huang

    Full Text Available The aim of this study was to reduce the door-to-needle (DTN time of intravenous thrombolysis (IVT in acute ischemic stroke (AIS through a comprehensive, hospital-based implementation strategy. The intervention involved a systemic literature review, identifying barriers to rapid IVT treatment at our hospital, setting target DTN time intervals, and building an evolving model for IVT candidate selection. The rate of non-in-hospital delay (DTN time ≤ 60 min was set as the primary endpoint. A total of 348 IVT cases were enrolled in the study (202 and 146 in the pre- and post-intervention group, respectively. The median age was 61 years in both groups; 25.2% and 26.7% of patients in the pre- and post-intervention groups, respectively, were female. The post-intervention group had higher rates of dyslipidemia and minor stroke [defined as National Institutes of Health Stroke Scale (NIHSS ≤ 3]; less frequent atrial fibrillation; higher numbers of current smokers, heavy drinkers, referrals, and multi-model head imaging cases; and lower NIHSS scores and blood sugar level (all P 0.05. These findings indicate that it is possible to achieve a DTN time ≤ 60 min for up to 60% of hospitals in the current Chinese system, and that this logistical change can yield a notable improvement in the outcome of IVT patients.

  14. La dimensión del descalabro: Carmen Vincenti ante la fundación de la República Bolivariana de Venezuela Carmen Vicenti facing the foundation of the Bolivarian Republic of Venezuela

    Directory of Open Access Journals (Sweden)

    Mariana Libertad Suárez

    2008-06-01

    Full Text Available La década de los años noventa, en Venezuela, fue sinónimo de una crisis generalizada de los sistemas políticos y económicos, que se tradujo en la proliferación de representaciones mediáticas y literarias con tintes abiertamente apocalípticos. A partir del año 1998, con el triunfo en las elecciones presidenciales del líder militar de las intentonas golpistas del año 1992, surgió a la par de esta visión desoladora de la República una corriente discursiva mucho más utópica, que también alcanzaba tanto a los medios de comunicación social, como a la literatura. Más que de un diálogo, podría hablarse de una lucha simbólica que se llevó a cabo tanto en los espacios académicos como en la producción de objetos culturales, y que buscaba construir y/o deconstruir el discurso político estructurado desde los espacios de poder. Como ocurre con frecuencia ante estos gestos sobreinclusivos, en los márgenes de las dos grandes líneas de pensamiento confrontadas emergió una serie de expresiones alternativas que reivindicaban el derecho a ser en sociedad de una amplia gama de subjetividades excluidas de los dos proyectos de nación enfrentados. Precisamente, en este marco se inscribe la novela La noche oscura del alma (2002, de Carmen Vincenti, texto que además de funcionar como una suerte de glosa a las escrituras canónicas en torno a la fundación de la República Bolivariana de Venezuela, sirve también como dispositivo de inscripción de la mujer intelectual en el campo cultural venezolano del siglo XXI.The Nineties, in Venezuela , were synonymous of a generalized crisis of the political and economic systems that was translated in the proliferation of media and literary representations with openly apocalyptic dyes. Parallel, from year 1998, with the victory in the presidential elections of the military leader of rebel attempts of year 1992, Hugo Chávez, it appeared on a par from this devastating vision of the Republic, a

  15. Carotid endarterectomy: review of 10 years of practice of general and locoregional anesthesia in a tertiary care hospital in Portugal

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    Mercês Lobo

    2015-08-01

    Full Text Available BACKGROUND: Retrospective and prospective randomized studies have compared general and locoregional anesthesia for carotid endarterectomy, but without definitive results.OBJECTIVES: Evaluate the incidence of complications (medical, surgical, neurological, and hospital mortality in a tertiary center in Portugal and review the literature.METHODS: Retrospective analysis of patients undergoing endarterectomy between 2000 and 2011, using a software for hospital consultation.RESULTS: A total of 750 patients were identified, and locoregional anesthesia had to be converted to general anesthesia in 13 patients. Thus, a total of 737 patients were included in this analysis: 74% underwent locoregional anesthesia and 26% underwent general anesthesia. There was no statistically significant difference between the two groups regarding per operative variables. The use of shunt was more common in patients undergoing general anesthesia, a statistically significant difference. The difference between groups of strokes and mortality was not statistically significant. The average length of stay was shorter in patients undergoing locoregional anesthesia with a statistically significant difference.CONCLUSIONS: We found that our data are overlaid with the literature data. After reviewing the literature, we found that the number of studies comparing locoregional and general anesthesia and its impact on delirium, cognitive impairment, and decreased quality of life after surgery is still very small and can provide important data to compare the two techniques. Thus, some questions remain open, which indicates the need for randomized studies with larger number of patients and in new centers.

  16. Admission of foreign citizens to the general teaching hospital of bologna, northeastern Italy: An epidemiological and clinical survey

    Directory of Open Access Journals (Sweden)

    Sergio Sabbatani

    2006-04-01

    Full Text Available BACKGROUND: The emergency regarding recent immigration waves into Italy makes continued healthcare monitoring of these populations necessary. METHODS: Through a survey of hospital admissions carried out during the last five years at the S. Orsola-Malpighi General Hospital of Bologna (Italy, all causes of admission of these subjects were evaluated, together with their correlates. Subsequently, we focused on admissions due to infectious diseases. All available data regarding foreign citizens admitted as inpatients or in Day-Hospital settings of our teaching hospital from January 1, 1999, to March 31, 2004, were assessed. Diagnosis-related group (DRG features, and single discharge diagnoses, were also evaluated, and a further assessment of infectious diseases was subsequently made. RESULTS: Within a comprehensive pool of 339,051 hospitalized patients, foreign citizen discharges numbered 7,312 (2.15%, including 2,542 males (34.8% and 4,769 females (65.2%. Males had a mean age of 36.8±14.7 years, while females were aged 30.8±12.2 years. In the assessment of the areas of origin, 34.6% of hospitalizations were attributed to patients coming from Eastern Europe, 15.3% from Northern Africa, 7.3% (comprehensively from Western Europe and United States, 6.9% from the Indian subcontinent, 5.9% from sub-Saharan Africa, 5.7% from Latin America, 4.1% from China, 2.5% from the Philippines, and 1.1% from the Middle East. Among women, most hospitalizations (58.8% were due to obstetrical-gynecological procedures or diseases, including assistance with delivery (27.1%, and pregnancy complications (18.7%, followed by psycho-social disturbances (5.9%, malignancies (5.1%, gastrointestinal diseases (4.7%, and voluntary pregnancy interruption (4.4%. Among men, the most frequent causes of admissions were related to trauma (15.9%, followed by gastroenteric disorders (12%, heart-vascular diseases (8.9%, psycho-social disorders (8.4%, respiratory (7.1%, kidney (6.1%, liver

  17. The treatment outcomes of tuberculosis among health care workers in a general hospital in the Mpumalanga province, South Africa

    Directory of Open Access Journals (Sweden)

    Idongesit S. Ukpe

    2009-04-01

    Full Text Available Background: South Africa is one of the countries in the world with a high burden of tuberculosis (TB. High rates of unfavourable treatment outcomes have remained a feature of TB control in the country. The objective of the current study was to examine the treatment outcomes of TB among health care workers (HCWs at a rural general hospital in the Mpumalanga province of the country, as well as the clinical care that was provided to the HCWs. The purpose of the study was to identify possible areas for improvement in the TB care services provided to HCWs in the hospital, especially with regard to their clinical management.Method: The research described in this article consists of a retrospective descriptive study. Relevant data on HCWs diagnosed with TB in the hospital during 2007, the TB care services offered to the HCWs, and the treatment outcomes of the HCWs were captured from the occupational health and TB control programme registers at the hospital onto a data capture sheet for the study and were subsequently analysed manually.Results: Nine HCWs, eight females and one male, were diagnosed and treated for TB in the hospital during 2007, an incidence rate of 941/100 000. Their ages ranged from 39 to 54 years, with a mean age of 48 years. By occupation, the nine HCWs consisted of six nurses (67%, one porter (11%, one general assistant (11%, and one clerk (11%. Of those treated for TB, seven (78% had smearpositive pulmonary TB (PTB and two (22% had extra-pulmonary TB (EPTB. TB culture and drug susceptibility testing (DST was undertaken for only one HCW. The HIV status was known for only two (22% of the nine HCWs under review. Neither of the two HCWs with EPTB had the diagnosis confirmed by bacteriological or histopathological method. The seven HCWs with smear- positive PTB achieved a cure, and the two HCWs with EPTB successfully completed treatment, resulting in a treatment success rate of 100% for the nine HCWs.Conclusion: The HCWs at Themba

  18. Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice

    Directory of Open Access Journals (Sweden)

    J. Chester

    2016-01-01

    Full Text Available Peripartum haemorrhage is an obstetric emergency which requires effective and timely management. A retrospective analysis was conducted at a single centre district hospital, over a 10-year period to describe factors that would lead to a peripartum hysterectomy. We sought to establish intraoperative and postoperative risks and review outcomes and complications associated with the procedure. A total of 29 cases (incidence 0.8 per 1000 were reviewed over 2001–2011. The mean parity was 1.8 and the mean maternal age was 33 years. Uterine atony was the most common indication for hysterectomy (12/29 followed by placenta praevia and accreta (4/29 and 5/29 cases, resp.. The commonest postoperative complications were sepsis and paralytic ileus. EPH most commonly occurs due to uterine atony but remains difficult to predict. Hospitals should continue to have robust systems and the necessary resources available to perform EPH where clinically indicated.

  19. Evaluation of AIDS-related disability in a general hospital in southern, Brazil

    Directory of Open Access Journals (Sweden)

    Marise Bueno Zonta

    2005-12-01

    Full Text Available The increase in survival rates of patients affected by AIDS is associated with physical disabilities that can compromise their functional independence. We examined the degree and types of disabilities in hospitalized AIDS patients , as well the clinical and immunological parameters associated with disability. The lowered functional status was associated with increased time since AIDS had been diagnosed, with complaints of weakness, and with the involvement of more than one set of systems in the definition of AIDS. The inability to perform daily living activities was associated with higher viral loads (log c/mL, lower CD4+/mL and CD4+/CD8+ ratios, and with involvement of the central nervous system, in the cause of hospitalization. Both the inability to perform daily living activities and low functional status were associated with muscle strength alteration and with being unemployed.

  20. Clinical Manifestations and Laboratory Profile of Dengue Fever among the Patient’s General Hospital, Penang

    OpenAIRE

    Eddy Yusuf; Khurshid Alam*, Syed Azhar Syed Sulaiman; Asrul Akmal Shafie

    2010-01-01

    Objective: The aim of this study was to evaluate the clinical presentation of dengue fever among the patients admitted to the Public Hospital Pulau Penang, Malaysia.Materials and Methods: A cross-sectional study was planned to attain the objective of this study. Retrospective analysis of the records was conducted, all the confirmed cases registered from Jan 2007 till Dec 2007 were the part of study. Data collection was conducted using a structured data collection form cover the information ab...

  1. Development of Mobile Electronic Health Records Application in a Secondary General Hospital in Korea

    OpenAIRE

    Choi, Wookjin; Park, Min Ah; Hong, Eunseok; Kim, Sunhyu; Ahn, Ryeok; Hong, Jungseok; Song, Seungyeol; Kim, Tak; Kim, Jeongkeun; Yeo, Seongwoon

    2013-01-01

    Objectives The recent evolution of mobile devices has opened new possibilities of providing strongly integrated mobile services in healthcare. The objective of this paper is to describe the decision driver, development, and implementation of an integrated mobile Electronic Health Record (EHR) application at Ulsan University Hospital. This application helps healthcare providers view patients' medical records and information without a stationary computer workstation. Methods We developed an int...

  2. Clinico-Pathological Discrepancies in a General University Hospital in São Paulo, Brazil

    OpenAIRE

    Fabiana Kotovicz; Thais Mauad; Saldiva, Paulo H N

    2008-01-01

    INTRODUCTION: The autopsy rate has continuously diminished over the past few decades, reducing the quality of medical care and the accuracy of statistical health data. OBJECTIVE: To assess the accuracy of clinical diagnoses by comparing pre- and postmortem findings, and to identify potential risk factors for misdiagnoses. METHODS: Retrospective evaluations performed between June 2001 and June 2003 in a 2500-bed tertiary university hospital in São Paulo, Brazil, including 288 patients who died...

  3. Recent Trends in Clinically Significant Nontuberculous Mycobacteria Isolates at a Korean General Hospital

    OpenAIRE

    Kim, Hyun Soo; Lee, Yangsoon; Lee, Sangsun; Kim, Young Ah; Sun, Young-Kyu

    2013-01-01

    Lung disease caused by nontuberculous mycobacteria (NTM) represents an increasing proportion of all mycobacterial diseases. We investigated recent occurrences of NTM and evaluated the clinical significance of NTM isolates from 752 respiratory specimens collected from patients at National Health Insurance Service Ilsan Hospital between January 2007 and May 2011. Specimens were incubated on solid and liquid media (BACTEC MGIT 960, BD, USA) for 6-8 weeks, and PCR and reverse blot hybridization w...

  4. Generalization of the Right Acute Stroke Prevention Strategies in Reducing in-Hospital Delays

    Science.gov (United States)

    Ji, Xun-ming; Cheng, Wei-yang; Feng, Juan; Wu, Jian; Ma, Qing-feng

    2016-01-01

    The aim of this study was to reduce the door-to-needle (DTN) time of intravenous thrombolysis (IVT) in acute ischemic stroke (AIS) through a comprehensive, hospital-based implementation strategy. The intervention involved a systemic literature review, identifying barriers to rapid IVT treatment at our hospital, setting target DTN time intervals, and building an evolving model for IVT candidate selection. The rate of non-in-hospital delay (DTN time ≤ 60 min) was set as the primary endpoint. A total of 348 IVT cases were enrolled in the study (202 and 146 in the pre- and post-intervention group, respectively). The median age was 61 years in both groups; 25.2% and 26.7% of patients in the pre- and post-intervention groups, respectively, were female. The post-intervention group had higher rates of dyslipidemia and minor stroke [defined as National Institutes of Health Stroke Scale (NIHSS) ≤ 3]; less frequent atrial fibrillation; higher numbers of current smokers, heavy drinkers, referrals, and multi-model head imaging cases; and lower NIHSS scores and blood sugar level (all P neurological improvement (pre: 45.5% vs. post: 59.6%; P = 0.010), while there was no change in incidence of mortality or systemic intracranial hemorrhage at discharge (both P > 0.05). These findings indicate that it is possible to achieve a DTN time ≤ 60 min for up to 60% of hospitals in the current Chinese system, and that this logistical change can yield a notable improvement in the outcome of IVT patients. PMID:27152854

  5. Immediate Impact of Uni-nephrectomy among Bangladeshi Healthy Live Kidney Donors: BIRDEM General Hospital Experience

    OpenAIRE

    Palash Mitra; Muhammad Abdur Rahim; Tasrina Samnaz Samdani; Wasim Md Mohosinul Haque; Sarwar Iqbal; Md Abul Mansur

    2016-01-01

    Background: Kidney transplantation is the preferred treatment option for end stage kidney disease. Live kidney donation is an established form of organ donation; but it carries the risk of an unnecessary surgery in a normal individual. These donors remain at an increased risk of multiple medical problems for the rest of their life. Objective: In this study, we evaluated the immediate impact of uninephrectomy among kidney donors during the period of post-transplant hospital stay. Mater...

  6. Accuracy of routine intraocular lens power calculation in a district general hospital.

    OpenAIRE

    Gregory, P T; Esbester, R M; Boase, D L

    1989-01-01

    To assess the accuracy of routine preoperative biometry we reviewed all cases of extracapsular cataract extraction with posterior chamber implant performed at Queen Alexandra Hospital in 1985. Of 471 eyes included in the survey 67.9% were within 1.0 D of the expected refraction and 90.7% within 2.0 D. Factors influencing accuracy are discussed. The necessity of routine preoperative biometry is emphasised.

  7. Clinico-Pathological Discrepancies in a General University Hospital in São Paulo, Brazil

    Science.gov (United States)

    Kotovicz, Fabiana; Mauad, Thais; Saldiva, Paulo H. N.

    2008-01-01

    INTRODUCTION The autopsy rate has continuously diminished over the past few decades, reducing the quality of medical care and the accuracy of statistical health data. OBJECTIVE To assess the accuracy of clinical diagnoses by comparing pre- and postmortem findings, and to identify potential risk factors for misdiagnoses. METHODS Retrospective evaluations performed between June 2001 and June 2003 in a 2500-bed tertiary university hospital in São Paulo, Brazil, including 288 patients who died at that institution and had a postmortem examination. RESULTS Clinical and autopsy records were reviewed and compared for categorization using the adapted Goldman criteria. The overall major and minor discrepancy rates were 16.3% and 28.1%, respectively. The most common missed diagnoses were pulmonary embolism, pneumonia, and myocardial infarction, and the most prevalent underlying diseases were infectious diseases, cerebro-cardiovascular conditions, and malignancies. Patients age 60 or older had an increased risk of diagnostic disagreement, as did female patients. The period of hospitalization, last admission unit at the hospital and underlying disease were not significantly related to the pre-mortem diagnostic accuracy. DISCUSSION The discrepancy rate found in this study is similar to those reported globally. The factors influencing diagnostic accuracy as well as the most commonly missed diagnoses are also consistent with the literature. CONCLUSION Autopsy remains a crucial tool for improving medical care, and effort must be focused on increasing its practice worldwide. PMID:18925315

  8. Clinico-pathological discrepancies in a general university hospital in São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Fabiana Kotovicz

    2008-01-01

    Full Text Available INTRODUCTION: The autopsy rate has continuously diminished over the past few decades, reducing the quality of medical care and the accuracy of statistical health data. OBJECTIVE: To assess the accuracy of clinical diagnoses by comparing pre- and postmortem findings, and to identify potential risk factors for misdiagnoses. METHODS: Retrospective evaluations performed between June 2001 and June 2003 in a 2500-bed tertiary university hospital in São Paulo, Brazil, including 288 patients who died at that institution and had a postmortem examination. RESULTS: Clinical and autopsy records were reviewed and compared for categorization using the adapted Goldman criteria. The overall major and minor discrepancy rates were 16.3% and 28.1%, respectively. The most common missed diagnoses were pulmonary embolism, pneumonia, and myocardial infarction, and the most prevalent underlying diseases were infectious diseases, cerebro-cardiovascular conditions, and malignancies. Patients age 60 or older had an increased risk of diagnostic disagreement, as did female patients. The period of hospitalization, last admission unit at the hospital and underlying disease were not significantly related to the pre-mortem diagnostic accuracy. DISCUSSION: The discrepancy rate found in this study is similar to those reported globally. The factors influencing diagnostic accuracy as well as the most commonly missed diagnoses are also consistent with the literature. CONCLUSION: Autopsy remains a crucial tool for improving medical care, and effort must be focused on increasing its practice worldwide.

  9. Kinematics of M dwarfs in the CARMENES input catalogue: membership in young moving groups

    CERN Document Server

    Montes, D; Gallardo, I; Cortes-Contreras, M; Alonso-Floriano, F J

    2015-01-01

    We present a detailed study of the kinematics of M dwarfs in the CARMENES (Calar Alto high-Resolution search for M dwarfs with Exoearths with Near-infrared and optical Echelle Spectrographs) input catalog. We have selected all M dwarfs with known parallactic distance or a good photometric distance estimation, precise proper motion in the literature or as determined by us, and radial velocity measurements. Using these parameters, we computed the M dwarfs galactic space motions (U, V, W). For the stars with U and V velocity components inside or near the boundaries that determine the young disk population, we have analyzed the possible membership in the classical moving groups and nearby loose associations with ages between 10 and 600 Ma. For the candidate members, we have compiled information available in the literature in order to constrain their membership by applying other age-dating methods.

  10. Espacios y viajes en la vida y en la obra de Carmen de Burgos Colombine

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    Núñez Rey, Concepción

    2010-06-01

    Full Text Available Carmen de Burgos (1867-1932 symbolized at her time the efforts to support the progress and the modern ideas; the ideas that the Regenerationism trend had encouraged in Spain. From her very arrival to Madrid in 1901 from her Almeria home town, she started a literary and journalistic career punctuated by so many successes. She signed as Colombine, and became the first female editor of a journal (Diario Universal, 1903, and then the first Spanish War correspondent (Heraldo de Madrid, 1909. She accumulated a large and rich culture made of erudition and was an indefatigable and experienced world-traveller from the European limits to the American furthest corners. Both the spaces and the travels have been given a special importance in her narrative work. Her legacy is made of nearly two hundred titles -among these short and long novels, essays, biographies, travel books, literary studies, translations, prologues, books of interviews along with thousands of articles published by the Spanish and the foreign press- it is a largest literary and scholarly work: a polygraph’s work. She was both a minded and an action woman that launched so many press campaigns in favour of social and political causes, especially in favour of women. In our literary story, Carmen de Burgos is the writer who covers the tendencies during the first third of the 20th century, from the Generation of 98 to the innovative currents, our silver age.Carmen de Burgos (1867-1932 simbolizó en su tiempo el afán de progreso y de modernidad que alentó en España la corriente del Regeneracionismo. Desde su llegada a Madrid en 1901, procedente de su Almería natal, emprendió una carrera literaria y periodística jalonada de éxitos. Firmando como Colombine, se convirtió en la primera mujer redactora de un periódico (Diario Universal, 1903, y más tarde en nuestra primera corresponsal de guerra (Heraldo de Madrid, 1909. Acumuló una vasta y rica cultura, hecha de erudición y de

  11. Comprehensive transient-state study for CARMENES-NIR high thermal stability

    CERN Document Server

    Becerril, S; Cárdenas, M C; Rabaza, O; Ramón, A; Abril, M; Costillo, L P; Morales, R; Rodríguez, A; Amado, P J

    2010-01-01

    CARMENES has been proposed as a next-generation instrument for the 3.5m Calar Alto Telescope. Its objective is finding habitable exoplanets around M dwarfs through radial velocity measurements (m/s level) in the near-infrared. Consequently, the NIR spectrograph is highly constraint regarding thermal/mechanical requirements. As a first approach, the thermal stability has been limited to \\pm 0.01K (within year period) over a working temperature of 243K. This can be achieved by means of several temperature-controlled rooms. The options considered to minimise the complexity of the thermal design are here presented, as well as the transient-state thermal analyses realised to make the best choice.

  12. La novelística feminista de Carmen Laforet y el género negro

    Directory of Open Access Journals (Sweden)

    Johnson, Roberta

    2006-08-01

    Full Text Available In her five long novels, Carmen Laforet consistently attempted to find new narrative means of framing a feminist message. There exist studies of her use of the Bildungsroman, the Gothic, and Expressionism in Nada. This essay focuses on elements of detective fiction, especially the noir subgenre, in Laforet’s novelistic production, concentrating on Al volver la esquina published posthumously in 2004. The masculine protagonistnarrator moves in a world that is akin to those of North American noir films and novels in order to reveal his dilemma as a man of traditional Spanish masculinist values in a Spain that is beginning to experience the influence of other countries where gender roles are changing.En sus cinco novelas largas, Carmen Laforet intentaba consistentemente encontrar nuevos modos narrativos para enmarcar un mensaje feminista. Ya se ha estudiado su incorporación de la Bildungsroman, lo gótico y lo expresionista en Nada. Este ensayo se enfoca en los elementos de la novela detectivesca, sobre todo el subgénero negro, en la novelística de Laforet. Se concentra en Al volver la esquina publicada póstumamente en 2004, y en la que el protagonista- narrador masculino se mueve en un mundo que se asemeja a los del cine y novela negros norteamericanos, para revelar su dilema de hombre de valores tradicionales masculinistas en una España que está empezando a sentir la influencia de otros países donde los papeles de los géneros sexuales están cambiando.

  13. Otro paso ‘fuera del tiempo’: Al volver la esquina de Carmen Laforet

    Directory of Open Access Journals (Sweden)

    Noè, Elisabetta

    2007-12-01

    Full Text Available This work deals with Carmen Laforet’s novel Al volver la esquina, which was published posthumous by Destino in 2004 when the writer herself died. In this novel the organization and the complexity of the narrative text represent a new and interesting stage in the stylistic evolution of Laforet’s writing. This article wants to analyse some aspects of the narrative structure of the novel (focusing, time dealing and characterization in order to include it in the unfinished trilogy, called «Tres pasos fuera del tiempo», of which it is its second part, after the publication of La insolación in 1963.Se estudia aquí la novela Al volver la esquina, de Carmen Laforet, publicada de manera póstuma por la editorial Destino en 2004, el mismo año de la muerte de la escritora. En esta obra, la articulación y la complejidad de la estructura narrativa representa una nueva e interesante etapa de la evolución estilística de Laforet. Este artículo se propone analizar ciertos aspectos de la organización narrativa de esta obra (focalización, tratamiento del tiempo y fisonomía de los personajes, insertándola en el contexto de una trilogía inacabada, titulada «Tres pasos fuera del tiempo», de la que representa la segunda parte, tras la publicación, en 1963, de La insolación.

  14. Nurses and care workers’ perceptions of their nurse-patient therapeutic relationship in private general hospitals, Gauteng, South Africa

    Directory of Open Access Journals (Sweden)

    Anna E. van den Heever

    2013-09-01

    Full Text Available Facilitation of a therapeutic relationship is an essential skill in nursing, particularly in mental-health care. Nurses and care workers in private general hospitals are exposed to the emotional effects of physical illness as well as the increase in admission of patients with mental-health needs. Poor nurse-patient relationships have been reported by patients and in the media. The researchers experienced incidents of apparent misunderstandings during nurse-patient interactions whilst working in private general hospitals. No studies have been done regarding how nurses and care workers perceive a therapeutic relationship with patients in terms of the patients’ emotional and mental-health needs. A quantitative, contextual and deductive study was conducted in three private general hospitals in Gauteng, South Africa with a purposive sample of 154 nurses and 30 care workers. Based on the concepts of a therapeutic relationship, empathy, positive regard, genuineness, concreteness and self-exploration, nurses and care workers’ perceptions of facilitating a therapeutic relationship were self-assessed using five-point scales in a questionnaire. Data were analysed using descriptive statistics and non-parametric statistical techniques. Specific hypotheses were tested to identify whether statistically-significant differences existed between the perceptions of two or more groups of nurses and care workers. Results showed a general insensitivity and lack of awareness and reflection on the part of nurses and care workers with regard to the patients’ emotional needs. When categories of nurses were compared, no statistically-significant differences were found between the perceptions of the various groups tested. There is a need for self-awareness, continued interpersonal skills training and supervision of nurses and care workers. A large percentage of the participants were younger than 40 years, subprofessional, with less than 10 years’ experience as

  15. Texas hospitals with higher health information technology expenditures have higher revenue: A longitudinal data analysis using a generalized estimating equation model

    OpenAIRE

    Lee, Jinhyung; Choi, Jae-Young

    2016-01-01

    Background The benefits of health information technology (IT) adoption have been reported in the literature, but whether health IT investment increases revenue generation remains an important research question. Methods Texas hospital data obtained from the American Hospital Association (AHA) for 2007–2010 were used to investigate the association of health IT expenses and hospital revenue. The generalized estimation equation (GEE) with an independent error component was used to model the data ...

  16. General practitioner outpatient referrals: do good doctors refer more patients to hospital?

    OpenAIRE

    Reynolds, G A; Chitnis, J G; Roland, M O

    1991-01-01

    OBJECTIVE--To investigate the relation between general practitioners' referral rates to individual specialties and the individual areas of expertise of the referring doctors. DESIGN--Data collected on referral patterns in one group practice over nine months. SETTING--General practice in suburban Birmingham consisting of five partners and a trainee. RESULTS--In 395 referrals there were large differences in referral patterns among partners for otorhinolaryngology, ophthalmology, general surgery...

  17. Epidemia de influenza A(H1N1 en la Argentina: Experiencia del Hospital Nacional Profesor Alejandro Posadas Influenza A(H1N1 epidemic in Argentina: Experience in a National General Hospital (Hospital Nacional Profesor Alejandro Posadas

    Directory of Open Access Journals (Sweden)

    2009-10-01

    Full Text Available Se describe la preparación y la atención médica durante la epidemia de influenza A(H1N1 (junio 2009 en un hospital general de agudos, público, de alta complejidad; con diagnóstico de laboratorio, internación general y cuidados intensivos (UCI. Se elaboró un plan para aumentar la capacidad asistencial, reasignar recursos y garantizar la bioseguridad. La consulta fue 7.1 ± 3.8 veces mayor que en 2006-2008. La detección de casos de A(H1N1 fue confirmada por PCR-RT en 186/486 (38.3% pacientes internados y en 56/176 (31.8% ambulatorios. Internados: mediana de edad 20 años; 75% menores de 45 y 32.3% menores de 15. Mortalidad global: 6.8%; 9.1% en los positivos. Adultos: recepción en un área de atención ambulatoria, internación (aislamiento y ventilación mecánica. Sala general: ingresaron 110 pacientes (5 veces más que 1999-2006 con saturación de oxígeno The preparation and medical care during the influenza A(H1N1 outbreak (June 2009 in a high complexity level, public, general hospital with laboratory diagnosis, general and intensive care (ICU hospitalization is described. A plan was designed to increase the hospital's surge capacity, reallocate resources and guarantee bio-safety. The number of consultations was 7.1 ± 3.8 times higher than during June 2006-2008. Detection of A(H1N1 cases were confirmed by PCR-RT in 186/486 (38.3% in-patients and 56/176 (31.8% out-patients. Median age among in-patients was 20 years; 75% < 45 and 32.3% < 15. Global mortality: 6.8%; 9.1% among confirmed cases. Adults were directed to a reception area of out-patient care, hospitalization (isolation and mechanical ventilation. General ward: 110 patients with oxygen saturation < 96% and/or risk factors (65.5% had asthma, chronic obstructive pulmonary disease, obesity, pregnancy or other were admitted (5 times more than in 1999-2006. Chest X-ray showed lung infiltrates and/or lung consolidation in 97.3%. Severe hypoxemia: 43.5%. There were no significant

  18. Naked patients in the general hospital: differential diagnosis and management strategies.

    Science.gov (United States)

    Maytal, Guy; Smith, Felicia A; Stern, Theodore A

    2006-01-01

    Physicians and patients are frequently concerned, and, at times, distressed, by nakedness during clinical encounters. When nakedness appears, clinicians should attempt to establish the reason for it and determine whether it is appropriate for the situation. Establishing the etiology of nudity can facilitate care by hospital staff and help to modulate their countertransference reactions and behavior. The authors present and discuss three cases involving nudity at times other than during the physical examination, within the context of differential diagnosis and treatment alternatives. PMID:17116949

  19. AIDS and the small city: the cost at Kingston General Hospital.

    OpenAIRE

    Ford, P.; Robertson, D

    1988-01-01

    Although AIDS is often thought of as a "big-city" disease, it is also becoming a serious health care issue for doctors and other health care workers in "small-city" Canada. Kingston, Ont., is one of those small cities, and of the facilities trying to come to grips with a disease about which much remains to be learned. In this article, Drs. Peter Ford and David Robertson outline their hospital's estimate of the cost, in manpower and money, of dealing with the AIDS crisis. The final estimate: r...

  20. Effect of the californian red worm (Eisenia foetida) during the composteo and vermicomposteo in properties of the Experimental Station of the Academic Rural Unit Carmen Pampa

    OpenAIRE

    Paco Gabriel; Loza-Murguía Manuel; Mamani Francisco; Sainz Humberto

    2011-01-01

    The objective of the present work was to evaluate the biotransformación of the organic residuals, of kitchen (Rc) remains, pulp of coffee (Pc) and cardboard (C) by means of compostaje methods and vermicompostaje. The investigation was taken I end up in the Experimental Station, module of lombricultura of the Career of Agronomic Engineering of Carmen Pampa Unit Academic Campesina, located in the community of Carmen Pampa of the Municipality of Coroico Department of La Paz, Bolivia. The used de...

  1. Kirsten Möller, Inge Stephan, Alexandra Tacke (Hg.: Carmen. Ein Mythos in Literatur, Film und Kunst. Köln u.a.: Böhlau Verlag 2011.

    Directory of Open Access Journals (Sweden)

    Uta Felten

    2011-12-01

    Full Text Available Im vorliegenden Sammelband werden aktuelle Untersuchungen zum Carmen-Mythos in Literatur, Film, Malerei und Musikkultur aus einer genderspezifischen, einer transmedialen und einer transkulturellen Perspektive präsentiert. Als gemeinsame methodische Prämisse des Bandes fungiert die These, dass Carmen als Produkt einer Mythenbricolage und als Projektionsfläche für vornehmlich männlich codierte Exotismus- und Alteritätsfiktionen verstanden werden kann. Kontinuitäten und Diskontinuitäten im Umgang mit dem Carmen-Mythos werden deutlich am Beispiel von filmischen, literarischen, pikturalen, musikalischen und performativen Bearbeitungen des Mythos vom 19. bis zum 21. Jahrhundert.This anthology presents current studies about the Carmen myth in literature, film, art, and music culture from a gender-specific, a transmedial, as well as a transcultural perspective. The thesis that Carmen can be understood as the product of the bricolage of myths and as an object of projection for primarily male coded fictions of exoticism and alterity functions as the common methodological premise of the volume. Filmic, literary, pictorial, musical, and performative realizations of the Carmen myth from the 19th to the 21st century illustrate the continuities and discontinuities in dealing with the myth.

  2. Prevalencia y factores asociados a desnutrición hospitalaria en un hospital general: Perú, 2012

    OpenAIRE

    L. E. Veramendi-Espinoza; J. H. Zafra-Tanaka; O. Salazar-Saavedra; J. E. Basilio-Flores; E. Millones-Sánchez; G. A. Pérez-Casquino; L. M. Quispe-Moore; M. E. Tapia-Vicente; D. I. Ticona-Rebagliati; N. B. Asato; L. Quispe-Calderón; H. J. Ruiz García; A. Chia-Gil; D. E. Rey-Rodríguez; B. T. Surichaqui

    2013-01-01

    Introducción: La desnutrición hospitalaria es un problema prevalente que genera mayor morbi-mortalidad, peor respuesta al tratamiento, mayor estancia y costo hospitalario. Objetivos: Determinar la prevalencia y factores asociados a desnutrición hospitalaria en un hospital general peruano. Métodos: Estudio analítico transversal de 211 pacientes en servicios de Medicina y Cirugía. Se analizó variables demográficas, clínicas e indicadores antropométricos. El análisis multivariado fue de regresió...

  3. The Safety Analysis of X Rays Generator at Radiologic Installation of Sleman Distric General Hospital in Yogyakarta

    International Nuclear Information System (INIS)

    The safety analysis o X-rays generator has been done to evaluate the suitable of X- rays exposure after shielding in Radiologic Department of Sleman District General Hospital in Yogyakarta with the term of maximum permissible dose so the radiation worker, non radiation worker, and community are safe. The method of research is analysis of dose measurement before and after shielding, then compared with theory. The result show that X-rays shielding is safe for radiation worker, non radiation worker, and community. Measurement result after shielding showed dose rate of 0 mR/hour. (author)

  4. CHARACTERISTIC OF PATIENTS WITH REFRACTIVE DISORDER AT EYE CLINIC OF SANGLAH GENERAL HOSPITAL DENPASAR, BALI-INDONESIA

    OpenAIRE

    T Handayani-Ariestanti; I Supradnya-Anom; I Pemayun-Dewayani

    2012-01-01

    Objective: Refractive disorders are one of the most common causes of visual impairment worldwide and become the second leading cause of blindness that can be cured. This study aims to know the characteristic of refractive errors patients in Sanglah General Hospital in the period of 1st January until 31st December 2011.Method: This is a retrospective analytical descriptive study. Data were collected retrospectively from patient’s medical records with refractive errors and shown as frequency an...

  5. Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward

    OpenAIRE

    Antonio Higueras; Hugo Carretero-Dios; José P. Muñoz; Esther Idini; Ana Ortiz; Francisco Rincón; David Prieto-Merino; María M. Rodríguez del Águila

    2006-01-01

    El objetivo de este estudio cuasi-experimental es analizar lo efectos de una actividad centrada en el humor sobre las conductas disruptivas de pacientes hospitalizados en un servicio de Psiquiatría. Se han comparado, teniendo en cuenta dos grupos homogéneos de pacientes hospitalizados en un servicio de Psiquiatría de hospital general (unidad de agudos), dos periodos temporales de 83 días cada uno, siendo el período 1 el de línea base, y el período 2, el de intervención. Para am...

