Objectives This study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol in 7 Italian hospitals to determine inappropriate hospital admissions and days of stay. Design A cross-sectional study. Methods The outcomes examined were: appropriateness/inappropriateness of admission and percentage of inappropriateness. Results A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for a hospitalization was 22%. The percentage of inappropriateness for the first ten days of hospitalization peaked in correspondence of the 4th and 5th (42%). The emergency admission was a protective factor of inappropriated admission, OR= 0.23 95%CI (0.16-0.35). To be hospitalized in a Teaching Hospital, in a hospital with ≥30 beds and to be admitted during the Winter/Autumn and in the workweek were risk factors of inappropriateness, respectively with OR=3.50 95%CI(2.30-5.34), OR=2.04 95%CI(1.41-2.97), OR=2.14 95%CI(1.41-2.97), OR=1.85 ...
To examine the prognostic significance of fulfilling at least one of the Appropriateness Evaluation Protocol (AEP) criteria. Prospective observational cohort study at medical admission units at a regional teaching hospital in Denmark. 3,050 consecutively admitted patients were included, median age 66 (IQR: 50-77), 48% female. We assessed the fulfilment of the AEP criteria and mortality data, length of stay, readmissions and co-morbidity. We analyzed the association between day of admission and time of day and compared the opinion of the admitting doctors and nurses on the relevancy of admission. 61.9% of the patients fulfilled the AEP criteria. Patients fulfilling were older (p | 0.001), had a higher in-hospital mortality (p | 0.001), a higher 30-days mortality (p | 0.001), a longer length of stay (p | 0.001), more readmissions within 30 days (p | 0.001) and higher co-morbidity (p | 0.001). There were no association between day of admission and fulfilment of AEP criteria, but significantly fewer
Mental Health Guide. This guide has been produced by parents from Parent Carer Forums across the Eastern Region of England.. The guide is written for parent carers of children or young people with SEND who have a mental health condition, but it is specifically written for parent carers of those who also have a learning disability, autism or both.. The information aims to prevent inappropriate admissions which occur because of a lack of understanding of the importance of having local services to meet the needs of the children and young people in local areas, whilst acknowledging that there will always be cases where admission to a mental health inpatient facility is the optimal course of treatment for a mental health need.. The guide sets out background information on what is happening in the NHS at the moment, the NHS Long-Term Plan and what this might mean for your family and, more importantly, the services available within Essex to support your child or young person today.. ...
You might have noticed several feeds on the sidebar. One of them (Connotea: csrsanchezs bookmarks) lists the last five references added to my Connotea library. Last Tuesday I added a new reference: Bacterial solutions to the problem of sex, from PLoS Biology. The problem of sex refers to the difficulties to find a fully satisfactory explanation to why sexual reproduction appeared and what its consequences were (from a scientific, evolutionary perspective). After a couple of days, I noticed that the reference did not come out on my sidebar, while later-added entries did. The explanation is that the sexy reference was quarantined by Connotea, due to the repeated use of the word sex, I guess. This is not a complaint, I understand the use of automatic filters to avoid submission of inappropriate links (and, of course, Connotea has all the right to define inappropriateness in the use of its FREE service). Given that automatic filters may be widespread in academic sites and e-mail servers, I ...
3-D scanning methodologies for internationally compatible anthropometric databases - Part 1: Evaluation protocol for body dimensions extracted from 3-D body scans
Welcome to IHPME Events Calendar. View full details on all the happenings by month or list by type of event - we offer a wide array of seminar series, IHPME driven and co-hosted events, continuing education and alumni sponsored events.. ...
The current standard prenatal care schedule of primary care midwives comprises an average of 14 face-to-face visits. In daily practice, some pregnant women have up to 25 face-to-face visits.. In some midwifery practices, there seems to be an increasing trend of frequent attendance. The prevalence and determinants of inadequate prenatal health care use have been studied at length. However, there has been little research on the prevalence, determinants, and underlying causes of frequent attendance in prenatal care. Poorer outcomes are reported among frequent attenders compared to women with an average of number of visits, e.g. preterm birth and low birth-weight.. Mixed methods, such as a case-control study, a cohort study, interviews and document study, will be used to answer the research questions.. ...
Research in the area of preventable hospitalization, hospital admissions that could otherwise be avoided, provides little guidance in terms of priority areas for change. This synthesis of multiple electronic databases searched systematically for studies related to preventable hospitalization identifies six priority areas for future action in three broad conceptual areas: person priorities (symptom management and supportive relationships), programme priorities (self-management supports and service delivery), and place priorities (local infrastructure and socio-economic opportunities). Attention to these priorities could help reduce preventable hospitalization while simultaneously improving health access and quality of care ...
Goole minor Injuries unit is open 24 hours a day, every day, all year round and is a great alternative to A&E if you have suffered from a minor injury.
This post is the first in a small series of reflections on the recent events on campus, to be published over the next few days. If you have anything that you would like to contribute, please feel free to reach out to us.. I am writing this in response to the traumatic and overwhelming events that have happened over the past few days - the hospitalization of a dozen students and the arrest of four others, as well as the media and institutional reactions. I hope that this can be a space of positive dialogue and solidarity, where we share our thoughts and reflections with compassion and humanity. I hope to counter the intense and destructive negativity and inappropriateness of some of the language being used to address these events in our own community, in person and online, in the media portrayals and in the administrations emails. These events remind of us of the importance of fostering a supportive community, one that we must build on our own, as the student body. These thoughts hope to help ...
