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Development and assessment of a hospital admissions …

Details: Development of ACES pandemic tracker Data sources. ACES Pandemic Tracker [] uses hospital admissions data from the ACES system [].ACES collects patient data in real-time including date, time, age, sex, first 5 digits of postal code, reason for visit or admission and Canadian Triage Acuity Score; no direct personal identifiers are collected, such as name or …

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An analysis of hospital preparedness capacity for public

Details: Hospital preparedness is critical for the early detection and management of public health emergency (PHE). Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China.

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Implementation fidelity of hospital based directly

Details: Hospital based DOT at intensive phase was provided to only 61.9% of participants. Proportion was higher among MDR-TB cases (100%), and smear sputum positive TB cases (84.7%). PGH, a district referral hospital, provided more hospital based DOT compare to JDWNRH, a national referral hospital (85.7% vs 58.9%).

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Hand hygiene in hospitals: an observational study in

Details: Hand hygiene is a simple and low-cost measure to reduce healthcare associated infection yet it has always been a concern in low as well as high resource settings across the globe. Poor hand hygiene during intra-partum and newborn care may result in sepsis, which is a major cause of death among newborns and puts a financial burden on already strained health …

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A qualitative evaluation of hospital versus community

Details: Hospital-based care was compared to a community-based approach for patients on TB retreatment in which ‘guardians’ (patient-nominated lay people) were trained to deliver injections to patients at home. This study is the qualitative evaluation of the TB-RROC trial.

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Using a qualitative approach for understanding hospital

Details: With health care shifting away from the traditional sick care model, many hospitals are integrating fitness facilities and programs into their clinical services in order to support health promotion and disease prevention at the community level. Through a series of focus groups, the present study assessed characteristics of hospital-affiliated integrated facilities located in …

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Screening and brief interventions for

Details: Screening and randomization. Figure 1 summarizes patient identification, recruitment, randomization, and follow-up numbers. We identified 1500 hospital outpatients of which 976 screened negative for hazardous or harmful alcohol use, 51 screened 20 or more on the AUDIT (and were referred for further management), 75 refused to participate and 6 were …

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The impacts of collaboration between local health care …

Details: Liljas et al’s review of health and social care collaboration found mixed evidence on hospital admissions, readmissions, and length of stay . Evidence of impact on quality of services was mixed. Five reviews reported mixed impacts on quality of care [25, 67, 84] and patient satisfaction .

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Screening and brief intervention for

Details: Background For alcohol drinkers in South Africa it has been found that annual consumption per drinker is among the highest in the world. High prevalence rates of hazardous and harmful alcohol use have also been found in a hospital out-patient setting in South Africa. Hospital settings are a particularly valuable point of contact for the delivery of brief …

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Evaluating the effect of village health workers on

Details: Data collection. With the support of the Bhutan Ministry of Health, we collected hospital and clinic admissions data for the following illness/maladies: conjunctivitis, scabies, diarrhea, dysentery, wound care (bites and stings, contact with heat, work related injury, and other injury), depression/anxiety, dental caries, and skin infections.

› Verified 7 days ago

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COVID-19 clinical outcomes and nationality: results from a

Details: Patients are kept in the hospital and will only be discharged if they: 1) last tested positive 14 days or more, 2) no respiratory symptoms for 7 days, 3) afebrile for more than 3 days, 4) negative PCR test result, 5) improving imaging. All swabs, baseline tests and imaging were performed at the Jaber Al-Ahmad Al-Sabah Hospital laboratory.

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Probabilities of ICU admission and hospital discharge

Details: The hospital encompasses a diverse patient population concerning demographic characteristics and clinical presentations. During a follow-up period of up to 124 days, 3995 individuals were admitted to the hospital between 24 February to 27 May in 2020, out of which 315 (8%) had to be treated in the ICU and 3619 (90.5%) were able to exit the hospital facility …

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A picture of health: determining the core population

Details: Hospital Episode Statistics (HES) is a routinely collected dataset of all emergency department (A&E) attendances, admissions and outpatient appointments at all NHS hospitals in England [].Records of all hospital attendances to any trust by patients resident in England were extracted for the period between 1 st April 2017 and 31 st March 2018, inclusive.

