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health and hospital

Nachman Ash
The Israeli Medical Corps provides a great deal of medical services by its own medical personnel and purchases some services from various civilian suppliers, including public hospitals. Although the IDF has bought hospital services since it's early days, few attempts have been made to purchase primary and secondary medical services for soldiers in rear units. This article presents an analysis of the outsourcing project ("Aviv" project) of medical services for rear units which was operating between the years 2010 - 2014...
October 2018: Harefuah
Revital Kariv, Dan Turner, Joseph Rosenblum, Vered Morad, Nir Zigman, Mira Friedman, Gili Focht, Oren Leder, Malka Avitzour, Iris Goren
INTRODUCTION: Inflammatory bowel diseases (IBD) are becoming a significant cause for chronic long term complex morbidity, particularly among adolescents and young adults. IBD patients require multidisciplinary management and considerable health resources. Recent advances and developments in the diagnostics and therapeutic options require identification and tight monitoring of these patients at both hospital and community level for better management and care. AIMS: To establish at Maccabi Healthcare Services (MHS) a dedicated registry for inflammatory bowel disease patients for long term monitoring in order to optimize care, better use of health resources and to promote high quality research...
October 2018: Harefuah
Jacob Kuint, Basil Porter
Community pediatrics in Israel is based on service by pediatricians who have been trained in hospitals in Israel or elsewhere. At the same time, the field of community pediatrics is changing its nature from the management of common acute diseases, to a field dealing with a variety of chronic problems, behavioral issues, family and social issues, developmental delays, problems relating to nutrition and growth' sleep problems, learning disabilities, and of late, excessive exposure to a host of digital media. In addition, lifestyle issues such as adequate physical activity, addictions, accidents and various types of abuse are increasingly part of the pediatric role...
October 2018: Harefuah
Seok Jin Kim, Cheng Shu, Kyung Ju Ryu, Danbee Kang, Juhee Cho, Young Hyeh Ko, Soo-Youn Lee, Eliseo Guallar, Weili Zhao, Won Seog Kim
Vitamin D deficiency is a common health-related issue; however, the effect of vitamin D deficiency on the survival of T-cell lymphoma is still not clear. We evaluated the impact of serum vitamin D level of patients with peripheral T-cell lymphoma (PTCL) and extranodal natural killer/T-cell lymphoma (ENKTL) on survival outcome. Pretreatment levels of 25-hydroxyvitamin D [25(OH)D] and inflammatory cytokines were measured in serum samples that were archived at diagnosis, and their association with survival in newly diagnosed patients with PTCL (n = 137) and ENKTL (n = 114) at a university-based hospital in Korea...
October 21, 2018: Cancer Science
Fumiko Chino, Arif H Kamal, Thomas W Leblanc, S Yousuf Zafar, Gita Suneja, Junzo P Chino
BACKGROUND: Place of death is an essential component of high quality cancer care and comprehensive national trends and disparities in place of death are unknown. METHODS: Deidentified death certificate data were obtained via the National Center for Health Statistics. All cancer deaths from 1999 through 2015 were included. Multivariate logistic regression was used to test for disparities in place of death associated with sociodemographic variables. RESULTS: From 1999 through 2015, a total of 9,646,498 cancer deaths occurred...
October 21, 2018: Cancer
Shin-Ting Wu, Wallace Souza Loos, Dayvid Leonardo de Castro Oliveira, Fernando Cendes, Clarissa L Yasuda, Enrico Ghizoni
PURPOSE: Visualizing a brain in its native space plays an essential role during neurosurgical planning because it allows the superficial cerebral veins and surrounding regions to be preserved. This paper describes the use of a visualization tool in which single gadolinium contrast-enhanced T1-weighted magnetic resonance imaging was applied in nondefective and nonresective skulls to promote visualization of important structures. METHODS: A curvilinear reformatting tool was applied on the supratentorial compartment to peel the tissues to the depth of the dura mater and thereby revealing cortical and vascular spatial relationships...
October 20, 2018: International Journal of Computer Assisted Radiology and Surgery
Robert Reid, Evelyn Rising, Arthur Kaufman, Amanda Bassett, Martha Cole McGrew, Helene Silverblatt, Michael Haederle
An unlikely partnership between a private, place-based foundation and the University of New Mexico's Office for Community Health resulted in an innovative approach for addressing a critical shortage of health professionals in an isolated, rural setting in the southeastern corner of New Mexico. Many place-based private foundations are focused locally and are naturally disinclined to engage distally located public universities for local projects. Large public universities do not often focus resources on small communities located far from their campuses...
