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Hospital capacity

Ruiqing Liu, Zhen Guo, Lei Cao, Zhiming Wang, Jianfeng Gong, Yi Li, Weiming Zhu
BACKGROUND: The perioperative behavior of fecal calprotectin and whether it predicts early postoperative endoscopic recurrence of Crohn's disease are unknown. OBJECTIVE: We aimed to compare the perioperative profiles of fecal calprotectin between patients with Crohn's disease and patients without Crohn's disease undergoing intestinal resection and to identify the association between consecutive fecal calprotectin levels and endoscopic recurrence 3 months after surgery in patients with Crohn's disease...
November 15, 2018: Diseases of the Colon and Rectum
Ling Xie, Yu Peng, Kaibin Huang, Yongming Wu, Shengnan Wang
BACKGROUND: Iron, an essential mineral for human body, has the potential to cause toxicity at high levels. Previous studies have shown inconsistent predictive value of iron parameters in critically ill patients. Thus, we aimed to evaluate the performance of iron parameters in outcome prediction of neurocritically ill patients. METHODS: Retrospective data were collected from patients admitted to the neurocritical care unit (NCU) of a tertiary teaching hospital between August 2016 and January 2017...
November 19, 2018: Brain and Behavior
Lillian Hung, Cathy Son, Rebecca Hung
INTRODUCTION: Hospital staff lacks knowledge and skills in dementia care. There is a need to understand how person-centered care theory can be operationalized in staff's practices to improve dementia care. AIMS: To describe the staff's experiences of learning and applying the Gentle Persuasive Approaches (GPA) to enact person-centered care in a hospital. METHODS: Mixed methods, including posteducation survey and focus groups, were used. Thematic analysis was conducted to identify themes that describe participants' experiences...
November 18, 2018: Journal of Psychiatric and Mental Health Nursing
Carlos Eduardo Amaral, Rosana Onocko-Campos, Pedro Renan Santos de Oliveira, Mariana Barbosa Pereira, Éllen Cristina Ricci, Mayrá Lobato Pequeno, Bruno Emerich, Roseléia Carneiro Dos Santos, Graham Thornicroft
Background: Pathways to care are actions and strategies employed by individuals in order to get help for health-related distress and the related processes of care providers. On several systematic reviews regarding pathways to mental health care (PMHC), studies regarding South American countries were not present. This review synthesizes qualitative and quantitative research about PMHC in Brazil. Methods: LILACS, MEDLINE and SCIELO databases were searched for papers regarding PMHC in Brazil...
2018: International Journal of Mental Health Systems
Roman N Fedosiuk, Olena M Kovalova
OBJECTIVE: Introduction: At present, the world faces an extremely heterogeneous situation in providing population with access to intensive care. In healthcare systems of different countries, there are significant differences in the number of available ICU beds per 10 thousand population. Even in the united Europe, the indicator is extremely variable and ranges from 0.42 ICU beds per 10.000 population in Portugal to 2.92 ICU beds per 10.000 population in Germany (a difference of almost 7 times), amounting to an average of 1...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Carmen Fierbinţeanu-Braticevici, Matthias Raspe, Alin Liviu Preda, Evija Livčāne, Leonid Lazebnik, Soňa Kiňová, Evert-Jan de Kruijf, Radovan Hojs, Thomas Hanslik, Mine Durusu-Tanriover, Francesco Dentali, Xavier Corbella, Pietro Castellino, Monica Bivol, Stefano Bassetti, Vasco Barreto, Eduardo Montero Ruiz, Luis Campos
With the increase of ageing population, rates of chronic diseases and complex medical conditions, the management of high-risk surgical patients is likely to become a great concern in most countries. Considering all these factors, it is certainly rational and intuitive that internists should be included into a collaborative model of medical and surgical co-management, where their multi-potentiality and synthesis capacity require them to coordinate the multidisciplinary team and to be the leading agent of change...
November 15, 2018: European Journal of Internal Medicine
Esther Vicente, Marcela Guevara, María J Lasanta, María A Ramos-Arroyo, Eva Ardanaz
In 2012, the Spanish Rare Disease Registries Research Network (Spain-RDR) was consolidated with the aim of creating a Spanish population-based Rare Diseases Registry. In order to achieve this, each of the 17 Spanish Regions had to develop its own regional registry with a common agreed methodology. The Population-based Rare Disease Registry of Navarre was created in 2013 and, since then, its implementation is been carried out. Navarre assumed the agreed list within the Spanish Network, which included 934 codes of the International Classification of Diseases, 9th Revision, Clinical Modification...