  6. Carmen Miranda’s white dress: ethnicity, syncretism and subaltern sexualities in springtime in the rockies Carmen Miranda’s white dress: ethnicity, syncretism and subaltern sexualities in springtime in the rockies

    Directory of Open Access Journals (Sweden)

    José Gatti

    2008-04-01

    Full Text Available This essay calls for a reassessment of Carmen Miranda's work in Hollywood. Her singing and dancing can reveal unexpected ethnic and cultural alignments. The focus here is on the costumes she designed for Springtime in the Rockies, a Fox musical in which Brazilian as well as Native American cultural references are made explicit in Miranda's performance. This essay calls for a reassessment of Carmen Miranda's work in Hollywood. Her singing and dancing can reveal unexpected ethnic and cultural alignments. The focus here is on the costumes she designed for Springtime in the Rockies, a Fox musical in which Brazilian as well as Native American cultural references are made explicit in Miranda's performance.

  7. Desnutrição, tempo de internação e mortalidade em um hospital geral do Sul do Brasil Malnutrition, length of hospital stay and mortality in a General Hospital in Southern Brazil

    Directory of Open Access Journals (Sweden)

    Aline Marcadenti

    2011-09-01

    Full Text Available Objetivo: Detectar prevalências de desnutrição através de três métodos de avaliação do estado nutricional e verificar associações com o tempo de internação hospitalar e mortalidade. Materiais e Métodos: Estudo transversal incluindo 445 pacientes com idade maior ou igual a 18 anos, de ambos os sexos, admitidos em hospital geral terciário. Avaliação Subjetiva Global (ASG, Índice de Massa Corporal (IMC e Circunferência do Braço (CB foram avaliados. Dados demográficos e relativos a tempo de internação e óbito foram obtidos através de questionário e prontuário médico. Testes t de Student, Qui-quadrado de Pearson e Regressão de Poisson Modificada foram utilizados. Resultados: As prevalências de desnutrição foram respectivamente: IMC: 15,5%; CB: 41,1% e ASG: 39,8%. Na análise multivariada, a desnutrição detectada pela ASG no momento da admissão associou-se significativamente com tempo de internação hospitalar igual ou superior a dez dias (RP 1,29 IC95% 1,08 – 1,53 P=0,005 e óbito durante a permanência hospitalar (RP 4,36 IC95% 1,93 – 9,85 P=0,001. Conclusões: As prevalências de desnutrição detectadas por três indicadores são elevadas em nosso hospital. Entretanto, somente a ASG no momento da admissão hospitalar associou-se significativamente com tempo de permanência maior ou igual a 10 dias e óbito.Objective: To detect the malnutrition prevalence using three methods to assess the nutritional status and to verify possible associations with the length of hospital stay and mortality. Materials and Methods: A cross-sectional study including 445 men and women, aged 18 years old or more, admitted in a general tertiary hospital. Subjective Global Assessment (SGA, Body Mass Index (BMI and Middle Upper Arm Circumference (MUAC were evaluated. Demographic data and information about length of hospital stay and mortality were obtained from questionnaire and medical records. Student T test, Chi-square test and

  8. La narrativa de Carmen Kurtz: compromiso y denuncia de la condición social de la mujer española de posguerra

    Directory of Open Access Journals (Sweden)

    Montejo Gurruchaga, Lucía

    2006-06-01

    Full Text Available The entrance of women in the narrative, which takes place at the end of the Spanish Civil War, limits itself to the pink subgenus, although very soon the first novels of an increasing number of female writers will appear dealing with other subjects. From the early Fifties onwards they will gradually create a realistic novel that although in a veiled manner, will show the reality of the subdued situation of women in the Spain of General Franco. Carmen Kurtz will start her narrative work in this line and her long career will last until somewhere in the Seventies. Her complaints of the legal, educational, social and economical situation at women, during her public performances as well as through her novels will not pass unaware by censorship; two of her novels were not allowed to be published, many of her paragraphs were to be suppresed and mutilated, and her work was to be very often obstructed. The files of the censorhip of her work that are in the Archivo General de la Administración as well as other related documents show these effects.La incorporación de la mujer a la narrativa, que se produce al término de la Guerra Civil, se circunscribe al subgénero rosa, aunque pronto aparecerán las primeras novelas de un nutrido número de autoras que plantearán otras propuestas. Desde los inicios de la década de los cincuenta irán paulatinamente creando una novela realista que, aunque de forma encubierta, mostrará la realidad sometida de las mujeres en la España franquista. Carmen Kurtz emprenderá su labor narrativa en esta línea y su larga carrera se prolongará hasta bien entrada la década de los setenta. Sus denuncias de la situación legal, educativa, social y económica de las mujeres, tanto en sus manifestaciones públicas como en sus novelas, no pasarán desapercibidas al órgano censor, que le denegará la publicación de dos de ellas, suprimirá y mutilará muchos de sus párrafos y entorpecerá su labor en varias ocasiones. Los

  9. SPECTRUM OF ACUTE GLOMERULO NEPHRITIS IN CHILDREN AT GOVERNMENT GENERAL HOSPITAL, ANANTAPURAMU

    Directory of Open Access Journals (Sweden)

    Ravi Kumar

    2015-04-01

    Full Text Available AIM: Aim of the study is to study the spectrum of AGN in children and to assess the age, sex and seasonal incidence and prognostic factors. Acute glomerulonephritis is one of the most common condition seen in children. The study group included 50 children. In most of the children presenting complaints s of are puffiness of face, haematuria and oliguria. METHODS AND MATERIALS: Fifty children who were admitted in the government hospital during the period of September 2013 to January 2015 were included in the stud y. RESULTS: The maximum admissions were seen from the months of September to December. Common age group was between 3 and 8 years. Rare age group was below 2 years. Hypertension was noticed in 32 out of 50 children. Albuminuria and hematuria were commonest urinary abnormalities. CONCLUSION: acute glomerulonephritis is less common below 2 years. Hypertension was of varying degree. Cardiomegaly by x - ray was an added feature.

  10. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study.

    Science.gov (United States)

    Sampson, Elizabeth L; White, Nicola; Lord, Kathryn; Leurent, Baptiste; Vickerstaff, Victoria; Scott, Sharon; Jones, Louise

    2015-04-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no question and FACES scale) and observed pain (Pain Assessment in Advanced Dementia scale [PAINAD]) at movement and at rest, for agitation (Cohen-Mansfield Agitating Inventory [CMAI]) and BPSD (Behavioural Pathology in Alzheimer Disease Scale [BEHAVE-AD]). On admission, 27% of participants self-reported pain rising to 39% on at least 1 occasion during admission. Half of them were able to complete the FACES scale, this proportion decreasing with more severe dementia. Using the PAINAD, 19% had pain at rest and 57% had pain on movement on at least 1 occasion (in 16%, this was persistent throughout the admission). In controlled analyses, pain was not associated with CMAI scores but was strongly associated with total BEHAVE-AD scores, both when pain was assessed on movement (β = 0.20, 95% confidence interval [CI] = 0.07-0.32, P = 0.002) and at rest (β = 0.41, 95% CI = 0.14-0.69, P = 0.003). The association was the strongest for aggression and anxiety. Pain was common in people with dementia admitted to the acute hospital and associated with BPSD. Improved pain management may reduce distressing behaviours and improve the quality of hospital care for people with dementia. PMID:25790457

  11. An assessment of the utility of unselected coagulation screening in general hospital practice.

    LENUS (Irish Health Repository)

    McHugh, Johnny

    2011-03-01

    Coagulation screening using prothrombin time (PT) and activated partial thromboplastin time (APTT) is widely used. We performed an audit of coagulation screening in an Irish teaching hospital. We analysed PT and\\/or APTT results received during normal working hours during a 1-week period in our hospital. Abnormal results due to anticoagulants were excluded from further study. In samples with PT longer than 15.5 s and\\/or APTT longer than 42 s, we proceeded to 1: 1 mixing studies if the PT was prolonged and 1: 1 mixing studies, factor XII assay and lupus screen if the APTT was prolonged. We also obtained referral source for all samples and clinical details for abnormal samples. Six hundred and seventy-one coagulation requests were received during the study period. Three hundred and eighteen of 671 (47.4%) coagulation requests were for monitoring of anticoagulation. Three hundred and fifty-three of 671 (52.6%) requests were for coagulation screening rather than anticoagulant monitoring. In the coagulation screens received, PT was prolonged in 19 of 353 (5.4%). PT was longer than 20 s in four of 353 cases (1.1%). APTT was prolonged in 19 of 353 (5.4%). APTT was longer than 50 s in four of 353 (1.1%). No patients with abnormal PT or APTT had any bleeding sequelae during the study period. Unregulated coagulation screening has a low yield of abnormal results; the majority of these abnormal results show mild prolongation of PT or APTT with no evidence that they are associated with an increased bleeding risk.

  12. Treatment of Helicobacter pylori in surgical practice: A randomised trial of triple versus quadruple therapy in a rural district general hospital

    OpenAIRE

    Ching, Siok Siong; Sabanathan, Sivakumaran; Jenkinson, Lloyd R

    2008-01-01

    AIM: To compare a lansoprazole-based triple versus quadruple therapy for Helicobacter pylori (H pylori) eradication with emphasis on side effect profile, patient compliance and eradication rate at a rural district general hospital in Wales, United Kingdom.

  13. CARMENES. I. A radial-velocity survey for terrestrial planets in the habitable zones of M dwarfs. A historical overview

    CERN Document Server

    Amado, P J; Ribas, I; Caballero, J A; Sánchez-Carrasco, M A; Reiners, A; Seifert, W; Mundt, R; Mandel, H

    2012-01-01

    CARMENES (Calar Alto high-Resolution search for M dwarfs with Exo-earths with Near-infrared and optical Echelle Spectrographs) is a next generation instrument being built for the 3.5-m telescope at the Calar Alto Observatory by a consortium of eleven Spanish and German institutions. Conducting a five-year exoplanet survey targeting 300 M dwarfs with the completed instrument is an integral part of the project. The CARMENES instrument consists of two separate echelle spectrographs covering the wavelength range from 550 to 1700 nm at a spectral resolution of R=82,000, fed by fibers from the Cassegrain focus of the telescope. The spectrographs are housed in vacuum tanks providing the temperature-stabilized environments necessary to enable a 1 m/s radial velocity precision employing a simultaneous calibration with emission-line lamps.

  14. Hypertension in employees of a University General Hospital Hipertensão arterial em funcionários de um Hospital Universitário

    Directory of Open Access Journals (Sweden)

    Decio Mion Jr.

    2004-01-01

    Full Text Available PURPOSE: To find out the prevalence of hypertension in employees of the Hospital and relate it to social demographic variables. METHODS: Blood pressure measurement was performed with a mercury sphygmomanometer, using an appropriate cuff size for arm circumference, weight, and height in a population sample of 864 individuals out of the 9,905 employees of a University General Hospital stratified by gender, age, and job position. RESULTS: Hypertension prevalence was 26% (62% of these reported being aware of their hypertension and 38% were unaware but had systolic/diastolic blood pressures of >140 and/or >90 mm Hg at the moment of the measurement. Of those who were aware of having hypertension, 51% were found to be hypertensive at the moment of the measurement. The prevalence was found to be 17%, 23%, and 29% (P 50 years, work unit being the Institute of Radiology and the Administration Building, educational level 10 years, and body mass index >30 kg/m². The multivariate logistic regression model revealed a statistically significant association of hypertension with the following variables: gender, age, skin color, family income, and body mass index. CONCLUSIONS: Hypertension prevalence was high, mainly in those who were not physicians or members of the nursing staff. High-risk groups (obese, non-white, men, low family income should be better advised of prevention and early diagnosis of hypertension by means of special programs.OBJETIVO: Conhecer a prevalência de hipertensão arterial em funcionários de um complexo hospitalar e relacionar com variáveis sócio demográficas. MÉTODOS: Foi medida a pressão arterial com aparelho de coluna de mercúrio e manguito adequado à circunferência do braço, o peso e a altura em amostra de 864 dos 9.905 funcionários do Hospital Universitário estratificada de acordo com sexo, idade e ocupação. RESULTADOS: A prevalência de hipertensão foi de 26% (hipertensão referida = 62% ou pressão sistólica > 140

  15. 综合性医院的医院感染管理%Nosocomial infection managements in general hospital

    Institute of Scientific and Technical Information of China (English)

    杨梅

    2011-01-01

    OBJECTIVE To explore the effective measures of management of nosocomial infection in general hospital, so as to control nosocomial infection. METHODS The training and promotion of the knowledge about nosocomial infection were reinforced, the inspecting management was strengthened. Its emphasis was put on the key departments and links. RESULTS The awareness of the medical staff to nosocomial infection management was improved, and each management system and measure were implemented and the nosocomial infection was well controlled. CONCLUSIONS The management of nosocomial infection in general hospital should be emphasized, the strict supervision and checking can effectively control the nosocomial infection.%目的 探讨综合性医院感染管理的有效方法,以控制医院感染.方法 加强医院感染宣传和培训,加强重点环节和重点科室的督查管理.结果 提高了医护人员对医院感染管理的认识,使各项医院感染管理制度与措施得以落实,有效控制了医院感染.结论 重视综合性医院感染管理工作,加强督查、严格把关,可有效预防控制医院感染.

  16. Beat Medusa: The model angelic woman in the first romance novel of Carmen de Icaza. Femininity and traditionalism

    OpenAIRE

    Miguel Soler Gallo

    2015-01-01

    This paper presents an analysis of the traditional ideal of women in the first romance novel of Carmen de Icaza, a preeminent author in postwar Spanish literature. In the novel, two female models, an angel, representing the protagonist and the idea of traditional femininity, and the monster, who plays the antagonist and reflects the diametrically opposing view of morality to that imposed by the patriarchal society. In this novel Icaza spreads her conservative ideology to the female readers, m...

  17. German authors on Estonian minority rights : Selbstbestimmungsrecht und Minderheitenschutz in Estland, by Carmen Thiele. Berlin : Springer, 1999 ; Das Recht der nationalen Minderheiten in Osteuropa, edited by Georg Brunner and Boris Meissner. Berlin

    Index Scriptorium Estoniae

    Annus, Taavi, 1977-

    2004-01-01

    Arvustus: Thiele, Carmen. Selbstbestimmungsrecht und Minderheitenschutz in Estland. Berlin : Springer, 1999 ; Das Recht der nationalen Minderheiten in Osteuropa. Berlin : Berlin Verlag Arno Spitz, 1999

  18. Tromboprofilaxis en pacientes no quirúrgicos internados en un hospital general

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    Marcelo J. Melero

    2012-10-01

    Full Text Available Los pacientes adultos internados por una enfermedad no quirúrgica tienen un riesgo alto de padecer una tromboembolia venosa y pueden desarrollar alguna forma de esta enfermedad cuando no reciben un tratamiento preventivo adecuado. Los objetivos de este estudio prospectivo, analítico, observacional y transversal, fueron: 1 determinar cuál es el porcentaje de pacientes adultos internados por una enfermedad aguda no quirúrgica en el Hospital de Clínicas José de San Martín, Universidad de Buenos Aires, que tienen indicación de tromboprofilaxis, 2 establecer cuántos de ellos reciben un tratamiento preventivo para la tromboembolia venosa, y 3 comprobar cuántos estaban medicados con alguna forma de tromboprofilaxis sin tener causas que justificaran este tratamiento. Se estudiaron 93 pacientes durante un lapso de 72 horas consecutivas. Se encontró que el 90.3% de ellos necesitaba un tratamiento preventivo para la tromboembolia venosa y el 76.2% de estos enfermos recibían tromboprofilaxis farmacológica. Un 33.3% de los pacientes internados tenía indicado un tratamiento farmacológico preventivo sin tener una causa que justificara esta prescripción. El porcentaje encontrado de pacientes tratados con tromboprofilaxis es más alto que el comunicado en otros estudios observacionales.

  19. Divertículo único do ceco: experiência de um hospital geral brasileiro Solitary diverticulum of the cecum: experience of a Brazilian general hospital

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    Aljamir Duarte Chedid

    2003-12-01

    Full Text Available RACIONAL: A diverticulite cecal é uma condição rara, especialmente em populações ocidentais. Sua importância reside no fato de fazer parte do diagnóstico diferencial da apendicite aguda e do carcinoma ulcerado de ceco. CASUÍSTICA E MÉTODOS: Apresenta-se a experiência de um hospital geral do sul do Brasil no tratamento da diverticulite cecal. Descrevem-se quatro casos de divertículo único inflamado de ceco. Um destes teve diagnóstico pré-operatório através de tomografia computadorizada de abdome, tendo o paciente tratado clinicamente com remissão do quadro de diverticulite. Os outros três pacientes foram submetidos a colectomia direita com íleo-transverso anastomose. RESULTADOS: A mortalidade foi nula e nos casos operados não houve complicações pós-operatórias. Quando se consegue obter diagnóstico pré-operatório, pode-se optar por manejo clínico. CONCLUSÃO: Recomendamos laparotomia exploradora quando não há certeza diagnóstica. Preconizamos manejo cirúrgico radical quando o diagnóstico é efetuado através de laparotomia.BACKGROUND: Cecal diverticulitis is a rare condition, specially in western people. Its importance concerns of being part of the differential diagnosis of acute appendicitis and ulcerated cecal carcinoma. AIM: To present the experience of southern Brazilian general hospital in the treatment of cecal diverticulitis. MATERIAL AND METHODS: We present four cases of single inflamed cecal diverticulum. One was diagnosed by pre-operatively computer tomography and was treated medically without complications. The other three cases were diagnosed during operation and treated by right hemicolectomy and ileotransverse anastomosis. RESULTS:There were no deaths or complications. When cecal diverticulitis is pre-operatively diagnosed it may be treated medically. We preclude laparotomy when the diagnosis is uncertain. CONCLUSION: We recommend radical surgical management when the diagnosis is made during operation.

  20. Tentativas de suicídio em um hospital geral no Rio de Janeiro, Brasil Suicide attempts recorded at a general hospital in Rio de Janeiro, Brazil

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    Guilherme L. Werneck

    2006-10-01

    Full Text Available A história pregressa de tentativa de suicídio é um importante preditor do suicídio e de novas tentativas. Este artigo apresenta o perfil dos casos de tentativas de suicídio detectados por meio de um sistema de monitoramento para esses agravos em um hospital geral no Rio de Janeiro, Brasil. Entre abril de 2001 e março de 2002 foram registrados 160 tentativas de suicídio, sendo 68% entre mulheres e 26% entre adolescentes. A ingestão de pesticidas e o abuso de medicamentos foram os principais métodos utilizados. Mulheres utilizaram os dois métodos na mesma proporção, enquanto 2/3 dos homens empregaram pesticidas. Em relação à prevalência dos fatores de risco para tentativas de suicídio, identificou-se que 21% dos pacientes haviam procurado serviços de saúde nos trinta dias anteriores ao evento, 28% referiram tentativas anteriores, 23% fizeram referência a casos de tentativas ou suicídio na família. Ainda que os dados populacionais disponíveis sejam escassos, as tentativas de suicídio parecem ser um evento importante de morbidade, particularmente entre adolescentes e adultos jovens. Sistemas de vigilância para esse agravo podem ser úteis para um melhor conhecimento do problema.Previous suicide attempts are an important predictor of both repeated attempts and suicide. This paper presents the profile of patients who had attempted suicide and were admitted to a general hospital in Rio de Janeiro, Brazil. From April 2001 to March 2002, 160 suicide attempts were recorded (68% women; 26% adolescents. Ingestion of pesticides and prescription drugs were the two most common methods used. The two methods had been used by similar numbers of women, while two-thirds of men had used pesticides. As for prevalence of factors associated with attempted suicide, 21% of patients had been in contact with health services within 30 days prior to the event, 28% mentioned previous suicide attempts, and 23% reported other cases of suicide or

  1. Day-case oral and maxillofacial surgery in a Nigerian district general hospital: scope and limitations.

    OpenAIRE

    Arole, G.

    1998-01-01

    Day-case surgery is becoming attractive worldwide to various surgical specialties, but there are few reports from West Africa. Between January 1987 and January 1997, 2980 patients who attended an oral and maxillofacial unit were operated on as day cases. This represents 65% of the 4585 patients who had oral and maxillofacial surgery during this period. Of these patients, 362 (12.15%) had general anaesthesia, while 2618 (87.85%) accepted local anaesthesia. Readmission is a failure of day-case ...

  2. A decision analytical cost analysis of offering ECV in a UK district general hospital

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    Burr Robin

    2001-07-01

    Full Text Available Abstract Objective To determine the care pathways and implications of offering mothers the choice of external cephalic version (ECV at term for singleton babies who present with an uncomplicated breech pregnancy versus assisted breech delivery or elective caesarean. Design A prospective observational audit to construct a decision analysis of uncomplicated full term breech presentations. Setting The North Staffordshire NHS Trust. Subjects All women (n = 176 who presented at full term with a breech baby without complications during July 1995 and June 1997. Main outcome measures The study determined to compare the outcome in terms of the costs and cost consequences for the care pathways that resulted from whether a women chose to accept the offer of ECV or not. All the associated events were then mapped for the two possible pathways. The costs were considered only within the hospital setting, from the perspective of the health care provider up to the point of delivery. Results The additional costs for ECV, assisted breech delivery and elective caesarean over and above a normal birth were £186.70, £425.36 and £1,955.22 respectively. The total expected cost of the respective care pathways for "ECV accepted" and "ECV not accepted" (including the probability of adverse events were £1,452 and £1,828 respectively, that is the cost of delivery through the ECV care pathways is less costly than the non ECV delivery care pathway. Conclusions Implementing an ECV service may yield cost savings in secondary care over and above the traditional delivery methods for breech birth of assisted delivery or caesarean section. The scale of these expected cost savings are in the range of £248 to £376 per patient. This converts to a total expected cost saving of between £43,616 and £44,544 for the patient cohort considered in this study.

  3. Evaluation of clinico: Pathologic findings of breast carcinoma in a general hospital in Southern India

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    M Mohapatra

    2013-01-01

    Full Text Available Background and Objectives: Breast cancer is the second most common cancer in the Indian female population. As per our hospital data, breast cancer is also found to be the second leading malignancy in women. Hence, we undertook this study to evaluate the clinical profile, histopathologic types, grade, stage and the prognosis of the disease in our patients. Majority of our patients are from rural areas. Materials and Methods: This study was undertaken over a period of three years comprising of 178 patients who underwent modified radical mastectomy following preliminary diagnosis of carcinoma on fine needle aspiration cytology or histopathological examination of the lumpectomy or trucut biopsy specimens. Clinico-pathological evaluation was done in all of these cases following standard protocols. Result: The study comprised of 175 female patients and 3 male patients in the age range of 28 to 76 years. Majority (111/62.3% of the cases were within the age range of 31-50 years of age with mean age of 48.7 years. Two females had bilateral breast cancer and one female had synchronous papillary serous cystadenocarcinoma of the ovary. Invasive ductal carcinoma no special type was the most common histopathologic pattern, and was seen in 172 (95.5% cases. Most tumors were Scarff Bloom Richardson grade II and American Joint Committee on Cancer pathologic stage II. Prognostically, majority of tumors (49.5% was assessed as ′good′ as per the Nottingham prognostic index score. Conclusions: This study gave an insight to the clinico-pathological profile of breast cancer in our area. Long term study with follow up of the patient is needed for better understanding of the case.

  4. Clinical Manifestations and Laboratory Profile of Dengue Fever among the Patient’s General Hospital, Penang

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    Eddy Yusuf

    2010-10-01

    Full Text Available Objective: The aim of this study was to evaluate the clinical presentation of dengue fever among the patients admitted to the Public Hospital Pulau Penang, Malaysia.Materials and Methods: A cross-sectional study was planned to attain the objective of this study. Retrospective analysis of the records was conducted, all the confirmed cases registered from Jan 2007 till Dec 2007 were the part of study. Data collection was conducted using a structured data collection form cover the information about the demographic, clinical presentation, lab features and management of patients.Results: A total of N=756 cases were the part of study; myalgia was the frequently observed 148 (57.6% symptom for the dengue hemorrhagic fever (DHF, followed by hepatomegally50 (19.5% and in cardiac complications myocarditis was observed 4 (1.6% in DHF cases. While bleeding from gums(16.7%, epigastric pain 5 (83.3%, ascites and pleural effusion1 (16.7% were the clinical features observed in Dengue Shock Syndrome (DSS. Lab investigations have showed that Hesstest was found positive for 88 (34.2% patients diagnosed with DHF.Conclusion: Conclusion DF, DHF and DSS should be considered in a differential diagnosis of febrile illness inpatient’s, DHF and DSS are complications of dengue which is required early identification in association with thoroughly monitoring and basic supportive care to save the life of the patients. It is compulsory to monitor strictly thrombocytopenia, haemo-concentration and liver profile on routine basis.

  5. General self-efficacy and the effect of hospital workplace violence on doctors’ stress and job satisfaction in China

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    Yongcheng Yao

    2014-08-01

    Full Text Available Objectives: This study aims at exploring associations of general self-efficacy (GSE, workplace violence and doctors' work-related attitudes. Material and Methods: In this study a cross-sectional survey design was applied. Questionnaires were administrated to 758 doctors working in 9 hospitals of Zhengzhou, Henan province, China, between June and October 2010. General information on age, gender, and years of working was collected, and the doctors' experience and witnessing workplace violence, job satisfaction, job initiative, occupational stress as well as GSE were measured. General linear regression analysis was performed in association analyses. Results: Both experiencing and witnessing workplace violence were significantly positively correlated with the level of occupational stress but significantly negatively correlated with job satisfaction, job initiative, and GSE. General self-efficacy significantly modified relationships between both experiencing and witnessing workplace violence with occupational stress (β = 0.49 for experiencing violence; β = 0.43 for witnessing violence; p 0.05. The levels of occupational stress declined significantly with the increase of GSE, while job satisfaction increased significantly along with its increase. The effects of GSE on occupational stress and job satisfaction weakened as the frequency of violence increased. Conclusions: The findings suggest that GSE can modify effects of workplace violence on health care workers' stress and job satisfaction. Enhancing GSE in combination with stress reduction may lead to facilitating health care workers' recovery from workplace violence, and thereby improving their work-related attitudes.

  6. Rock Magnetic Properties of Laguna Carmen (Tierra del Fuego, Argentina): Implications for Paleomagnetic Reconstruction

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    Gogorza, C. G.; Orgeira, M. J.; Ponce, F.; Fernández, M.; Laprida, C.; Coronato, A.

    2013-05-01

    We report preliminary results obtained from a multi-proxy analysis including paleomagnetic and rock-magnetic studies of two sediment cores of Laguna Carmen (53°40'60" S 68°19'0" W, ~83m asl) in the semiarid steppe in northern Tierra del Fuego island, Southernmost Patagonia, Argentina. Two short cores (115 cm) were sampled using a Livingstone piston corer during the 2011 southern fall. Sediments are massive green clays (115 to 70 cm depth) with irregularly spaced thin sandy strata and lens. Massive yellow clay with thin sandy strata continues up to 30 cm depth; from here up to 10 cm yellow massive clays domain. The topmost 10 cm are mixed yellow and green clays with fine sand. Measurements of intensity and directions of Natural Remanent Magnetization (NRM), magnetic susceptibility, isothermal remanent magnetization, saturation isothermal remanent magnetization (SIRM), back field and anhysteretic remanent magnetization at 100 mT (ARM100mT) were performed and several associated parameters calculated (ARM100mT/k and SIRM/ ARM100mT). Also, as a first estimate of relative magnetic grain-size variations, the median destructive field of the NRM (MDFNRM), was determined. Additionally, we present results of magnetic parameters measured with vibrating sample magnetometer (VSM). The stability of the NRM was analyzed by alternating field demagnetization. The magnetic properties have shown variable values, showing changes in both grain size and concentration of magnetic minerals. It was found that the main carrier of remanence is magnetite with the presence of hematite in very low percentages. This is the first paleomagnetic study performed in lakes located in the northern, semiarid fuegian steppe, where humid-dry cycles have been interpreted all along the Holocene from an aeolian paleosoil sequence (Orgeira et el, 2012). Comparison between paleomagnetic records of Laguna Carmen and results obtained in earlier studies carried out at Laguna Potrok Aike (Gogorza et al., 2012

  7. Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México Prevalence of risk factors of coronary disease in personnel of the General Hospital of Mexico

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    GUILLERMO FANGHÄNEL-SALMÓN

    1997-09-01

    Full Text Available Objetivo. Conocer la prevalencia de algunos factores de riesgo coronario en trabajadores de una institución de salud. Material y métodos. De 1993 a 1995 se evaluaron 2 228 trabajadores del Hospital General de México, 1 531 mujeres (68.7% y 697 hombres (31.2% con edades entre 16 a 65 años, y se les clasificó por áreas de trabajo: en Intendencia hubo 477 participantes (21.4%; en Administración, 697 (31.2%; en Personal Médico, 495 (22.2%, y en Enfermería, 559 (25.0%. Se les practicó historia clínica, mediciones antropométricas y determinación de glucosa, colesterol total, LDL, HDL y triglicéridos. Resultados. Trescientos sesenta y siete sujetos (14.9% tenían colesterol por arriba de 240 mg/dl, con valores altos en las mujeres del área administrativa (17.1% y en los hombres del departamento de enfermería (26% que presentó la mayor tendencia (26%. Se encontraron niveles de triglicéridos por arriba de los 200 mg/dl en 471 personas (19.1%; obesidad, en 329 (13.5%; hipertensión arterial, en 549 sujetos (22.2%, y tabaquismo positivo, en 32% de los trabajadores. La prevalencia de diabetes mellitus fue de 6.24%. Conclusiones. Se confirma la elevada prevalencia de factores de riesgo de enfermedad cardiovascular entre los trabajadores del Hospital General de México, factores que en muchos casos son modificables, lo que confiere la posibilidad de realizar acciones preventivas.Objective. To evaluate the prevalence of risk factors of coronary heart disease in the personnel of the General Hospital in Mexico City. Material and methods. We studied 2 228 workers, 1 531 female (68.7% and 697 male (31.2% whose ages ranged from 16 to 65 years old in the period of 1993 to 1995. They were divided in work areas: Intendancy 477 (21.4%, Administrative, 697 (31.2%, Physicians, 495 (22.2% and Nurses, 559 (25.0%. We collected clinical histories, anthropometric measures, and laboratory determinations of glucose, total cholesterol, LDL, HDL and

  8. Generalized psychological distress among HIV-infected patients enrolled in antiretroviral treatment in Dilla University Hospital, Gedeo zone, Ethiopia

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    Solomon H. Tesfaye

    2014-05-01

    Full Text Available Background: Psychological disorders like depression and anxiety are potentially dangerous conditions. In the context of HIV/AIDS, this can influence health-seeking behavior or uptake of diagnosis and treatment for HIV/AIDS, add to the burden of disease for HIV patients, create difficulty in adherence to treatment, and increase the risk of mortality and morbidity. The objective of this study was to assess the prevalence and correlates of generalized psychological distress among HIV-infected subjects on antiretroviral treatment (ART. Design: An institution-based cross-sectional study was conducted. Interviews were conducted with 500 patients initiating ART at Dilla Referral Hospital. Generalized psychological distress was measured using the Hospital Anxiety and Depression Scale (HADS. A cutoff score ≥19 was used to identify possible cases of patients with generalized psychological distress. Multivariable logistic regression analysis using SPSS Version 20 was performed to identify factors associated with psychological distress. Results: The prevalence of generalized psychological distress among the population of this study was 11.2% (HADS≥19. Factors independently associated with generalized psychological distress were moderate stress (OR=6.87, 95% CI 2.27–20.81, low social support (OR=10.17, 95% CI 2.85–36.29, number of negative life events of six and above (OR=3.99, 95% CI 1.77–8.99, not disclosing HIV status (OR=5.24, 95% CI 1.33–20.62, and CD4 cell count of <200 cells/mm3 (OR=1.98, 95% CI 0.45–0.83 and 200–499 cells/mm3 (OR=3.53, 95% CI 1.62–7.73. Conclusions: This study provides prevalence of psychological distress lower than the prevalence of common mental disorders in Ethiopia and comparable to some other studies in sub-Saharan Africa. The findings are important in terms of their relevance to identifying high-risk groups for generalized psychological distress and preventing distress through integrating mental health

  9. Geriatric day hospital: opportunity or threat? A qualitative exploratory study of the referral behaviour of Belgian general practitioners

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    Vyncke Veerle

    2010-07-01

    Full Text Available Abstract Background In order to address the challenges of an ageing population the Belgian government decided to allocate resources to the creation of geriatric day hospitals (GDHs. Although GDHs are meant to be a strategy to support general practitioners (GPs caring for the frail elderly, few Belgian GPs seem to refer to a GDH. This study aims to explore the barriers and facilitating factors of GPs' referral to GDHs. Methods A qualitative study using focus group discussions (FGDs was conducted. Fifteen FGDs were organized in the different Belgian regions (Flanders, Wallonia, Brussels. Results Contextual factors such as the unsatisfactory cooperation between hospital and GPs and organizational barriers such as the lack of communication on referral procedures between hospital and primary health care (PHC were identified. Lack of basic knowledge about the concept or the local organization of GDH seemed to be a problem. Unclear task descriptions, responsibilities and activities of a GDH formed prominent points of discussion in all FGDs. Nevertheless a lot of possible advantages and disadvantages of GDHs for the patient and for the GP were mentioned. Conclusions In the case of poor referral to GDHs, focusing on improving overall collaboration between primary and secondary health care is essential. This can be achieved by actively delivering adequate information, permanent communication and more involvement of PHC in the organization and functioning of GDHs. The absence of a transparent health care system with delineated role definitions, seems to hinder the integration of new initiatives like GDHs in the care process. Strategies to enhance referral to GDHs should use a comprehensive approach.

  10. Perfil social de los cuidadores familiares de pacientes dependientes ingresados en el Hospital General Universitario de Elche Social profile of the family caregiver of dependant patients in the University General Hospital of Elche

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    Pablo López-Casanova

    2009-12-01

    Full Text Available El objetivo de este estudio es describir el perfil social de los cuidadores familiares en el Hospital General Universitario de Elche y conocer el tipo de necesidades que cubren. Metodología: Investigación de tipo descriptivo y transversal, mediante 32 encuestas realizadas entre enero y febrero de 2008, en el Servicio de Medicina Interna. Se efectuó un análisis descriptivo y las variables fueron edad, sexo, ingresos económicos, vivienda, trabajo, parentesco del cuidador y permanencia en el centro hospitalario. Resultados: El perfil del cuidador informal corresponde a una mujer, con una media de edad de 54 años y que permanece todo el día en el hospital. Las necesidades que el cuidador distingue como más importantes estuvieron relacionadas con la compañía, la vigilancia y las necesidades básicas. Conclusiones: El perfil del cuidador familiar es de cónyuges o madres. La realización de las tareas de cuidador supone un gasto de tiempo, dinero, desgaste físico, psicológico y social. Parte de las necesidades del paciente son cubiertas por los cuidadores informales, que reciben poca información y asesoramiento del personal de enfermería sobre cómo realizarlas. Por tanto, ampliar la mirada enfermera es una exigencia y demanda de nuestra sociedad.The aim of this study is to describe the social profile of the family caregivers in the University General Hospital of Elche, and to know the sort of needs that they cater for. Methodology: This is a descriptive and transversal piece of research, performed by means of 32 surveys done between January and February 2008 in the Internal Medicine service. A descriptive analysis was carried out; such analysis bore in mind the following variables: the caregivers´ age, sex, income, dwelling, employment, their kinship with the patient and the lenght of stay at the hospital. Results: The profile of the average informal caregiver corresponds to a woman of approximately 54 years old who stays all day in

  11. Las agresiones a los profesionales sanitarios en un hospital general de la Comunidad de Madrid

    OpenAIRE

    Chuliá Fernández, Filiberto

    2014-01-01

    Con carácter general, las agresiones a los profesionales sanitarios constituye, no sólo en nuestro País, un fenómeno infradenunciado y muy escasamente notificado. Todo apunta a que la información que generan estos episodios no suele salir del ámbito más cercano y personal de sus protagonistas. Es por eso que, aunque se lleva estudiando el fenómeno desde hace unos pocos años y existe ya una extensa producción investigadora al respecto, ésta es muy heterogénea y limitada y ni siquiera existe un...

  12. Implementation of a combined Cardiopulmonary Resuscitation and Treatment Escalation Plan document in a District General Hospital.