October 20, 2018: Journal of Community Health
Markus Wallner, Deborah M Eaton, Dirk von Lewinski, Harald Sourij
PURPOSE OF THE REVIEW: To summarize current clinical data investigating the link between diabetes and heart failure pathophysiology, the association of glucose control with heart failure, and the impact of current antihyperglycemic drugs on heart failure. RECENT FINDINGS: Although heart failure is one of the most prevalent outcomes occurring in real life and cardiovascular outcome trials, insufficient attention was given to this condition in diabetes research over the last decades...
October 20, 2018: Current Diabetes Reports
Justin Godown, Cary Thurm, Matt Hall, Debra A Dodd, Brian Feingold, Jonathan H Soslow, Bret A Mettler, Andrew H Smith, David W Bearl, Kurt R Schumacher
There are limited published data addressing the costs associated with pediatric heart transplantation and no studies evaluating the variation in costs across centers. We aimed to describe center variation in pediatric heart transplant costs and assess the association of transplant hospitalization costs with patient outcomes. Using a linkage between the Pediatric Health Information System and Scientific Registry of Transplant Recipients databases, hospital costs were assessed for patients (< 18 years of age) undergoing heart transplantation (2007-2016)...
October 20, 2018: Pediatric Cardiology
I C Chetter, A V Oswald, E McGinnis, N Stubbs, C Arundel, H Buckley, K Bell, J C Dumville, N A Cullum, M O Soares, P Saramago
BACKGROUND: Surgical wounds healing by secondary intention can be difficult and costly to manage and are profoundly under researched. This prospective inception, cohort study aimed to derive a better understanding of surgical wounds healing by secondary intention and to facilitate the design of future research investigating effective treatments. OBJECTIVES: To investigate the clinical characteristics of patients with surgical wounds healing by secondary intention and the surgeries that preceded their wounds; to clearly delineate the clinical outcomes of these patients, specifically focusing on time to wound healing and its determinants; to explore the types of treatments for surgical wounds healing by secondary intention; and to assess the impact surgical wounds healing by secondary intention have on patients' quality of life...
September 18, 2018: International Journal of Nursing Studies
Alisson R Teles, Don Daniel Ocay, Abdulaziz Bin Shebreen, Andrew Tice, Neil Saran, Jean A Ouellet, Catherine E Ferland
BACKGROUND CONTEXT: Although 40% of adolescent idiopathic scoliosis (AIS) patients present with chronic back pain, the pathophysiology and underlying pain mechanisms remain poorly understood. We hypothesized that development of chronic pain syndrome in AIS is associated with alterations in pain modulatory mechanisms. PURPOSE: To identify the presence of sensitization in nociceptive pathways and to assess the efficacy of the diffuse noxious inhibitory control in patients with AIS presenting with chronic back pain...
October 18, 2018: Spine Journal: Official Journal of the North American Spine Society
Ester Marco, Dolores Sánchez-Rodríguez, Vanesa N Dávalos-Yerovi, Xavier Duran, Eva M Pascual, Josep M Muniesa, Diego A Rodríguez, Ana Aguilera-Zubizarreta, Ferran Escalada, Esther Duarte
BACKGROUND: Nutritional disorders are frequent in patients with chronic pulmonary obstructive disease (COPD) and have negative health impacts. This study aimed to explore the value of the European Society of Clinical Nutrition and Metabolism (ESPEN) definition of malnutrition (and/or its individual components) to predict hospitalizations and mortality at 2 years, and to determine the prevalence of malnutrition in COPD patients referred to pulmonary rehabilitation. METHODS: The study was a prospective analysis of 118 patients with COPD free of exacerbations and/or hospital admissions in the previous two months...
September 28, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Stefanie Francesca Pini, Giusi Alessia Sgaramella, Juan José Parra Jordán, Ana Aguilera Zubizarreta, Emilio Pariente Rodrigo, Pedro Sanroma Mendizabal
BACKGROUND AND OBJECTIVE: There are no data related to the risk factors associated with CDI in a Hospital-Based Home Care Service (HBHCS) of the Spanish health system. PATIENTS AND METHODS: Case-control study. The cases were patients admitted to the HBHCS between 01/01/2011 and 31/12/2016 who developed CDI. The controls came from the same population, with suspected CDI and CD(-) toxin. We analysed 82 variables. RESULTS: We analysed 17 cases and 95 controls, without differences in sex, age or comorbidity...