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Turning around an ailing district hospital: a realist

Details: At Ho Municipal Hospital, the management team dealt with the crisis engulfing the ailing urban district hospital by building an alliance between hospital staff to generate a sense of ownership with a focus around participative problem analysis. The creation of an alliance led to improving staff morale and attitude, and contributed also to

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Admission to hospital following head injury in England

Details: Hospital Episodes Statistics (HES) record all episodes of continuous in-patient care in hospitals in England and can be obtained from the UK Department of Health. For the year 2001–2, statistics are available for the 95 Health Authorities (HA) extant at the time, and for 2002–3 for Primary Care Trusts (PCT's).

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Assessment of the quality of effluent management from

Details: Liquid hospital discharges threaten the environment much more than urban effluents and are today placed at the center of the concerns of all stakeholders in the health system and environmental protection [7, 8]. Poor management of hospital effluents could present a chemical, biological and physical risk to humans and their environment [9, 10].

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Changes in ambient temperature increase hospital

Details: Hospital outpatient data Six hospitals are distributed throughout the urban districts of Xinxiang, and hospital-specific geographic information was described in our previous research [25]. The study ex-cluded one military hospital and hospital lacking an elec-tronic information system from the study. The four

› Verified 2 days ago

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A comparison of populations vaccinated in a public service

Details: Children immunised in the hospital were more frequently firstborn female children, breast fed for a longer period, with a lower birthweight, and more frequently with a previous hospitalisation. The prevalence of high risk children immunised in the hospital was 9.2 vs 0% in the public service (P = 0.001).

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Mortality after hospital admission for heart failure

Details: Background To assess the trend in age- and sex-stratified mortality after hospitalization for heart failure (HF) in the Netherlands. Methods Two nationwide cohorts of patients, hospitalized for new onset heart failure between 01.01.2000–31.12.2002 and between 01.01.2008–31.12.2010, were constructed by linkage of the Dutch Hospital Discharge …

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Decreasing hospital burden of COVID-19 during the first

Details: The aim of this study is to quantify the hospital burden of COVID-19 during the first wave and how it changed over calendar time; to interpret the results in light of the emergency measures introduced to manage the strain on secondary healthcare. This is a cohort study of hospitalised confirmed cases of COVID-19 admitted from February–June 2020 and followed …

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Designing the Healthy Eating and Active Lifestyles for

Details: UK African and Caribbean (AfC) communities are disproportionately burdened by type 2 diabetes (T2D). Promoting healthy eating and physical activity through structured education is the cornerstone of T2D care, however cultural barriers may limit engagement in these communities. In addition, changes in lifestyle behaviour are shaped by normative influences …

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Prevalence and assessment of malnutrition among children

Details: The hospital and facility attendance rate was higher among boys between ages of 6–23 months (see Table 1).The mean z-scores for boys were lower compared to girls at 6–23 months age group (see Table 1).With the exception of stunting, girls aged 24–59 months have lower z-scores value than boys (see Table 1). Anthropometric analysis

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Application of failure mode and effects analysis (FMEA) to

Details: The objective of this study was to identify possible failure modes, their effects, and causes in the dispensing process of a selected tertiary care hospital using FMEA. Two independent teams (Team A and Team B) of pharmacists conducted the FMEA for two months in the Department of Pharmacy of a selected teaching hospital, Colombo, Sri Lanka.

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Intermediate care at a community hospital as an

Details: 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.