November 19, 2018: Revista Española de Salud Pública
Eva Goncalvesová, Marcela Danková
Heart failure (HF) is nowadays some of the most significant causes of mortality and morbidity, as well as one of the leading causes of hospitalization. Increasing number of patients with HF is becoming one of the most burning problems not only for health care, but also for the social welfare system. The knowledge of the epidemiology is crucial for rational planning and management of curative and preventive health care and allocation of research capacities. The sources of data for description of basic epidemiological characteristic of HF in Slovakia come from cross sectional surveys of outpatient care and hospitalization records of patients with heart failure, publicized sources of the National health information center and database of health care provision gathered by health insurer Dôvera...
2018: Vnitr̆ní Lékar̆ství
O Novák, P Vašek, M Gärtner, J Krhut
OBJECTIVE: Description of rare complication of long-term uterine prolaps. Desing: Case report. SETTING: Department of Obstetric and Gynecology, University Hospital Ostrava. CASE REPORT: A seventy-years-old pacient with longterm complete uterine prolaps underwent vaginal hysterectomy with colpoclesis at department of Obstetric and Gynecology of university hospital Ostrava in August 2017. The surgery was planned more than year ago, when patient had no symptoms...
2018: Ceská Gynekologie
Paolo Schiavi, Giorgio Gondolini, Cecilia Eugenia Gandolfi, Luca Guardoli, Enrico Vaienti, Michele Zasa
OBJECTIVE: Evaluate treatment and outcome of mini-open fasciotomy (MOF) in a population of adolescent motorcycling racers affected by forearm chronic exertional compartment syndrome (CECS). DESIGN: Prospective case series. SETTING: University hospital/private practice. PATIENTS: Nine professional motorcycling adolescents were diagnosed with forearm CECS. All were treated with MOF between 2007 and 2012 and followed for a minimum of 5 years (range 5-10 years)...
November 12, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Jameson Norton
The science of motivation can help explain some of the root causes driving clinician burnout, a critical vulnerability in healthcare today. Research finds autonomy, mastery, and purpose to be drivers of intrinsic motivation, and healthcare leaders can use these three principles in program design and communication strategies to make progress toward rediscovering joy and passion in the life-giving work of healthcare. Leaders can achieve a competitive advantage for their organizations by applying these inherent motivators to attract, develop, and retain engaged and purposeful caregivers and by developing participative leadership to nurture a passion for caregiving...
2018: Frontiers of Health Services Management
Pamela L Lutsey, Nemin Chen, Maria C Mirabelli, Kamakshi Lakshminarayan, David S Knopman, Keith A Vossel, Rebecca F Gottesman, Thomas H Mosley, Alvaro Alonso
RATIONALE: Growing evidence suggests that compromised lung health may be linked to dementia and worsening cognitive ability. OBJECTIVES: We tested the hypothesis that impaired lung function or lung disease in midlife would be associated with greater risk of incident dementia and mild cognitive impairment (MCI) later in life. METHODS: A total of 14,184 ARIC study participants who underwent spirometry and were asked about lung health (1987-1989) were followed...
November 15, 2018: American Journal of Respiratory and Critical Care Medicine
Marija Jelušić, Matea Kronja, Marijan Frković, Saša Sršen, Sanda Huljev Frković, Ksenija Štekić Novački
Macrophage activation syndrome (MAS) is a potentially fatal complication of systemic juvenile idiopathic arthritis (sJIA), caused by exaggerated but ineffective immune response. The aim of the study was to compare the capacity of the HLH-2004 guidelines with the capacity of the MAS guidelines from 2005, and with the new set of classification criteria from 2016 in diagnosing MAS complicating sJIA. The study included 35 children aged 1-18 diagnosed with sJIA according to ILAR criteria and treated at the Department of Pediatrics, Division of Immunology and Rheu-matology, Zagreb University Hospital Centre, in the period from 2009 to 2015...
June 2018: Acta Clinica Croatica
Deniz Akar, Cenk Köroğlu, Serkan Erkus, Ali Turgut, Önder Kalenderer
Introduction Distal radius fractures are the most frequent fractures seen in pediatric population and usually treated with closed reduction and casting. However, there is a risk of reduction loss and/or angulations in distal radial metaphyseal fractures. The purpose of this study is to evaluate the radiological and functional results of pediatric patients with distal radius metaphyseal fractures in which excessive displacement and/or angulations were accepted and to question upper acceptable limits in light of current literature...
