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Hospital capacity

Anne-Marie Barron, Jenna Moran, Shabnam Sultana Nina, Jason Harlow, Meena Gyawali, Farhad Hossain, Mark Brezina, Caroline Callahan, Judy Curran, Colleen Danielson, Ellen Fitzgerald, Judy Foster, Emily Erhardt, Christine Shaughnessy, Albert C Yeh, Bimalangshu R Dey
In 2012, the Minister of Health and other leaders in the Bangladesh government approached Massachusetts General Hospital to establish the country's first bone marrow transplant program at Dhaka Medical College Hospital to serve the needs of the people of Bangladesh. Stated goals of this collaboration included a broad focus on the care of oncology patients with a specific emphasis on care of patients with hematologic malignancies and of women with gynecologic cancers. The purpose of this article is to describe the international nursing collaboration between Massachusetts General Hospital, Simmons College, the AK Khan Healthcare Trust in Dhaka, and Dhaka Medical College Hospital that was established to share nursing knowledge and to build specialized professional nursing capacities to deliver high-quality cancer care in the public sector...
September 2018: Journal of Global Oncology
Tonmoy Debnath, Shukanta Bhowmik, Tarequl Islam, Mohammed Mehadi Hassan Chowdhury
Recently, mobile phones have become a potent vector for the transmission of pathogens. In hospitals, the use of the mobile phones by healthcare workers in an unhygienic manner accelerates the spread of nosocomial infection. We aimed to investigate the prevalence of microbiological contamination of mobile phones belonging to clinicians in Bangladesh hospitals. From 100 samples, we identified 69 isolates of bacteria including 22 Staphylococcus aureus ; 11 Pseudomonas aeruginosa ; 14 Escherichia coli ; 6 Salmonella typhi 6 and 16 Staphylococcus epidermidis ...
July 2018: Journal of microscopy and ultrastructure
Mohammad Reza Khajehaminian, Ali Ardalan, Abbasali Keshtkar, Sayed Mohsen Hosseini Boroujeni, Amir Nejati, Omid Mahdi Ebadati Ebadati E, Abbas Rahimi Foroushani
INTRODUCTION: Mass casualty incidents impose a large burden on the emergency medical systems, hospitals and community infrastructures. The pre-hospital and hospital capacities are usually bear the burden of casualties large numbers. One of the challenging issues in mass casualty incidents is the distribution of casualties among the suitable health care facilities. OBJECTIVE: To review models and criteria affecting the distribution of casualties during the trauma-related mass causality incidents...
September 6, 2018: Injury
Abigail Moore, Caroline Croxson, Sara McKelvie, Dan Lasserson, Gail Hayward
Background: The world has an ageing population. Infection is common in older adults; serious infection has a high mortality rate and is associated with unplanned admissions. In the UK, general practitioners (GPs) must identify which older patients require admission to hospital and provide appropriate care and support for those staying at home. Objectives: To explore attitudes of UK GPs towards referring older patients with suspected infection to hospital, how they weigh up the decision to admit against the alternatives and how alternatives to admission could be made more effective...
September 14, 2018: Family Practice
Camilla Koch Ryrsø, Nina Skavlan Godtfredsen, Linette Marie Kofod, Marie Lavesen, Line Mogensen, Randi Tobberup, Ingeborg Farver-Vestergaard, Henriette Edemann Callesen, Britta Tendal, Peter Lange, Ulrik Winning Iepsen
BACKGROUND: Pulmonary rehabilitation (PR), delivered as a supervised multidisciplinary program including exercise training, is one of the cornerstones in the chronic obstructive pulmonary disease (COPD) management. We performed a systematic review and meta-analysis to assess the effect on mortality of a supervised early PR program, initiated during or within 4 weeks after hospitalization with an acute exacerbation of COPD compared with usual post-exacerbation care or no PR program...
September 15, 2018: BMC Pulmonary Medicine
Nasser M Aldossary, Mamdouh Ali Kotb, Ahmed M Kamal
BACKGROUND: Traumatic brain injury (TBI) is the major public health problem worldwide, particularly in the Middle East. Diffuse axonal injury (DAI) is commonly found in TBI. Although DAI can lead to physical and psychosocial disabilities, its prognostic value is still a matter of debate. Magnetic Resonance (MR) is more sensitive for detecting DAI lesions. OBJECTIVE: To identify the radiological and clinical factors associated with the functional capacity one year after the traumatic brain injury...