    Science.gov (United States)

    Stockdale, Claire; Trivedi, Bhavi; Jerome, Ellen; Salih, Samir; Huntley, Christopher; Cooke, Eleanor; Massey, Yolanda; Mella, Sophie

    2014-01-01

    Documentation of appropriate escalation of treatment was identified as a problem for junior doctors and Critical Care Outreach Nurses at Musgrove Park Hospital. An audit of resuscitation and escalation documentation of all wards found that of the patients who were not for Cardiopulmonary resuscitation (and therefore not for full escalation of care), 78.4% had no documentation of the appropriate level of escalation of treatment should they deteriorate. The majority of junior doctors had experienced cases where they felt that inappropriate treatment had been given, where no escalation plan was documented. Using several Plan, Do, Study, Act (PDSA) cycles, drawing tools used in other trusts and departments, and the views of clinicians, we developed a treatment escalation plan (TEP) tool, to be included in the resuscitation form. This included consideration of referral to critical care, ward based non-invasive ventilation, and appropriate use of intravenous or oral antibiotics. This then prompted the responsible clinician to consider and document appropriate escalation of treatment. The CPR-TEP form was trialed using a quasi-experiment design allowing the aim to be tested using two groups - intervention and control. All patients in the intervention group were not for CPR and therefore had their TEP-CPR form filled in fully (n=68). The control group consisted of patients who were not for CPR but who did not have a TEP form filled in (n=36). The appropriateness of OOH (out of hours) treatment in those patients who experienced clinical deterioration was judged by questionnaire-based feedback from the in-hours team the following morning. Levels of inappropriate treatment between the two groups were compared to test the aim. At the end of the study period, questionnaire feedback indicated that 11.1% of patients in the group with the new CPR-TEP document had received inappropriate OOH care compared to 44.4% of patients in the group without the document. Using the TEP

  13. [The general practitioner faced with the choice of hospitalization: an analysis of the data from the Follow-Up System computerized network].

    Science.gov (United States)

    Palombi, L; Buonomo, E; Capozzi, C; Fusiello, S; Mariotti, S; Noce, A

    1997-09-01

    The Project "Informatization of the General Practitioner" aimed at networking the work stations of a randomized set of 150 general practitioners equipped with the "Follow-Up System" software, for the collection of information related to the activity carried out, to be electronically transferred to a central unit was developed in the frame of the finalized Project of the National Research Council: "Prevention and Control of the Disease Factors". During the project activity, a study on prescribed hospitalizations was carried out. The contents of items regarding hospitalization diagnosis show that diagnoses concerning diseases included in chapter ICD-9: "Symptoms, signs and morbid conditions not well defined" represent 30.3% of the total; most of these undefined syndromes can be identified under the item "abdominal pain" with 18.2% of cases. Obviously in the case of appendicitis (12.1% of hospitalizations) the hospitalization carried out by the physician resulted to be necessary, in the case of biliary lithiasis (8 cases, 7.4%), the physician could have treated the patient without hospitalization. The interest of such data is to induce a sort of provocation in order to observe, within 8% of hospitalizations following abdominal pain, what rate of hospitalization could be avoided, giving the adequate support to the general practitioner in order to decide the behaviour to have. PMID:9380941

  14. Riesgo cardiovascular en la población con sobrepeso u obesidad en el cantón Central de Cartago, CARMEN 2001

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    Marlene Roselló-Araya

    2008-06-01

    Full Text Available Objetivo general: Determinar el nivel de riesgo cardiovascular global de la población con sobrepeso u obesidad del cantón Central de Cartago, CARMEN 2001. Metodología: Estudio de tipo descriptivo, transversal, basado en los datos del proyecto CARMEN, realizado en 2001 en Cartago, utilizando la tabla de Framingham clásica. Muestra 373 personas (142 hombres y 231 mujeres con sobrepeso u obesidad, con edades comprendidas entre 30 y 64 años. Resultados: El 61,9% eran mujeres; la edad promedio fue de 45,1 ± 9,4 años; el 38,8% de la población se ubicó en el grupo de edad de 35 a 44 años. El 39,8% de los hombres y el 18,3% de las mujeres con sobrepeso se ubicó en riesgo cardiovascular de moderado a alto. El 73% de los hombres y el 28,2% de las mujeres con obesidad se ubicó en la categoría de riesgo cardiovascular moderado y alto. El 80,0% de los diabéticos, 21,3% de los fumadores, el 55,4% de los hipertensos, el 24,3% con colesterol elevado, el 42,9% con triglicéridos de más de 150 mg/dl, el 37,2% con el LDL mayor de 130 mg/dl y el 46,6% con HDL bajo se ubicaron en un riesgo cardiovascular de moderado a alto. Conclusiones: Este estudio evidenció los altos porcentajes de lípidos elevados, hipertensión y fumado en esta población, lo que confirma que cuanto mayor es el grado de sobrepeso u obesidad, mayores serán también los valores de la presión sanguínea, glicemias, triglicéridos y colesterol total. El control del peso corporal es, por lo tanto, una medida clave para prevenir el riesgo de un problema cardiovascular.

  15. Meaning of work in nursing professionals at the general hospital Significado del trabajo de los profesionales de enfermería en el hospital general Significado do trabalho dos profissionais de enfermagem no hospital geral

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    SANTOS ALVES MARIA DALVA

    2010-12-01

    Full Text Available

    Objective: analyze how nursing professionals express their feelings and reactions at work.

    Methods: descriptive study of qualitative approach. The research was conducted from July to September 2008 in a public hospital located at the city of Fortaleza, Ceará (Brazil. 22 nursing professional, 10 nurses and 12 technicians, participated in the study. The study was approved by the institution’s Ethics Research Committee. Data collection was made using semi-structured scripts in face-to-face interviews.

    Results: answers were categorized as follows: meaning of work at the recovery room and post-operatory therapy unit; factors that affect the physical and psychical health of nursing professional, and factors that affect professional performance.

    Discussion: day-to-day work at intensive care units was assessed as stressful but highly pleasant. Physical suffering, as an expression of workload, became evident as corporal pains. The workplace factors affecting professional performance were the following: lack of materials, noise of equipment and ergonomic factors.

    Conclusions: Working, at intensive care units, raises a debate that is everything but new, however, it is a warning for the implementation of stress defensive strategies. The study allowed for creating spaces to embrace and listen to nursing professionals with a view to reduce the physical and psychical suffering at work.

    Objetivo: analizar como los profesionales de enfermería expresan sus sentimientos y reacciones en el trabajo.

    Métodos: estudio descriptivo de enfoque cualitativo. Se realizó en el período comprendido entre julio y septiembre de 2008 en un hospital público en la ciudad de Fortaleza, Ceará (Brasil. Los

  16. Monitoramento epidemiológico da tuberculose em um hospital geral universitário Epidemiological monitoring of tuberculosis in a general teaching hospital

    OpenAIRE

    Berenice das Dores Gonçalves; Luciana Tricai Cavalini; Joaquim Gonçalves Valente

    2010-01-01

    OBJETIVO: Descrever o monitoramento epidemiológico da exposição à tuberculose realizado em ambiente hospitalar e analisar o perfil da doença em um hospital geral universitário. MÉTODOS: Estudo descritivo e retrospectivo dos casos diagnosticados de tuberculose no período entre 2000 e 2006, com a determinação de indicadores de morbidade e mortalidade, que foram comparados a população geral de pacientes atendidos no hospital e com o total de funcionários do hospital que desenvolveram tuberculose...

  17. Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México

    OpenAIRE

    FANGHÄNEL-SALMÓN GUILLERMO; SÁNCHEZ-REYES LETICIA; ARELLANO-MONTAÑO SARA; VALDÉS-LIAZ EULALIA; CHAVIRA-LÓPEZ JAVIER; RASCÓN-PACHECO RAMÓN ALBERTO

    1997-01-01

    Objetivo. Conocer la prevalencia de algunos factores de riesgo coronario en trabajadores de una institución de salud. Material y métodos. De 1993 a 1995 se evaluaron 2 228 trabajadores del Hospital General de México, 1 531 mujeres (68.7%) y 697 hombres (31.2%) con edades entre 16 a 65 años, y se les clasificó por áreas de trabajo: en Intendencia hubo 477 participantes (21.4%); en Administración, 697 (31.2%); en Personal Médico, 495 (22.2%), y en Enfermería, 559 (25.0%). Se les practicó histor...

  18. Experience of the Oncological Radiotherapy Department of the Asturias General Hospital on the treatment of testicular seminoma

    International Nuclear Information System (INIS)

    In this paper the limited experience of the Oncological Radiotherapy Department of the Asturia's General Hospital in the treatment of testicular seminoma is presented. This comprises 23 cases: 17 stage I cases and 6 stage II cases. No failure in the treatment of stage I cases was recorded, these patients exhibiting a 100% actual survival. In stage II patients, a regional failure attributable to an initial error in therapy planning which was rescued by a combination of chemotherapy and radiotherapy, and a case with lung metastases, were observed. Actual survival for this group was 83.33%. For all patients, actual survival was 95.65% (standard error: 4.25%). (Author). 6 refs

  19. Recognition of depression in children in general hospital-based paediatric units in Kenya: practice and policy implications

    Directory of Open Access Journals (Sweden)

    Mutiso Victoria N

    2009-10-01

    Full Text Available Abstract Background Physical disorders are commonly comorbid with depression in children attending general medical facilities. However, the depression component is rarely recognised. Methods A questionnaire on sociodemographics and history of presenting medical conditions was administered together with the Children's Depression Inventory (CDI to all 11-year-old to 17-year-old children attending at nine medical facilities. Results In all, 408 children were recruited from 9 health facilities. Whereas the clinicians diagnosed a mental disorder in only 2.5% of the sample studied, 41.3% had CDI scores that suggested mild to moderate depression. The highest proportion of children with depressive symptomatology was found at the Kenyatta National and Teaching Referral Hospital. Conclusion Although prevalence rate for depression among children is high, detection rates remain low. This finding has clinical practice and policy implications within and outside Kenya.

  20. Una finestra sul passato: Irse de casa di Carmen Martín Gaite

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    Giulia Tosolini

    2015-01-01

    Full Text Available Beyond historical and social implications, migration represents the possibility of crossing a threshold and opening oneself up to new empirical and emotional spaces. Amparo, the main character of Carmen Martín Gaite’s Irse de casa (1998, is the perfect personification of the gaitian feminine canon. After leaving Spain and settling in New York, she became a successful fashion designer, and seemed happy and easy-going. The bond with memory and the past is the main topic of this novel, as it is in most of Martín Gaite’s production. The window on the past that Amparo closed moving to the US suddenly reappears when she needs to discover herself and her origins. This inconvenience in an anonymous life brings huge changes that will condition her and her loved ones. Travelling to Spain and interacting with places and people connected with her childhood, Amparo goes through the window she had closed forty years before, restoring the order. The window connects the present and the past, symbolizes the emigrant’s transience, personified in the novel by Amparo, who can definitely find the lost serenity and heart’s-ease.

  1. CARMENES input catalogue of M dwarfs II. High-resolution imaging with FastCam

    CERN Document Server

    Cortes-Contreras, M; Caballero, J A; Gauza, B; Montes, D; Alonso-Floriano, F J; Jeffers, S V; Morales, J C; Reiners, A; Ribas, I; Schoefer, P; Quirrenbach, A; Amado, P J; Mundt, R; Seifert, W

    2016-01-01

    Aims: We search for low-mass companions of M dwarfs and characterize their multiplicity fraction with the purpose of helping in the selection of the most appropriate targets for the CARMENES exoplanet survey. Methods: We obtained high-resolution images in the I band with the lucky imaging instrument FastCam at the 1.5 m Telescopio Carlos Sanchez for 490 mid- to late-M dwarfs. For all the detected binaries, we measured angular separations, position angles, and magnitude differences in the I band. We also calculated the masses of each individual component and estimated orbital periods, using the available magnitude and colour relations for M dwarfs and our own MJ-spectral type and mass-MI relations. To avoid biases in our sample selection, we built a volume-limited sample of M0.0-M5.0 dwarfs that is complete up to 86% within 14 pc. Results: From the 490 observed stars, we detected 80 companions in 76 systems, of which 30 are new discoveries. The multiplicity fraction in our observed sample is 16.7+-2.0% . In ou...

  2. Comprehensive transient-state study for CARMENES NIR high-thermal stability

    Science.gov (United States)

    Becerril, Santiago; Sánchez, Miguel A.; Cárdenas, M. C.; Rabaza, Ovidio; Ramón, Alejandro; Abril, Miguel; Costillo, Luis P.; Morales, Rafael; Rodríguez, Alicia; Amado, Pedro J.

    2010-07-01

    CARMENES has been proposed as a next-generation instrument for the 3.5m Calar Alto Telescope. Its objective is finding habitable exoplanets around M dwarfs through radial velocity measurements (m/s level) in the near-infrared. Consequently, the NIR spectrograph is highly constraint regarding thermal/mechanical requirements. Indeed, the requirements used for the present study limit the thermal stability to +/-0.01K (within year period) over a working temperature of 243K in order to minimise radial velocity drifts. This can be achieved by implementing a solution based on several temperature-controlled rooms (TCR), whose smallest room encloses the vacuum vessel which houses the spectrograph's optomechanics. Nevertheless, several options have been taken into account to minimise the complexity of the thermal design: 1) Large thermal inertia of the system, where, given a thermal instability of the environment (typically, +/-0.1K), the optomechanical system remains stable within +/-0.01K in the long run; 2) Environment thermal control, where thermal stability is ensured by controlling the temperature of the environment surrounding the vacuum vessel. The present article also includes the comprehensive transient-state thermal analyses which have been implemented in order to make the best choice, as well as to give important inputs for the thermal layout of the instrument.

  3. Attitudes and relationship between physicians and the pharmaceutical industry in a public general hospital in Lima, Peru.

    Directory of Open Access Journals (Sweden)

    Aldo De Ferrari

    Full Text Available BACKGROUND: The interaction between physicians and the pharmaceutical industry influences physicians' attitudes and prescribing behavior. Although largely studied in the US, this topic has not been well studied in resource-poor settings, where a close relationship between physicians and industry still exists. OBJECTIVE: To describe physician interactions with and attitudes towards the pharmaceutical industry in a public general hospital in Lima, Peru. DESIGN: Descriptive, cross-sectional study through an anonymous, self-filled questionnaire distributed among faculty and trainee physicians of five different clinical departments working in a Peruvian public general hospital. A transcultural validation of an existing Spanish questionnaire was performed. Exposure to marketing activities, motivations to contact pharmaceutical representatives and attitudes towards industry were studied. Collected data was analyzed by degree of training, clinical department, gender and teaching status. Attitudes were measured on a four-point LIKERT scale. RESULTS: 155 physicians completed the survey, of which 148 were included in the study sample. 94.5% of attending physicians reported ongoing encounters with pharmaceutical representatives. The most common industry-related activities were receiving medical samples (91.2%, promotional material (87.8% and attending meetings in restaurants (81.8%. Respondents considered medical samples and continuing medical education the most ethically acceptable benefits. We found significant differences between attendings and residents, and teaching and non-teaching attendings. An association between the amount of encounters with pharmaceutical representatives, and attitudes towards industry and acceptance of medical samples was found. CONCLUSIONS: A close physician-industry relationship exists in the population under study. The contact is established mainly through pharmaceutical representatives. Medical samples are the most received

  4. The epidemiological profile of pediatric patients admitted to the general intensive care unit in an Ethiopian university hospital

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    Abebe T

    2015-01-01

    Full Text Available Teshome Abebe, Mullu Girmay, Girma G/Michael, Million Tesfaye Department of Anesthesia, Jimma University, Jimma, Ethiopia Background: In least developing countries, there are few data on children's critical care. This makes the provision of aid and improvement of outcome difficult. Objectives: To describe admission and outcome patterns of children managed in a general intensive care unit at Jimma University Specialized Hospital (JUSH, Ethiopia, over a 5-year period. Methods: A retrospective cross-sectional study design was used. All children from birth to 14 years of age who were admitted to the general ICU of the hospital from 2009–2013 were included. Patient charts and ICU documentation log were reviewed. Results: A total of 170 children were admitted to the ICU of JUSH over the study period. The greater share was taken by males (54.7%, with a male-to-female ratio of 1.2:1. The overall mortality rate was 40%. The majority of the children were in the age range of 10–14 years (38.8%. Of the total number of patients admitted, 34.7% were trauma cases, 45.8% of whom died. The highest percentage, 69.5%, of trauma patients were admitted for head injuries. Among the trauma cases, burn and polytrauma were the second and third leading causes (15.3% of admission. Postoperative patients and medical patients accounted for the rest of the admitted cases (28.2% and 27.6% of the cases respectively. Conclusion: The leading cause of admission and death was trauma. Postoperative and medical causes of admission were also significant. The mortality rate in the ICU was very high, and this could be due to various factors. Further research benchmarking and interventions are highly recommended. Keywords: trauma, critical care, pediatric, ICU, ventilation, oxygenation

  5. Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México

    Directory of Open Access Journals (Sweden)

    FANGHÄNEL-SALMÓN GUILLERMO

    1997-01-01

    Full Text Available Objetivo. Conocer la prevalencia de algunos factores de riesgo coronario en trabajadores de una institución de salud. Material y métodos. De 1993 a 1995 se evaluaron 2 228 trabajadores del Hospital General de México, 1 531 mujeres (68.7% y 697 hombres (31.2% con edades entre 16 a 65 años, y se les clasificó por áreas de trabajo: en Intendencia hubo 477 participantes (21.4%; en Administración, 697 (31.2%; en Personal Médico, 495 (22.2%, y en Enfermería, 559 (25.0%. Se les practicó historia clínica, mediciones antropométricas y determinación de glucosa, colesterol total, LDL, HDL y triglicéridos. Resultados. Trescientos sesenta y siete sujetos (14.9% tenían colesterol por arriba de 240 mg/dl, con valores altos en las mujeres del área administrativa (17.1% y en los hombres del departamento de enfermería (26% que presentó la mayor tendencia (26%. Se encontraron niveles de triglicéridos por arriba de los 200 mg/dl en 471 personas (19.1%; obesidad, en 329 (13.5%; hipertensión arterial, en 549 sujetos (22.2%, y tabaquismo positivo, en 32% de los trabajadores. La prevalencia de diabetes mellitus fue de 6.24%. Conclusiones. Se confirma la elevada prevalencia de factores de riesgo de enfermedad cardiovascular entre los trabajadores del Hospital General de México, factores que en muchos casos son modificables, lo que confiere la posibilidad de realizar acciones preventivas.

  6. 005. History of the recently established bronchoscopy unit of the pulmonology clinic of lamia’s general hospital

    Science.gov (United States)

    Manos, Emmanouil; Gkika, Dimitrs; Kolovos, Dimitrios; Giannakou, Georgia; Pathiaki, Eirini; Mavromati, Evagelia; Divani, Smaroula; Vardouli, Anna; Tsiligrou, Vaina; Karkanis, Konstantinos; Angel, Jacob

    2015-01-01

    Objective The Bronchoscopy Unit of General Hospital of Lamia provides the necessity of six counties in Thessalia and Central Greece. The first bronchoscopy was performed during Christmas of 2012 while from the opening (February 14th, 2014), the unit is presenting an increasing activity (in number and variety of medical practice). Methods From December 21st in 2012 to September 15th in 2014, were performed 158 bronchoscopic examinations in 152 patients (hospitalized and outpatients), 130 men and 28 women, with an average age 72.4 (29 to 89) years old. There were accomplished 80 biopsies (bronchial, transbronchial), 83 brushing, collected 57 cultures for common bacteria and 86 for och-bacilli (acid-fast microscopy in 12), 20 conventional transbronchial needle aspiration (TBNA), two transbronchial biopsies, seven BAL, 25 bronchial toilets in elderly patients and were removed two foreign bodies (one bone segment surrounding by granulomatous tissue and one segment of animal bowel-“kokoretsi”). Results We observed gradual increase of the incoming patients [Quarterly: 5(1st-3rd/2013), 14(4th-6th/2013), 17(7th-9th/2013), 21(10th-12th/2013), 32(1st-3rd/2014), 38(4th-6th/2014), 31(6th-Middle 9th/2014)]. There were diagnosed 70 cases of lung cancer in 93 patients (75.3%) {12 small cell lung carcinoma (SCLC), 57 non-small cell lung carcinoma (NSCLC) [28 squamous, 25 adenocarcinomas, one combo (adeno- and squamous carcinoma), one BAC και two suspicious samples for cancer]}. 49/49 were diagnosed in evident endobronchial lesion (100%) and 21/44 in non-revealing bronchoscopy (47.8%). Biopsy confirmed diagnosis in 52/93, brushing in 31/93, ΤΒΝΑ alone in 4/8 while washing alone in 3/93 patients. Five cases of active tuberculosis were diagnosed (4 M. Τuberculosis, 1 M. Smegmatis), two cases of sarcoidosis, one metastatic (uroepithelial) carcinoma, four cases of granulomatic tissue, one lipoid pneumonia, one sarcomatoid carcinoma of the lung, while the cultures isolated

  7. Prevalence of hepatitis B surface antigen (HBsAg) and its risk factors among individuals visiting Goba General Hospital, South East Ethiopia, 2012

    OpenAIRE

    Erena, Asfaw Negero; Tefera, Tomas Benti

    2014-01-01

    Background Hepatitis B virus infection is a significant health problem. Approximately two billion people worldwide have chronic Hepatitis B virus infection and over one million die annually. Hepatitis B virus infection and Human Immunodeficiency Virus co-infection is an emerging concern in the clinical management of patients because of shared routes of transmission. Methods Hospital based cross-sectional study was performed from January to June, 2012 at Goba General Hospital. Socio-demographi...

  8. Inclusive growth between mental department in general hospital and special mental hospital%综合医院精神科与精神病专科医院的包容性增长

    Institute of Scientific and Technical Information of China (English)

    陈育庆

    2011-01-01

    在综合医院就诊的患者中,不少患者同时伴有精神障碍.介绍了综合医院精神医学服务的现状,从社会偏见导致患者不愿到精神专科医院求治、对伴有躯体疾病精神患者的非精神疾病的综合救治能力和设施不足、资源有限导致无法满足不同层次需求等方面指出精神病专科医院的服务局限,从而提出综合医院开设精神科的必要性.认为在收治对象、人才培养、服务宗旨等方面,综合医院精神科与精神病专科医院是互为补充的,是可以通过合作竞争来达到和谐共存,实现包容性增长的局面的.%Some of patients visiting doctors in general hospital often accompany with mental disease. Status of mental service in general is introduced. Shortages in special mental hospital are discussed. First, social prejudice makes patient do not willing to see a doctor in special mental hospital. Second, lack of capacity and equipment to treat mental patients those who accompany with physiological disease. Third, limited resource makes special mental hospital not matching patient demands at all levels. So it is necessary to run mental department in general hospital. Special mental hospital and mental department in general hospital is complementary in parts of patient population, human resource training and service mission. Cooperative competition relation makes reconciliation between special mental hospital and mental department in general hospital and achieves inclusive growth.

  9. Seizure treatment in Angelman syndrome: A case series from the Angelman Syndrome Clinic at Massachusetts General Hospital.

    Science.gov (United States)

    Shaaya, Elias A; Grocott, Olivia R; Laing, Olivia; Thibert, Ronald L

    2016-07-01

    Epilepsy is a common feature of Angelman syndrome (~80-90%), with the most common seizure types including myoclonic, atonic, atypical absence, focal, and generalized tonic-clonic. Seizure types are similar among the various genetic subtypes, but epilepsy in those with maternal deletions is more frequent and more refractory to medication. Treatment with older antiepileptic drugs such as valproic acid and clonazepam is effective, but these medications tend to have less favorable side effect profiles in Angelman syndrome compared with those in newer medications. This study aimed to assess the use of newer antiepileptic drug therapies in individuals with Angelman syndrome followed at the Angelman Syndrome Clinic at the Massachusetts General Hospital. Many of the subjects in this study were on valproic acid therapy prior to their initial evaluation and exhibited increased tremor, decreased balance, and/or regression of motor skills, which resolved after tapering off of this medication. Newer antiepileptic drugs such as levetiracetam, lamotrigine, and clobazam, and to a lesser extent topiramate, appeared to be as effective - if not more so - as valproic acid and clonazepam while offering more favorable side effect profiles. The low glycemic index treatment also provided effective seizure control with minimal side effects. The majority of subjects remained on combination therapy with levetiracetam, lamotrigine, and clobazam being the most commonly used medications, indicating a changing trend when compared with prior studies. PMID:27206232

  10. Prevalencia del "síndrome de quemarse por el trabajo" (burnout en pediatras de hospitales generales Burnout prevalence in pediatricians of general hospitals

    Directory of Open Access Journals (Sweden)

    Pedro R Gil-Monte

    2008-06-01

    37,4% pelos critérios da Argentina e considerando os critérios clínicos estabelecidos na Holanda, a percentagem foi de 3,2%. CONCLUSÕES: Os níveis de prevalência variaram significativamente em função dos critérios aplicados devido às influências transculturais.OBJECTIVE: To assess the prevalence of burnout in pediatricians of general hospitals. METHODS: Non-randomized cross-sectional study carried out in the city of Buenos Aires, Argentina, in 2006. The study sample comprised 123 pediatricians working in pediatrics services of general hospitals, 89 women (72.4% and 34 men (27.6%. Data were gathered through an anonymous, self-administered questionnaire. Burnout was measured using the Maslach Burnout Inventory, and different approaches were employed to estimate burnout prevalence. RESULTS: The prevalence of burnout was different according to the approach used: the prevalence was 10.6% by the United States criteria; 24.4% by the Spanish criteria; 37.4% by the Argentinean criteria and 3.25% by the Dutch clinical criteria. CONCLUSIONS: Burnout prevalences varied significantly depending on the approach used due to cross-cultural influences.

  11. Prevalence of Hepatitis B surface antigen (HBsAg among visitors of Shashemene General Hospital voluntary counseling and testing center

    Directory of Open Access Journals (Sweden)

    Medhin Girmay

    2011-02-01

    Full Text Available Abstract Background Hepatitis B virus (HBV infection is significant health problem, as it can lead to chronic hepatitis, liver cirrhosis, and hepatic carcinoma. Due to shared routes of transmission, HBV and human immunodeficiency virus (HIV co-infection is common and is an emerging concern in the clinical management of patients because of increased mortality, accelerated hepatic disease progression, and the frequent hepatotoxicity caused by anti-retroviral therapy. The aim of this study was to determine the prevalence of Hepatitis B surface antigen (HBsAg and its risk factors, among individuals visiting Shashemene General Hospital VCT center. Findings Institution based cross-sectional study was performed from November 3, 2008 to December 29, 2008 and 384 voluntary counseling and testing (VCT clients were investigated. Data on socio demographic and HBV risk factors was collected using structured questionnaires. Blood samples were collected and screened for hepatitis B surface antigen (HBsAg and HIV by commercially available rapid test kits. The prevalence of HBsAg in this study group was 5.7%. Fourteen percent of HIV positive subjects (8/57 and 4.3% (14/327 of HIV negative subjects were positive for HBsAg. Significantly high prevalence of HBsAg was observed among individuals who had history of invasive procedures, like tooth extraction, abortion and ear piercing; history of hospital admission, history of unsafe inject and HIV positives. Conclusions Although HBsAg prevalence is much higher among subjects who are HIV positive (14.0% versus 4.3%, the prevalence of HBsAg in HIV negative subjects is high enough to warrant a recommendation to screen all clients at VCT centers irrespective of HIV status.

  12. Entrance surface dose and image quality: Comparison of adult chest and abdominal X-ray examinations in general practitioner clinics, public and private hospitals in Malaysia

    International Nuclear Information System (INIS)

    This study was undertaken to compare the entrance surface dose (ESD) and image quality of adult chest and abdominal X-ray examinations conducted at general practitioner (GP) clinics, and public and private hospitals in Malaysia. The surveyed facilities were randomly selected within a given category (28 GP clinics, 20 public hospitals and 15 private hospitals). Only departmental X-ray units were involved in the survey. Chest examinations were done at all facilities, while only hospitals performed abdominal examinations. This study used the x-ray attenuation phantoms and protocols developed for the Nationwide Evaluation of X-ray Trends (NEXT) survey program in the United States. The ESD was calculated from measurements of exposure and clinical geometry. An image quality test tool was used to evaluate the low-contrast detectability and high-contrast detail performance under typical clinical conditions. The median ESD value for the adult chest X-ray examination was the highest (0.25 mGy) at GP clinics, followed by private hospitals (0.22 mGy) and public hospitals (0.17 mGy). The median ESD for the adult abdominal X-ray examination at public hospitals (3.35 mGy) was higher than that for private hospitals (2.81 mGy). Results of image quality assessment for the chest X-ray examination show that all facility types have a similar median spatial resolution and low-contrast detectability. For the abdominal X-ray examination, public hospitals have a similar median spatial resolution but larger low-contrast detectability compared with private hospitals. The results of this survey clearly show that there is room for further improvement in performing chest and abdominal X-ray examinations in Malaysia. (authors)

  13. Evolution of nutritional status of pediatric in patients of a tertiary care general hospital in Brazil Evolución del estado nutritivo de pacientes pediátricos ingresados en hospital general terciario de Brasil

    Directory of Open Access Journals (Sweden)

    C. R. De Moraes Silveira

    2008-12-01

    Full Text Available Justification and objective: Identify changes in the nutritional status of hospitalized children is fundamental for the early establishment of interventions. This study aims at describing the prevalence of undernutrition at admission and over the weeks of in-hospital stay in pediatric patients and evaluate the association between nutritional status and length of in-hospital stay. Materials and methods: A cohort study was carried out. It followed all the in-patients admitted to the general pediatric unit, composed of 72 beds, in the Hospital de Clínicas de Porto Alegre (HCPA, in the south of Brazil, from 20 march to 20 october in 2004. Patients who were between 1 month and 12 years of age and who had been admitted for clinical or/and surgical reasons were included. Those with Down Syndrome or without clinical condition and/or stature for weight measurement were excluded. Anthropometric data were collected up to 48 hours after admission and, weekly, up to hospital discharge (at admission, on 7th, 14th, and 21st day after admission. In children below 5 years of age, the standard defined by the World Heath Organization (WHO/2006 for the classification of the z-score for the stature/age (S/A, weight/age (W/A and weight/stature (W/S scores was used. In children from 5 to 10 years of age, the standards of the National Center for Health Statistics (NCHS, 1977 were used to classify the same rates as reference values. In children above 10 years of age, the classification of the Body Mass Index (BMI was used (OMS/1995. In order to compare the z-scores over the four evaluation moments, analysis of variance (ANOVA was used for repeated measurements, with Bonferroni's Post-Hoc test, and, for the evaluation of the in-hospital stay length, according to the nutritional status, Kaplan-Meier's survival curve, in the SPSS program, version 12.0, was used. Results: 426 patients were included in the study. 57% of them were male and 50.7% were below one year of age

  14. The Prevalence of Accidental Needle Stick Injury and their Reporting among Healthcare Workers in Orthopaedic Wards in General Hospital Melaka, Malaysia

    OpenAIRE

    Bhardwaj, A.; Sivapathasundaram, N; Yusof, MF; Minghat, AH; Swe, KMM; Sinha, NK

    2014-01-01

    Abstract Background :Accidental needle-stick injuries (NSIs) are a hazard for health-care workers and general public health. Orthopaedic surgeons may be more prone to NSIs due to the prevalence of bone spikes in the operative field and the use of sharp orthopaedic instruments such as drills, saws and wires. A hospital-based cross sectional study was conducted in the orthopedic wards of Melaka General Hospital. The prevalence of NSIs was 32 (20.9%) and majority of it occurred during assisting ...

  15. Job Stress of Medical Staffs in General Hospital%综合医院一线医务人员工作应激调查

    Institute of Scientific and Technical Information of China (English)

    王玉林; 刘碧英; 王锐

    2003-01-01

    Objective: To explore the job stress status of medical staffs in general hospital. Methods: A total of 201 medical staffs were sampled from a general hospital in Changsha City, Hunan Province, and their job stress levels were evaluated by the Medical Job Stress Invemory. Results:The subjects from internal medicine department showed silgnificantIy higher job stress level than those from surgical departmem;and the doctors group showed higher stress level in the interpersonal subscale than the nurses group. Condusion:It is important to pay attention to medical staff''s job stress and job burnout in order to improve their mental health levels.

  16. El objeto como elemento material en la pintura contemporánea: la obra de Carmen Calvo.

    OpenAIRE

    Cucala Félix, Antonio

    2015-01-01

    En esta tesis tratamos la incorporación de objetos en los cuadros. Para analizar las características de este procedimiento pictórico hemos enfocado nuestro análisis hacia la obra pictórica de Carmen Calvo, pintora valenciana con reconocimiento internacional. El estudio lo hemos dividido en cuatro apartados: El primero es una presentación de antecedentes históricos, así como de algunos autores en concreto, que por el modo de utilizarlos, hemos considerado interesante compararlos con la...

  17. Alas de libélula “El pastel del diablo”, de Carmen Martín Gaite

    OpenAIRE

    González Couso, David

    2009-01-01

    La literatura de Carmen Martín Gaite presenta numerosas elaboraciones de lo fantástico que parten de sus vivencias de infancia y se unen a elementos autobiográficos posteriores. La escritura de cuadernos revela muchas de las claves que contribuyen a conformar su poética. El pastel del diablo, situado en un momento crucial de la trayectoria literaria de la escritora es un claro ejemplo por técnica de escritura y por la importancia que adquieren elementos maravillosos en su obra posterior. P...

  18. Carmen Barrenechea, la conciencia feminista de una matrona del siglo XIX en “La ciudad de la muerte”

    Directory of Open Access Journals (Sweden)

    Dolores Ruiz-Berdún

    2015-03-01

    Full Text Available Many scholarly articles have been devoted to the study of the professional exclusion of European midwives at a time when male interest in obstetrics started to grow. There are, however, few references to the strategies adopted by midwives to defend the practice of their profession. In 1899, a midwife named Carmen Barrenechea published a request-like pamphlet, addressed to the major of the capital of Spain, in which she denounced the professional exclusion Spanish midwives were going through and vindicated the advantages of employing such professionals rather than surgeons.

  19. Beat Medusa: The model angelic woman in the first romance novel of Carmen de Icaza. Femininity and traditionalism

    Directory of Open Access Journals (Sweden)

    Miguel Soler Gallo

    2015-12-01

    Full Text Available This paper presents an analysis of the traditional ideal of women in the first romance novel of Carmen de Icaza, a preeminent author in postwar Spanish literature. In the novel, two female models, an angel, representing the protagonist and the idea of traditional femininity, and the monster, who plays the antagonist and reflects the diametrically opposing view of morality to that imposed by the patriarchal society. In this novel Icaza spreads her conservative ideology to the female readers, mostly consumers of this kind of literature in the period after the Spanish Civil War, and emphasizes the values that should prevail in society.

  20. Effects of a humor-centered activity on disruptive behavior in patients in a general hospital psychiatric ward

    Directory of Open Access Journals (Sweden)

    Antonio Higueras

    2006-01-01

    Full Text Available El objetivo de este estudio cuasi-experimental es analizar lo efectos de una actividad centrada en el humor sobre las conductas disruptivas de pacientes hospitalizados en un servicio de Psiquiatría. Se han comparado, teniendo en cuenta dos grupos homogéneos de pacientes hospitalizados en un servicio de Psiquiatría de hospital general (unidad de agudos, dos periodos temporales de 83 días cada uno, siendo el período 1 el de línea base, y el período 2, el de intervención. Para ambos periodos, se codificaron y registraron un total de diez conductas disruptivas. En los 83 días del periodo de intervención, y con una frecuencia de dos días semanales, dos actores profesionales llevaban a cabo las actividades centradas en el humor. Se calculó un Indice de Disrupción Global (IGD, teniendo en cuenta conjuntamente todas las conductas disruptivas, al igual que un Indice de Disrupción Específico (IDE para cada una de las conductas disruptivas. Usando para las comparaciones la corrección de Bonferroni, los resultados indican que el IGD descendió significativamente durante el periodo de intervención, siendo tres las conductas disruptivas que mostraron un descenso significativo (intentos de fuga, autolesiones y peleas.