October 17, 2018: Medicina Clínica
Hajar Mozaffar, Robin Williams, Kathrin Cresswell, Aziz Sheikh
CONTEXT: Despite widespread efforts to improve the quality and safety of healthcare through use of hospital information systems (HIS), many healthcare organizations face challenges in implementation and effective use of these applications, in particular when systems have been developed internationally (mainly in the US). Suppliers of these technologies also find it challenging to produce systems that work effectively across a range of geographical, cultural and institutional boundaries...
November 2018: International Journal of Medical Informatics
Mehmet S Unluturk, Ozgur Tamer, Semih Utku
Drugs need to be used regularly and correctly in order to be effective. When medicines are used correctly, negativities that threaten human health and life can be avoided, but they can cause unwanted situations that can occur until the end of life when they are used incorrectly. The most common drug administration errors in hospitals are: The wrong dosage of the drug given to the patient, the timing and / or the method of administration, the wrong drug given to the patient, the drug given to the wrong patient, or even not given...
November 2018: International Journal of Medical Informatics
Reza Khajouei, Reza Abbasi, Moghaddameh Mirzaee
INTRODUCTION: Failure in the communication of information and partial communication of information between hospital information systems (HIS) and the Iranian electronic health record (SEPAS) reduces the quality of information. The objective of this study was to identify the errors and causes of failure in the communication of patients' information from HISs to SEPAS. METHODOLOGY: This record-review study was conducted in the first quarter of 2016. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and data were collected using a data collection form...
November 2018: International Journal of Medical Informatics
Shumei Miao, Tingyu Xu, Yonghui Wu, Hui Xie, Jingqi Wang, Shenqi Jing, Yaoyun Zhang, Xiaoliang Zhang, Yinshuang Yang, Xin Zhang, Tao Shan, Li Wang, Hua Xu, Shui Wang, Yun Liu
BACKGROUND: The wide adoption of electronic health record systems (EHRs) in hospitals in China has made large amounts of data available for clinical research including breast cancer. Unfortunately, much of detailed clinical information is embedded in clinical narratives e.g., breast radiology reports. The American College of Radiology (ACR) has developed a Breast Imaging Reporting and Data System (BI-RADS) to standardize the clinical findings from breast radiology reports. OBJECTIVES: This study aims to develop natural language processing (NLP) methods to extract BI-RADS findings from breast ultrasound reports in Chinese, thus to support clinical operation and breast cancer research in China...
November 2018: International Journal of Medical Informatics
Philipp Bruland, Justin Doods, Tobias Brix, Martin Dugas, Michael Storck
OBJECTIVE: In the last years, several projects promote the secondary use of routine healthcare data based on electronic health record (EHR) data. In multicenter studies, dedicated pseudonymization services are applied for unified pseudonym handling. Healthcare, clinical research and pseudonymization systems are generally disconnected. Hence, the aim of this research work is to integrate these applications and to evaluate the workflow of clinical research. METHODS: We analyzed and identified technical solutions for legislation compliant automatic pseudonym generation and for the integration into EHR as well as electronic data capture (EDC) systems...
November 2018: International Journal of Medical Informatics
Sinan Ates, Mahmut Alp Karahan, Nuray Altay, Kazim Akelci, Nagehan Ikiz, Bulent Guzel, Mandeley Wilhelmina Ozer, Haci Durmus Yilmaz
OBJECTIVE: Scorpion stings remain a serious health problem in many parts of the world. There is very limited information regarding the effects of therapies delivered for scorpion stings in pregnant women on the mother and fetus. They can cause acute conditions such as fetal loss, preterm delivery, or placental abnormalities and can also result in other conditions that may have an effect on the baby in the long term. MATERIALS AND METHODS: In this study the medical records of 24 pregnant women who were admitted to the emergency room at Suruç State Hospital due to scorpion stings between January 1, 2013 and January 1, 2014 were retrospectively reviewed...
October 2018: Taiwanese Journal of Obstetrics & Gynecology
Parveen K Garg, Wesley T O'Neal, Yejin Mok, Gerardo Heiss, Joseph Coresh, Kunihiro Matsushita
INTRODUCTION: The American Heart Association's Life's Simple 7 includes seven metrics of ideal cardiovascular health to target for cardiovascular disease prevention. This study determined the relationship between Life's Simple 7 and incident peripheral artery disease in a biracial cohort of middle- and older-aged adults. METHODS: This analysis included 12,865 participants from the Atherosclerosis Risk in Communities study recruited between 1987 and 1989 (mean age=54years, 55% women, 25% black) and free of peripheral artery disease or other cardiovascular disease at baseline...
November 2018: American Journal of Preventive Medicine
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