September 5, 2018: Journal of Affective Disorders
Xia Wei, Qi Ding, Nan Yu, Jiuyun Mi, Jingting Ren, Jie Li, Shudi Xu, Yanzhong Gao, Youmin Guo
PURPOSE: The purpose of the study was to investigate the quantitative chest tomographic features of chronic bronchitis with preserved ratio and impaired spirometry (PRISm), including airway wall area, emphysema index, and lung capacity. METHODS: An observational, cross-sectional study of 343 patients at the Ninth Hospital of Xi'an Affiliated Hospital of Xi'an Jiaotong University between October 2014 and September 2017. The patients were divided into three groups: 77 cases of chronic bronchitis with normal lung function (forced expiratory volume in one second/forced vital capacity) (FEV1/FVC > 70%, FEV1%pred > 80%), 80 cases of chronic bronchitis with PRISm (FEV1/FVC > 70%, FEV1%pred < 80%), and 186 cases of the early chronic obstructive pulmonary disease (COPD) (FEV1/FVC < 70%, FEV1%pred > 50%, that is, Global Initiative for Chronic Obstructive Lung Disease (GOLD) grade 1 + 2)...
September 14, 2018: Lung
Adikan Bhasipol, Nopawan Sanjaroensuttikul, Prapaporn Pornsuriyasak, Sukit Yamwong, Tarinee Tangcharoen
OBJECTIVE: We aimed to study the efficiency and safety of once-a-week outpatient rehabilitation followed by home program with tele-monitoring in patients with complex cyanotic congenital heart disease. DESIGN: Prospective nonrandomized study. METHOD: Patients who have been diagnosed either Eisenmenger's syndrome or inoperable complex cyanotic heart disease and able to attend 12-week cardiac rehabilitation program were included. Training with treadmill walking and bicycling under supervision at cardiac rehabilitation unit once-a-week in the first 6 weeks followed by home-based exercise program (bicycle and walking) with a target at 40%-70% of maximum heart rate (HRmax) at pretraining peak exercise for another 6 weeks was performed in the intervention group...
September 14, 2018: Congenital Heart Disease
S De Bruyne, R Speeckaert, J Boelens, M-P Hayette, M Speeckaert, J Delanghe
BACKGROUND: The determination of causative organisms of onychomycosis is still not optimal. There remains a need for a cheap, fast and easy-to-perform diagnostic tool with highly distinctive capacities. OBJECTIVES: To determine whether ATR-FTIR spectroscopy can detect and differentiate causative agents in a culture based, ex vivo nail and in vivo nail model. METHODS: A methodological study was conducted. Both the ex vivo nail model and in vivo pilot study were carried out in an academic university hospital...
September 14, 2018: British Journal of Dermatology
Trija Vaidya, Marc Beaumont, Claire de Bisschop, Lucie Bazerque, Camille Le Blanc, Anne Vincent, Hakima Ouksel, Arnaud Chambellan
Background: Measurement of quadriceps muscular force is recommended in individuals with COPD, notably during a pulmonary rehabilitation program (PRP). However, the tools used to measure quadriceps maximal voluntary contraction (QMVC) and the clinical relevance of the results, as well as their interpretation for a given patient, remain a matter of debate. The objective of this study was to estimate the minimally important difference (MID) of QMVC using a fixed dynamometer in individuals with COPD undergoing a PRP...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Emma L Carson, L Kirsty Pourshahidi, Sharon M Madigan, Francina R Baldrick, Martin G Kelly, Eamon Laird, Martin Healy, J J Strain, Maria S Mulhern
Background: Owing to hospitalization, reduced functional capacity and consequently, less sunlight exposure, suboptimal vitamin D status (25-hydroxyvitamin D [25(OH)D]⩽50 nmol/L) is prevalent among COPD patients. Objective: This study aimed to investigate seasonal changes in vitamin D status and any associated changes in fat-free mass (FFM), muscle strength and quality of life (QoL) in COPD patients. Patients and methods: COPD patients living in Northern Ireland (n=51) completed study visits at the end of winter (March/April) and at the end of summer (September/October), corresponding to the nadir and peak of vitamin D status, respectively...
2018: International Journal of Chronic Obstructive Pulmonary Disease
Chul-Hyun Park, Youbin Yi, Jong Geol Do, Yong-Taek Lee, Kyung Jae Yoon
Previous studies have demonstrated that low skeletal muscle mass is related to decreased lung function in patients with chronic obstructive pulmonary disease. However, there is little information about the relationship between skeletal muscle mass and lung function in asymptomatic adults without clinically apparent lung disease.This was a cross-sectional study of 240,562 Korean adults without known lung disease. All subjects underwent both pulmonary function test (PFT) and bioelectrical impedance analysis in the health checkup program at Kangbuk Samsung Hospital...
September 2018: Medicine (Baltimore)
Anahita Arian, Sayyed Gholamreza Mortazavi Moghadam, Tooba Kazemi, Mahmood Zardast, Asghar Zarban
Objective: The present study was designed to investigate the effects of atorvastatin on serum high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), total antioxidant capacity (TAC), and alpha-1 antitrypsin (AAT) in patients with chronic obstructive pulmonary disease (COPD). Methods: A clinical trial study conducted on 42 cases of COPD (Vali-Asr Hospital, Birjand, East of Iran, years 2014-16). Patients were randomly assigned to 21 controls and 21 cases who treated with atorvastatin (40 mg/day for 6 months)...