  1. Stigma, medication adherence and coping mechanism among people living with HIV attending General Hospital, Lagos Island, Nigeria

    Directory of Open Access Journals (Sweden)

    Adekemi O. Sekoni

    2012-11-01

    Full Text Available Background: People living with HIV and AIDS (PLWHA experience some form of stigma which could lead to poor medication adherence.Objectives: This study assessed the various domains of stigma experienced by PLWHAs attending an HIV clinic at General Hospital, Lagos Island, their medication adherence patterns and their coping mechanisms for ensuring adherence to antiretroviral therapy.Method: A cross-sectional study design with a sample size of 200 was used. Respondents were selected using systematic random sampling. Interviewers administered structured questionnaires were used to collect information on the domains of stigma. Data was analysedusing EPI info©. This was followed by a focus group discussion (FGD with seven participants at the clinic using an interview guide with open-ended questions.Results: Overall, stigma was experienced by 35% of the respondents. Within this group, 6.6%, 37.1%, 43.1% and 98.0% of the respondents reported experiencing negative self image stigma, personalised stigma, disclosure stigma and public attitude stigma respectively. Almost 90% of the respondents were adherent. The FGD revealed that disclosure was usually confined to family members and the coping mechanism for achieving adherence was to put antiretroviral (ARVs in unlabelled pill boxes.Conclusion: This study found that stigma was low and that the most common domain of stigma experienced was public attitude stigma. Medication adherence of respondents was good as a result of the coping mechanism, which involves putting ARVs in unlabelled pill boxes.

  2. Calibration measurements of the clinical whole-body counter in the Department of Nuclear Medicine of the General Hospital Vienna

    International Nuclear Information System (INIS)

    Whole-body counters are devices for the measuring and spectroscopy of small amounts of gamma emitting radionuclides in the human body. The Department of Nuclear Medicine of the General Hospital Vienna has such a device (clinical whole-body counter). It represents the type of a shadow shield whole-body counter with a scanning system. The patient is placed on a bed and is moved between four 6'' x 4'' NaI(Tl) detectors with adjustable slit collimators. The whole-body counter was calibrated with regard to channel number, full width at half maximum (FWHM) and efficiency in dependence of the gamma energy of some gamma reference sources. The measurements were performed using a human shaped 70 kg phantom made from water filled plastic bottles, which simulate the absorption and scattering of gamma rays in the human body. Results of the calibration measurements and characteristic quantities like ''minimum detectable activity'' (MDA) and ''minimum measureable activity'' (MMA) will be presented in dependence of the gamma energy. (orig.)

  3. The evolution of thyroid hormones in pregnancy. An analysis of 125 cases in the Yaounde general hospital

    International Nuclear Information System (INIS)

    This study was aimed at determining the evolution and the kinetics of thyroid hormones in a sub-population of pregnant women in Cameroon. We carried out a prospective study (from January 2005 to January 2006) on 125 consenting pregnant women at the Yaounde General Hospital. Clinical and gyneco-obstetric data with the gestational age were noted on a pre-designed questionnaire. Blood samples were drawn for serum assay of thyroxine (T4), triiodothyronine (T3) and thyroid stimulating hormone. The results were read with the 'Oakfield health care' Gamma ' 12 counter using the RIASTAT software. These patients, divided into four groups consisted of: 32 non pregnant women in the control group; 33 pregnant women in the first trimester; 30 pregnant women in the second trimester and 30 at the third trimester. The mean serum levels of T3 and T4 were relatively high in all pregnant women (irrespective of the gestational age) than in the control group. Serum levels of T3 and T4 were raised the first trimester with and progressively reduced in 2. and 3. trimester. On other hand, TSH levels progressively increased as from the 2. trimester to attain a maximum in the 3. trimester. We can therefore conclude that blood levels of thyroid hormone as well as TSH vary during pregnancy and differ in titres with respect to the gestation age. (authors)

  4. Clinical analysis of 138 cases with trigeminal neuralgia at the Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital

    International Nuclear Information System (INIS)

    We reviewed clinical data from a total of 138 trigeminal neuralgia patients treated at the Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital. In 10 patients, MRI scan revealed a brain tumor or a cerebral arteriovenous malformation, which was recognized as the cause of the trigeminal neuralgia. The remaining patients were treated with Tegretol, and side effects necessitating discontinuation of the drug occurred in six patients, including two with severe adverse reactions that required inpatient treatment. When Tegretol therapy was not applicable or proved to be less effective, the patients underwent surgical therapy or gamma knife radiosurgery. Since no symptom can predict the presence of a tumor, brain MRI is considered to be essential for all patients with trigeminal neuralgia. Although Tegretol is effective in the treatment of neuralgia, the occurrence of side effects should be carefully monitored during therapy. Considering that 116 patients (84%) were referred by oral-dental surgeons, trigeminal neuralgia is likely to be a disorder commonly encountered by these specialists, thereby indicating the importance of medical cooperation between neurosurgeons and oral-dental surgeons. (author)

  5. Generation of Leukemia Inhibitory Factor-Dependent Induced Pluripotent Stem Cells from the Massachusetts General Hospital Miniature Pig

    Directory of Open Access Journals (Sweden)

    Dae-Jin Kwon

    2013-01-01

    Full Text Available The generation and application of porcine induced pluripotent stem cells (iPSCs may enable the testing for safety and efficacy of therapy in the field of human regenerative medicine. Here, the generation of iPSCs from the Massachusetts General Hospital miniature pig (MGH minipig established for organ transplantation studies is reported. Fibroblasts were isolated from the skin of the ear of a 10-day-old MGH minipig and transduced with a cocktail of six human factors: POU5F1, NANOG, SOX2, C-MYC, KLF4, and LIN28. Two distinct types of iPSCs were generated that were positive for alkaline phosphatase activity, as well as the classical pluripotency markers: Oct4, Nanog, Sox2, and the surface marker Ssea-1. Only one of two porcine iPSC lines differentiated into three germ layers both in vitro and in vivo. Western blot analysis showed that the porcine iPSCs were dependent on LIF or BMP-4 to sustain self-renewal and pluripotency. In conclusion, the results showed that human pluripotent factors could reprogram porcine ear fibroblasts into the pluripotent state. These cells may provide a useful source of cells that could be used for the treatment of degenerative and genetic diseases and agricultural research and application.

  6. Stigma, medication adherence and coping mechanism among people living with HIV attending General Hospital, Lagos Island, Nigeria

    Directory of Open Access Journals (Sweden)

    Adekemi O. Sekoni

    2012-02-01

    Full Text Available Background: People living with HIV and AIDS (PLWHA experience some form of stigma which could lead to poor medication adherence.Objectives: This study assessed the various domains of stigma experienced by PLWHAs attending an HIV clinic at General Hospital, Lagos Island, their medication adherence patterns and their coping mechanisms for ensuring adherence to antiretroviral therapy.Method: A cross-sectional study design with a sample size of 200 was used. Respondents were selected using systematic random sampling. Interviewers administered structured questionnaires were used to collect information on the domains of stigma. Data was analysed using EPI info©. This was followed by a focus group discussion (FGD with seven participants at the clinic using an interview guide with open-ended questions.Results: Overall, stigma was experienced by 35% of the respondents. Within this group, 6.6%, 37.1%, 43.1% and 98.0% of the respondents reported experiencing negative self image stigma, personalised stigma, disclosure stigma and public attitude stigma respectively. Almost 90% of the respondents were adherent. The FGD revealed that disclosure was usually confined to family members and the coping mechanism for achieving adherence was to put antiretroviral (ARVs in unlabelled pill boxes.Conclusion: This study found that stigma was low and that the most common domain of stigma experienced was public attitude stigma. Medication adherence of respondents was good as a result of the coping mechanism, which involves putting ARVs in unlabelled pill boxes.

  7. Supplement use by women during pregnancy: data from the Massachusetts General Hospital National Pregnancy Registry for Atypical Antipsychotics.

    Science.gov (United States)

    Freeman, Marlene P; Sosinsky, Alexandra Z; Moustafa, Danna; Viguera, Adele C; Cohen, Lee S

    2016-06-01

    Women of reproductive age commonly use integrative treatments. However, the reproductive safety for most complementary products lacks systematic study. We aimed to study the use of supplements by women in a prospective pregnancy registry. The Massachusetts General Hospital National Pregnancy Registry for Atypical Antipsychotics was established to evaluate the reproductive safety of atypical antipsychotics. Exposed and control participants were systematically queried about the use of vitamins and supplements. Slightly greater than half (53.2 %) of the participants eligible for analysis (N = 534) were using at least one vitamin or supplement at the time of enrollment, not including prenatal vitamins or folic acid. The most common supplements used were omega-3 fatty acids (38.0 %), vitamin D (11.0 %), calcium (8.2 %), and iron (4.7 %). Probiotics and melatonin were used by 2.6 and 0.9 %, respectively. In this prospective pregnancy registry, we found that over half of the participants were taking supplements or vitamins other than prenatal vitamins and folic acid. These findings underscore the need for active query on the part of health care providers about the use of supplements during pregnancy, and the need to obtain rigorous reproductive safety and efficacy data for supplements used by pregnant women and reproductive aged women. PMID:26472040

  8. Prevalence of Depression among Type 2 Diabetic Outpatients in Black Lion General Specialized Hospital, Addis Ababa, Ethiopia

    Directory of Open Access Journals (Sweden)

    Tesfa Dejenie Habtewold

    2015-01-01

    Full Text Available Background. The emotional consequences of diabetes have been scrutinized by a number of investigative teams and there are varying reports about the association of depression with type 2 diabetes mellitus. However, there is limited data about this in Ethiopia. Therefore, the purpose of this study was to assess the prevalence of comorbid depression among type 2 diabetic outpatients. Methods and Materials. Institution based cross-sectional study design was conducted on a random sample of 276 type 2 diabetic outpatients from Black Lion General Specialized Hospital. Systematic random sampling technique was used to get these individual patients from 920 type 2 diabetic outpatients who have an appointment during the data collection period. Patients’ depression status was measured using Patient Health Questionnaire 9 (PHQ 9. Result. Totally 264 type 2 diabetic outpatients were interviewed with a response rate of 95.6%. The prevalence of depression among type 2 diabetic outpatients was 13%. Based on PHQ 9 score, 28.4% (75 fulfilled the criteria for mild depression, 12.1% (32 for moderate depression, 2.7% (7 for moderately severe depression, and 1.5% (4 for severe depression. But 45.8% (121 of patients had no clinically significant depression. Conclusion. This study demonstrated that depression is a common comorbid health problem in type 2 diabetic outpatients with a prevalence rate of 13%.

  9. Vivir al día: Experiencia de Carmen, cuidadora de su marido enfermo de Alzheimer To live from hand to mouth: Carmen´s experience, taking care of her husband diseased of Alzheimer

    Directory of Open Access Journals (Sweden)

    Candela Bonill de las Nieves

    2006-06-01

    Full Text Available Por medio del relato biográfico podemos conocer y comprender mejor la experiencia de las personas ante situaciones de salud-enfermedad. Se presenta el relato de Carmen, quien comparte con nosotros su vivencia como cuidadora de su marido desde que comenzó con la Enfermedad de Alzheimer hace 11 años. Ella nos relata cómo fue el camino hacia el diagnóstico, su búsqueda incesante de información, cómo afrontó la enfermedad y la aparición de una nueva complicación, la pérdida de autonomía, el apoyo de familiares y amigos, los problemas económicos, y cómo no, el futuro.By means of the biographic report, we can observe and understand better the experience of people in the face of health and disease conditions. We come up with Carmen´s report, who shares her life experience with us as caregiver of her husband since he began with the Alzheimer disease 11 years ago. She report to us how was the method toward the diagnosis, her ceaseless research of information, how she faced the disease and the appearance of a new complication, the loss of autonomy, the family and friends support, economics problems and of course, the future.

  10. Advanced cancer patients' self-assessed physical and emotional problems on admission and discharge from hospital general ward - a questionnaire study

    DEFF Research Database (Denmark)

    Sølver, Lisbeth; Østergaard, Birte; Rydahl Hansen, Susan;

    2012-01-01

    -prolonging or palliative treatment are offered non-specialist palliative services. There is a lack of knowledge about their problem profile. The aim of this article is to describe the incidence of patient-reported physical and emotional problems on admission and discharge from general hospital wards and health......SOELVER L., OESTERGAARD B., RYDAHL-HANSEN S. & WAGNER L. (2012) European Journal of Cancer Care21, 667-676 Advanced cancer patients' self-assessed physical and emotional problems on admission and discharge from hospital general wards - a questionnaire study Most cancer patients receiving life...... between patient-reported problems and reported intervention for physical function, pain, constipation and loss of appetite. Palliative cancer patients' self-reported problem profile on admission and discharge from hospital has not previously been described and the results indicate a need to focus on...

  11. Demographics, Clinical Characteristics, and Treatment of Aggressive Patients Admitted to the Acute Behavioral Unit of a Community General Hospital: A Prospective Observational Study

    OpenAIRE

    Nourse, Rosemary; Reade, Cynthia; Stoltzfus, Jill; Mittal, Vikrant

    2014-01-01

    Objective: Aggressive patients are not uncommon in acute inpatient behavioral health units of general hospitals. Prior research identifies various predictors associated with aggressive inpatient behavior. This prospective observational study examines the demographic and clinical characteristics of aggressive inpatients and the routine medications these patients were receiving at discharge.

  12. Availability, content and quality of local guidelines for the assessment of suicide attempters in university and general hospitals in the Netherlands.

    NARCIS (Netherlands)

    Verwey, B.; Waarde, J.A. van; Rooij, I.A.L.M. van; Gerritsen, G.; Zitman, F.G.

    2006-01-01

    OBJECTIVE: This study was performed to investigate the availability, content and quality of local guidelines for the assessment of suicide attempters in the Netherlands. METHOD: All university and general hospitals in the Netherlands were asked to provide their local guidelines. Published national g

  13. La urgencia psiquiátrica en un hospital general. La patología de la agresividad principal motivo de consulta.

    OpenAIRE

    Manuel Conde Díaz; Cristina Esteban Ortega; Lourdes Rosado Jiménez; María Dolores Barroso Peñalver; Sara Romero González

    2009-01-01

    Análisis descriptivo de la urgencia psiquiátrica en un hospital general durante 6 años. Se mantienen como grupo principal los pacientes psicóticos, se detecta un aumento de pacientes con trastornos de personalidad. El principal motivo de consulta es la agresividad. Predominan mujeres con conductas autolesivas y varones con conductas violentas.

  14. Provision of gastrointestinal endoscopy and related services for a district general hospital. Working Party of the Clinical Services Committee of the British Society of Gastroenterology.

    OpenAIRE

    1991-01-01

    (1) The number of endoscopic examinations performed is rising. Epidemiological data and the workload of well developed units show that annual requirements per head of population are approaching: Upper gastrointestinal 1 in 100 Flexible sigmoidoscopy 1 in 500 Colonoscopy 1 in 500 ERCP 1 in 2000 (2) Open access endoscopy to general practitioners is desirable and increasingly sought. For a district general hospital serving a population of 250,000, this workload entails about 3500 procedures annu...

  15. Awareness and Practices of Oral Hygiene and its Relation to Sociodemographic Factors among Patients attending the General Outpatient Department in a Tertiary Care Hospital of Kolkata, India

    OpenAIRE

    Paul, Bobby; Basu, Mausumi; Dutta, Sinjita; Chattopadhyay, Sita; Sinha, Debasis; Misra, Raghunath

    2014-01-01

    Background: Periodontal diseases, dental caries, malocclusion, and oral cancer are the most prevalent dental diseases affecting people in the Indian community. Objective: The study was conducted to assess the awareness and practices on oral hygiene and its association with the sociodemographic factors among patients attending the general Outpatient Department (OPD). Materials and Methods: A cross-sectional study was conducted among 224 patients attending the general OPD of the SSKM Hospital, ...

  16. Perspectivas da participação dos hospitais gerais na assistência aos doentes de hanseníase A general outlook as to the participation of general hospital's regarding attention to patients with Hansen's disease

    Directory of Open Access Journals (Sweden)

    Cid Guimarães

    1975-09-01

    Full Text Available Uma síntese histórica demonstra que o hospital tem voltado sua assistência para os aspectos da medicina curativa, para o que muito têm contribuído os progressos de diagnóstico e terapêutica. Os lazaretos e sua versão posterior, os hospitais de isolamento, por sua vez, colaboraram para que o hospital geral se mantivesse afastado, até recentemente, da assistência às doenças infecto-contagiosas e até o presente, ao mal de Hansen, sendo referidas as exceções de hospitais escolas de São Paulo. É destacada a importância da educação do corpo clínico, administração e pacientes dos hospitais, bem como do público em geral, como meio de tornar factível, a curto prazo, a integração da assistência dos portadores de hanseníase nos hospitais gerais. Como solução, é proposto o enfoque sistêmico, sendo ressaltado o valor da hanseníase ser considerada como componente normal da problemática geral de saúde e não como um aspecto isolado. As vantagens da adoção desse enfoque são apontadas, situando o hanseniano na multidão assistida pelos hospitais, de forma a torná-lo um paciente qualquer.A historical synthesis shows that the hospital has turned its attention towards the curative aspects of medicine. Diagnosis and therapeutic progress have much contributed towards this, in especial. The lazarets and their later version, the isolation hospitals, have helped in maintaining the general hospitals away, until very recently, from Hansen's disease. The medical school hospitals of São Paulo are exceptions. The importance of the education of the medical and administrative staff, the patients of the hospital, as well as the general public is stressed as being the only way of integrating assistance to the bearers of Hansen's disease in the general hospitals within a short period. A systematic approach is proposed as the solution, as Hansen's disease ought to be considered as a normal component of the general health programme. The

  17. The role of the Director Zmago Slokan in the development of Maribor General Hospital in the first period after the Second World War (1953-1970).

    Science.gov (United States)

    Pivec, Gregor

    2015-12-01

    The author explores and explains the role of the director of Maribor General Hospital in the first period after Second World War. The period was problematic on account of the difficult economic situation and changes in the political system. On one hand the hospital suffered relatively large damage due to bombing attacks during the war and on the other it had to face numerous staffing problems, especially with a lack of physicians and trained nursing staff (from 1948 an executive order entered into force forbidding the nursing nuns from performing nursing care in hospitals). The change in the political system required the management of the hospital to be taken over by an individual who enjoyed the political, professional and economic trust of the then authorities. Based on his engagement during the Second World War, the director, Zmago Slokan, represented a form of guarantee for the political system of that time, which nevertheless wanted the quality-based, professional and economic progress of the hospital. Using his personal characteristics, professional medical and economic knowledge as well as political experience, he was able to manage different tendencies to continue the quality-based progress of the institution. Thus, he set a proper foundation for its development in the periods that followed, in the Socialist Federative Republic of Yugoslavia as well as in the independent Republic of Slovenia (after 1991). The author discusses the role of the director in the hospital's progress chronologically. PMID:26659911

  18. Cisticercose humana diagnosticada em hospital geral, São Paulo, SP (Brasil Human cysticercosis in a general hospital in S.Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Aluízio de Barros Barreto Machado

    1988-06-01

    Full Text Available Foi realizado estudo retrospectivo de pacientes internados no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo (Brasil, no período de 7 anos (1979 a 1985, tendo sido diagnosticados 260 casos de cisticercose, correspondendo a 0,2% do total estudado. Os dados obtidos mostraram uma distribuição aproximadamente igual quanto ao sexo e o acometimento maior na faixa etária de 20 a 50 anos (53,8%. A neurocisticercose foi a forma mais freqüente e seu elevado percentual (91,5% foi atribuído às características da população estudada. Apesar do recente desenvolvimento da tecnologia diagnostica e terapêutica específicas, o tempo de permanência hospitalar médio foi de 35 dias e a letalidade média de 14,6%, apontando para a necessidade de medidas profiláticas através de programas de saúde pública.In this retrospective study of 126,968 in-patients at the Hospital das Clínicas of S. Paulo Medical School, S. Paulo, from 1979 to 1985, cysticercosis was diagnosed in 260 (0.2% of them Epidemiological data obtained from these 260 patients showed a dose distribution with regard to sex, and the age group from 20 to 50 years old was the most affected (53.8%. Neurocysticercosis was the most frequent and the high rate (91.5% was understood to be due to the characteristics of specific the patients studied. Despite the recent development of the diagnostic and therapeutic technology, the average length of hospitalization was 35 days and the rate of lethality 14.6%, pointing to the need for preventive measures on the part of public health programs.

  19. Hypokalaemia: Improving the investigation, management and therapeutic monitoring of hypokalaemic medical inpatients at a district general hospital.

    Science.gov (United States)

    Jordan, Mark; Caesar, Jenny

    2015-01-01

    Hypokalaemia is prevalent in 20% of hospitalised patients. Furthermore, inadequate management of hypokalemia was identified in 24% of these patients. Associated with significant patient morbidity and mortality, the identification, investigation, and treatment of hypokalaemia was identified as an area for improvement in the management of medical inpatients. The project aims to measure the assessment, management, and therapeutic monitoring of medical inpatients with hypokalaemia in a district general hospital. All medical inpatients over a one week period who met the criteria for hypokalaemia (serum potassium ECG requests, repeat U&Es, serum magnesium analysis, treatment prescribed, and medication review dates was collated. A re-audit was completed after the introduction of a set of interventions which included a hypokalaemia treatment algorithm. Pre-intervention analysis of all medical inpatients, who met our inclusion criteria for hypokalaemia, identified 32 patients. 25 of these patients met the criteria for mild hypokalaemia (3.1-3.4 mmol/L) and 7 met the criteria for moderate hypokalaemia (2.5-3.0 mmol/L). Only 7/32 (22 %) patients were receiving adequate treatment based on trust guidelines. Post intervention results showed marked improvement in the management of patients with hypokalaemia. A total of 30 patients were identified in this post-intervention group. There were 16/30 patients who qualified as mild hypokalaemia (3.1-3.4 mmol/L) and 14/30 with moderate hypokalaemia (2.5-3.0 mmol/L). 19/30 (63%) patients in the post-intervention group were correctly prescribed appropriate medication doses consistent with the treatment algorithm. Following the initial success of the project, analysis at 3 months showed a positive trend for sustained improvement when compared to the pre-intervention results. PMID:26734439

  20. Prevalence of Peripheral Arterial Disease among Adult Patients Attending Outpatient Clinic at a General Hospital in South Angola.

    Science.gov (United States)

    Paquissi, Feliciano Chanana; Cuvinje, Arminda Bimbi Paquissi; Cuvinje, Almeida Bailundo

    2016-01-01

    Background. Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. However, no study has assessed this disease in Huambo. The aim of this study was to evaluate the prevalence of PAD in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. The evaluation included a basic questionnaire for lifestyle and medical history and ankle-brachial index (ABI) measurement using hand-held Doppler. PAD was defined as an ABI ≤0.9 in either lower limb. Results. Of 115 patients, 62.60% were women with a median age of 52.5 (range of 40 to 91) years. The prevalence of PAD was 42.6% (95% confidence intervals [CI]: 95%: 33.91-52.17%). Among patients with PAD, 95.92% had mild disease and 4.08% moderate to severe disease. The main risk factor for PAD was age (≥60 years) (χ (2) = 3.917, P ≤ 0.05). The prevalence was slightly higher in men and hypertensive subjects, but without statistical significance with ORs of 1.5 (95% CI: 0.69-3.21) and 1.42 (95% CI: 0.64-3.17), respectively. Hypertension was also high in the group (66.95%). Conclusion. The prevalence of PAD was 42.6%, higher in those aged 60 years and older. More studies, with representative samples, are necessary to clarify PAD prevalence and associated risk factors. PMID:27293966

  1. Prevalence of Peripheral Arterial Disease among Adult Patients Attending Outpatient Clinic at a General Hospital in South Angola

    Directory of Open Access Journals (Sweden)

    Feliciano Chanana Paquissi

    2016-01-01

    Full Text Available Background. Peripheral arterial disease (PAD is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. However, no study has assessed this disease in Huambo. The aim of this study was to evaluate the prevalence of PAD in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. The evaluation included a basic questionnaire for lifestyle and medical history and ankle-brachial index (ABI measurement using hand-held Doppler. PAD was defined as an ABI ≤0.9 in either lower limb. Results. Of 115 patients, 62.60% were women with a median age of 52.5 (range of 40 to 91 years. The prevalence of PAD was 42.6% (95% confidence intervals [CI]: 95%: 33.91–52.17%. Among patients with PAD, 95.92% had mild disease and 4.08% moderate to severe disease. The main risk factor for PAD was age (≥60 years (χ2=3.917, P≤0.05. The prevalence was slightly higher in men and hypertensive subjects, but without statistical significance with ORs of 1.5 (95% CI: 0.69–3.21 and 1.42 (95% CI: 0.64–3.17, respectively. Hypertension was also high in the group (66.95%. Conclusion. The prevalence of PAD was 42.6%, higher in those aged 60 years and older. More studies, with representative samples, are necessary to clarify PAD prevalence and associated risk factors.

  2. Prevalence of Peripheral Arterial Disease among Adult Patients Attending Outpatient Clinic at a General Hospital in South Angola

    Science.gov (United States)

    Paquissi, Feliciano Chanana; Cuvinje, Arminda Bimbi Paquissi; Cuvinje, Almeida Bailundo

    2016-01-01

    Background. Peripheral arterial disease (PAD) is a common manifestation of atherosclerosis, whose prevalence is increasing worldwide, and is associated with all-cause mortality. However, no study has assessed this disease in Huambo. The aim of this study was to evaluate the prevalence of PAD in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods. A cross-sectional study, including 115 patients aged 40 years and older attending an outpatient service. The evaluation included a basic questionnaire for lifestyle and medical history and ankle-brachial index (ABI) measurement using hand-held Doppler. PAD was defined as an ABI ≤0.9 in either lower limb. Results. Of 115 patients, 62.60% were women with a median age of 52.5 (range of 40 to 91) years. The prevalence of PAD was 42.6% (95% confidence intervals [CI]: 95%: 33.91–52.17%). Among patients with PAD, 95.92% had mild disease and 4.08% moderate to severe disease. The main risk factor for PAD was age (≥60 years) (χ2 = 3.917, P ≤ 0.05). The prevalence was slightly higher in men and hypertensive subjects, but without statistical significance with ORs of 1.5 (95% CI: 0.69–3.21) and 1.42 (95% CI: 0.64–3.17), respectively. Hypertension was also high in the group (66.95%). Conclusion. The prevalence of PAD was 42.6%, higher in those aged 60 years and older. More studies, with representative samples, are necessary to clarify PAD prevalence and associated risk factors. PMID:27293966

  3. Radiation Protection During the Change of Sources for the Gamma Knife System in the General Hospital of Vienna

    International Nuclear Information System (INIS)

    Full text: The Leksell Gamma Knife of the General Hospital of Vienna is a complete system for radiosurgery. The Gamma Knife delivers highly accurate external irradiation of intracranial structures from an array of collimated beams of ionising radiation targeted in compliance with a predeviced treatment protocol. The ionising radiation is emitted by cobalt-60 sources in the radiation unit. The sources are heavily shielded within a cast iron body with shielding doors which provide protection for the patient and the staff. Each of the 201 radiation sources located in the radiation unit is composed of cobalt-60 pellets which are encapsulated in double stainless steel capsules with welded closures. At the time of calibration the specific activity of each source was approximately 925 GBq/g (250 Ci/g) and the total activity was 222 TBq. After six years of operation without any problems and incidents, due to the decrease of activity the 201 old sources had to be changed. The cobalt sources were delivered to the site in specially designed protective casks. With a special loading machine, which is a shielded cell, designed for handling radiation sources with full radiation safety, the 201 old sources were unloaded and the loading procedure with the new sources was done. The paper describes all the radiation protection measures foreseen from the arrival of the new sources, the unloading of the old sources, the loading of the Gamma Knife with the new sources and the re-transport of the old sources, especially the dose and dose-rate measurements and the results of the smear and wipe-tests. (author)

  4. Medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou%郑州市综合医院医务场所暴力与医务人员亚健康

    Institute of Scientific and Technical Information of China (English)

    杨力沣; 王珂; 娄小平; 朱伟

    2011-01-01

    Aim; To investigate the relationship between medical workplace violence and sub-health among hospital staffs in general hospitals in Zhengzhou. Methods: A study by cluster sampling was conducted to investigate 6 general hospitals in Zhengzhou. Self-developed questionnaires about workplace violence and sub-health were conducted in 1 265 hospital staffs that were selected randomly. Results :46. 1% participants suffered workplace violence. The difference of physiological, psychological and social function scores of sub-health between hospital staffs who suffered hospital violence and those without hospital violence experience was statistically significant (t = 1. 674,6. 957 and 4. 686 ,P < 0. 001). The difference of three dimensions of sub-health scores between different sources and coping styles of violence was statistically significant (P < 0. 05 ). Conclusion: The workplace violence may lead to hospital staffs' physiological, psychological and social function abnormality, and decrease their survival quality.%目的:探讨郑州市综合医院医务场所暴力与医务人员亚健康的关系.方法:整群抽取郑州市6所综合医院,随机抽取医务人员1 265名,采用自制暴力问卷和亚健康量表进行暴力经历和亚健康状况调查.结果:暴力发生率为46.1%;遭受暴力(包括不同形式暴力)与否的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异有统计学意义(t=7.674、6.957和4.686,P均<0.001);不同暴力来源、采取不同应对方式的医务人员在生理亚健康、心理亚健康和社会亚健康3个维度得分差异均有统计学意义(P均<0.05).结论:医务场所暴力可导致医务人员出现生理健康、心理健康和社会功能异常,生存质量下降.

  5. Reseña de: THIEUX, Laurence, Islamismo [...] y de RODRÍGUEZ LÓPEZ, Carmen, Turquía [...

    Directory of Open Access Journals (Sweden)

    Ana PLANET

    2008-10-01

    Full Text Available THIEUX, Laurence, Islamismo y democracia en Argelia. Francia y Estados Unidos frente al conflicto, Ediciones del Oriente y del Mediterráneo, Colección Encuentros, Serie TEIM, Guadarrama, 2008. RODRÍGUEZ LÓPEZ, Carmen, Turquía: la apuesta por Europa, Los libros de La Catarata, Madrid, 2007.

  6. Nutritional screening tools application in a general hospital: a comparative study Aplicação de instrumentos de triagem nutricional em hospital geral: um estudo comparativo

    Directory of Open Access Journals (Sweden)

    Janaína Damasceno Bezerra

    2012-05-01

    Full Text Available Introduction: There are many nutritional screening tools and it becomes difficult to choose which one is the best to be used in clinical nutrition practice. Objective: To compare five nutritional screening tools (MST, NRS-2002, MUST, MNA and MNA-SF in adults and elderly hospitalized. Materials and Methods: A cross-sectional study, with the application of nutritional screening tools in adult and elderly patients in the first 48 hours of hospitalization was performed. Nutritional risk occurrence between adult and elderly patients was compared. Statistical analyses were performed using descriptive data and a non-parametric test (Man Whitney. Results: We evaluated 77 patients, 51 (66.2% adults and 26 (33.8% elderly, aged 53.6 (standard deviation of 17.9 years, with female predominance (53.2%. The main reasons for hospitalization were neoplasia and nephrolithotripsy. Overall, one quarter of patients was at nutritional risk. Nutritional risk in adults was detected with similarity by MUST and MST. However it was underestimated by NRS-2002. The MNA and MNA-SF, exclusively for the elderly, also had similar result to detect nutritional risk. In relation to the time of application, the MNA was the instrument with longer application time. Conclusion: Considering the higher detection of patients with nutritional risk, the easiness and the lower application time, we suggest, respectively, MUST and MNA-SF to be used in adult and elderly patients admitted in this hospital.Introdução: Com inúmeros instrumentos de triagem nutricional existentes, é difícil eleger o mais adequado para os protocolos de nutrição hospitalar. Objetivo: Comparar cinco instrumentos de triagem nutricional (MST, NRS-2002, MUST, MNA e MNA-SF em adultos e idosos hospitalizados. Materiais e Métodos: Nesse estudo transversal, cinco instrumentos de triagem nutricional foram aplicados aos pacientes nas primeiras 48 horas de internação hospitalar. A ocorrência de risco nutricional

  7. Delirium, a ‘confusing’ condition in general hospitals: The experience of a Consultation–Liaison Psychiatry Unit in Greece

    OpenAIRE

    Goulia, Panagiota; Mantas, Christos; Hyphantis, Thomas

    2009-01-01

    Background/aims: A plethora of studies showed that delirium is common in hospitalized populations. We aimed to examine the characteristics of delirium patients referred to our Consultation–Liaison Psychiatry Unit (CLPU). Methods: Our CLPU database was used to obtain data of all referred patients admitted to our hospital and diagnosed with delirium. All referred nondelirious patients served as controls. Results: During one year, 483 patients were referred to the CLPU. Ninety-three (19.3%) were...

  8. Diagnosis and pharmacological treatment of depressive disorders in a general hospital Diagnóstico e tratamento dos transtornos depressivos em hospital geral

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    Marco Aurélio Cigognini

    2006-06-01

    Full Text Available OBJECTIVE: To determine the point prevalence of depressive disorders in medical inpatients, to identify related sociodemographic and medical factors and to evaluate the psychotropic treatment given. METHOD: A cross-sectional study identifying the prevalence of depressive disorders and related factors combined with a prospective longitudinal study evaluating the psychopharmacological treatment were conducted. Medical inpatients, aged 18 years or older, presenting suitability to be interviewed and giving written informed consent were selected. The sample was composed of 125 subjects. The following instruments were used: a sociodemographic questionnaire; the Mini International Neuropsychiatric Interview; and the Beck Depression Inventory. Data related to medical, personal and family histories of psychiatric disorders and psychotropic use were collected by interview and from patient charts. The study took place at the Hospital Santa Isabel, in Blumenau, located in the state of Santa Catarina, Brazil, from January to July of 2002. RESULTS: The prevalence of depressive disorders was 26%. The factors that correlated with depressive disorders were being female, having an income lower than 3 times the minimum wage, having a personal history of depressive disorders, using psychotropic drugs, scoring higher than 13 on the Beck Depression Inventory and having been referred for a psychiatric consultation (p OBJETIVO: Identificar a prevalência de transtornos depressivos em pacientes internados em enfermarias clínicas de um hospital geral, avaliar o tratamento psicofarmacológico recebido e detectar fatores sociodemográficos e clínicos associados. MÉTODO: Realizou-se um estudo observacional transversal identificando a prevalência de transtornos depressivos e fatores associados juntamente com estudo longitudinal prospectivo avaliando o tratamento psicofarmacológico recebido durante a internação. Foram selecionados pacientes com mais de 18 anos, que

  9. Care quality management in large general hospitals%大型综合性医院医疗质量管理的思考

    Institute of Scientific and Technical Information of China (English)

    李景波; 张勇; 吴昊; 罗旭

    2010-01-01

    分析了大型综合性医院的医疗质量管理需求和医院质量管理理论的进展,从医院医疗质量管理的实践出发,认为医疗质量管理的核心是医院的全面科学化管理,应结合医院评审的发展方向,通过全面质量管理体系,强化质量管理和质量文化建设,实现医疗质量的长效化管理,以提升医院核心竞争力.%The paper analyzed the needs for care quality management in large general hospitals and progresses made in hospital quality management theories. In respect of care quality management in hospitals, authors hold that the key to care quality is comprehensive scientific management of hospitals, and it is necessary to put in place a long-term management of care quality in line with the development direction of hospital evaluation and by means of total quality management system, as well as enhanced quality management and quality culture building.

  10. 某综合医院SARS暴发与控制%The emergence and containment of severe acute respiratory syndrome spreaded in a general hospital

    Institute of Scientific and Technical Information of China (English)

    WANG Shi-xin; TIAN Wen-feng; JIA Gang; LI Yu-ming; CHANG Ai-hua; GAO Xiu-xia; WEI Mao-ti; YANG Zhen; ZHANG Jian-peng; ZHANG Zhi-lun; SHEN Peng

    2003-01-01

    Objective:To investigate the SARS epidemic and the control effectiveness in a general hospital. Methods:Clinical and suspected cases of SARS were queried in the hospital, the emerging of the disease was described and the effectiveness of control measures were analyzed according to the rules and protective materials used during the epidemic. Results:The outbreak started with a patient from Beijing on 15 April. The disease spread quickly among the healthcare workers and the cohabit patients in the hospital which the first cases were admitted. By 17 May, 112 probable (clinical cases) and suspected cases had been reported with 14 deaths. 89 cases in the hospital were surely sourced from the index SARS patient whose admission for the sake of coronary heart disease caused the SARS outbreak. With the stringent control measures and the endeavors of the hospital staff, the epidemic was controlled successfully in a short period. From May 17 to now, no new cases occurred. Conclusion:Though with high infectivity, SARS can also be controlled with proper strategy and methods.