September 5, 2018: Curēus
Clare van Miert, Ricardo M Fernandes, Helen Eccleson, Emma Bedson, Steven Lane, Matthew Peak, Kent Thorburn, Vanessa Compton, Kerry Woolfall, David Lacy, Paula Williamson, Paul S McNamara
BACKGROUND: Bronchiolitis is an acute lower respiratory infection which predominantly affects young children. Treatment for bronchiolitis is limited to supportive therapy. Nasal oxygen therapy is part of routine care, and delivery now incorporates varying levels of non-invasive continuous positive airway pressure and/or high-flow nasal cannula oxygen therapy. Despite wide clinical use, there remains a lack of evidence on the comparative effectiveness and safety of these interventions...
November 14, 2018: Trials
K Hauck, A Morton, K Chalkidou, Y-Ling Chi, A Culyer, C Levin, R Meacock, M Over, R Thomas, A Vassall, S Verguet, P C Smith
Health interventions often depend on a complex system of human and capital infrastructure that is shared with other interventions, in the form of service delivery platforms, such as healthcare facilities, hospitals, or community services. Most forms of health system strengthening seek to improve the efficiency or effectiveness of such delivery platforms. This paper presents a typology of ways in which health system strengthening can improve the economic efficiency of health services. Three types of health system strengthening are identified and modelled: (1) investment in the efficiency of an existing shared platform that generates positive benefits across a range of existing interventions; (2) relaxing a capacity constraint of an existing shared platform that inhibits the optimization of existing interventions; (3) providing an entirely new shared platform that supports a number of existing or new interventions...
November 3, 2018: Social Science & Medicine
Tamara Sussman, Brittany Orav-Lakaski
Purpose of the study: This prospective longitudinal qualitative study sought to identify the conditions that help or hinder older adults' capacities to adjust to long-term care (LTC) when relocating from hospital. Design and Methods: Informed by the principles of constructivist grounded theory, this study employed semi-structured interviews with LTC home residents. Participants were interviewed 4 weeks after their initial relocation, and again every 6 months until they had either resided in their final LTC home for at least 3 months or been enrolled in the study for 2 years...
November 14, 2018: Gerontologist
Sabrina Eggmann, Martin L Verra, Gere Luder, Jukka Takala, Stephan M Jakob
INTRODUCTION: Neuromuscular weakness resulting in severe functional impairment is common in critical care survivors. This study aimed to evaluate effects of an early progressive rehabilitation intervention in mechanically ventilated adults at risk. METHODS: This was a parallel, two-arm, assessor-blinded, randomised controlled trial with 6-months follow-up that was conducted in a mixed ICU of an academic centre in Switzerland. Previously independent, mechanically ventilated, critically ill adults with expected critical care stay ≥72 hours (n = 115) were randomised to a control group receiving standard physiotherapy including early mobilisation or to an experimental group with early endurance and resistance training combined with mobilisation...
2018: PloS One
Leodoro J Labrague, Denise M McEnroe-Petitte, Konstantinos Tsaras
AIMS: This paper is a report examining the level of professional autonomy as well as its predictors and outcomes among practicing nurses in the Philippines. METHODS: This study adopted a descriptive, cross-sectional research design. One hundred sixty-six (n = 166) nurses participated in the study or a response rate of 83% during the months of January 2017 to May 2017. Seven self-reported scales were used for this study: the Nurse Autonomy Scale, Job Stress Scale, Burnout Measure Scale, Job Satisfaction Index, Organizational Commitment Questionnaire, Turnover Intention Inventory Scale, and the Six Dimension Scale of Nursing Performance...
November 13, 2018: International Journal of Nursing Practice
Y Yang, A M Huang, Y N Wang, L Zhang, F Y Li, H Yao, P Yan
Objective: To investigate the correlation between work-related musculoskeletal disorders (WMSDs) and work ability (WA) among nurses in Xinjiang. Methods: A total of 1 873 nursing staff in the Departments of Internal Medicine, Surgery, Emergency and ICU Department, Operating Room and Supply Room of 6 Grade 3 General Hospitals in Xinjiang Beijiang Region were randomly selected by means of random sampling, and revised Nordic National Musculoskeletal Disorders Standard Questionnaire and Work Ability Index Scale were used to evaluate the status of nursing WMSDs and WA...
September 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
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