July 2018: Journal of Research in Pharmacy Practice
John G Clohessy, Pier Paolo Pandolfi
Precision medicine holds real promise for the treatment of cancer. Adapting therapeutic strategies so patients receive individualized treatment protocols, will transform how diseases like cancer are managed. Already, molecular profiling technologies have provided unprecedented capacity to characterize tumors, yet the ability to translate this to actionable outcome in the clinic is limited. To enable real time translation of personalized therapeutic approaches to patient care in a co-clinical manner will require the adoption and integration of approaches that facilitate modeling of patient disease...
2018: Frontiers in Oncology
Thomas R Blattert, Klaus J Schnake, Oliver Gonschorek, Erol Gercek, Frank Hartmann, Sebastian Katscher, Sven Mörk, Robert Morrison, Michael Müller, Axel Partenheimer, Stefan Piltz, Michael A Scherer, Bernhard W Ullrich, Akhil Verheyden, Volker Zimmermann
Study Design: Prospective clinical cohort study (data collection); expert opinion (recommendation development). Objectives: Treatment options for nonsurgical and surgical management of osteoporotic vertebral body fractures are widely differing. Based on current literature, the knowledge of the experts, and their classification for osteoporotic fractures (OF classification) the Spine Section of the German Society for Orthopaedics and Trauma has now introduced general treatment recommendations...
September 2018: Global Spine Journal
Xiaoting Qu, Yuan Chen, Chaoyang Yin
The aim of this study was to investigate the effect of montelukast on the expression of CD4+ CD25+ regulatory T cells in children with acute bronchial asthma. Fifty-six child patients with acute bronchial asthma treated in the Department of Pneumology at the Shangluo Central Hospital were selected and randomly divided into the control group (n=28) and treatment group (n=28). The control group was treated with the conventional therapy of bronchial asthma, while the treatment group received montelukast on the basis of the control group for 7 days...
September 2018: Experimental and Therapeutic Medicine
Kokila N Thenuwara, Tatsuya Yoshimura, Yoshinori Nakata, Franklin Dexter
PURPOSE: There is little knowledge about how hospitals can best handle disruptions that reduce post-anesthesia care unit (PACU) capacity. Few hospitals in Japan have any PACU beds and instead have the anesthesiologists recover their patients in the operating room. We compared postoperative recovery times between a hospital with (University of Iowa) and without (Shin-yurigaoka General Hospital) a PACU. METHODS: This historical cohort study included 16 successive patients undergoing laparoscopic gynecologic surgery with endotracheal intubation for general anesthesia, at each of the hospitals, and with the hours from OR entrance until the last surgical dressing applied ≥ two hours...
September 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Donna E Stewart, Gary Rodin, Madeline Li
OBJECTIVE: Consultation-liaison (C-L) psychiatrists are involved in physician-assisted death (PAD) teams in many permitting jurisdictions. This paper will describe our Canadian PAD experience over 2 years, highlighting the role of C-L psychiatrists, at a large hospital network that provides medical assistance in dying (MAID, as this is called in Canada). METHODS: We will describe the Canadian criteria for MAID, our multispecialty MAID team experience and the roles, issues and concerns experienced by C-L psychiatrists...
August 31, 2018: General Hospital Psychiatry
Aline Sterque Villacorta, Humberto Villacorta, José Antônio Caldas, Bernardo Campanário Precht, Pilar Barreto Porto, Letícia Ubaldo Rodrigues, Márcio Neves, Analucia Rampazzo Xavier, Salim Kanaan, Cláudio Tinoco Mesquita, Antônio Cláudio Lucas da Nóbrega
BACKGROUND: Heart rate (HR) reduction with ivabradine has been proved to reduce hospitalization and death from heart failure (HF). We sought to investigate whether pyridostigmine would effectively reduce HR in patients with chronic HF as compared with ivabradine. METHODS: Twenty-one patients with HF who were in sinus rhythm with a resting HR over 70 bpm, despite optimal medical treatment, were included in a randomized, double-blind study comparing pyridostigmine versus ivabradine...
September 9, 2018: Journal of Cardiovascular Pharmacology and Therapeutics
Felice Iasevoli, Camilla Avagliano, Benedetta Altavilla, Annarita Barone, Mariateresa Ciccarelli, Luigi D'Ambrosio, Danilo Notar Francesco, Eugenio Razzino, Michele Fornaro, Andrea de Bartolomeis
Here, we used Receiver Operating Characteristic (ROC) curve analysis to determine whether clinical factors may aid predicting the categorization of schizophrenia patients as Treatment Resistant (TRS) or antipsychotic responsive schizophrenia (ARS). Patients with an established condition of TRS or ARS were assessed for: clinical presentation and course; neurological soft signs (NES); psychopathology by PANSS; cognitive performances; quality of life scale (QLS); functional capacity; social functioning (PSP and SLOF scales)...
August 31, 2018: Psychiatry Research
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