  11. CHARACTERISTIC OF PATIENTS WITH REFRACTIVE DISORDER AT EYE CLINIC OF SANGLAH GENERAL HOSPITAL DENPASAR, BALI-INDONESIA

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    T Handayani-Ariestanti

    2012-09-01

    Full Text Available Objective: Refractive disorders are one of the most common causes of visual impairment worldwide and become the second leading cause of blindness that can be cured. This study aims to know the characteristic of refractive errors patients in Sanglah General Hospital in the period of 1st January until 31st December 2011.Method: This is a retrospective analytical descriptive study. Data were collected retrospectively from patient’s medical records with refractive errors and shown as frequency andpercentage. Visual acuity before and after corrections were investigated and analyzed using McNemar Test.Results: from 579 patients, the most common diagnosis was astigmatism (40.1%, 63% were woman, 39.7% were older than 40 years old, and 60.2% live in Denpasar. In myopia cases, 69.7% patients were woman and 25.1% were between 11-20 years old. In astigmatism cases, 63.4% were woman, 57% were older than 40 years old. Of the hypermetropic cases, 61,3% were woman, 79.5% were older than 40 years. Among presbyopia cases, 53.2% patients were woman with 84.4% were older than 40 years. In McNemar test, there were a significant difference between visual acuity before and after correction in both eyes (p=0.0001. Most astigmatism was with the rule cases on both eyes. On the right eye 54.3% shows mild astigmatism, whereas on the left eye 50.8% shows moderate astigmatism. In hypermetropic cases 92.4% are mild degrees. While 55.5% presbyopic patients needadditional glasses of +1.00 D up to +2.00 D. About 97.9% patients with refractive error were given glasses prescription. Conclusion: mostly refractive errors patient are woman and the most common diagnosis is astigmatism. There were significant differences of visual acuity before and aftercorrection on both eyes (p=0.001.

  12. Racial Differences in Length of Stay for Patients Who Leave Against Medical Advice from U.S. General Hospitals

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    Rima Tawk

    2015-12-01

    Full Text Available There is a paucity of published literature on the length of hospital stays (LOS for patients who leave against medical advice (AMA and on the factors that predict their LOS. The purpose of the study is to examine the relationship between race and the LOS for AMA patients after adjusting for patient and hospital characteristics. National Hospital Discharge Survey (NHDS data were used to describe LOS for AMA patients aged 18 years or older. Patient characteristics included age, sex, race, marital status, insurance, and diagnosis (ICD-9-CM. Hospital characteristics consisted of ownership, region and bed size. LOS was the major outcome measure. Using data from all years 1988–2006, the expected time to AMA discharge was first examined as a function of race, then adjusting for year terms, patient and hospital characteristics, and major medical diagnoses and mental illness. The unadjusted effect of race on the expected time of leaving AMA was about twice the adjusted effect. After controlling for the other covariates, the expected time to AMA discharge is 20% shorter for Blacks than Whites. The most significant predictors included age, insurance coverage, mental illness, gender, and region. Factors identified in this study offer insights into directions for evidence based- health policy to reduce AMA discharges.

  13. Capacitación sobre lactancia materna al personal de enfermería del Hospital General de México

    OpenAIRE

    Hernández-Garduño Adolfo Gabriel; Rosa-Ruiz Leticia de la

    2000-01-01

    OBJETIVO: Evaluar el cambio de conocimientos acerca de la lactancia entre el personal de enfermería del Hospital General de México que asistió a un curso teórico-práctico sobre lactancia materna de 18 horas de duración. MATERIAL Y MÉTODOS: Se realizó una intervención educativa sobre lactancia materna, con evaluación inicial y final, en el Hospital General de México, de mayo de 1996 a mayo de 1997. Se capacitó a 152 enfermeras. Se aplicó la prueba t de Student para muestras dependientes y anál...

  14. Major depression and first-time hospitalization with ischemic heart disease, cardiac procedures and mortality in the general population

    DEFF Research Database (Denmark)

    Gasse, Christiane; Laursen, Thomas M; Baune, Bernhard T

    2014-01-01

    death were significantly increased by up to 15% and 68%, respectively, in persons with hospital admissions due to depression, and were most increased in 15-59 year old women (IRR: 1.64; MRR: 2.57) and men with depression (IRR: 1.39; MRR: 2.21), and during the first 180 days after being diagnosed with...... depression (women: IRR: 1.38; MRR: 2.35; men: IRR: 1.42; MRR: 2.67). One-year mortality after new ischemic heart disease was elevated by 34% in women and men. By contrast, overall rates of invasive cardiac procedures following cardiac hospitalizations were significantly decreased by 34% in persons with......Objective: We investigated the association between unipolar depression and incident hospital admissions due to ischemic heart disease, invasive cardiac procedures and mortality independent of other medical illnesses.Methods: A population-based cohort of 4.6 million persons aged 15 years or older...

  15. Implementation of new echocardiographic modalities in routine practice in a general hospital – Pocket-size cardiac ultrasound and 3 dimensional echocardiography. Studies on feasibility and diagnostic accuracy

    OpenAIRE

    2015-01-01

    This thesis is based upon the implementation of pocket-size cardiac ultrasound (PCU) among medical students and residents in internal medicine and 3 dimensional echocardiography (3DE) in routine care at a general hospital. The introduction of widely available and handy ultrasound devices has represented a challenge to the medical community as implementation in clinical practice can be made by non-specialists. In view of favorable results from the non-expert use of the larger laptop-sized d...

  16. Trend in admissions, clinical features and outcome of preeclampsia and eclampsia as seen from the intensive care unit of the Douala General Hospital, Cameroon

    OpenAIRE

    Priso, Eugene Belley; Njamen, Theophile Nana; Tchente, Charlotte Nguefack; Kana, Albert Justin; Landry, Tchuenkam; Tchawa, Ulrich Flore Nyaga; Hentchoya, Romuald; Beyiha, Gerard; Halle, Marie Patrice; Aminde, Leopold; Dzudie, Anastase

    2015-01-01

    Introduction Hypertensive disorders in pregnancy (HDP) are a major cause of maternal morbidity and mortality. We aimed at determining the trends in admission, profiles and outcomes of women admitted for preeclampsia and eclampsia to an intensive care unit (ICU) in Cameroon. Methods A retrospective study involving 74 women admitted to the ICU of the Douala General Hospital for severe preeclampsia and eclampsia from January 2007 to December 2014. Clinical profiles and outcome data were obtained...

  17. An Inquiry on the Effect of knowledge management and strategic leadership on dynamic capability, entrepreneurship strategy and organizational performance in the general public hospitals

    OpenAIRE

    Asdar, Muhammad

    2013-01-01

    Organizational dynamic capability and entrepreneurship strategy are two aspects that have contribution in affecting organizational performances particularly by means of knowledge management and strategic leadership. There is a need to identify this presumption, thus current research in this paper were employed in the General Public Hospitals in Makassar in the Provinces of South Sulawesi (Indonesia). Previous research has uncovered important factors of organizational performance such as knowl...

  18. Applicability of the Chinese version of the Hypomania Symptom Checklist (HCL-32 scale for outpatients of psychiatric departments in general hospitals.

    Directory of Open Access Journals (Sweden)

    Xiao Huang

    Full Text Available OBJECTIVES: This study aimed to determine the suitability of the Chinese version of the Hypomania Symptom Checklist (HCL-32 scale for psychiatric department outpatients with mood disorders in Chinese general hospitals, and provide a theoretical basis for the application of the HCL-32 scale. METHODS: Outpatients with mood disorders receiving continuous treatment in the psychiatric medicine department of three top-ranking general hospitals in three cities completed scoring the HCL-32 scale. RESULTS: A total of 1010 patients were recruited. 417 were diagnosed with bipolar disorder (236 for type I and 181 for type II and 593 were depression. Four factors with eigenvalues >1 were considered. Factor 1 with an eigenvalue of 5.5 was labeled "active/cheerful". Factor 2 with an eigenvalue of 2.7 was labeled "adventurous/irritable." The coefficient of internal consistency reliability of the HCL-32 total scale was 0.84, and the coefficients for factors 1 and 2 were 0.84 and 0.88, respectively. With the total score of HCL-32≥14 as positive standard, the sensitivity of HCL-32 was calculated at 69.30% and the specificity was 97.81%. CONCLUSIONS: Results showed that HCL-32 had a preferable reliability and validity and was suitable as auxiliary means for bipolar disorder screening in general hospitals.

  19. Percutaneous endoscopic gastrostomy in porcines performed with standard medical instruments used in a general hospital routine Gastrostomia percutânea endoscópica em suínos realizada com instrumentos de uso rotineiro em hospital geral

    Directory of Open Access Journals (Sweden)

    Luiz Roberto do Nascimento

    2004-10-01

    Full Text Available PURPOSE: To perform a endoscopic gastrostomy by the introducer method with routine instruments used in a general hospital, without special instruments or special kits. METHODS: This procedure was performed in pigs (Sus scrofa domesticus under observation for seven days and then submitted to euthanasia.The technique was evaluated for macroscopic and histologic parameters. RESULTS: All animals had a good evolution without major complications. Some minor complications occurred like a rupture of Foley catheter balloon and subcutaneous space abscess. CONCLUSION: The percutaneous gastrostomy with routine general hospital instruments is successful performed, is safe,cheap and must be performed by skilled endoscopists.OBJETIVO: Realizar uma gastrostomia endoscópica pelo método de punção, porém feita com instrumentos de uso rotineiro em um hospital geral, abolindo o uso de instrumentos especiais e de kits industrializados. MÉTODOS: O procedimento foi realizado em suinos da raça Landrace (Sus scrofa domesticus , que permaneceram em observação por sete dias, quando foram submetidos a eutanasia e avaliados por parâmetros macroscópicos e histológicos. RESULTADOS: Todos os animais tiveram boa evolução, não apresentando complicações importantes. Pequenas complicações, como ruptura do balão da sonda de Foley e abscesso subcutâneo ocorreram. CONCLUSÃO: A gastrostomia percutânea endoscópica é um procedimento seguro, barato e perfeitamente realizável com materiais de uso rotineiro em um hospital geral, porém deve ser realizada por endoscopistas devidamente treinados.

  20. Significado do trabalho dos profissionais de enfermagem no hospital geral Significado del trabajo de los profesionales de enfermería en el hospital general

    Directory of Open Access Journals (Sweden)

    FRANCISCA DE MELO BESERRA

    2010-12-01

    Full Text Available Objetivo: objetivou-se analisar como os profissionais de enfermagem expressam seus sentimentos e reações no trabalho. Métodos: estudo descritivo, de abordagem qualitativa. Foi realizado no período de julho a setembro de 2008 em um hospital público na cidade de Fortaleza, Ceará (Brasil. Os participantes foram 22 profissionais de enfermagem: 10 enfermeiras e 12 técnicos. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da instituição. Para a coleta das informações, utilizamos entrevistas individuais, com roteiro semiestruturado. Resultados: as respostas foram categorizadas em: significado do trabalho na sala de recuperação e unidade de terapia pós-operatória; fatores que interferiram na saúde física e psíquica dos profissionais de enfermagem e fatores que influenciaram no desempenho profissional. Discussões: o cotidiano do trabalho na terapia intensiva foi avaliado como estressante, mas prazeroso. O sofrimento físico, expresso pela carga de trabalho, foi relatado pelas dores em seus corpos. Os fatores do ambiente que influenciam no desempenho profissional foram: falta de material, barulho dos equipamentos e fatores ergonômicos. Conclusões: O trabalho, em terapia intensiva, suscita um debate que não é novo, mas desperta para a implementação de estratégias defensivas ao estresse. O estudo possibilitou criarmos espaços para acolhimento e escuta dos profissionais de enfermagem, com vistas à redução do sofrimento físico e psíquico no trabalho.Objetivo: analizar como los profesionales de enfermería expresan sus sentimientos y reacciones en el trabajo. Métodos: estudio descriptivo de enfoque cualitativo. Se realizó en el período comprendido entre julio y septiembre de 2008 en un hospital público en la ciudad de Fortaleza, Ceará (Brasil. Los participantes fueron 22 profesionales de enfermería: 10 enfermeras y 12 técnicos. El estudio fue aprobado por el Comité de Ética en Investigación de la instituci

  1. [Access, use and preferences of Information and Communication Technologies by physicians in a general hospital in Peru].

    Science.gov (United States)

    Vásquez-Silva, Luis; Ticse, Ray; Alfaro-Carballido, Luz; Guerra-Castañon, Felix

    2015-01-01

    We assessed the access, use and preferences of information and communication technology (ICT) by physicians who practice at Cayetano Heredia National Hospital. The questionnaire explored the availability and skills of ICT, time, educational activities, search engines and technological applications most used as well as ICT preferences in education.211 physicians were surveyed; laptop use was 93%, tablet and smartphone use was 66% and 88%.68% have mobile Internet. Differences were evident in the frequency of use of ICT in 25-34 year old age group as well as a higher level of skills (pICT is common among doctors in this hospital and there is positive interest in its use in education. PMID:26338389

  2. Relationship of Characteristics of Baby’s Mother with the Low Birth Weight in Regional General Hospital in Sorong

    OpenAIRE

    Agustina Naa; Rantetampang, A. L; Bernard Sandjaja

    2016-01-01

    The mortality rate of low birth weight is part of a reflection of the public health status. Low birth weight babies are born with birth weight less than 2,500 grams regardless of pregnancy. The aim of research to determine the relationship characteristic of mothers of infants with LBW. This type of research is observational analytic with cross sectional design. Collecting data through observation sheet on record medic mothers who gave birth in hospitals 2014, in Sorong, West Papua Province in...

  3. Improving the effectiveness of the emergency management of renal colic in a district general hospital: a completed audit cycle

    OpenAIRE

    Kastner, C; Tagg, A

    2003-01-01

    Methods: Data were collected about the use of analgesia, waiting time for intravenous urography (IVU), and admission status of patients presenting to the hospital with symptoms of renal colic over the period of three months. A literature search into the use of analgesia, imaging, and treatment was performed. Members of the involved departments were consulted and new guidelines developed and implemented. This was followed by further data collection over three months.

  4. Acute referral of patients from general practitioners: should the hospital doctor or a nurse receive the call?

    Directory of Open Access Journals (Sweden)

    Mortensen Anne Mette M

    2011-08-01

    Full Text Available Abstract Background Surprisingly little is known about the most efficient organization of admissions to an emergency hospital. It is important to know, who should be in front when the GP requests an acute admission. The aim of the study was to analyse how experienced ED nurses perform when assessing requests for admissions, compared with hospital physicians. Methods Before- and after ED nurse assessment study, in which two cohorts of patients were followed from the time of request for admission until one month later. The first cohort of patients was included by the physicians on duty in October 2008. The admitting physicians were employed in the one of the specialized departments and only received request for admission within their speciality. The second cohort of patients was included by the ED in May 2009. They received all request from the GPs for admission, independent of the speciality in question. Results A total of 944 requests for admission were recorded. There was a non-significant trend towards the nurses admitting a smaller fraction of patients than the physicians (68 versus 74%. While the nurses almost never rejected an admission, the physicians did this in 7% of the requests. The nurses redirected 8% of the patients to another hospital, significantly more than the physicians with only 1%. (p Conclusions We found no differences in the frequency of admitted patients or unnecessary admissions, but the nurses redirected significantly more patients to the right hospital according to the catchment area, and used only half the time for the assessment. We find, that nurses, trained for the assignment, are able to handle referrals for emergency admissions, but also advise the subject to be explored in further studies including other assessment models and GP satisfaction.

  5. Pabellón de trasplantes en el hospital general de Edimburgo, Gran Bretaña

    Directory of Open Access Journals (Sweden)

    Womersley, P.

    1970-11-01

    Full Text Available The set of buildings includes a medical wing, an administrative wing, and a slightly elevated passage, which connects the Nuffield Foundation with the Hospital, through which patients and donants are taken from the Hospital to the Pavillion. The body of the building, which is tower shaped, has stairs, a lift, water tanks; and in the semi-basement there are mechanical, sanitary, and air conditioning installations. This pavillion has been specially designed to carry out human transplants, mainly kidneys, and meets present complex technical needs in this branch of surgery. From the aesthetic aspect, the total designs gives the visitor the impression of safety and airiness, and induces a sensation of confidence.El conjunto construido consta de: un ala médica; un ala administrativa; y un paso ligeramente elevado, que une Nuffield con el Hospital, utilizado para el traslado de pacientes y donantes desde el Hospital al Pabellón. El cuerpo de edificio, con aspecto de «torre», contiene: la escalera, el ascensor, el depósito de agua, etc.; el semisótano alberga: los equipos mecánicos y los servicios de las instalaciones sanitarias, aire acondicionado, etc. Ha sido especialmente diseñado para realizar operaciones de trasplante de órganos humanos, en particular de riñon, y satisface adecuadamente las complejas exigencias técnicas que reclamaban los recientes avances en esta rama de la cirugía. Desde el punto de vista estético, el conjunto construido produce en el espectador una sensación segura y etérea, que lo hace sumamente atractivo.

  6. Producción científica institucional y posicionamiento nacional: el caso del Hospital General de México

    Directory of Open Access Journals (Sweden)

    Macías-Chapula, C. A.

    2004-12-01

    Full Text Available The purpose of this work was to identify the scientific output, position and visibility of Mexico’s General Hospital (Hospital General de México-HGM. A literature search in the following databases was conducted for the period 1990-2003, in order to obtain the hospital’s scientific production: NCR, MEDLINE, LILACS, ARTEMISA, PERIODICA, and CLASE. The hospital scientific visibility was identified through the analysis of 140 documents retrieved from MEDLINE, for the period 1999-2003. Similarly, in order to obtain the scientific position of HGM at the national level, a bibliographic search was conducted in NCR and MEDLINE. Data were analyzed both manually and through BIBEXCEL 2001 and EXCEL 2000. Results included the retrieval of 1.647 references from the above mentioned databases. The subject content visibility indicated that the scientific production of the hospital was mainly related to comparative studies, treatment, and retrospective studies. As for the scientific position of the hospital, a rank 9 (r = 1-78in NCR and rank 12 (r = 1-74 in MEDLINE, was obtained. The study obtained the production, scientific position and visibility of the hospital through the databases used. HGM scientific production showed a high trend in the clinical medicine area and a low productivity in the social and humanistic fields. The thematic production of the hospital does not coincide with its main mortality causes; however, the hospital remains within the main 15 health research institutions at a national level. Finally, the document describes the implications of the study and the needed research actions, in order to support the adequate science policy lines of the hospital.

    El propósito de este trabajo fue el de identificar la producción, visibilidad y posicionamiento científico del Hospital General de México (HGM. Para la identificación de la producción del hospital, se condujo una investigación bibliográfica en las siguientes bases de datos

  7. Comparison of Substance-Use Prevalence among Rhode Island and The Miriam Hospital Emergency Department Patients to State and National General Population Prevalence Estimates

    Science.gov (United States)

    Bernardino, Vera L.; Baird, Janette R.; Liu, Tao; Merchant, Roland C.

    2016-01-01

    Objectives Compare the prevalence of recent alcohol, tobacco, and drug use among patients from two Rhode Island emergency departments (EDs) to Rhode Island state and United States national general population estimates between 2010 and 2012. Methods Secondary analysis of ED patient data and the National Survey of Drug Use and Health. Results Alcohol was the most commonly reported substance, and prevalence of its use was higher among ED patients than those in the national, but not the Rhode Island, general population. Drug use was higher among ED patients than in the state and national general population. For ED patients, tobacco and opioid use was highest among 26–34 year-olds, alcohol and marijuana highest among 18–25 years-olds, and cocaine highest among 35–49 years-olds. Conclusion Rhode Island Hospital and The Miriam Hospital ED patients report a greater prevalence of substance use than the national population and in many cases the state general population. PMID:25830171

  8. Perfil dos idosos internados no Hospital Geral em Belém (Pará Perfil de los ancianos internados en el Hospital General en Belém (Pará Brasil Profile of the elderly admited in a General Hospital at Belém (Pará - Brazil

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    Maria Izabel Penha de Oliveira Santos

    2007-03-01

    Full Text Available O estudo objetivou identificar o perfil dos idosos internados em um hospital geral da rede pública de saúde em Belém (Pará. Estudo transversal, retrospectivo, analítico. Foram analisadas variáveis sociodemográficas, causas da internação, tempo de permanência, complicações e dependência para cuidados de enfermagem, em 160 prontuários, em 2001. A análise estatística foi processada pelo programa eletrônico Epi-info 6.04. Os resultados apontam: A idade variou entre 65 e 74 anos (43,1%, e os idosos eram do sexo masculino (53,1%. A maior freqüência das internações foi por doenças respiratórias (53,7%; os sintomas evidentes foram dispnéia, hipertemia e hipertensão; e o tempo médio de permanência foi de 16 dias. O tempo de internação prolongado aparece como um fator de risco no desenvolvimento de incapacidades, pela imobilidade no leito, complicações como úlceras de decúbito e demais iatrogenias. Houve dependência para os cuidados de enfermagem e necessidade de intervenção interdisciplinar.El estudio tiene como objetivo identificar el perfil de ancianos hospitalizados en hospital general de salud pública, en Belém, Estado Pará. Estudio cuantitativo, retrospectivo y analitico. Analizadas variables sócio-demográficas, causas de internación, tiempo de permanencia, complicaciónes y dependencias de la enfermería en muestra de 160 historias en 2001. Analisys estadística fué a través del programa electrónico Epi-info 6.04. Los resultados apuntaran: La edad varió de 64 a 74 años (43, y 85 (53,1% y los ancianos eran del sexo masculino, la major frecuencia de la internaciónes fueron enfermedades respiratorias (53,7%, los síntomas evidentes disnea, hipertermia na hipertensión, tiempo promedio de 16 dias. Los ancianos se internaron en media dos veces al año , tiempo de internación largo aparece como factor de riesgo en el desarrollo de incapacidad, por la inmobilidad en las camas, complicaciónes como úlceras

  9. Differences in care between general medicine and respiratory specialists in the management of patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease

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    Kurugamage Wijayaratne

    2013-01-01

    Full Text Available Context: Hospitalized patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD may be managed by either respiratory specialists (RS or general medicine physicians (GMP. While previous studies have audited the hospital AECOPD management of RS, only a small number of studies have evaluated the management of GMP. Aims: The aims of this study were to firstly examine the differences in AECOPD management of GMP and RS and secondly compare their care to national COPD guidelines. Methods: A retrospective review was undertaken of consecutive AECOPD patients admitted to two hospitals (one hospital where all AECOPD patients were managed by RS and another where all AECOPD patients were managed by GMP over a 3-month period. Electronic medical records, medical case notes, pathology and radiology data for the admission were reviewed. Results: There were 201 COPD exacerbations in 169 patients (49.7% male, mean age 72.3. GMP managed 84 (41.7% exacerbations. In comparison to RS, GMP performed fewer spirometry tests, blood gas analysis and less frequently treated patients with guideline-recommended medications. Referral to pulmonary rehabilitation was poor for both groups of clinicians. Median length of stay was shorter in GMP patients versus RS patients (3 days vs. 5 days, P = 0.001. There were no differences in the 12-month re-admission (41.7% vs. 38.5%, P = 0.664 and mortality rates (10.7% vs. 6%, P = 0.292 between both groups of patients. Conclusion: Our study found differences in the hospital AECOPD management of GMP and RS, but these did not translate into different clinical outcomes between their patients. We also found suboptimal adherence to national COPD guidelines, suggesting that there is scope for improvement in the AECOPD management of both groups of clinicians.

  10. The Antimicrobial Activity o f Honey o n Bacterial Isolates From Burns/Wound o f Patients Attending General Hospital, Ankpa, Kogi State. Nigeria

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    Aliyu Aminu Ibrahim

    2016-05-01

    Full Text Available The antimicrobial activity of honey samples from Ankpa, Enjema and Ojoku districts of Ankpa Local Government Area of Kogi State, Nigeria against coagulase negative Staphylococcus species, Pseudomonas aeruginosa, coagulase positive Staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli and Proteus speciesobtained from 200 burns/wound patients attending General Hospital, Ankpa were determined. The sensitivity of honey to the test organisms ranges from 16mm to 19mm in diameter. The minimum inhibitory concentration (MIC of the honey samples on the bacterial isolates from Ankpa and Ojoku were 0.16 v/v and 0.32 v/v for honey from Enjema. The results of the study revealed that honey from the area understudy has high antimicrobial activity and it is recommended that pure natural honey should be stocked in hospitals/clinics so as to encourage its application in the treatment of burns/wound infections

  11. Histerectomia Laparoscópica em um Hospital Geral Comunitário Experiência Inicial e Comparação de Custos Hospitalares Laparoscopic Hysterectomy in a Community General Hospital Initial Experience and Comparison of Hospital Costs

    OpenAIRE

    Randal Henrique de Oliveira; Antônio Alberto Nogueira; Álvaro Augusto Trigo; Francisco Spanó Neto; João Davanço Neto; Elias Dias Martins Jr.; Luciano Costa Marques

    2000-01-01

    Objetivo: comparar os custos hospitalares entre a histerectomia vaginal assistida por laparoscopia (HVAL) e a histerectomia total abdominal (HTA), relatando a experiência inicial com a nova abordagem em um hospital geral comunitário. Pacientes e Métodos: foram comparados 11 casos de HVAL e 23 de HTA, realizados de setembro de 1998 a julho de 1999. Prontuários e demonstrativos das despesas hospitalares de cada paciente foram revistos para coletar as variáveis analisadas. Resultados: não houve ...

  12. Application Anti Microbial Activity Test and Direct Inoculation of Urinary Specimen Test to Increase the Quality of Results and Decrease the Production Cost in Clinical Microbiology Laboratory, Sanglah General Hospital Hospital, Bali-Indonesia

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    Nyoman Sri-Budayanti

    2012-05-01

    Full Text Available Objective: Urinary tract infection (UTI is the most common bacterial infection in general practice and in hospitals. Fast and accurate urine culture and sensitivity test are needed for adequate therapy. Anti Microbial Activity test (AMA test that is used to detect the presence of antibiotics in urine specimens is not commonly used in clinical microbiology laboratories. Some laboratories are still using indirect inoculation technique using enriched media before inoculating onto the agar media. The aim of this research is to compare results of urinary examination of direct inoculation technique with AMA test with indirect inoculation technique without AMA test.Methods: A number of 210 urine specimens were collected in Clinical Microbiology Laboratory at Sanglah General Hospital within a time period between 16 June until 16 July 2009.Results: Antibiotics were detected in 40% of the urinary specimens; whereas 48.1% showed no evidence of UTI, that is negative AMA test and sterile urinary culture or colony growth < 105 CFU/ml. Only 11.9% of the specimens indicates urinary tract infections. The examination can be completed within 2-3 days which is shorter than indirect inoculation test which require 5-7 days. Direct inoculation technique can reduce the cost of production three-fold the costs require for an indirect inoculation test.Conclusions: Application of AMA test and direct inoculation technique can give results more rapidly, reliable and useful for clinicians. This also decrease the laboratory’s cost of production.

  13. Un puente entre España y Portugal: Carmen de Burgos y su amistad con Ana de Castro Osório

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    Núñez Rey, Concepción

    2014-04-01

    Full Text Available Spain and Portugal experienced a time of intense cultural exchange from 1915 onwards through two major female figures in the two countries who were bound by strong intellectual and personal links. Ana de Castro was a writer prominent in politics, journalism and Portuguese literature from the late 19th century, and Carmen de Burgos was the first professional Spanish woman journalist and one of the most important writers of the first third of the 20th century. They shared the ideals of equality for women and social justice for all, in conjunction with their incessant work in the press and in literary creation: Ana de Castro, more as a political figure, Carmen de Burgos, more as writer. We remember here the intense activity that they shared and the wide echo that it found in the press of both countries.España y Portugal vivieron un tiempo de intenso intercambio cultural a partir de 1915 a través de dos grandes figuras femeninas de ambos países, unidas por fuertes vínculos intelectuales y personales. Ana de Castro fue una escritora muy destacada en la política, en el periodismo y en la literatura lusas desde finales del siglo XIX, y Carmen de Burgos fue la primera periodista profesional española y una de las escritoras más importantes del primer tercio del siglo XX. Ambas compartieron grandes ideales de igualdad para la mujer y de justicia social para todos, unidos a una incesante labor periodística y literaria: Ana de Castro, más como política, Carmen de Burgos, más como escritora. Recordamos aquí la intensa actividad compartida y el amplio eco que encontró en la prensa de los dos países.

  14. Evaluation of a treatment system wastewater prebeneficiado of coffee (Coffea arabica) implemented in the community Carmen Pampa province of Nor Yungas of La Paz Department

    OpenAIRE

    Álvarez Javier; Smeltekop Hugh; Cuba Nicanor; Loza-Murguia Manuel

    2011-01-01

    This research was conducted in prebeneficiadora coffee plant of UAC-CP, located in the community of Carmen Pampa, Coroico Municipality, Nor Yungas of La Paz department. The objective was to determine the efficiency of wastewater treatment prebeneficiado coffee because it is not known to be effective in reducing the level of contamination of treated wastewater, and according to the results to correct and / or validate directly model system in place. For their study was established seven sampli...

  15. Ingestão alcoólica em vítimas de causas externas atendidas em um hospital geral universitário Ingestión alcohólica en víctimas de causas externas atendidas en un hospital general universitário Alcohol consumption among victims of external causes in a university general hospital

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    Efigênia Aparecida Maciel de Freitas

    2008-10-01

    Full Text Available OBJETIVO: Estimar a freqüência de ingestão alcoólica em vítimas de causas externas atendidas em hospital. MÉTODOS: Estudo realizado com vítimas atendidas em um hospital geral universitário em Uberlândia (MG, de fevereiro a agosto de 2004. A alcoolemia foi determinada em 85 pacientes no pronto-socorro e entrevistaram-se outros 301 internados nas enfermarias sobre possível ingestão alcoólica previamente ao trauma; em ambos os grupos foi aplicado o questionário Cut-down, Annoyed by criticism, Guilty and Eye-opener (CAGE. Para as comparações das freqüências foi utilizado o teste exato de Fisher. RESULTADOS: A alcoolemia foi positiva em 31,8% dos pacientes testados, os quais mais freqüentemente necessitaram de internação (70,4% versus 37,9%; pOBJETIVO: Estimar la frecuencia de ingestión alcohólica en víctimas de causas externas atendidas en hospital. MÉTODOS: Se realizó estudio con víctimas atendidas en un hospital general universitario en Uberlandia (Sureste de Brasil, de febrero a agosto de 2004. La alcoholemia fue determinada en 85 pacientes en la emergencia y se encuestaron 301 internados en las enfermerías sobre posible ingestión alcohólica previamente al trauma; en ambos grupos fue aplicado encuesta Cut-down, Annoyed by criticism, Guilty and Eye-opener (CAGE. Se utilizó la prueba exacta de Fisher para comparar las frecuencias. RESULTADOS: La alcoholemia fue positiva en 31,8% de los pacientes evaluados, los cuales necesitaron de internación con más frecuencia (70,4% versus 37,9%; pOBJECTIVE: To estimate frequency of alcohol consumption among victims of external causes cared for in a hospital. METHODS: Study performed with victims cared for in a university general hospital in the city of Uberlândia (Southeastern Brazil, between February and August 2004. Blood alcohol content was determined from 85 patients in the emergency room. Other 301 patients, hospitalized in the outpatient clinics, were interviewed about

  16. The use of the partograph in labor monitoring: a cross-sectional study among obstetric caregivers in General Hospital, Calabar, Cross River State, Nigeria

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    Asibong U

    2014-10-01

    Full Text Available Udeme Asibong,1 Ita B Okokon,1 Thomas U Agan,2 Affiong Oku,3 Margaret Opiah,4 E James Essien,5 Emmanuel Monjok1,5 1Department of Family Medicine, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria; 2Department of Obstetrics and Gynecology, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria; 3Department of Community Medicine, College of Medical Sciences, University of Calabar and University of Calabar Teaching Hospital, Calabar, Nigeria; 4Department of Maternal and Child Health, Faculty of Nursing, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria; 5Institute of Community Health, University of Houston, Texas Medical Center, Houston, TX, USA Background: Prolonged and obstructed labor is a significant cause of maternal morbidity and mortality in Nigeria, one of the six countries contributing significantly to the global maternal mortality crisis. The use of the partograph would engender a remarkable reduction in the number of these deaths since abnormal markers in the progress of labor would be identified early on. Objective: This study aimed to evaluate the non-physician obstetric caregivers’ (OCGs knowledge of partograph use, assess the extent of its use, determine the factors that impede its usage, and unravel the relationship between years of experience and partograph use among the respondents (OCGs in General Hospital, Calabar, Nigeria. Methodology: Using a self-administered semi-structured questionnaire, a cross-sectional descriptive study was conducted among 130 purposely selected and consenting OCGs working in the General Hospital, Calabar, Nigeria. Results: The majority of the respondents (70.8% had good general knowledge of the partograph but lacked detailed and in-depth knowledge of the component parts of the partograph. Knowledge of partograph (χ2=12.05, P=0.0001 and partograph availability (χ2

  17. Recidivas de hemorragia digestiva alta en pacientes atendidos en el Hospital General Docente Dr. Ernesto Guevara de la Serna

    OpenAIRE

    Alina Torreblanca Xiques

    2014-01-01

    Se realizó un estudio descriptivo en pacientes con hemorragia digestiva alta por úlcera péptica que hicieron resangrado, con el objetivo de caracterizarlos. Se estudiaron las variables de grupos de edades y sexo afectados, los hallazgos endoscópicos, las formas de presentación, así como factores asociados. La población de estudio estuvo constituida por los 82 pacientes, que ingresaron en el servicio de gastroenterología del Hospital Provincial Docente “Dr. Ernesto Guevara de la Serna” de la p...

  18. Comportamiento del quiste branquial en pacientes del Hospital General Docente "Ciro Redondo García", Artemisa, 1993-2009

    OpenAIRE

    Juan Carlos Quintana Díaz; Josefa Dolores Miranda Tarragó; Mayrim Quintana Giralt

    2012-01-01

    El quiste branquial de origen congénito que aparece en la región lateral del cuello es, con frecuencia, motivo de consulta. Se tuvo como objetivo determinar el comportamiento de los quistes branquiales en el Hospital "Ciro Redondo García", de Artemisa en el periodo de 1993 al 2009. Se realizó un estudio descriptivo transversal de los quistes branquiales diagnosticados en pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Maxilofacial. Se estudiaron la edad, el sexo, el color de ...

  19. CARTOGRAFÍA DE LA CIUDAD: LA CASA SUBVERSIVA EN NACISTE PINTADA (1999 DE CARMEN BERENGUER Cartography of the city: The subversive house in Naciste Pintada by Carmen Berenguer

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    Tatiana Calderón

    2006-07-01

    Full Text Available La escritura de Carmen Berenguer se sustenta en dos preguntas fundamentales: ¿Cuál es el lugar de la literatura? y ¿Si soy mujer, quién soy? Así, la hibridez discursiva en Naciste Pintada participa de una rearticulación de lo urbano desde la perspectiva de una mujer poeta habitando un mundo fragmentado y fragmentario. La ciudad descrita es neo-barroca, maquillada y, esencialmente, travesti. La casa, inmanente y femenina -lugar de la especula(rización de la mujer- deviene pública y subvierte el discurso hegemónico de la ciudad, trascendente y masculina. La pérdida de su carácter privado altera el imaginario de la casa y favorece los cambios sociales. En Naciste pintada hay dos discursos de la mujer insertos en dos ciudades significativas: uno es poético (Valparaíso, centro perdido de la poeta y el otro coloquial (Santiago, su hábitat. La casa, figura metonímica, sugiere otra cartografía significante de la ciudad y plantea la aterritorialidad de la mujer en el mundo posmoderno.Carmen Berenguer’s writing is shaped by two fundamentals questions: What is the place of literature? And if I’m a woman, who am I? Thus, the discursive hybridism contemplated in Naciste Pintada is part of a new urban articulation from a female poet’s vision living in a fragmented world. The city described in this novel is neo-baroque, maked-up and essentially disguised. The home, immanent and feminine, place of woman’s specula(risation, becomes public, and denatures the hegemonic discourse of the city, transcendent and masculine. The lost of its private characteristic subverts the house’s imaginary and implies social changes. In Naciste Pintada, we perceive two women’s discourses inserted in two specifics cities: the first one is poetic (Valparaiso, the lost center of the poet, and the other is colloquial (Santiago, her habitat. The house, metonymic trope, suggests another significant map of the city, and establishes the woman aterritoriality in

  20. A Novel early pregnancy assessment unit/Gynaecology assessment unit dashboard: An experience from a UK district general hospital.