› Verified 3 days ago

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Estimating the incidence of

Details: The incidence of Tuberculosis (TB) differs among countries and contributes to morbidity and mortality especially in the developing countries. Trends and seasonal changes in the number of patients presenting with TB have been studied worldwide including sub-Saharan Africa. However, these changes are unknown at the Korle-Bu Teaching Hospital (KBTH).

› Verified 6 days ago

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In-hospital mortality after stomach cancer surgery in

Details: In-hospital mortality was 10.3% (95% CI 9.3–11.4). A statistically significant relation was observed among age, type of admission, volume, and mortality, as well as diverse secondary diagnoses or the type of intervention. Hospital annual volume was associated to Charlson score, type of admission, region, length of stay and number of secondary

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Water incident related hospital activity across England

Details: No one has ever reported or investigated the number of people who have been admitted to hospital for a water related incident. The purpose of this paper is to examine, the hospital activity resulting from such incidents including to length of stay, gender, age and cause. The data was extracted from the Hospital Episode Statistics (HES) for episodes with a …

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Factors influencing the length of hospital stay during the

Details: The length of hospital stay is the duration of hospitalization, which reflects disease severity and resource utilization indirectly. Generally, tuberculosis is considered an ambulatory disease that could be treated at DOTs clinics; however, admission remains an essential component for patients’ clinical stabilization. Hence, this study aimed to identify …

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Antenatal care data sources and their policy and planning

Details: Policy making in healthcare requires reliable and local data. Different sources of coverage data for health interventions can be utilized to populate the Lives Saved Tool (LiST), a commonly used policy-planning tool for women and children’s health. We have evaluated four existing sources of antenatal care data in Palestine to discuss the implications of their use in …

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Characterizing hospital workers' willingness to report to

Details: Hospital-based providers' willingness to report to work during an influenza pandemic is a critical yet under-studied phenomenon. Witte's Extended Parallel Process Model (EPPM) has been shown to be useful for understanding adaptive behavior of public health workers to an unknown risk, and thus offers a framework for examining scenario-specific …

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Attitude, practice and its associated factors towards

Details: Addis Zemen District Hospital is found in Addis Zemen town, which is a central town of Libo Kemkem District, South Gondar Zone, Amhara regional state. It is found 90 km (km) away from Bahir Dar (the capital city of Amhara Regional …

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Comparing tuberculosis in children aged under 5 versus 5

Details: Gambo General Hospital is a private rural general hospital with 135 beds. Since 2003, the hospital has had an inpatient feeding center with around 15–20 beds for treating severe acute malnutrition. It is 18 km from Arsi Negele, the capital of West Arsi Province; 45 km from Kuyera Hospital (the West Arsi reference hospital); and 250 km south

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Incidence and predictors of hospital readmission in

Details: Severe anaemia (haemoglobin < 6 g/dL) is a leading cause of recurrent hospitalisation in African children. We investigated predictors of readmission in children hospitalised with severe anaemia in the TRACT trial (ISRCTN84086586) in order to identify potential future interventions. Secondary analyses of the trial examined 3894 children from …

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Disparities in COVID-19 hospitalizations and mortality

Details: For in-hospital mortality: 1) Baseline socio-demographic and comorbidity models including age, sex, median household income, CCI, obesity, hypertension, and smoking, 2) Hospital admission models including model-1 and vital sign and laboratory measures, and 3) Comprehensive clinical models incorporating all variables of model-2 in addition to in

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Ambient air pollutants and hospital visits for pneumonia

Details: The affiliated hospital of Qingdao University is the largest general hospital in Qingdao, with 5.273 million annual consultations. Patients with a diagnosis of pneumonia (International Classification of Diseases, tenth revision: …

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Age-dependence of healthcare interventions for COVID-19 in

Details: Hospital outcomes are nested and tallied by the most intensive medical intervention used for each patient (ventilator use is the most intensive, followed by intubation, ICU admission, and hospitalization). Deaths are split by whether or not the patient also had a record of hospitalization for COVID-19 treatment.