    Science.gov (United States)

    Wahba, K; Shah, A; Hill, K; Hosni, M M

    2015-01-01

    The establishment of early pregnancy assessment units (EPAUs)/Gynaecology assessment units (GAUs) started more than 20 years ago in the UK to decrease hospital admissions of patients with early pregnancy problems. However, there are still wide variations in the quality of services provided by these units. The objective of this study was to create a method that can be used for continuous assessment of these units on a regular basis. We designed a dashboard covering all aspects of EPAU/GAU activities depending upon the early pregnancy unit association guidelines, and the department of health data and statistics. The EPAU/GAU dashboard has been used successfully in the early assessment pregnancy unit of Yeovil District hospital for few years and is still implemented until now. It is an excellent tool for continuous audit. It is a simple method that should be adopted by different EPAUs/GAUs for their objective assessment in order to improve the services provided by these units. PMID:25543529

  1. Vulvovaginal candidosis caused by Candida non-albicans, proportion and clinical characteristics in the Dr. Cipto Mangunkusumo National General Hospital, Jakarta

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    Midi Haryani

    2003-09-01

    Full Text Available The prevalence of vulvovaginal candidosis (VVC caused by C. non-albicans tends to increase, recently. The aim of this study was to obtain data about proportion and clinical characteristic of C. non-albicans VVC at dr. Cipto Mangunkusumo General Hospital, Jakarta. This is a cross-sectional study on all female patients with symptoms of VVC visiting Obstetri-gynaecology and Dermatovenereology outpatient clinics at dr. Cipto Mangunkusumo General Hospital, Jakarta. All subjects had positive Gram stain, showed Candida spp. on culture with CHROMagar Candida, and had no other specific genital infections. Sixty nine subjects aged 26–44 years old (averaged 29 years old were included in this study. Candida non-albicans was found in 30.4% subject, and consisted of: C. glabrata (61.9%, C. tropicalis (28.6% and C. parapsilosis (9.5%. We found that C. non-albicans VVC infections are more common in women above 45 years old, using non-hormonal contraceptives, whose sexual partner has erythema and pruritus in glands penis, and having the disease for more than 1 year. No differences in clinical symptoms were noted between C. albicans and C. non-albicans infection. We concluded from this study that the proportion of C. non-albicans infections at dr. Cipto Mangunkusumo General Hospital, Jakarta, with C. glabrata represents the most prevalent species. No characteristic clinical symptoms were found from the subjects with C. non-albicans VVC when compared with those infected by C. albicans. (Med J Indones 2003; 12: 142-7 Keywords: vulvovaginal candidosis, Candida non-albicans, CHROMagar Candida

  2. Auditoría médica en la consulta externa pediátrica en un hospital general, Lima-Perú.

    OpenAIRE

    Marianella PERATA SALAZAR; Luis Fernando LLANOS ZAVALAGA; Emilio Andrés CABELLO MORALES; Julio MAYCA PÉREZ

    2006-01-01

    La calidad asistencial se puede medir basada en el llenado de la historia clínica (HC), documento médico-legal que registra la identificación del usuario, su salud, enfermedad, diagnóstico, evolución y terapia. Para ello se realiza la auditoría de fuentes secundarias como un estudio de calidad de llenado. Objetivo: Evaluar la calidad de los datos registrados en HC de atención ambulatoria de pacientes nuevos atendidos en consultorios externos de Pediatría General en el Hospital Nacional Cayeta...

  3. Satisfacción laboral de los profesionales sanitarios de un Hospital Universitario: análisis general y categorías laborales

    OpenAIRE

    César Carrillo-García; María-Emilia Martínez-Roche; Carmen-Isabel Gómez-García; Mariano Meseguer-de-Pedro

    2015-01-01

    La satisfacción laboral en los servicios de salud está implicada en la calidad asistencial, de ahí la importancia de su medición en los trabajadores de las instituciones sanitarias. El objetivo fue explorar y analizar el fenómeno de la satisfacción laboral en una muestra constituida por 546 profesionales sanitarios pertenecientes a un Hospital Universitario público. Se administró un cuestionario general que contenía un conjunto de preguntas de contenido sociodemográfico y se utilizó la Escala...

  4. Rate of Pressure Ulcers in Intensive Units and General Wards of Iranian Hospitals and Methods for Their Detection.

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    Ali Akbari Sari

    2014-06-01

    Full Text Available This study aimed to estimate the rate of pressure ulcers in intensive care units (ICUs and medical and surgical wards of Iranian hospitals and compare the performance of methods of medical record review as well as direct observation for their detection.The research team visited 308 patients in medical and surgical wards of hospitals affiliated with Tehran University of Medical Sciences and a further 90 patients in their ICUs between March 2009 and April 2010. In addition 310 patient records were randomly selected from patients discharged from the ICUs between March 2009 and April 2010. And a further 600 patient records were randomly selected from the patients that were discharged from medical and surgical wards between March 2010 and April 2011. These 910 selected records were retrospectively reviewed to identify pressure ulcers. Data were collected by a structured checklist.In ICUs 24 of 90 patients (26.7%, 95% CI: 17.56 to 35.84 that were directly observed and 59 of 310 patients (19.0%, 95% CI: 14.63 to 23.37 that were studied by retrospective review of medical records had pressure ulcers. In medical and surgical wards, 5 of 308 patients (1.6%, 95% CI: 0.20 to 3.00 that were directly observed had pressure ulcers, but no pressure ulcer was detected by review of 600 medical records.Pressure ulcers are significantly more frequent in ICUs than in medical and surgical wards and a significant proportion of pressure ulcers are not reported.

  5. La memoria del último exilio español en la escritura de tres mujeres: Victoria Kent, Dolores Ibárruri y Carmen Parga

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    Bettina Pacheco

    2011-11-01

    Full Text Available Resumo: Este artigo realiza uma breve análise de três obras de testemunhos do exílio escritas por mulheres: Victoria Kent, destacada advogada socialista cromprometida com o governo da República Espanhola; Dolores Ibárruri, a mítica Pasionária; e Carmen Parga, republicana exilada na Rússia e México. As três dão sua visão, a sua maneira e através da escrita, sobre o drama vivido oferecendo sua concepção particular do exílio. Antes de entrar nas obras aludidas, examina-se brevemente as duas concepções sobre a dramática experiência do exilado que Cláudio Guillén reconheceu na escrita dos clássicos: Ovídio e Plutarco.Palavras-chave: Literatura comparada; literatura espanhola; Victoria Kent; Dolores Ibárruri; Carmen Parga; literatura latina; Ovídio; Plutarco; exílio.Resumen: Este artículo realiza um somero análisis de três obras testimoniales del exílio escritas por mujeres: Victoria Kent, destacada abogada socialista comprometida com el gobierno de la República Española; Dolores Ibárruri, la mítica Pasionaria; y Carmen Parga, republicana exiliada en Rusía y México. Las tres dan su visión, a su manera y a través de la escritura, sobre el drama vivido ofreciendo su concepción particular del exílio. Antes de entrar en las obras aludidas, se examina brevemente las dos concepiones sobre la dramática experiencia del exilado que Cláudio Guillén há reconocido em la escritura de dos clássicos: Ovídio y Plutarco.Palabras-clave: Literatura comparada; literatura española; Victoria Kent; Dolores Ibárruri; Carmen Parga; literatura latina; Ovídio; Plutarco; exílio.Keywords: Comparative literature; Spanish literature; Victoria Kent; Dolores Ibárruri; Carmen Parga; latin literature; Ovid; Plutarch; exile.

  6. O perfil das readmissões de idosos num hospital geral de Marília/SP El perfil de los reingresos de ancianos en un hospital general del municipio de Marília, SP The profile of elderly patients' readmissions in a general hospital located in Marília/SP

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    Márcia Regina Martins Alvarenga

    2003-06-01

    Full Text Available Estudo descritivo sobre readmissões de idosos em hospital geral, no município de Marília-SP, em 1996/1997. OBJETIVOS: Caracterizar o perfil das readmissões, quanto às variáveis sexo, idade, estado civil, naturalidade, profissão, diagnósticos principal e secundário, tempo de permanência hospitalar, tipo de saída, fonte de financiamento, tipo de procedimento e intervalo de tempo entre as admissões; analisar registros da enfermagem, nos prontuários, sobre as condições à admissão e alta. Construído banco de dados sobre admissões, adotando o "software" Epi-Info 6. Pesquisados 262 idosos (53,8% mulheres que apresentaram 502 readmissões; 32,8% destes foram readmitidos uma vez e 55,9% retornaram à instituição em menos de 60 dias. Média de idade 73,2 anos e de permanência hospitalar 5,49 dias. Predominaram as doenças crônicas respiratórias e 55,8% das readmissões apresentaram diagnóstico secundário. Análise do conteúdo dos registros permitiu identificar a rotina da enfermagem, revelando apenas alguns aspectos da condição dos idosos à recepção e saída.Estudio descriptivo sobre el reingreso del anciano en un hospital general en el municipio de Marília-SP, en 1996/1997. OBJETIVOS: caracterizar el perfil de los reingresos en relación con las variables sexo, edad, estado civil, naturalidad, profesión, diagnósticos principal y secundario, tiempo de permanencia hospitalaria, tipo de salida, fuente de financiación, tipo de procedimiento e intervalo de tiempo entre los reingresos; analizar registros de enfermería en las historias clínicas de los ancianos, sobre sus condiciones de admisión y alta. Se construyó un banco de datos sobre admisiones, adoptando el "software" Epi-Info 6. Se investigaron 262 ancianos (53,8% mujeres que presentaron 502 reingresos; 32,8% de estos reingresaron una vez y 55,9% retornaron a la institución en menos de 60 días. El promedio de edad fue de 73,2 años y la estancia hospitalaria de 5

  7. TO STUDY THE AWARENESS OF HEALTH CARE PERSONNEL INVOLVED IN BIO-MEDICAL WASTE MANAGEMENT IN NEW GOVERNMENT GENERAL HOSPITAL AT VIJAYAWADA, ANDHRA PRADESH

    Directory of Open Access Journals (Sweden)

    Lalith

    2014-03-01

    Full Text Available BACKGROUND: The recent developments in healthcare units are precisely made for the prevention and protection of community health. Sophisticated instruments have come into existence in various operations for disease treatment. Such improvement and advances in scientific knowledge has resulted in per capita per patient generation of wastes in health care units. Waste generated in the process of health care are composed of variety of wastes including hypodermic needles, scalpels, blades, surgical cotton, gloves, bandages, discarded medicine, body fluids, human tissues and organs, chemicals etc., other wastes generated in healthcare settings include radioactive wastes, mercury containing instruments, PVC plastics etc., so the awareness of personnel involved in the management of biomedical waste is important. AIM: To assess the waste handling and treatment system of hospital bio-medical solid waste and its mandatory compliance with regulatory notifications for bio-medical waste (BMW management rules 1998, under Environment Protection Act (EPA 1986, Ministry of Environment & Forest, Government of India at Government General Hospital (GGH, Vijayawada, Andhra Pradesh. SETTINGS AND DESIGN: This cross sectional study was conducted in GGH at Vijayawada, Andhra Pradesh. MATERIAL AND METHODS: 75 study subjects selected were personnel involved in management of hospital solid waste observed for one month and frequency tables, percentages, and proportions were used as statistical applications. STATISTICAL ANALYSIS: Analysis was done using MS – Excel software. RESULTS AND CONCLUSIONS: Out of gross total quantity of BMW generated in entire GGH, Vijayawada 74% of it is general waste. Knowledge levels regarding storage of BMW was more among class IV employees, were as awareness in differentiation of infectious and non-infectious waste was more among staff nurses.

  8. The Effect of Lifestyle Habits and Nutrient Intake Conditions of Female Shift Workers at General Hospitals on Bone Mineral Density Values

    International Nuclear Information System (INIS)

    The purpose of this study is to provide preliminary data for bone disease prevention by examining the correlation between bone mineral density, and lifestyle and nutritional status of female shift workers, at general hospitals with an irregular life cycle. The subjects for this study were 232 female shift workers, over 30 years old, who worked at a general hospital more than 5 years. From the subjects, who understood the purpose of this study and decided to be participated, we measured serum albumin, total protein, total cholesterol, hematocrit, hemoglobin, calcium, phosphorus from blood test, and obtained bone mineral density. To analyze the effectiveness of the variables for explanation power, we established the studied values as independent variables, bone mineral density as a dependent variable. Exercise, the number of drinking, calcium, and phosphorus were selected as significant variables and the explanation power was 10.2%. The bone mineral density were significantly higher at the subjects who had exercise, higher calcium and phosphorus possession, and drank alcohol than the opposite cases. Regular exercise, and 1:1 intake of calcium and phosphorous were important to prevent osteoporosis for the subjects who were working three shifts which cause irregular lifestyle.

  9. CHANGING TRENDS OF HIV INFECTION IN PPTCT (PREVENTION OF PARENT TO CHILD TRANSMISSION GOVERNMENT GENERAL HOSPITAL, GUNTUR, ANDHRA PRADESH, SOUTH INDIA, 2002-2013

    Directory of Open Access Journals (Sweden)

    Venkateswara Rao

    2014-09-01

    Full Text Available : INTRODUCTION: The objective of this study is to know the various changing trends in the HIV infection in the antenatal women attending the PPTCT department, Government General Hospital, Guntur, Andhra Pradesh, during 2002 to 2013. METHODS: This is a retrospective study done in Government General Hospital, Guntur, Andhra Pradesh, during 2002 to 2013. The data was collected from the records maintained in the PPTCT department and the changing trends of HIV infection in antenatal women were studied. RESULTS: The prevalence rate of HIV infection in antenatal women decreased from 4.4% to 0.84%. Monthly average number of HIV positive deliveries in our institution varies from 150 to 250 cases. Percentage of caesarian section done was about 20% of cases. More number of cases were from urban than rural areas. Initially the cases were more in low socio-economic status. Young primigravida women around 20 years were more infected. High risk behavior of the husband was mainly responsible for the transmission of the disease. HIV infection was common in the innocent housewife. CONCLUSION: The study concludes that the HIV infection among pregnant women in our institution shows various changing trends and a decreasing incidence due to the effective implementation of the PPTCT programme under the National AIDS control programme started in the year 2002.

  10. Evaluation of the profile of drug therapy administered through enteral feeding tube in a general hospital in Rio de Janeiro

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    Mario Jorge Sobreira da Silva

    2011-06-01

    Full Text Available Enteral nutrition (EN is the method of choice for patients that cannot adequately receive oral feeding despite good gastrointestinal tract condition. Enteral diets may be administered through tube or ostomy placed in the stomach, duodenum or jejunum. The administration of drugs via enteral feeding tube (EFT is a common practice in hospitals due to patient clinical status, and requires special attention from professionals involved in this process. This study entailed an analysis of the profile of drug therapy through EFT based on evaluation of medical prescriptions of the Medical Clinic of the Hospital dos Servidores do Estado (HSE of Rio de Janeiro sent to the Pharmacy Service between January and June 2007, according to standard protocols in place. Prescription of drugs via EFT outside recommended guidelines was observed, besides potential drug-nutrient incompatibilities associated with this practice. These results point to the need for improvement of enteral route access and the adoption of measures to promote safe and effective use of drugs and nutritional therapy.A nutrição enteral (NE é o método de escolha para alimentar pacientes que não podem receber alimentação por via oral de forma adequada, mas que estejam com a função gastrointestinal satisfatória para a absorção dos nutrientes. As dietas enterais podem ser administradas através de cateteres ou ostomias, posicionados no estômago, duodeno ou jejuno. A administração de medicamentos através de cateter de nutrição enteral (CNE é uma prática muito comum no ambiente hospitalar, devido ao estado clínico do paciente, necessitando atenção especial dos profissionais envolvidos neste processo. O estudo constituiu uma análise do perfil da terapia medicamentosa através de CNE por meio de uma avaliação das prescrições médicas da Clínica Médica do Hospital dos Servidores do Estado (HSE do Rio de Janeiro encaminhadas ao Serviço de Farmácia, de janeiro a junho de 2007

  11. Influencia de la marea astronómica sobre las variaciones del nivel del Río Negro en la zona de Carmen de Patagones

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    Enrique D'Onofrio

    2010-12-01

    Full Text Available El Río Negro, límite natural entre las provincias de Buenos Aires y Río Negro, es uno de los ríos más importantes de la Patagonia que desemboca en el Océano Atlántico. Es navegable desde su desembocadura hasta Carmen de Patagones por embarcaciones de hasta 2,04 m de calado, dificultándose por irregularidades en la profundidad aguas arriba. La onda de marea proveniente del océano Atlántico ingresa al río haciendo que este adopte un régimen semidiurno hasta Carmen de Patagones. El conocimiento de la onda de marea en este tramo del río es de fundamental importancia para la calibración de modelos numéricos, el perfeccionamiento de los sistemas de alerta de inundaciones y la toma de decisiones relacionadas con el manejo costero. En este trabajo se analizan cuatro series de mediciones de marea, dos obtenidas en el hidrómetro de Carmen de Patagones con una duración de 608 y 731 días, una de 77 días proveniente de un mareómetro instalado en el kilómetro 18 del río y una de 79 días obtenida con un sensor de presión fondeado en proximidades de Punta Redonda (desembocadura del Río Negro. Se calculan y comparan los espectros de potencia de las alturas observadas en los tres sitios para detectar los cambios energéticos producidos en la banda de frecuencias correspondientes a la marea astronómica. De su comparación surge que la energía de las componentes semidiurnas y diurnas disminuye un 22% y un 45% respectivamente desde la desembocadura del Río Negro hasta Carmen de Patagones. En contraposición se observa un ligero aumento de la energía correspondiente a las frecuencias de las componentes cuarto diurnas. Esto se debe fundamentalmente a procesos no lineales inducidos por aguas someras y a irregularidades en la morfología del fondo del río. Para obtener las amplitudes y épocas de la marea se realizan análisis armónicos por el método de cuadrados mínimos. Las amplitudes de las componentes diurnas en Carmen de Patagones

  12. Who defines indigenous? Identities, development, intellectuals and the state in Northern Mexico (Carmen Martínez Novo

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    Arantza Meñaca

    2006-05-01

    Full Text Available El libro de Carmen Martínez Novo, profesora de FLACSO-Ecuador (Facultad Latinoamericana de Ciencias Sociales es una etnografía sobre la construcción de la identidad de los indios mixtecos en el norte de México. Ahora bien, no se trata de una aportación convencional sino crítica, que se diferencia de los trabajos tradicionales en dos sentidos. Por una parte, en los actores en quienes centra su estudio. La autora, en un ejercicio de “studying up”, en lugar de realizar su observación participante principalmente con los indígenas, se mueve entre las elites, las clases medias, los intelectuales, los políticos, la prensa, y las organizaciones no gubernamentales, y es su papel en el proceso de construcción de lo indígena el que le interesa. Y por otra, en sus planteamientos teóricos y conclusiones, que permiten cuestionar hasta qué punto es, la identidad étnica, fundamentalmente una herramienta de resistencia y presión política en manos de las comunidades indígenas, o bien, una construcción desde los sectores en el poder para justificar y reproducir las jerarquías existentes.

  13. PRIMEROS POBLADORES ESPAÑOLES EN EL FUERTE-POBLADO DE EL CARMEN, PATAGONIA ARGENTINA (FINALES DEL SIGLO XVIII

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    María Laura Casanueva

    2009-12-01

    Full Text Available In this work we present our current historic- anthropologic investigation aboutthe first Spanish settlers installed on the end of 18th century in Fuerte de El Carmen town (Buenos Aires province, Argentina. The objective to colonize this territory was toconsolidate Spanish possessions in the South Atlantic, threatened by constant foreigner presence. This is how Spanish people arrived from different regions, attracted by promises of lands, work and inhabitation. Nevertheless, once arrived, authorities did not complywith those promises and families had to build their houses digging caves in the Rio Negroscarps, known today as Maragatos caves.Nowdays, our work is focused on those first homes and face to the main objective of the project, which is to: access to the knowledge of the historic change processes,the restructuration and continuity of those populations of creole-european origin, and to study their link with aboriginal inhabitants during XVIIIth and XIXth centuries in thePampa-Patagonia region. Besides, our objective is to investigate the maragato’s popular origin myth of these home-caves dig in the north cliff of Rio Negro.

  14. Relationship of Characteristics of Baby’s Mother with the Low Birth Weight in Regional General Hospital in Sorong

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    Agustina Naa

    2016-02-01

    Full Text Available The mortality rate of low birth weight is part of a reflection of the public health status. Low birth weight babies are born with birth weight less than 2,500 grams regardless of pregnancy. The aim of research to determine the relationship characteristic of mothers of infants with LBW. This type of research is observational analytic with cross sectional design. Collecting data through observation sheet on record medic mothers who gave birth in hospitals 2014, in Sorong, West Papua Province in July-August 2015. The results reveal no relationship nutritional status of mothers with LBW (p = 0.000 and 9.54 RP. No relationship of anemia in mothers with LBW (p = 0.000 and 9.20 RP, no relationship of pregnancy range with LBW births (p = 0.000 and 5.01 RP, no maternal employment status relationship with the incidence of low birth weight (p = 0.001 and RP 3.22, there is a relationship with the mother's education level LBW (p = 0.005 and 2.82 RP, no correlation between age mothers with LBW (p = 0.011 and 2.51 RP and the biggest risk factors based on the RP is factor of maternal nutritional status (p = 0.000 and 9.54 RP.

  15. Recidivas de hemorragia digestiva alta en pacientes atendidos en el Hospital General Docente Dr. Ernesto Guevara de la Serna

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    Alina Torreblanca Xiques

    2014-11-01

    Full Text Available Se realizó un estudio descriptivo en pacientes con hemorragia digestiva alta por úlcera péptica que hicieron resangrado, con el objetivo de caracterizarlos. Se estudiaron las variables de grupos de edades y sexo afectados, los hallazgos endoscópicos, las formas de presentación, así como factores asociados. La población de estudio estuvo constituida por los 82 pacientes, que ingresaron en el servicio de gastroenterología del Hospital Provincial Docente “Dr. Ernesto Guevara de la Serna” de la provincia de Las Tunas, desde febrero 2012 a febrero del 2014. El sexo más afectado fue el masculino, predominando en la sexta década de la vida, la gastritis erosiva hemorrágica es el hallazgo endoscópico que se presentó con mayor frecuencia, siendo la cara anterior del bulbo duodenal la ubicación topográfica más afectada. La hipertensión arterial fue la enfermedad asociada a la hemorragia digestiva alta que predominó, en 45 pacientes, presentando como factor frecuente la ingestión de antiinflamatorios no estereoideos (AINES, constituyendo la melena la forma de aparición más frecuente

  16. Improving tuberculosis infection control practice and micro-bial air quality in a general hospital after intervention

    Institute of Scientific and Technical Information of China (English)

    Pipat Luksamijarulkul; Jiraporn Khumsri; Pisit Vatthanasomboon; Pornapa Aiumlaor

    2009-01-01

    Objective:Hospital personnel,especially nurses are at risk for tuberculosis(TB)infection and the intervention for reducing the risk should be established.Methods:To compare the TB infection control practices and stand-ard precaution in 154 registered nurses and auxiliary nurses working in risk wards.Additionally,microbial air quality in the studied wards was investigated before and after implementation of an intervention including two-day training program on TB infection control and standard precaution practices and managing the ward environ-ments.Results:Post-intervention,the percentage of studied nurses who always practiced increased in every i-tem of TB infection control practice (6 items)and standard precaution (9 items)when compared with the pre-intervention period.Both mean scores were significantly higher than those before intervention (5.0 ±1.0 vs 4. 4 ±1.1,and 7.6 ±1.3 vs 6.7 ±1.5,P 500 cfu /m3 ).Conclusion:Two-day training program and management of the ward environment could improve the scores of TB infection control practices and the standard precaution among studied nurses and reduce the microbial counts in air samples col-lected from the studied wards.

  17. Treatment of locally advanced pancreatic cancer by percutaneous and intraoperative irreversible electroporation: general hospital cancer center experience.

    Science.gov (United States)

    Lambert, L; Horejs, J; Krska, Z; Hoskovec, D; Petruzelka, L; Krechler, T; Kriz, P; Briza, J

    2016-01-01

    The aim of this study was to evaluate the safety of irreversible electroporation (IRE) and the outcome of patients undergoing IRE of locally advanced pancreatic cancer (PC). Twenty-one patients with unresectable PC underwent open (n=19) or percutaneous (n=2) IRE of the tumor using the Nanoknife system with two electrodes that were repositioned several times to affect the whole mass. The size of the tumor was 39±10mm with a range from 21 to 65mm. Five patients underwent neoadjuvant chemotherapy and seven patients were treated with chemotherapy after IRE. Complications occurred in five patients, which resulted in prolongation of the average hospital stay from 10 to 34 days. There was no mortality in the first postoperative month. Median survival after IRE was 10.2 months compared to 9.3 months in a matched cohort (hazard ratio = .54, p = .053). The quality of life was declining slowly. 81% of time after IRE the Karnofsky performance status was ≥70 and sharp decline occurred approximately 8 weeks before death.In conclusion, IRE is a safe palliative treatment option for a percentage of patients with locally advanced pancreatic carcinoma. The patients treated with open IRE lived a decent life until 8 weeks before their death. We believe that IRE of pancreatic carcinoma can be regarded as an option, if imaging or explorative laparotomy show that R0 resection in not possible. PMID:26774149

  18. Atitudes de enfermeiros de hospital geral frente ao uso do álcool e alcoolismo Actitudes de enfermeros de hospital general frente al uso de alcohol y al alcoholismo Clinical nurses' attitudes toward the use of alcohol and alcoholism

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    Divane Vargas

    2006-02-01

    Full Text Available Estudo psicométrico, utilizando a escala Seaman Mannello Nurse's attitudes toward alcohol and alcoholism, aplicou o instrumento a uma população de 196 enfermeiros de um macro-hospital, visando a mensurar as atitudes de enfermeiros de hospital geral no que se refere ao álcool e ao beber. Os dados apontaram que os enfermeiros consideram que as bebidas alcoólicas são prejudiciais (54,4%, beber com moderação não é inofensivo(57,1% e é errado (47,4%. Revelam dificuldade na aceitação do beber como um direito da pessoa, considerando as bebidas alcoólicas capazes de tornar pessoas saudáveis "débeis e loucas" (29,8%. O enfermeiro é um profissional indispensável para o tratamento e recuperação do alcoolista, suas atitudes podem influenciar no relacionamento com o paciente e conseqüentemente favorecer o tratamento.En este estudio psicométrico fue utilizada la escala Seaman Mannello Nurse's attitudes toward alcohol and alcoholism y aplicado un instrumento a una población de 196 enfermeros de un macro-hospital, con el objetivo de mensurar las actitudes de enfermeros de hospital general frente al alcohol y beber. Los datos mostraron que los enfermeros consideran que las bebidas alcohólicas son perjudiciales (54,4%, beber con moderación no es inofensivo (57,1% y es errado (47,4%, revelando dificultad en la aceptación del beber como un derecho de la persona. 29,8% consideraron las bebidas alcohólicas capaces de tornar las personas saludables en "locas y débiles". El enfermero es un profesional fundamental para el tratamiento y recuperación del alcoholista. Sus actitudes pueden influenciar el relacionamiento con el paciente y, así, favorecer el tratamiento.This psychometric study used the Seaman Mannello's scale of "nurse's attitudes toward alcohol and alcoholism". Authors applied an instrument to a population of 196 nurses from a general hospital with the aim to measure nurses'attitudes toward alcohol and drinking. Data showed that

  19. Combined determination of highly sensitive troponin T and copeptin for early exclusion of acute myocardial infarction: first experience in an emergency department of a general hospital

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    Müller K

    2011-08-01

    Full Text Available Ulrich Lotze1, Holger Lemm2, Anke Heyer2, Karin Müller31Department of Internal Medicine, German Red Cross Hospital Sondershausen, Sondershausen, 2Department of Internal Medicine, 3Department of Laboratory Medicine, Saale-Unstrut Hospital Naumburg, Naumburg, GermanyBackground: The purpose of this observational study was to test the diagnostic performance of the Elecsys® troponin T high-sensitive system combined with copeptin measurement for early exclusion of acute myocardial infarction (MI in clinical practice.Methods: Troponin T high-sensitive (diagnostic cutoff: <14 pg/mL and copeptin (diagnostic cutoff: <14 pmol/L levels were determined at admission in addition to other routine laboratory parameters in patients with suspected acute MI presenting to the emergency department of a general hospital over a period of five months.Results: Data from 142 consecutive patients (mean age 71.2 ± 13.5 years, 76 men were analyzed. Final diagnoses were acute MI in 13 patients (nine ST elevation MI, four non-ST elevation MI, 9.2% unstable angina pectoris in three (2.1%, cardiac symptoms not primarily associated with myocardial ischemia in 79 (55.6%, and noncardiac disease in 47 patients (33.1%. The patients with acute MI were younger and had higher troponin T high-sensitive and copeptin values than patients without acute MI. Seventeen patients had very high copeptin values (>150 pmol/L, one of whom had a level of >700 pmol/L and died of pulmonary embolism. A troponin T high-sensitive level of <14 pg/mL in combination with copeptin <14 pmol/L at initial presentation ruled out acute MI in 45 of the 142 patients (31.7%, each with a sensitivity and negative predictive value of 100%.Conclusion: According to this early experience, a single determination of troponin T high-sensitive and copeptin may enable early and accurate exclusion of acute MI in one third of patients, even in an emergency department of a general hospital.Keywords: highly sensitive troponin T

  20. Study on the Scale of Market Orientation of Large General Hospitals%综合医院市场导向测评量表的研制

    Institute of Scientific and Technical Information of China (English)

    郭蕊; 宗洁; 孔奕翼

    2011-01-01

    Objective To explore and develop the scale of market orientation of large general hospitals, and understand the current situation of culture and operations in hospital service model.Methods Through using the rating scale of medical organizational culture established by research group, 20 tertiary general hospitals' market orientation has been investigated.Results The scale contains three dimensions: customer satisfaction, market intelligence generation and dissemination, and responsiveness of market intelligence.The scale's Cronbach was 0.898.Through using factor analysis to test the construct validity, 67.81% of variation could be explained by the three dimensions; the customer satisfaction dimension got higher marks than responsiveness of market intelligence, and market intelligence generation and dissemination got the lowest marks; the scores with the employees of different positions on the concept of market orientation was statistically significant different.Conclusion The rating scale had good reliability and validity, and could reflect the status and differences of hospital market orientation.%目的 探索和开发我国医院市场导向测评量表,了解医院服务模式在理念和行动方面的现状.方法 课题组采用外部引进、内部调整的方法形成我国综合医院市场导向的测评量表,对20家三级综合医院展开现场调查.结果 量表包含3个维度:顾客满意、市场信息的产生和传播、对市场信息的反应;内部一致性信度为0.898,运用因子分析检验建构效度,前3个因子累积解释了67.81%的信息;顾客满意维度评分高于对市场信息的反应,市场信息的产生和传播评分较低;不同岗位的员工对市场导向观念评分差异存在统计学意义.结论 研制的量表具有较好的信度、内容效度和建构效度,能较好地反映不同医疗机构的市场导向现状和差异.

  1. Occurrence and morphological characteristics of cataracts in patients treated with general steroid therapy at the Cantonal Hospital Zenica

    OpenAIRE

    Jasmin Zvorničanin; Edita Zvorničanin

    2015-01-01

    Dear Editor, We read with interest the article by Čerim et al. regarding the occurrence and morphological characteristics of cataracts in patients treated with general steroid therapy (1). Similar to the results of previous studies, the authors found that the use of corticosteroids is associated with a higher incidence of cataract development and posterior subcapsular (PSC) cataract as most prevalent morphological type (2). Older age and heredity are the most important risk factors as...

  2. Comparison between general and spinal anesthesia in inguinal hernia repair in Clinical University Hospital "St. Naum Ohridski" - Skopje

    OpenAIRE

    Vukovikj, Makedonka; Angelovska, Bistra; Drakalska, Elena

    2015-01-01

    Most often recommended treatment for inguinal hernia diagnosed patients is surgery. Generally, the surgical treatment includes several components: opening the subcutaneous fat by incision of the abdominal wall, mobilization of cord structures, dissection of weakened tissue and closure of inguinal canal with application of sterile synthetic mesh patch used to repair and decrease the tension in the weakened area of the abdominal wall after mobilization of hernia. Usually, the patient is given g...

  3. Dose reduction in general radiography while maintaining diagnostic confidence for selected examinations in selected Hospitals in the Ashanti Region, Ghana

    International Nuclear Information System (INIS)

    The objective of the study is to explore the potential for dose reduction in the selected X- ray facilities for the selected examinations and to ensure that images obtained after the reduction of dose are satisfactory for diagnosis. DAP were measured on a total of 327 patients for chest (PA), skull (PA/LAT), lumbar spine (AP/LAT), abdomen (AP) and pelvis (AP) examinations at COCL, MNDH, TAFH and MMGH. The effective dose incurred by patients per examination was estimated using a PCXMC version 1.5. In order to explore the potential for dose reduction, an anthropomorphic woman phantom was used. Seventy-five radiographs were obtained from the phantom studies at COCL. MNDH and TAFH for the image quality assessment. An experienced senior radiologist at the Korle-Bu Teaching Hospital performed the image quality assessment, which was based on the CEC 1996 image criteria. The range of the mean DAP and the effective dose recorded for the patient dose assessment for the selected examinations at the selected facilities is (21.1 - 752.1) µGy.m2 and (0.007 - 1.402) mSv respectively. The range of the DAP and the effective dose from the phantom studies were (15.1 - 200.1) µGy.m2 and (0.03 - 0.70) mSv respectively. In all, there was an overall average dose reduction of 49.7% in the DAP values for the selected examinations at COCL, MNDH and TAFH. (author)

  4. Comportamiento del quiste branquial en pacientes del Hospital General Docente "Ciro Redondo García", Artemisa, 1993-2009

    Directory of Open Access Journals (Sweden)

    Juan Carlos Quintana Díaz

    2012-03-01

    Full Text Available El quiste branquial de origen congénito que aparece en la región lateral del cuello es, con frecuencia, motivo de consulta. Se tuvo como objetivo determinar el comportamiento de los quistes branquiales en el Hospital "Ciro Redondo García", de Artemisa en el periodo de 1993 al 2009. Se realizó un estudio descriptivo transversal de los quistes branquiales diagnosticados en pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Maxilofacial. Se estudiaron la edad, el sexo, el color de la piel, el lado del cuello afectado, el resultado histopatológico y los medios auxiliares empleados. Se encontraron 12 quistes branquiales que afectaron el 50 % de ambos sexos, un 75 % a pacientes entre 15 y 30 años y un 75 % de la piel blanca, un 66,7 % afectó el lado derecho del cuello y en un 100 % de los casos se utilizó la biopsia y el ultrasonido como medios auxiliares para su diagnóstico. Se encontró epitelio escamoso estratificado en un 100 % de los quistes y en un 91,6 % el tejido linfoide. No se encontró predilección por el sexo, la mayoría de los pacientes eran menores de 30 años, de piel blanca y presentaban los quistes en el lado derecho del cuello. En todos los pacientes se empleó la biopsia y el ultrasonido como medios auxiliares de diagnóstico. El epitelio escamoso estratificado y el tejido linfoide fueron los hallazgos histopatológicos más relevantes.

  5. Interação medicamentosa associada à reinternação hospitalar: estudo retrospectivo em um hospital geral Interacción medicamentosa asociada a la reinternación hospitalaria: estudio retrospectivo en un hospital general Hospital readmissions related to drug interactions: a retrospective study in a hospital setting

    Directory of Open Access Journals (Sweden)

    Cristiano Soares de Moura

    2012-12-01

    Full Text Available OBJETIVO: Analisar a relação entre interação medicamentosa potencial e reinternação hospitalar. MÉTODOS: Estudo retrospectivo com 1.487 pacientes maiores de 18 anos admitidos em um hospital geral em Vitória da Conquista, BA, de janeiro a dezembro de 2007. Os dados foram extraídos da Autorização de Internação Hospitalar do Sistema de Informação Hospitalar do Sistema Único de Saúde. O relacionamento probabilístico foi empregado para combinar múltiplas autorizações de uma mesma internação em um único registro e para identificar readmissões. Informações sobre prescrições foram agregadas manualmente aos registros do Sistema de Informação Hospitalar. Regressão logística foi utilizada para quantificar a influência de interação medicamentosa potencial e reinternação. Regressão de Cox foi empregada para testar a influência dessa variável no tempo até a primeira reinternação. RESULTADOS: Foram identificadas 99 readmissões (7% dos pacientes. Interação medicamentosa potencial foi encontrada em 35% das prescrições analisadas. Pacientes com potencial de interação medicamentosa na admissão prévia foram mais propensos à reinternação. A razão de chance ajustada indicou que esses pacientes tinham chance 2,4 vezes maior de readmissão; a taxa de risco ajustada mostrou que em pacientes com interação medicamentosa esse risco foi 79% maior (p OBJETIVO: Analizar la relación entre potencial interacción medicamentosa potencial y reinternación hospitalaria. MÉTODOS: Estudio retrospectivo con 1.487 pacientes mayores de 18 años admitidos en un hospital general en Vitória da Conquista, BA, Brasil, de enero a diciembre de 2007. Los datos fueron extraídos de la Autorización de Internación Hospitalaria del Sistema de Información Hospitalaria del Sistema Único de Salud Brasileño. La relación probabilística fue empleada para combinar múltiples autorizaciones de una misma internación en un único registro

  6. The use of the partograph in labor monitoring: a cross-sectional study among obstetric caregivers in General Hospital, Calabar, Cross River State, Nigeria

    Science.gov (United States)

    Asibong, Udeme; Okokon, Ita B; Agan, Thomas U; Oku, Affiong; Opiah, Margaret; Essien, E James; Monjok, Emmanuel

    2014-01-01

    Background Prolonged and obstructed labor is a significant cause of maternal morbidity and mortality in Nigeria, one of the six countries contributing significantly to the global maternal mortality crisis. The use of the partograph would engender a remarkable reduction in the number of these deaths since abnormal markers in the progress of labor would be identified early on. Objective This study aimed to evaluate the non-physician obstetric caregivers’ (OCGs) knowledge of partograph use, assess the extent of its use, determine the factors that impede its usage, and unravel the relationship between years of experience and partograph use among the respondents (OCGs) in General Hospital, Calabar, Nigeria. Methodology Using a self-administered semi-structured questionnaire, a cross-sectional descriptive study was conducted among 130 purposely selected and consenting OCGs working in the General Hospital, Calabar, Nigeria. Results The majority of the respondents (70.8%) had good general knowledge of the partograph but lacked detailed and in-depth knowledge of the component parts of the partograph. Knowledge of partograph (χ2=12.05, P=0.0001) and partograph availability (χ2=56.5, P=0.0001) had a significant relationship with its utilization. Previous training (χ2=9.43, P=0.002) was significantly related to knowledge of partograph. Factors affecting utilization were: little or no knowledge of the partograph (85.4%), nonavailability (70%), shortage of staff (61.5%), and the fact that it is time-consuming to use (30%). Conclusion Lack of detailed knowledge of the partograph, nonavailability of the partograph, poor staff numbers, and inadequate training are factors that work against the effective utilization of the partograph in the study facility. Usage of this tool for labor monitoring can be enhanced by periodic training, making partographs available in labor wards, provision of reasonable staff numbers, and mandatory institutional policy. PMID:25342920

  7. Protocolo de tratamiento de cicatrices queloides en el pabellón auricular del Hospital General Dr. Manuel Gea González Treatment protocol of auricular keloid scars in the General Hospital Dr. Manuel Gea González

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    2012-03-01

    Full Text Available Las cicatrices queloideas son una de las patologías de más difícil tratamiento por el alto porcentaje de recidivas que presentan, hasta un 100 % en tratamientos únicos y un 50 % en tratamientos combinados. El pabellón auricular es un blanco frecuente de esta patología. Presentamos el protocolo de tratamiento empleado en nuestro hospital en los últimos 6 años con terapia combinada en 51 pacientes y 64 pabellones auriculares afectados por queloides. Aplicamos de forma preoperatoria 3 dosis de triamcinolona o betametasona intralesional, con diferencia de 4 a 6 semanas entre dosis y 4 semanas después de la última dosis, realizamos resección de la cicatriz dejando piel suficiente para el cierre sin tensión. En los pacientes que presentaban antecedente de resección quirúrgica se añadió al tratamiento el uso de colchicina, comenzando el día de la cirugía y manteniéndolo durante 8 semanas, a dosis de 1 mg. al día, con control de pruebas de función hepática pre y postratamiento. En el 74.5 % de los casos la cicatriz queloide fue unilateral; el 56.8 % de los pacientes fueron mujeres; las edades fluctuaron entre los 8 y los 61 años con una media de 24 años de edad. En el 65 % de los casos el queloide se presentó en el pabellón auricular derecho y en cuanto a su localización dentro del mismo, el 42 % se presentó en el lóbulo. La causa en el 56 % de los casos fue por perforación. El 18.6 % de las cicatrices tratadas cedieron con la infiltración intralesional; de las 48 cicatrices que recibieron tratamiento quirúrgico, hubo recidiva en el 12.5 % (6 cicatrices, con un seguimiento de entre 8 meses a 6 años.Keloid scars are one of the most difficult pathologies to treat because its high rate of recurrence, from 100 % with single treatment to 50 % with combined therapy. The auricle is a frequent localization of keloids. We report our experience in the last 6 years with combined therapy in 51 patients and 64 auricles with keloid

  8. The contribution of quality to health services. Application of the quality management system ISO 9001:2008 in Intensive Care Unit of the General Hospital of Larissa

    Directory of Open Access Journals (Sweden)

    Dimitrios Patsios

    2014-10-01

    Full Text Available In our country there have been many efforts in recent years to introduce laws that lead to the introduction of the concept of quality in the field of public hospitals. The implementation of health quality systems contributes to health care improvement, while the assessment of quality services is a basic tool in quality management. Purpose: The purpose of the study was to describe the benefits that can be gained by a public institute of health when a quality model is applied. Material and methods: This paper focus on the application of the ISO 9001:2008 standard in the Intensive Care Unit of the General Hospital of Larissa during the years 2010-2012. The results and benefits of its implementation, recorded by measuring satisfaction of the relatives of the patients. The questionnaire Family Satisfaction with Care in the Intensive Care Unit (FS-ICU 24 and quality indicators were applied. The study sample was all the relatives of the patients hospitalized in ICU during 2010-2012. Descriptive statistics was performed. Results: Quality indicators were considerably improved after ISO implementation with SMR falling to 35% in 2012 (from 58% in 2007, thus being one of the lowest in Greece and below European ICU’s SMR mean value. Over 80% of patients’ relatives answered that Nursing and Medical care was “excellent” and over 10% characterized it as “very good”. Family members’ total satisfaction surpassed 90%. Medical and Nursing care were highly appreciated by family members (very positive attitude expressed by over 90% of participants and satisfaction from nursing services approaches 100%. Conclusion: The implementation of quality systems in healthcare organizations is not easy and has many dimensions. However, it offers competitive advantage, improves the efficiency and effectiveness of the health care service providers and substantially contributes to the improvement of the delivered heath care.

  9. Cost-effectiveness of collaborative care for chronically ill patients with comorbid depressive disorder in the general hospital setting, a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Beekman Aartjan TF

    2007-02-01

    Full Text Available Abstract Background Depressive disorder is one of the most common disorders, and is highly prevalent in chronically ill patients. The presence of comorbid depression has a negative influence on quality of life, health care costs, self-care, morbidity, and mortality. Early diagnosis and well-organized treatment of depression has a positive influence on these aspects. Earlier research in the USA has reported good results with regard to the treatment of depression with a collaborative care approach and an antidepressant algorithm. In the UK 'Problem Solving Treatment' has proved to be feasible. However, in the general hospital setting this approach has not yet been evaluated. Methods/Design CC: DIM (Collaborative Care: Depression Initiative in the Medical setting is a two-armed randomised controlled trial with randomisation at patient level. The aim of the trial is to evaluate the treatment of depressive disorder in general hospitals in the Netherlands based on a collaborative care framework, including contracting, 'Problem Solving Treatment', antidepressant algorithm, and manual-guided self-help. 126 outpatients with diabetes mellitus, chronic obstructive pulmonary disease, or cardiovascular diseases will be randomised to either the intervention group or the control group. Patients will be included if they have been diagnosed with moderate to severe depression, based on the DSM-IV criteria in a two-step screening method. The intervention group will receive treatment based on the collaborative care approach; the control group will receive 'care as usual'. Baseline and follow-up measurements (after 3, 6, 9, and 12 months will be performed by means of questionnaires. The primary outcome measure is severity of depressive symptoms, as measured with the PHQ-9. The secondary outcome measure is the cost-effectiveness of these treatments according to the TiC-P, the EuroQol and the SF-36. Discussion Earlier research has indicated that depressive disorder is

  10. Capacitación sobre lactancia materna al personal de enfermería del Hospital General de México Experience of nurse breastfeeding training

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    Adolfo Gabriel Hernández-Garduño

    2000-04-01

    Full Text Available OBJETIVO: Evaluar el cambio de conocimientos acerca de la lactancia entre el personal de enfermería del Hospital General de México que asistió a un curso teórico-práctico sobre lactancia materna de 18 horas de duración. MATERIAL Y MÉTODOS: Se realizó una intervención educativa sobre lactancia materna, con evaluación inicial y final, en el Hospital General de México, de mayo de 1996 a mayo de 1997. Se capacitó a 152 enfermeras. Se aplicó la prueba t de Student para muestras dependientes y análisis de varianza. RESULTADOS: De 152 participantes, 140 (92% respondieron ambas evaluaciones. Los resultados globales de la evaluación inicial y final fueron 5.39±1.37 y 7.74±0.79, respectivamente, y resultaron estadísticamente significativos (pOBJECTIVE: To evaluate the change of knowledge in nurses attending an eighteen-hour lactation course at the General Hospital of Mexico. MATERIAL AND METHODS: The study was conducted from May 1996 to May 1997 and consisted of a breastfeeding training course and pre and post-test course evaluations of nurse participants. One-hundred-and-forty out of 152 nurses were trained and evaluated. Statistical analysis consisted of a paired t-test and analysis of variance. RESULTS: Of 152 nurses attending the course, 140 (92% completed pre and post-course evaluations. Global results of pre and post-tests were 5.39±1.37 and 7.74±0.79, (p<0.001. The difference was still significant after we compared the instruction level of participants. There was a trend towards a higher level of instruction among those with higher knowledge on lactation in the post-course evaluation (p=0.004. CONCLUSIONS: An 18-hour course given to nurses significantly increased in knowledge on lactation.

  11. Hospital demand for physicians.

    Science.gov (United States)

    Morrisey, M A; Jensen, G A

    1990-01-01

    This article develops a derived demand for physicians that is general enough to encompass physician control, simple profit maximization and hospital utility maximization models of the hospital. The analysis focuses on three special aspects of physician affiliations: the price of adding a physician to the staff is unobserved; the physician holds appointments at multiple hospitals, and physicians are not homogeneous. Using 1983 American Hospital Association data, a system of specialty-specific demand equations is estimated. The results are consistent with the model and suggest that physicians should be concerned about reduced access to hospitals, particularly as the stock of hospitals declines. PMID:10104050

  12. Carmen Luisa Letelier Valdés, Premio Nacional de Arte mención Música 2010: su labor como maestra de canto Carmen Luisa Letelier-Valdés, Winner of the National Arts Award in Music 2010: her Work as Professor of the Art of Singing

    Directory of Open Access Journals (Sweden)

    Gonzalo Cuadra Balagna

    2012-06-01

    Full Text Available A partir de su experiencia personal como discípulo de Carmen Luisa Letelier Valdés en la Facultad de Artes de la Universidad de Chile, el autor evoca la cualidad vocal de la artista, su aporte al desarrollo de la vida musical chilena y su labor como formadora de importantes cantantes chilenos.The author ofthe article studied singing with Carmen Luisa Letelier-Valdés at the Faculty ofArts ofthe University ofChile. On the basis ofhis direct contact with the artist the author presents a personal view ofthe vocal quality of the artist as well as her contribution to the development ofChilean musical activity and her work as teacher of important Chilean singers.

  13. Carmen Luisa Letelier Valdés: su versátil contribución a la comunicación de la música chilena en el país y en el extranjero Carmen Luisa Letelier-Valdés: her versatile Contribution to the Communication of Chilean Music both in Chile and Abroad

    Directory of Open Access Journals (Sweden)

    Luis Merino Montero

    2012-06-01

    Full Text Available Sobre la base de los conceptos de "sociabilidad" e "institución" este trabajo considera el importante aporte que Carmen Luisa Letelier Valdés ha realizado en pro de la comunicación de la música chilena, tanto en Chile como en el extranjero, y por la vida musical del país.This article deals with the important contribution that Carmen Luisa Letelier-Valdés has made to the communication ofChilean music both in Chile and abroad as well as her important rôle in Chilean musical life. The study is based on the concepts of"sociability" and "institution".

  14. 综合性医院污水处理工程改建实例%Reconstruction Case of Wastewater Treatment Station in a General Hospital

    Institute of Scientific and Technical Information of China (English)

    孙国亮; 唐祖萍; 梅凯; 张睿

    2011-01-01

    某综合性医院污水处理站改建工程结合实际情况和新标准的相应要求,强化医院废水的分类收集、污水处理站的废气、污泥处理.工程采用等离子除臭技术,在线监控等先进设备,达到了设计要求,医院污水、废气、污泥得到全面控制,并指出这是医院污水处理工程设计中的重点.%According to the reality of the reconstruction project of wastewater treatment station in a general hospital and the corresponding requirement of the new standard, the wastewater separate collection, the waste gas and sludge treatment were intensified, The advanced equipments and techniques, such as plasma deodorization and online monitoring, were employed in the project.The wastewater separate collection, waste gas treatment and sludge treatment got total control which would be the keystones for the future project design of the hospital wastewater treatment.

  15. [Prevalence and susceptibility patterns of extended-spectrum betalactamase-producing Escherichia coli and Klebsiella pneumoniae in a general university hospital in Beirut, Lebanon].

    Science.gov (United States)

    Daoud, Z; Hakime, N

    2003-06-01

    Extended-spectrum betalactamases (ESBLs) are recognized worldwide as a problem in hospitalized patients. Their prevalence among clinical isolates of Enterobacteriaceae varies between countries and institutions. We studied the evolution of ESBL production by clinical isolates of Escherichia coli and Klebsiella pneumoniae and analyzed the patterns of susceptibility of these isolates to different antimicrobial agents in a general university hospital in Beirut. Of the 4299 isolates of E. coli and 1248 isolates of K. pneumoniae tested over the five years, 2.0% of the E. coli and 20.0% of K. pneumoniae were ESBL producing. A clear decrease in the susceptibility to all antibiotics was observed between 1999 and 2001, and no resistance to imipenem was detected. The isolates were distributed between the Intensive Care Unit (ICU), medical wards, outpatients, and other origins. The highest numbers were found in the ICU (E. coli 28.1% and K. pneumoniae 34.8%). Three phenotypes of resistance to cefotaxime and ceftazidime were observed on the basis of microbiological results. The present study was the first to assess the occurrence and susceptibility patterns of extended-spectrum betalactamase-producing Enterobacteriaceae in Lebanon. PMID:12973463

  16. Depression, alcohol use disorders and nicotine dependence among patients at a general hospital Depressão, transtornos decorrentes do uso de álcool e dependência de nicotina no hospital geral

    Directory of Open Access Journals (Sweden)

    Neury José Botega

    2010-09-01

    Full Text Available OBJECTIVE: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. METHOD: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs were calculated. RESULTS: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7, lower level of education (OR = 3.6, prior use of psychotropic medications (OR = 3.1, cancer (OR = 1.7 and pain (OR = 1.7. Alcohol use disorders were associated with male sex (OR = 6.3, smoking (OR = 3.5, admission for an external cause of injury, such as a traffic accident (OR = 2.4, and previous suicide attempts (OR = 2.3. Nicotine dependence was associated with alcohol use disorders (OR = 3.4, young adulthood (OR = 2.3, widowhood (OR = 2.2 and previous suicide attempts (OR = 1.8. CONCLUSION: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies.OBJETIVO: Identificar taxas de prevalência e

  17. Gestão do desempenho humano: um estudo de caso em um Hospital Geral de Fortaleza (CE Administration of the human acting: a case study in a General Hospital of Fortaleza, Ceará State

    Directory of Open Access Journals (Sweden)

    Maria de Fátima Marrocos Fontenele

    2010-06-01

    Full Text Available A temática deste trabalho apresenta questões sobre a prática da avaliação de desempenho funcional em uma organização pública de saúde. Este eixo de análise ganha destaque a partir das dificuldades de desenvolvimento de sistemas de avaliação com alianças entre políticas de concessão de incentivos financeiros, em um contexto cultural peculiar. Nesse sentido, é necessário admitir os limites dessa ferramenta gerencial. A partir de uma pesquisa qualitativa, utilizou-se um roteiro semiestruturado de perguntas aplicado aos servidores de um hospital geral público do Estado do Ceará. Obteve-se a caracterização do sistema de avaliação de desempenho utilizado pela instituição, podendo-se verificar sua adequação aos modelos propostos na literatura e a pertinência de seus propósitos com as percepções e expectativas dos servidores pesquisados.The thematic of this work presents questions on the practice of the Evaluation of functional performance in an organization of public health. This axle of analysis gains importance from the difficulties of developing evaluation systems with alliances between policies of concession of financial incentives, in a specific cultural context. In this direction, it is necessary to admit the limits of this management tool. From a qualitative research, a semi-structured questionnaire was applied to the staff (public servers of a public general hospital of Ceará State. It was observed the characterization of the performance evaluation system used in the institution, being able to verify its adequacy to the models proposed in the literature and the relevancy of its intentions with the perceptions and expectations of the searched servers.

  18. Tentativa de suicídio entre pacientes com uso nocivo de bebidas alcoólicas internados em hospital geral Suicide attempt amongst patients with alcohol misuse admitted to a general hospital

    Directory of Open Access Journals (Sweden)

    Daniela Dantas Lima

    2010-01-01

    Full Text Available OBJETIVO: Detectar fatores associados a histórico de tentativa de suicídio (TS em pacientes internados em hospital geral que fazem uso nocivo de bebidas alcoólicas. MÉTODO: 4.352 pacientes admitidos consecutivamente foram avaliados utilizando-se um rastreamento do qual constavam as escalas AUDIT (Alcohol Use Disorder Identification Test e HAD (Escala Hospitalar de Ansiedade e Depressão. Fixando-se histórico de tentativa de suicídio ao longo da vida como variável dependente, foram realizados testes do qui-quadrado e regressão logística múltipla. RESULTADOS: Uso nocivo de álcool (AUDIT > 8 foi detectado em 423 pacientes. Dentre eles, 60 (14,2% apresentavam sintomas de depressão (HAD > 8 e 34 (8% tinham histórico de TS. Este se associou a ser adulto jovem [razão de chance (RC = 3,4], depressão (RC = 6,6, uso pregresso de psicofármaco (RC = 7 e ter SIDA (RC = 24. CONCLUSÃO: Os resultados fortalecem a necessidade de detectar e tratar adequadamente condições que, combinadas, aumentam consideravelmente o risco de suicídio.OBJECTIVE: To detect factors associated to previous suicide attempt among patients admitted to a general hospital who presented harmful alcohol drinking pattern. METHOD: 4.352 patients consecutively admitted were screened by means of the AUDIT (Alcohol Use Disorder Identification Test and HAD (Hospital Anxiety and Depression Scale. Qui-squared tests and multiple logistic regression were performed. RESULTS: 423 individuals presented alcohol harmful use or dependence (AUDIT > 8, 60 (14.2% of which had depression (HAD > 8 and 34 (8% previous suicide attempt. The latter was more frequent among young adults [odds ratio (OR = 3.4], those who were depressed (OR = 6.6, had previously taken psychotropic medicines (OR = 7 and had AIDS (OR = 24. CONCLUSION: Our findings reinforce the need for detection and adequate treatment of conditions that, when together, strongly increase the suicide risk.

  19. A new species of Euzetia (Monogenea: Monocotylidae) on the gills of Rhinoptera bonasus (Rhinopteridae) from Ciudad del Carmen, Campeche, México Una especie nueva de Euzetia (Monogenea: Monocotylidae) de las branquias de Rhinoptera bonasus (Rhinopteridae) de Ciudad del Carmen, Campeche, México

    OpenAIRE

    Griselda Pulido-Flores; Scott Monks

    2008-01-01

    Euzetia lamothei n. sp. (Monogenea: Euzetiinae) is described from the gills of the stingray, Rhinoptera bonasus, collected from marine waters near Ciudad del Carmen, Campeche, Mexico. The species is assigned to Euzetia Chisholm and Whittington, 2001 because it has a haptor with 10 peripheral loculi and 1 central loculus flanked by 2 lateral loculi. The species described herein can be distinguished from the only known member of the genus, E.occultum, by the morphology of the male copulatory or...

  20. Restructuring within an academic health center to support quality and safety: the development of the Center for Quality and Safety at the Massachusetts General Hospital.

    Science.gov (United States)

    Bohmer, Richard M J; Bloom, Jonathan D; Mort, Elizabeth A; Demehin, Akinluwa A; Meyer, Gregg S

    2009-12-01

    Recent focus on the need to improve the quality and safety of health care has created new challenges for academic health centers (AHCs). Whereas previously quality was largely assumed, today it is increasingly quantifiable and requires organized systems for improvement. Traditional structures and cultures within AHCs, although well suited to the tripartite missions of teaching, research, and clinical care, are not easily adaptable to the tasks of measuring, reporting, and improving quality. Here, the authors use a case study of Massachusetts General Hospital's efforts to restructure quality and safety to illustrate the value of beginning with a focus on organizational culture, using a systematic process of engaging clinical leadership, developing an organizational framework dependent on proven business principles, leveraging focus events, and maintaining executive dedication to execution of the initiative. The case provides a generalizable example for AHCs of how applying explicit management design can foster robust organizational change with relatively modest incremental financial resources. PMID:19940570

  1. An analysis on the delay of cervical cancer patients in seeking medical check up in Dr. Cipto Mangunkusumo National Central General Hospital Jakarta

    Directory of Open Access Journals (Sweden)

    Ni N. Susanti

    2003-09-01

    Full Text Available In Indonesia, most cervical cancer patients seek medical help after the cancer has reached advanced stage (62 %. This has caused cervical cancer to contribute to 66 % of gynecological deaths.1 The objective of this study is to find out factors related to the delay of cervical cancer patients in seeking for medical help. This research employs quantitative and qualitative methods. Samples were obtained from all of the new cervical cancer patients who came for the first time between 2000 to 2001 and returned to the Dr. Cipto Mangunkusumo National Central General Hospital Jakarta from August until October 2001. It is concluded that variables significantly correlated with the delay for medical check up are knowledge, attitude, the availability of Pap smear service and husband support. The availability of Pap smear plays as dominant variabel. (Med J Indones 2003; 12: 162-5 Keywords: Cervical cancer, knowledge, attitude, the availability of Pap smear service, husband support, late medical check up

  2. Report of the radiological protection procedures adapted in the Goiania General Hospital for assistance to the victims of the radiological accident with Cesium 137

    International Nuclear Information System (INIS)

    A caesium-137 capsule, illegal removed from a desactivated health center of the Instituto Goiano de Radioterapia, was disrupted causing a serious radiological accident. The dimensions of the accident were worsened due to some facts such as: the caesium-137 was in the chloride from, which is a very soluble compound the accident was notify to the competent authorities only several days after the capsule was removal and during this period of time some people handled the souce directly, without knowing its potential danger. This paper descibes the measures adopted in the Goiania General Hospital to restrict the exposure of workers and members of the public and to minimize the consequences of unavoidable exposures in such a way to assure that the annual dose limits were not exceeded. An efficiency evaluation of the methods adopted for the decontamination of the victims was made and its described in the report. (author)

  3. “PROYECCIÓN CIENTÍFICA Y SOCIAL DEL HOSPITAL GENERAL DE MICHOACÁN DE 1901 A 1910”

    OpenAIRE

    Ballesteros Olivares, Hiram

    2012-01-01

    Al plantearnos el estudio de una institución médica como el Hospital General de Michoacán desde su inauguración en 1901, en Morelia, hasta 1910, se hizo necesario revisar, además de sus antecedentes históricos, las corrientes científicas que influyeron en su construcción, su personal médico, la medicina que en él se practicaba, la ciencia y la tecnología de su época, y de manera muy importante, por ser un objetivo primordial de esta investigación, las características de los pac...

  4. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  5. 护理服务质量评价量表的初步研制%Preliminary development of nursing care quality assessment scale in general hospital

    Institute of Scientific and Technical Information of China (English)

    韩俊林; 王润兰; 李建华

    2011-01-01

    Objective: To explore an assessment scale which is suitable for evaluating the present nursing care quality in general hospitals. Method: Through investigation of small group of patients and Delphi procedure, a draft scale was developed. Then 700 inpatients in two general hospitals were investigated by this final scale. Results: The answer rate was 98.71%, the Cronbach's alpha coefficient was 0.881. Confirmatory factor analysis showed five factors was fully consistent with five dimensions of questionnaire, criterion-related validity correlation was r=0.826. Conclusion: The scale has acceptable reliability and validity. It might be helpful for improving nursing care quality.%目的:探索研制适合我国现阶段综合医院的护理服务质量评价量表.方法:在住院患者护理服务需求调查的基础上,经小样本调查结合专家咨询形成正式量表,选取2所综合医院的700名住院患者进行调查.结果:调查量表回收率为98.71%.Cronbach's α系数为0.881,证实性因子分析显示,5个因素与问卷设计的5个维度完全吻合,效标关联效度检验r=0.826.结论:所研制量表具有良好的信度和效度,对护理服务质量改进具有指导作用.

  6. Factors related to positive and negative outcomes in psychiatric inpatients in a General Hospital Psychiatric Unit: a proposal for an outcomes index

    Directory of Open Access Journals (Sweden)

    HUGO KARLING MORESCHI

    2015-02-01

    Full Text Available Background General Hospital Psychiatric Units have a fundamental importance in the mental health care systems. However, there is a lack of studies regarding the level of improvement of patients in this type of facility. Objective To assess factors related to good and poor outcomes in psychiatric inpatients using an index composed by clinical parameters easily measured. Methods Length of stay (LOS, Global Assessment of Functioning (variation and at discharge and Clinical Global Impression (severity and improvement were used to build a ten-point improvement index (I-Index. Records of psychiatric inpatients of a general hospital during an 18-month period were analyzed. Three groups (poor, intermediate and good outcomes were compared by univariate and multivariate models according to clinical and sociodemographic variables. Results Two hundred and fifty patients were included, with a percentage in the groups with poor, regular and good outcomes of 16.4%, 59,6% and 24.0% respectively. Poor outcome at the discharge was associated mainly with lower education, transient disability, antipsychotics use, chief complaint “behavioral change/aggressiveness” and psychotic features. Multivariate analysis found a higher OR for diagnoses of “psychotic disorders” and “personality disorders” and others variables in relation to protective categories in the poor outcome group compared to the good outcome group. Discussion Our I-Index proved to be an indicator of that allows an easy and more comprehensive evaluation to assess outcomes of inpatients than just LOS. Different interventions addressed to conditions such as psychotic disorders and disruptive chief complaints are necessary.

  7. Occurrence and morphological characteristics of cataracts in patients treated with general steroid therapy at the Cantonal Hospital Zenica

    Directory of Open Access Journals (Sweden)

    Jasmin Zvorničanin

    2015-02-01

    Full Text Available Dear Editor, We read with interest the article by Čerim et al. regarding the occurrence and morphological characteristics of cataracts in patients treated with general steroid therapy (1. Similar to the results of previous studies, the authors found that the use of corticosteroids is associated with a higher incidence of cataract development and posterior subcapsular (PSC cataract as most prevalent morphological type (2. Older age and heredity are the most important risk factors associated with different types of cataracts and females are at increased risk of cortical cataract (2,3. Myopia (≤ −1.0 D and elevated intraocular pressure are also associated with an increased risk of nuclear and PSC cataracts (3. The major causal external risk factors influencing cataract formation include: smoking, excessive UV-B exposure, diabetes mellitus (DM and steroidal treatment (2,3. There is also a significant relationship between the risk of cataracts and delivered corticosteroid dose (4. Lower monthly household income, lower education, hypercholesterolemia, hypertension and DM are independent risk factors for the development of any cataract type, while older age and DM are independent risk factors for the development of pure PSC (5. Elevated body mass index (BMI and rapid weight gain may also increase the risk for age related cataract, especially PSC cataract (3,6. Other risk factors for PSC development also include hypertension, the use of amiodarone, thiazide diuretics, aspirin and vitamin E (2. For these reasons, we would kindly ask the authors to perform the correlations for age, gender, BMI, length and regimen of steroid use, cumulative steroid dose, the use of other systemic drugs, DM duration, spherical equivalent and intraocular pressure changes, with cataract occurrence and morphology between the groups. Without this information it would be difficult to hypothesize the direct steroid induced cataractogenesis, especially in the group on the

  8. El Diccionario morfológico de francés medieval de Carmen Cortés Zaborras

    Directory of Open Access Journals (Sweden)

    Rodrigo López Carrillo

    2005-04-01

    Full Text Available El sitio web del grupo de investigación Traductología, formado por profesores de las Universidades de Málaga y Granada y de la Escuela de Traductores de Toledo de la Universidad de Castilla-La Mancha, contiene en una de sus páginas la editorial virtual del grupo, en la que se hallan publicados libros en formato electrónico accesibles a cualquier usuario de la red que entre en la dirección http://traductolog.filosofia.uma.es. Entre ellos encontramos los dos primeros tomos, en formato .pdf, del Diccionario morfológico de francés medieval realizado por Carmen Cortés Zaborras, profesora del Departamento de Filología Inglesa, Francesa y Alemana, área de Filología Francesa, de la Universidad de Málaga.Tal como indica la autora en la introducción al primer tomo, que lo es a su vez a la obra completa, la finalidad de este trabajo es eminentemente pedagógica; pretende ser una herramienta para aquellos estudiantes de Filología francesa que se acercan a los textos en lengua medieval. Se trata de un complemento muy útil a los diccionarios de naturaleza léxico-semántica en los que las informaciones gramaticales suelen reducirse a la clase y a la categoría del género y, sólo excepcionalmente, cuando el nominativo y el acusativo son diferentes se recogen como tales...

  9. Símbolo de poder: la Fiesta del Carmen en dos contextos distintos de España y Perú

    OpenAIRE

    Melis Maynar, Ana

    2007-01-01

    El objetivo de este artículo es analizar dos modelos distintos de una misma fiesta. La Fiesta del Carmen es un símbolo de identidad en dos regiones y continentes muy diferentes, en España y en Perú. La fiesta, en la Comunidad Valenciana de España, adquiere una dimensión social de carácter restringido. Se celebra principalmente como una fiesta de carácter local por gente que trabaja en actividades marineras (pescadores y marinos) o por gente que vive en un municipio o lugar determinado. Esto e...

  10. CARMENES: Calar Alto high-Resolution search for M dwarfs with Exo-earths with a Near-infrared Echelle Spectrograph

    CERN Document Server

    Quirrenbach, A; Mandel, H; Caballero, J A; Ribas, I; Reiners, A; Mundt, R; Abril, M; Afonso, C; Bean, J L; Bejar, V J S; Becerril, S; Boehm, A; Cardenas, C; Claret, A; Colome, J; Costillo, L P; Dreizler, S; Fernandez, M; Francisco, X; Garrido, R; Hernandez, J I Gonzalez; Guenther, E W; Gutierrez-Soto, J; Joergens, V; Hatzes, A P; Henning, T; Herrero, E; Kurster, M; Laun, W; Lenzen, R; Mall, U; Martin, E L; Martin-Ruiz, S; Montes, D; Morales, J C; Munoz, R Morales; Moya, A; Naranjo, V; Rabaza, O; Ramon, A; Rebolo, R; Reffert, S; Rodler, F; Rodriguez, E; Trinidad, A Rodriguez; Rohloff, R -R; Carrasco, M A Sanchez; Schmidt, C; Seifert, W; Setiawan, J; Stahl, O; Suarez, J C; Wiedemann, G; del Burgo, C; Galadi, D; Sanchez-Blanco, E; Xu, W

    2009-01-01

    CARMENES, Calar Alto high-Resolution search for M dwarfs with Exo-earths with a Near-infrared Echelle Spectrograph, is a study for a next-generation instrument for the 3.5m Calar Alto Telescope to be designed, built, integrated, and operated by a consortium of nine German and Spanish institutions. Our main objective is finding habitable exoplanets around M dwarfs, which will be achieved by radial velocity measurements on the m/s level in the near-infrared, where low-mass stars emit the bulk of their radiation.

  11. Perfil de pacientes em uso de via alternativa de alimentação internados em um hospital geral Profile of patients using alternative feeding route in a general hospital

    Directory of Open Access Journals (Sweden)

    Serjana Cavalcante Jucá Nogueira

    2013-02-01

    Full Text Available OBJETIVO: caracterizar a população em uso de via alternativa de alimentação internada em um hospital geral de referência. MÉTODO: estudo transversal prospectivo, tendo-se realizado coleta de dados em 229 prontuários de pacientes em uso de via alternativa de alimentação internados em enfermarias adultas de um hospital geral, identificando-se dados referentes à via alternativa de alimentação em uso, justificativas clínicas, doença(s de base e demais aspectos clínicos relacionados aos distúrbios de deglutição. RESULTADOS: houve predomínio do sexo masculino (55,02%; 70,3% dos pacientes apresentaram diagnóstico de alguma doença neurológica e a via de alimentação mais utilizada foi a sonda nasoenteral (82,53%. Embora a pneumonia e a desnutrição tenham sido diagnosticadas na minoria dos casos (35,08% e 10,04%, houve associação entre as variáveis pneumonia e disfagia (p=0,0098, não ocorrendo o mesmo entre desnutrição e disfagia (p=0,0759. A disfagia foi citada em apenas em 6,55% dos casos. Observou-se, ainda, alta frequência de ausência de dados referente aos sinais e sintomas de dificuldade de alimentação e de justificativas para indicação da via alternativa de alimentação prescrita. CONCLUSÃO: embora a população estudada tenha apresentado fatores de risco para desenvolvimento de distúrbios da deglutição, como doenças de base com alta ocorrência de disfagia e alteração do nível de consciência e/ou sonolência, a baixa frequência do diagnóstico da disfagia e a constante falta de dados relacionados ao contexto alimentar revelaram a pouca importância dada às manifestações funcionais pela unidade hospitalar estudada.PURPOSE: to characterize the population submitted to administration of alternative feeding route admitted to a general hospital in the state of Alagoas. METHOD: data from medical records of 229 patients admitted to adult infirmary were investigated. Data referring to the administration

  12. Evaluación del estado nutricional de pacientes con cirrosis hepática alcohólica atendidos en la Clínica de Hígado del Hospital General de México Nutritional assessment of alcoholic liver cirrhotic patients treated in the liver Clinic of the Mexico's General Hospital

    OpenAIRE

    H. V. Landa-Galván; M.ª P. Milke-García; C. León-Oviedo; G. Gutiérrez-Reyes; F. Higuera-de la Tijera; J. L. Pérez-Hernández; A. E. Serralde-Zúñiga

    2012-01-01

    La desnutrición en el paciente cirrótico se asocia a mayor morbi-mortalidad; sin embargo, su diagnóstico es complejo por lo que el objetivo del estudio fue evaluar el estado nutricional empleando distintos métodos. Se evaluaron pacientes adultos con cirrosis hepática de origen alcohólico que acudieron a la Clínica de Hígado del Hospital General de México. Se aplicó un recordatorio de 24 horas y antropometría, herramientas de tamizaje (Malnutrition Universal Screening Tool, Nutritional Risk Sc...

  13. The Survey of SMS Effect on General Health and Quality of Life in People with Diabetes Type 2 Referring to Clinic of 22-Bahman Hospital of

    Directory of Open Access Journals (Sweden)

    Alireza Atarodi

    2013-04-01

    Full Text Available Background: Diabetes is one of the most common chronic diseases of the present era. This disease with its many complications has so many effects on quality of life that affects people. Since awareness increase is effective on self-control, some strategies can improve quality of life and technology has changed the way of education and life1. So, this study was performed to survey SMS effect on general health and quality of life in people with diabetes type 2 referring to clinic of 22-Bahman hospital of Gonabad city in 2011. Materials and Methods: This is a quasi-experimental study. The samples were chosen with a simple random sampling from those referring to clinic of 22-Bahman hospital of Gonabad city in 2011. The data were collected by SF-36 quality of life questionnaire. In both of the intervention (X = 40 and the control groups (X = 40 SF-36, quality of life questionnaire was completed before intervention and again one month after sending educational short messages through mobile phone, and then the data were analyzed by independent Mann-whitney, Wilcoxon, Chi square and T-test and using SPSS-14 software.Results: This study reviewed the mean quality of life before and after sending educational short messages in two intervention and control groups. The findings showed that the average quality of life score before intervention was 56.9 in the control group and 58.3 in the intervention group (p=0. But the comparison of the quality of life scores showed a significant difference in the intervention group according to t-test before and after sending educational mobile messages to them (p=0.Conclusion: SMS based on educational text is effective on quality of life increasing and then modern technology can be effective positively if it used approprately.