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Socio-demographic and -economic factors associated with 30

Details: Early hospital readmissions are associated with increased healthcare costs and remain common, particularly within the Medicare population [1, 2].For example, one in five patients hospitalized with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) are rehospitalized within 30 days of discharge, of which 10–55% may be …

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Effects of medical resource capacities and intensities of

Details: However, after the specially built Huoshenshan Hospital began to treat patients on 4 February and Fangcang (shelter/observation ward) hospitals began to treat patients on 5 February, the number of beds increased rapidly, effectively alleviating the shortage of medical resources. However, the cumulative number of deaths would increase by 74.6%

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Evaluation of the quality of COVID-19 prevention and

Details: The ethics committee of the Shenzhen hospital University of the Chinese Academy of Sciences approved the study. Furthermore, because this study was a quality improvement activity, the ethics committee waived the mandate for obtaining written informed consent from subjects.

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Sepsis-related hospital admissions and ambient air

Details: Some prevalent but rarely studied causes of hospital admissions, such as sepsis is still unknown whether affected by air pollution. We used time-series regression within generalized additive models to estimate the effect of air pollutant level on the sepsis-related hospital admissions, for the years 2017–18, using data from six cities in Sichuan, China.

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Changes in ambient temperature increase hospital

Details: Hospital outpatient data. Six hospitals are distributed throughout the urban districts of Xinxiang, and hospital-specific geographic information was described in our previous research . The study excluded one military hospital and hospital lacking an electronic information system from the study.

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Mental health impact among hospital staff in the aftermath

Details: Under the aegis of Nice hospital management, mobile teams including psychiatrists and psychologists were set up to reach out to the most exposed participants; an anonymous psychological support helpline exclusively dedicated to staff was set up in each hospital site for 6 months; the occupational health departments of the CHU and Lenval

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Barriers and coping mechanisms to accessing healthcare

Details: Large scale physical distancing measures and movement restrictions imposed to contain COVID-19, often referred to as ‘lockdowns’, abruptly and ubiquitously restricted access to routine healthcare services. This study describes reported barriers and coping mechanisms to accessing healthcare among chronic care patients during the nationwide COVID-19 lockdown …

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Power outage mediates the associations between major

Details: Counts was the daily hospital admissions of COPD, assuming a quasi-Poisson distribution; cb (predictor) was the cross-basis for the space and the lag dimension of major storms or PO; ns (time) was a natural spline fit to the days of the year; holiday and DOW were dummy variables representing whether a given day was a holiday and day of week, …

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Modelling improved efficiency in healthcare referral

Details: An effective referral system is critical to ensuring access to appropriate and timely healthcare services. In pluralistic healthcare systems such as Bangladesh, referral inefficiencies due to distance, diversion to inappropriate facilities and unsuitable hours of service are common, particularly for the urban poor. This study explores the reported referral networks of urban …

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Tuberculosis treatment outcomes among prisoners and

Details: Zomba Central Hospital is a tertiary semi - urban referral hospital (catchment area 3.1 million) for the South East Health Zone in Zomba, Malawi. The data source was the National TB register where relevant clinical information for all patients diagnosed with active TB disease are monitored throughout the course of their treatment.

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Assessment of water, sanitation and hygiene service

Details: Improved Water, Sanitation and Hygiene (WASH) in Healthcare facilities (HCFs) is of significant public health importance. It is associated with a reduction in the transmission of healthcare acquired infections (HAIs), increased trust and uptake of healthcare services, cost saving from infections averted, increased efficiency and improved staff morale.

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Drinking beer, wine or spirits – does it matter for

Details: Alcohol consumption is a leading risk factor for population health worldwide [].Measures of alcohol-related harm such as hospital admissions and mortality show particularly wide inequalities and reducing inequalities is a focus of governments [1,2,3,4].Alcohol-related harm has been found to be higher in disadvantaged groups, despite comparable or even lower …

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