  14. The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice

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    Mykletun Arnstein

    2005-12-01

    Full Text Available Abstract Background General practitioners' (GPs diagnostic skills lead to underidentification of generalized anxiety disorders (GAD and major depressive episodes (MDE. Supplement of brief questionnaires could improve the diagnostic accuracy of GPs for these common mental disorders. The aims of this study were to examine the usefulness of The Hospital Anxiety and Depression Rating Scale (HADS for GPs by: 1 Examining its psychometrics in the GPs' setting; 2 Testing its case-finding properties compared to patient-rated GAD and MDE (DSM-IV; and 3 Comparing its case finding abilities to that of the GPs using Clinical Global Impression-Severity (CGI-S rating. Methods In a cross-sectional survey study 1,781 patients in three consecutive days in September 2001 attended 141 GPs geographically spread in Norway. Sensitivity, specificity, optimal cut off score, and Area under the curve (AUC for the HADS and the CGI-S were calculated with Generalized Anxiety Questionnaire (GAS-Q as reference standard for GAD, and Depression Screening Questionnaire (DSQ for MDE. Results The HADS-A had optimal cut off ≥8 (sensitivity 0.89, specificity 0.75, AUC 0.88 and 76% of patients were correctly classified in relation to GAD. The HADS-D had by optimal cut off ≥8 (sensitivity 0.80 and specificity 0.88 AUC 0.93 and 87% of the patients were correctly classified in relation to MDE. Proportions of the total correctly classified at the CGI-S optimal cut-off ≥3 were 83% of patients for GAD and 81% for MDE. Conclusion The results indicate that addition of the patients' HADS scores to GPs' information could improve their diagnostic accuracy of GAD and MDE.

  15. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  16. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  17. Prevalencia de anticuerpos contra Trypanosoma cruzi en donadores de sangre del IMSS, Orizaba, Veracruz, México Prevalence of antibodies against Trypanossoma cruzi in blood bank donors from the IMSS General Hospital in Onizaba, Veracruz, Mexico

    OpenAIRE

    Angel Ramos-Ligonio; Michaía Elián Ramírez-Sánchez; Juan Carlos González-Hernández; José Luis Rosales-Encina; Aracely López-Monteon

    2006-01-01

    OBJETIVO: Determinar la prevalencia de anticuerpos contra Trypanosoma cruzi en donadores del Hospital General Regional del Instituto Mexicano del Seguro Social (IMSS) en la ciudad de Orizaba, Veracruz. MATERIAL Y MÉTODOS: Se examinaron muestras de donadores del banco de sangre del Hospital General Regional (HGRO) del IMSS para la búsqueda de antiT. cruzi por ELISA, Western blot e IFI, utilizando una proteína recombinante (MBP::Hsp70) y un extracto crudo de epimastigotes. Las muestras fueron o...

  18. The impact of healthcare workers job environment on their mental-emotional health. Coping strategies: the case of a local general hospital

    Directory of Open Access Journals (Sweden)

    Aristotelis Koinis

    2015-04-01

    Full Text Available Workplace stress can influence healthcare professionals’ physical and emotional well-being by curbing their efficiency and having a negative impact on their overall quality of life. The aim of the present study was to investigate the impact that work environment in a local public general hospital can have on the health workers’ mental-emotional health and find strategies in order to cope with negative consequences. The study took place from July 2010 to October 2010. Our sample consisted of 200 healthcare professionals aged 21-58 years working in a 240-bed general hospital and the response rate was 91.36%. Our research protocol was first approved by the hospital’s review board. A standardized questionnaire that investigates strategies for coping with stressful conditions was used. A standardized questionnaire was used in the present study Coping Strategies for Stressful Events, evaluating the strategies that persons employ in order to overcome a stressful situation or event. The questionnaire was first tested for validity and reliability which were found satisfactory (Cronbach’s α=0.862. Strict anonymity of the participants was guaranteed. The SPSS 16.0 software was used for the statistical analysis. Regression analysis showed that health professionals’ emotional health can be influenced by strategies for dealing with stressful events, since positive re-assessment, quitting and seeking social support are predisposing factors regarding the three first quality of life factors of the World Health Organization Quality of Life -BREF. More specifically, for the physical health factor, positive re-assessment (t=3.370, P=0.001 and quitting (t=−2.564, P=0.011 are predisposing factors. For the ‘mental health and spirituality’ regression model, positive re-assessment (t=5.528, P=0.000 and seeking social support (t=−1.991, P=0.048 are also predisposing factors, while regarding social relationships positive re-assessment (t=4.289, P=0

  19. Avaliação da preceptoria na residência médica em cirurgia geral, no centro cirúrgico, comparação entre um hospital universitário e um hospital não universitário Assessment of preceptorship in general surgery residency in the operating room, comparison between a teaching hospital and a non teaching hospital

    Directory of Open Access Journals (Sweden)

    Elizabeth Gomes Santos

    2012-12-01

    Full Text Available OBJETIVO: Avaliar e comparar a preceptoria no programa de residência médica em Cirurgia Geral, no centro cirúrgico, em um hospital universitário e em um hospital não universitário, a partir da ótica dos residentes que ingressaram em 2010 e 2011. MÉTODOS: Questionário aplicado aos residentes, modificado de Sarker SK, Vincent C, e Darzi AW e usando-se a escala de Likert para qualificar o ítem pesquisado sobre as atitudes dos preceptores. A comparação da distribuição das respostas entre os dois hospitais foi analisada pelo teste de c² para tendências. RESULTADOS: No hospital universitário foram avaliados 12 preceptores por sete residentes. No hospital não universitário foram 11 preceptores avaliados por 13 residentes. O hospital não universitário apresentou a tendência de resposta discordante e indiferente (DC, D e I maior que o hospital universitário. Só o resultado de uma pergunta apresentou significância estatística. Não houve diferença significativa na comparação das respostas nas demais perguntas entre os dois hospitais. CONCLUSÃO: Os hospitais apresentaram preceptoria semelhante.BACKGROUND: Medical residency is well known as the best training method after graduation. It is a moment when, in addition to receiving technical guidance, residents should also develop attitudes, ethics, and professionalism. In order for that to occur, preceptors should be prepared for their task. OBJECTIVE: To evaluate and compare the preceptorship in the Medical Residency in General Surgery program, in the operating room of a Teaching Hospital (TH and a Non-teaching Hospital (NTH, from the viewpoint of the residents who entered in 2010 and 2011. METHODS: A questionnaire was applied to the residents, adapted from Sarker, Vincent and Darzi, and the Likert scale was used to qualify the survey items on the preceptors' attitudes. RESULTS: At the TH, 12 preceptors were evaluated by 7 residents. One of the residents did not answer the

  20. Attenuation of fast neutrons and gamma in straight-line between source and dose point with accumulation factor. Application to the cylindrical, cube and truncated cone sources. Mercure, Jupiter and Carmen codes

    International Nuclear Information System (INIS)

    The Mercure, Jupiter and Carmen codes deal with the protection concerning the fast neutrons attenuation and gamma issued respectively from cylindrical, cube and truncated cone sources.The computer system is Fortran II. The presentation of the results done in dose, heating or energy flux after the protection plan impression and different technical data. (A.L.B.)

  1. Study of the biodistribution and biokinetics of 165-dysprosium-ferric-hydroxide using the shadow-shield whole-body counter in the general hospital Vienna

    International Nuclear Information System (INIS)

    The application of the whole-body counter at the Vienna General Hospital to the study of the biodistribution and biokinetics of 165Dy-DFH was investigated. Activity profiles of the four detectors allow the incorporated/injected radionuclide to be localized with an accuracy of ± 1 cm in the 3 coordinates. The main peak marks the position of the knee joint, the small peak on its right shows the position where a small amount of activity escaped . This small peak can be related to the anatomical structure. A rather high background is due to scattered rays. Based on data derived from phantom measurements, it is possible to determine the amount of activity applied and the exposure to non-target organs. The MIRDOSE II code was used to determine the energy dose in the organs. Radiation exposure of the patient whose urinary bladder has concentrated escaped activity can be reduced if the patients urinates immediately after the leakage was detected. The leakage of 165Dy-DFH out of the joint is negligible and radiation exposure due to the treatment is relatively low. The whole-body counter allows activity leakage to be detected with a considerably higher sensitivity than a gamma camera does. The biodistribution of 165Dy-DFH can be determined and leakage can be localized and related to the organs. (P.A.)

  2. Female Genital Mutilation in Infants and Young Girls: Report of Sixty Cases Observed at the General Hospital of Abobo (Abidjan, Cote D'Ivoire, West Africa)

    Science.gov (United States)

    Plo, Kouie; Asse, Kouadio; Seï, Dohagneron; Yenan, John

    2014-01-01

    The practice of female genital mutilations continues to be recurrent in African communities despite the campaigns, fights, and laws to ban it. A survey was carried out in infants and young girls at the General Hospital of Abobo in Cote D'Ivoire. The purpose of the study was to describe the epidemiological aspects and clinical findings related to FGM in young patients. Four hundred nine (409) females aged from 1 to 12 years and their mothers entered the study after their consent. The results were that 60/409 patients (15%) were cut. The majority of the young females came from Muslim families (97%); the earlier age at FGM procedure in patients is less than 5 years: 87%. Amongst 409 mothers, 250 women underwent FGM which had other daughters cut. Women were mainly involved in the FGM and their motivations were virginity, chastity, body cleanliness, and fear of clitoris similar to penis. Only WHO types I and II were met. If there were no incidental events occurred at the time of the procedure, the obstetrical future of these young females would be compromised. With FGM being a harmful practice, health professionals and NGOs must unite their efforts in people education to abandon the procedure. PMID:24729789

  3. Control of the biodistribution and biokinetics of 165-dysprosium-ferric-hydroxide after radiation synovectomy using the whole-body counter in the general hospital Vienna

    International Nuclear Information System (INIS)

    Radiation synovectomy is suggested to be an alternative to surgical treatment. The aim of this study was to evaluate the application of the whole-body counter in the General Hospital Vienna for the study of the biodistribution and biokinetics of 165-dysprosium-ferric-hydroxide (165Dy-DFH). During this study it was possible to measure 42 patients, who were treated with 165Dy-DFH. The applied activity ranged from 520 MBq to 12955 MBq. The emission of γ-radiation with an energy of 95 keV is used to monitor the kinetic distribution of 165Dy by performing activity profiles with the whole-body counter 2, 4 and 6 hours after injection. The doses to non-target organs were calculated using the software MIRDOSE II. In 32 patients no leakage could be monitored. In 3 patients a concentration of leakage was detected in the urinary bladder, in 2 patients a leakage was detected in the liver and in 6 patients a small leakage was detected in the inguinal lymphatic nodes of the treated legs. Using a whole-body counter activity leakage could be detected with much higher sensitivity than by using a gamma camera. Biodistribution of 165Dy-DFH could be determined, leakage could be localised and related to organs. (orig.)

  4. Infecciones nosocomiales en la Unidad de Cuidados Intermedios del Hospital General “Dr. Ernesto Guevara de la Serna”, 2007-2011

    Directory of Open Access Journals (Sweden)

    Ana Maryani Gallardo Pedraza

    2015-12-01

    Full Text Available Se realizó una investigación observacional, descriptiva y retrospectiva, en la Unidad de Cuidados Intermedios del Hospital General Docente “Dr. Ernesto Guevara de la Serna” de la provincia Las Tunas, durante el período comprendido entre enero de 2007 a diciembre de 2011, con el objetivo de caracterizar el comportamiento de las infecciones nosocomiales. La muestra la constituyeron los 390 pacientes con infección hospitalaria, se identificaron y describieron algunas tasas y variables de interés. Se utilizaron fuentes primarias para la obtención de la información, y los datos fueron procesados utilizando la estadística descriptiva mediante el análisis porcentual. La Tasa de Infección Hospitalaria Global tuvo un comportamiento que no se corresponde con la media nacional, la tasa de mortalidad está disminuida, respecto al indicador establecido; según las localizaciones, el sistema respiratorio fue el más afectado; el índice de positividad de las muestras fue elevado; la cepa del germen predominante fue el Citrobacter diversus.

  5. Oral sildenafil (Viagra™ in male erectile dysfunction: use, efficacy and safety profile in an unselected cohort presenting to a British district general hospital.

    Directory of Open Access Journals (Sweden)

    Boustead Gregory

    2002-04-01

    Full Text Available Abstract Introduction Sildenafil (Viagra® is one of the drugs used in the first line therapy of male erectile dysfunction (MED. We have recorded outcomes, adverse events and acceptability of Sildenafil (Viagra therapy in an unselected group of men presenting with ED to a British district general hospital. Methods In this prospective observational study, 147 men with ED were seen since Oct 1999. Study patients were reviewed at 4, 12 and 52 weeks. All the patients filled the International Index of Erectile Function (IIEF questionnaire and were asked about their willingness to pay (WTP for treatment. Results All suitable men accepted Viagra as first line therapy. 91% of our patients found sildenafil treatment successful. 80% of these patients were willing to continue with sildenafil therapy. Side effect profile of sildenafil was different in this study with much higher incidence of headache, dyspepsia, flushing and abnormal vision. 92% of men with ED expect to be treated by the NHS. Of those men eligible for treatment in the NHS, 30% qualify under the clinical categories and 18% under the 'distress' category. Only 55% of those with cardiovascular risk factors qualify for NHS treatment. Conclusions Sildenafil is widely accepted as first line therapy among British men with ED and has a success rate of 91%. Nearly half of men with ED qualify for NHS treatment. Nearly half of those with vascular risk factors do not qualify for NHS treatment. Most men with ED could possibly be managed in primary care.

  6. Parasuicide and drug self-poisoning: analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV, Niguarda General Hospital, Milan

    Directory of Open Access Journals (Sweden)

    Manfré Sergio

    2005-04-01

    Full Text Available Abstract Epidemiological knowledge of parasuicides and drug self-poisoning is still limited by a lack of data. A number of preliminary studies, which require further analysis, evidenced that parasuicidal acts occur more often among females, that the peak rate is generally recorded between the ages of 15 and 34 years and psychotropic medications seems to be the most frequently used. The aim of this study was to describe the demographic and clinical variables of a sample of subjects admitted to the Posisoning Treatment Centre (CAV, Niguarda General Hospital, Milan, following drug self-poisoning. Furthermore, this study is aimed to identify the risk factors associated to parasuicidal gestures, with special care for the used drugs, the presence of psychiatric or organic disorders, alcoholism and drug addiction. The study included the 201 patients attending the CAV in 1999 and 2000 who satisfied the criteria of self-poisoning attempts: 106 cases in 1999 and 95 in 2000. The sample had a prevalence of females (64%. The peak rates of parasuicides from drug self-poisoning were reached between 21 and 30 years among the females, and 31 and 40 years among the males. 81.6% of the patients used one or more psychoactive drugs, the most frequent being the benzodiazepines (58.7%, classic neuroleptics (16.9% and new-generation antidepressants (SSRIs, SNRIs, NARIs (12.9%. The prevalence of mood disorders was higher among females (64% vs 42%, whereas schizophrenia was more frequently diagnosed in males (22% vs 10%. 61% (33% had a history of previous attempted suicides. The presence of clinically relevant organic diseases was observed in 24.9% of the sample.

  7. Profilaxia da trombose venosa profunda: aplicação prática e conhecimento teórico em um hospital geral Deep venous thrombosis prophylaxis: practical application and theoretical knowledge in a general hospital

    Directory of Open Access Journals (Sweden)

    Cristiano Almeida Pereira

    2008-03-01

    ção para recebê-la, tornando necessária a implementação de um programa de educação continuada sobre o tema.BACKGROUND: Although this work belongs to the area of vascular surgery, it is relevant to all clinical and surgical specialties due to the clinical importance of deep venous thrombosis and its main complication, pulmonary embolism. OBJECTIVES: To verify whether pharmacological prophylaxis of deep venous thrombosis is being adequately and routinely used in our service and to evaluate physicians' knowledge about the indications of deep venous thrombosis chemoprophylaxis. METHODS: A prospective study was accomplished including 850 patients hospitalized from March to May 2007 at Hospital Geral de Roraima. Clinical, pharmacological and surgical factors were researched. Risk stratification and evaluation of prophylaxis were established according to the classification suggested by the Brazilian Society of Angiology and Vascular Surgery and to the protocol developed by Caiafa in 2002. Physicians answered a questionnaire and analyzed three hypothetical clinical cases. Data were tabled and statistically analyzed with the support of the software Epi-Info 2002®. RESULTS: Of the 850 patients surveyed, 557 (66.66% were clinical and 293 (33.34% were surgical patients. Of the total, 353 (41.56% had low risk, 411 (48.32% medium risk and 86 (10.12% high risk for development of deep venous thrombosis. Of the 497 patients that needed to receive chemoprophylaxis for deep venous thrombosis, only 120 (24% received it and of these, 102 (85% received it adequately. Any patient who did not need prophylaxis received it. Clinical physicians prescribed prophylaxis more frequently and correctly than surgeons, although the latter have demonstrated better theoretical knowledge of the theme. In general, theoretical knowledge on deep venous thrombosis was insufficient. CONCLUSIONS: In our hospital, chemoprophylaxis for deep venous thrombosis is underused in patients indicated for receiving it

  8. 综合性医院住院患者中谵妄的临床特点%Study on the clinical characteristics of delirium in hospitalized patients in a general hospital

    Institute of Scientific and Technical Information of China (English)

    曲媛; 赵媛; 韩燕飞; 陈葵; 张拥波

    2015-01-01

    目的:探讨综合性医院住院患者中发生谵妄的临床特点及治疗策略。方法根据美国精神障碍诊断和统计手册第四版( DSM-Ⅳ)诊断标准,收集2013年1~6月期间申请神经内科会诊确诊的谵妄患者临床资料,并与非谵妄患者进行比较分析。结果共诊断谵妄患者54例,占同期申请会诊患者的12.16%。谵妄患者平均年龄(73.70岁)高于非谵妄患者(64.45岁),差异有显著性( P ﹤0.05),但性别构成比无显著差异(男∶女32∶22 vs.218∶172,χ2=0.218,P ﹥0.05)。发生谵妄的患者多来自各个手术科室及重症监护室,高于来自内科患者(62.96% vs.25.6%,χ2=31.355,P ﹤0.05)。代谢异常(包括水、电解质紊乱及急性肝、肾功能异常)、低氧血症及重症感染为最常见的诱发因素,疼痛在外科系统也是诱发谵妄的常见因素之一;57.63%患者同时存在2种及以上的诱发因素。谵妄症状集中表现为夜间加重的注意力下降、精神运动性激越、睡眠-觉醒周期紊乱、定向力障碍、错觉或幻觉及记忆力下降。大部分患者在加强原发病治疗、纠正诱发因素后自行缓解。仅7例患者给予短疗程、小剂量的非典型抗精神病药物治疗。结论在综合性医院的住院患者中,病情复杂的老年患者发生谵妄的几率更大。一旦患者出现了谵妄状态,提倡综合性治疗,逐项排查并尽快消除诱发因素。%Objective To explore the clinical characteristics and therapeutic strategies for delirium in patients of general hospital during their hospitalization. Methods Among patients needing neurological consultation during January to June 2013,patients with delirium were select-ed according to the criteria of DSM-Ⅳ,and they were compared with those patients without delirium. Results There were 54 patients with delir-ium,12. 16% of them needed neurological consultation. Their average age

  9. Management strategies of hospitalized patients with suspected tuberculosis in a general hospital%综合医院疑似肺结核住院患者的管理措施研究

    Institute of Scientific and Technical Information of China (English)

    石月欣; 张越巍; 姜悦; 王静; 胡爱香; 周志男; 李静; 刘丽萍

    2015-01-01

    目的:通过回顾性分析2011年8月-2015年3月在医院发生的肺结核病例,总结综合医院对结核患者的管理措施,以提高肺结核患者的应急处理,防止医院感染暴发。方法回顾性分析2011年以来医院发现的肺结核或疑似肺结核患者的案例,通过进行流行病学调查和医院感染控制,在医护人员中开展“肺结核防护行为”问卷调查,包括知识培训、标准防护、会诊转诊等8个问题。结果共回收有效问卷240份,医护人员对肺结核防护行为回答中,“每次做到”的应答率为33.8%~75.0%,“大都做到”的应答率为12.5%~46.7%;两项综合应答率最高的“每次做完治疗后,均会认真、正确的洗手”达95.0%,“能每年接受传染病培训”,达94.6%;有效的控制了疾病在医院内的传播,未造成医院感染暴发。结论在综合医院中要提高对肺结核高危人群的筛查工作,及时诊断确诊病例并及时转诊,加强医院感染控制工作,加强管理控制和环境工程控制,强化标准防护执行率,保护好医护工作者。%OBJECTIVE To retrospectively analyze the patients with tuberculosis who were hospitalized from Aug 2011 to Mar 2015 and put forward the management measures of the tuberculosis patients in the general hospital so as to improve the emergency treatment and prevent the outbreak of nosocomial infections .METHODS Since 2011 , the patients with tuberculosis or the patients with suspected tuberculosis were retrospectively reviewed ,then the questionnaire survey of protective behaviors for tuberculosis wad conducted among the health care workers through the epidemiological investigation and control of nosocomial infections ,including 8 items such as the knowledge training ,standard protection ,and consultation and referral .RESULTS A total of 240 valid questionnaires were collected .Among the health care workers

  10. A study of anemia in women with asymptomatic malaria parasitaemia at their first antenatal care visit at the General Hospital, Ikot Ekpene, Akwa Ibom State, Nigeria

    Institute of Scientific and Technical Information of China (English)

    Ekanem EI; Agan TU; Efiok EE; Ekott MI; Okodi E

    2010-01-01

    Objective:To assess the prevalence of anemia and asymptomatia malaria parasitemia and the effect of prior antimalarials therapy on the parasite density in pregnant women at their first antenatal visit at the secondary level health care facility in Nigeria. Methods:This cross sectional observational study was carried out in the antenatal clinic of General Hospital, Ikot Ekpene, Akwa Ibom State, Nigeria for 3 months period (1st June to 31st August, 2009). Five hundred and fourteen women attending their first antenatal registration visits in the hospital were recruited in the study. Socio-demographic information was obtained using pre-tested questionnaires. The malaria parasite was obtained by examining thick and thin blood films prepared on 2 glass slides while the hematocrit was obtained through 2 capillary tubes read by a Hawksleys microhematocrit reader. Results:A total of 514 pregnant women participated in the study with a mean maternal age of 21.4 years and a mean gestational age at booking of 18.3 weeks. The primigravid women booked at significantly lower gestational age than multigravidae (16.2 weeks vs 21.6 weeks). Most of the women (59.3%) were anemic, out of which 60.4%were primigravida. More than half of the women had moderate to high parasite density and only 6.8%had no malaria parasitemia. All patients with severe anemia were parasitemic. Out of the 479 (93.2%) women with parasitemia, a third had taken antimalarial drugs. A majority (60.3%) of those without prior antimalarial drugs had moderate to high density parasitemia. Conclusions:This study shows high prevalence of anemia in women with asymptomatic malarial parasitemia, particularly the primigravida. The severity of anemia is directly related to the density of malaria parasitemia. Those with effective antimalarial therapy appear to have low density parasitemia and therefore mild anemia. Routine screening for anemia and malaria parasites at booking, prompt parasite clearance and correction of anemia

  11. Evaluación del estado nutricional de pacientes con cirrosis hepática alcohólica atendidos en la Clínica de Hígado del Hospital General de México Nutritional assessment of alcoholic liver cirrhotic patients treated in the liver Clinic of the Mexico's General Hospital

    Directory of Open Access Journals (Sweden)

    H. V. Landa-Galván

    2012-12-01

    Full Text Available La desnutrición en el paciente cirrótico se asocia a mayor morbi-mortalidad; sin embargo, su diagnóstico es complejo por lo que el objetivo del estudio fue evaluar el estado nutricional empleando distintos métodos. Se evaluaron pacientes adultos con cirrosis hepática de origen alcohólico que acudieron a la Clínica de Hígado del Hospital General de México. Se aplicó un recordatorio de 24 horas y antropometría, herramientas de tamizaje (Malnutrition Universal Screening Tool, Nutritional Risk Screening-2002 y de diagnóstico nutricional específica para pacientes con cirrosis hepática (Royal Free Hospital Global Assessment. Se incluyeron 62 pacientes y 51,6% fueron hombres. La desnutrición por área muscular de brazo fue de 31,3% en hombres y de 10% en mujeres, y por área grasa de brazo fue de 23,3% en mujeres y 3,1% en hombres (p Malnutrition in the cirrhotic patient is associated to a higher morbidity and mortality rate; however, the diagnosis is complex, so the study objective was to assess the nutritional status using different methods. Adult patients with alcoholic liver cirrhosis treated in the Liver Clinic of the Mexico's General Hospital were evaluated. Anthropometric measurements and a 24 hours recall were made; screening tools (Malnutrition Universal Screening Tool, Nutritional Risk Screening-2002 and a method for assessing nutritional status specifically in cirrhotic patients (Royal Free Hospital Global Assessment were used. We included 62 patients, 51.6% of them were men. Malnutrition by arm muscle area was 31.3% in men and 10% in women, and by arm fat area was 23.3% in women and 3.1% in men (p < 0.05. With the screening tools the percentages of malnutrition risk were 43.5% and 54.8% respectively, vs. 1.6% identified as "low weight" with the Body Mass Index. With the Royal Free Hospital Global Assessment tool the percentage of malnutrition was 45.2%. Patients with malnutrition had an energy and protein intake significantly

  12. 创建研究型医院与强化标准化管理同行--解放军总医院“两手抓”战略的启示%Paral el implementation both creating research hospital and strengthening standardized management-Thoughts on do both strategy in General Hospital of PLA

    Institute of Scientific and Technical Information of China (English)

    阎惠中

    2014-01-01

    Creating research hospital has given new goals for large hospital discipline development in General Hospital of PLA. It also takes 3 years to strengthen standardized management for further developing medical service and research. Do both strategy pursues technology and management, high end and basis balanced development and plays important role on hospital management.%解放军总医院提出创建研究型医院,为大医院科学发展树立了新的目标;同时又利用3年时间强化标准化管理,为医疗与科研夯实管理基础。“两手抓”战略谋求技术与管理、高端与基础的均衡发展,对医院发展具有重要启示。

  13. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  14. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  15. 2005-2012年某综合医院传染病流行特征%2005 -2012 epidemics feature of communicable diseases in the general hospital

    Institute of Scientific and Technical Information of China (English)

    单旭征; 易智勇

    2014-01-01

    目的:了解综合医院传染病分布情况,减少因传染病引起的医院感染。方法以2005-2012年某三甲医院网络直报传染病病例为研究对象,通过统计描述分析传染病流行特征。结果 HIV 病毒感染、丙肝和手足口病构成比有上升趋势,流行性腮腺炎、手足口病、水痘和感染性腹泻平均年龄分别为(7.8±6.3)岁、(2.9±3.4)岁、(12.7±9.0)岁、(7.1±14.5)岁,来自其他省病例构成比最高的传染病为 HIV 感染(20.8%)、其他(3.6%)、丙肝(3.4%)。结论流行性腮腺炎、手足口病、水痘和感染性腹泻发病年龄较小,易形成聚集,HIV 感染、丙肝和乙肝因人口流动性增加而多为输入病例,可通过识别高危人群,加强医院感染管理切断传播途径,保护易感人群。%Objective To Exploring the distribution of communicable diseases in the general hospital to reduce hospital infection caused by communicable diseases.Methods The 2005 -2012 network report cases of communicable diseases were research object and the statistical description was used to analysis the epidemic characteristics.Results The number of HIV infection ca-ses,hepatitis C infection cases and the hand,foot and mouth disease(HFMD)had the rising trend,the ages of mumps,HFMD,chickenpox,and infectious diarrhea were (7.8 ±6.3),(2. 9 ±3.4),(12.7 ±9.0)and (7.1 ±14.5)respectively,and the highest proportion diseases of cases coming from other provinces were HIV infection(20.8%),other diseases(3.6%),and hepatitis C(3.4%).Conclusion Mumps,HFMD,chickenpox,and infectious diarrhea in young people can form aggregation easily,and HIV infection,hepatitis C and hepatitis B were usual y imported diseases,so identifying high -risk groups and strengthening the hospital infection management can cut of the transmission and protect the vulnerable population.

  16. The art of rejection: Comparative analysis between Computed Radiography (CR) and Digital Radiography (DR) workstations in the Accident & Emergency and General radiology departments at a district general hospital using customised and standardised reject criteria over a three year period

    International Nuclear Information System (INIS)

    Aims: Reject analysis continues to play an integral part of a Quality Assurance (QA) program. This study aims to show how Computed Radiography (CR) and Digital Radiography (DR) reject analysis data can be customised by the user to aid in the interpretation of exported data and identify trends and issues relating to technique and training. Materials and methods: Reject analysis was reviewed for the period of 2011–2014 using exported data from CR and DR systems in the Accident and Emergency (A&E) and General radiology departments at a district general hospital. Reject criteria was customised to departmental needs and standardised across all workstation's with monthly data collection for amalgamation onto a central spreadsheet. Results: Analysis by workstation and department was performed with regards to total number of exposure events, rejects and reject ratios (%) and reasons for film rejection (positional and exposure) were reviewed. Annual overall reject ratios (%) were shown to be on average within levels acceptable by the World Health Organisation (WHO)1 with some variability on monthly basis according to workloads experienced. Conclusions: A number of improvements have been suggested to improve data reliability for future analysis and the continuation of a review of the physical rejected image is recommended as this can highlight problematic areas and help to reveal trends which pure data cannot show. - Highlights: • Retrospective analysis of three years CR/DR rejects using customised QA program. • Reviewed data by individual workstations and departments. • Highlighted trends between workstations and departments. • Overall annual reject rates shown to be within WHO recommendations. • Recommendations for future improvements for reject analysis within department and continued review of JPEG images

  17. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  18. Psychiatric disorders and psychiatric consultation in a general hospital: a case- control study Transtornos psiquiátricos e solicitações de interconsulta psiquiátrica em hospital geral: um estudo de caso controle

    Directory of Open Access Journals (Sweden)

    Sumaia Inaty Smaira

    2003-03-01

    Full Text Available INTRODUCTION: Psychiatric consultation (PC has been considered an efficient tool to develop research, to track and to give assistance benefiting patients, health professionals and the institution. However, it has not been much used in Brazil. Although 30 to 50% of general hospital (GH inpatients may present a psychiatric disorder, only 1 to 12% of them are referred to assessment. The aims of this study were: to assess mental disorders in a GH; to identify which of these patients are sent to psychiatric care; to verify alleged reasons for referral to psychiatric consultation, and to examine the relationship between PC and psychiatric learning (during medical school and residence. METHODS: A case-control patient study was conducted (47 cases and 94 controls to analyze in detail the following variables: socio-demographic; clinical; degree of information (about the disease and diagnostic/therapeutic procedures, and relationship between patient and health team. Psychiatric diagnoses were made according to the ICD-10 criteria. The Self Report Questionnaire (SRQ, the CAGE and Brief Psychiatric Rating Scale (BPRS were used as well as a specifically designed questionnaire to collect clinical and demographic data. RESULTS: Behavioral alterations, either of elation or of depression, were the main for requesting a PC ; 95.8% of the cases and 27.7% of the controls had a mental disorder. Organic mental disorders and alcohol-related disorders were the most frequent diagnoses in group I (cases, while anxiety, depressive and alcohol-related disorders were predominant in group II (controls. Control group patients were better informed and more able to establish an appropriate relationship with the health team than case patients. The logistic regression showed CAGE-positive patients having 12.85 times greater risk of being referred to PC, followed by unemployed patients (2.44 times more PC referrals. DISCUSSION: The SRQ and CAGE were quite useful in the screening

  19. 综合医院精神科联络会诊分析%The analysis of consultation-liaison Psychiatry in a general hosPital

    Institute of Scientific and Technical Information of China (English)

    郭俊慧; 王高华; 朱志先; 刘忠纯; 杨灿

    2016-01-01

    Objective:The purpose of this paper was to explore the distribution of psychiatric consulta-tion in general hospital. Method:Six hundred and eighty-eight cases were selected from non psychiatric de-partment in a general hospital. Self-made questionnaires were finished. Descriptive statistical analysis was used by SPSS. Results:The most patients came from the following department:department of internal neurology (19. 3% ),department of cardiology(9. 7% ),department of orthopedics(9. 3% ),department of gastroenterolo-gy(8. 9% ),department of respiratory(8. 7% )and neurosurgery(7. 0% ). The main patients ages were 40 ~ 69 years old(53. 2% )and 20 ~ 29 years old(13. 5% ). The main reasons of consultation were acute brain syn-drome(25. 7% ),psychotic symptoms(22. 8% ),medically unexplained physical symptoms(12. 9% )and the history of mental disorder without symptoms(13. 8% ). The main diagnoses were as follows:mental disorders due to physical diseases(21. 4% ),schizophrenia and other psychotic disorder(20. 9% ),brain organic mental disorders(20. 1% ). Conclusion:In current,non psychiatrists paid more attention to patient′s mental health, mainly include positive mental symptoms,especially acute main syndrome and psychotic symptoms. But depres-sion and anxiety symptoms were got less attention.%目的:探讨综合医院内精神科联络会诊的分布特征。方法:收集某综合医院1年内精神科联络会诊病例688例,完成自制调查问卷,使用 SPSS 统计软件进行描述性统计分析。结果:会诊病例最多分布在神经内科(19.3%),其次为心内科(9.7%)、骨科(9.3%)、消化内科(8.9%)、呼吸科(8.7%)以及脑外科(7.0%);患者年龄分布以40~69岁(53.2%)和20~29岁(13.5%)为多;会诊主要原因为急性脑病综合征(25.7%)、精神病性症状(22.8%)、不能解释的躯体症状(12.9%)和既往有精神障碍史而目前无明显症状者(13.8%

  20. Characteristics of Anxiety Disorder in General Hospitals' Outpatient Department%综合医院门诊焦虑障碍患者的特点分析

    Institute of Scientific and Technical Information of China (English)

    鲁文兴; 陈星; 姜荣环; 马弘; 娄英男; 何燕玲; 杨蕾

    2014-01-01

    Objective To explore the characteristics of anxiety disorder in outpatient of general hospitals. Methods The outpatients in Neurology,Gastroenterology,Cardiology,and Gynecology department were screened using general information questionnaire,Hospital Anxiety and Depression Scale( HADS),Patient Health Questionnaire somatic symptom severity scale (PHQ - 15). All the patients who's HADS score were 8 or above were examined by psychiatrists using the Mini International Neuropsychiatry Interview(MINI)and were determined the psychiatric diagnosis. Results All in all 2 074 outpatients completed the investigation:110 with anxiety disorder(anxiety disorder group)among which 57(51. 8% )with comorbid anxiety depres-sion,1 538 cases without anxiety disorder(normal group)(915 cases' HADS were under 8,623 cases were determined by MINI). The depression group was younger than the normal control〔(45. 3 ± 14. 1)vs. (49. 7 ± 16. 8),t = 2. 667,P 0. 05).The total score in PHQ - 15 of anxiety patient were higher than those of normal controls〔(12. 5 ± 5. 7)vs. (7. 1 ± 4. 3),t =12. 371,P 0.05)。焦虑障碍组的 PHQ -15总分为(12.5±5.7)分,正常组为(7.1±4.3)分,两组间比较差异有统计学意义(t =12.371,P <0.01)。焦虑障碍组患者 PHQ -15中出现频率前三位的条目为:感到疲劳37.3%(41例);睡眠问题37.3%(41例);虚弱感30.0%(33例)。正常组和焦虑障碍组的误工天数、目前疾病造成的功能损害(对家庭生活和家庭责任的影响、对工作和学习的影响、对社交生活的影响)间差异有统计学意义(P <0.05)。焦虑障碍组患者有自杀倾向者占32.7%(36例),只有22例患者(20.0%)被建议转诊到精神科(16例,14.5%)或予以精神类药物(6例,5.5%)。结论综合医院门诊的焦虑障碍患者共病抑郁障碍的比例高、躯体主诉多、生活质量差、自杀倾向高,但被识别的比例较低。