Include practical examples of prohibited behavior, but focus on inappropriateness, not illegality, he remarked. If you say certain behaviors are examples of sexual harassment and then they occur in your workplace, a court may construe the circumstances to be harassment, he cautioned.. Instead, say The following behaviors are inappropriate, regardless of whether they are unlawful, Segal recommended.. Give specific examples to educate employees through the policy whats not OK, he said. Quid pro quo harassment is, of course, always illegal, but make that clear in your policy anyway. Also, the policy should prohibit a supervisor politely asking for sex, as it may be perceived as quid pro quo harassment by the recipient. Power is relevant, he noted. A supervisor asking a subordinate for a date once is fine, but more than once is not. No means no, Segal said.. Power isnt the only factor, though. Make clear that inappropriate behavior between employees on the same level within an organization ...
Mann and Jones have a new post at realclimate discussing warmth at Svalbard, an island archipelago north of Norway. May temperatures are very warm there. They say that the differences are 5 standard deviations based in i.i.d. Weve talked about the inappropriateness of i.i.d. assumptions in the context of Rasmus (BTW what ever happened to…
End-term evaluation of facility based HIV care and treatment projects in 8 high HIV burdened/hot-spot districts in Namibia. Design a full evaluation protocol and get local and US approval; direct data collection/assessment, data analysis and report writing in collaboration with School of Public Health, University of Namibia, and Ministry of Health.. ...
Molecular and practical profiling of most cancers cell strains is topic to laboratory-specific experimental practices and information evaluation protocols. The present problem subsequently is find out how to make an built-in use of the omics profiles of most cancers cell strains for dependable organic discoveries. Here, we carried out a scientific evaluation of 9 sorts of information modalities utilizing meta-analysis of 53 omics research throughout 12 analysis laboratories for two,018 cell strains. To account for a comparatively low consistency noticed for sure information modalities, we developed a sturdy information integration strategy that identifies reproducible indicators shared amongst a number of information modalities and research ...
Molecular and practical profiling of most cancers cell strains is topic to laboratory-specific experimental practices and information evaluation protocols. The present problem subsequently is find out how to make an built-in use of the omics profiles of most cancers cell strains for dependable organic discoveries. Here, we carried out a scientific evaluation of 9 sorts of information modalities utilizing meta-analysis of 53 omics research throughout 12 analysis laboratories for two,018 cell strains. To account for a comparatively low consistency noticed for sure information modalities, we developed a sturdy information integration strategy that identifies reproducible indicators shared amongst a number of information modalities and research ...
PennHIP differs from other methods in some very fundamental and important ways:. Scientific Protocol. PennHIP was developed and tested following strict scientific protocol and the results of these studies have been, and continue to be, published in peer-reviewed scientific journals. More than a decade of research and analysis have produced a body of information in support of PennHIPs effectiveness. (As with all diagnostic tests, PennHIPs accuracy is not 100%, but in direct comparisons it is far superior to any other available diagnostic methods.) No other method, published or practiced, has similar compelling scientific support. Objective Assessment. PennHIPs evaluation protocol quantitatively measures passive joint laxity. Based on the degree of laxity, the individual dog is ranked relative to other members of the same breed. This allows breeders to easily identify animals with tighter hips within each breed. Dogs with tighter hips are less likely to develop osteoarthritis (hip dysplasia). ...
As with any health profession that focuses on the rehabilitation of its patients, physical therapy uses an array of equipment..... Read more ...
The Florida Department of Juvenile Justice (FDJJ) has contracted with Florida State Universitys College of Criminology and Criminal Justice, to conduct a six-month validation study of FDJJs Standardized Program Evaluation Protocol (SPEP). The SPEP is…
Inappropriate tests are responsible for longer waiting lists, higher economical costs for the National Health System and major clinical risks due to radiation exposure from prescription abuse of diagnostic testing. Clinical inappropriateness frequently derives from poor knowledge of guidelines, defensive medicine approach and/or repeat requests of patients and family members. About one third of non-invasive imaging tests are considered inappropriate.In order to define the most appropriate instruments for the follow-up of the most common cardiovascular diseases with the highest risk of inappropriateness, all the cardiologists of the Veneto Region (Italy), along with the local chapters of the main national cardiology societies and general practitioners have been involved by the Regional Section of the Italian Association of Hospital Cardiologists (ANMCO) in several scientific meetings on the following topics: hypertension, chronic ischemic heart disease, valvular heart disease, heart failure, ...
This study will be conducted in Spain. This country has made remarkable advances in the development of policies against IPV since 1998. The Gender Based Violence Law, passed in 2004, represents a progressive and comprehensive development from the two previous action plans (for the 1998 to 2000 and the 2001 to 2004 periods, respectively) [21, 22]. On the basis of the law, an array of measures for integral protection against IPV have been implemented, including reforms of the judicial system, extensive training, and the implementation of a comprehensive network of services aimed to protect the rights and safety of women suffering from IPV. Preventive measures directed towards challenging gender inequality at the broader social level have also been established. Despite these noteworthy achievements, IPV remains common, and large differences exist between autonomous regions; e.g., the self-reported one-year-prevalence of IPV ranged from 28.6% in Ceuta and Melilla to 10.7% in Cantabria, Aragon and ...
All participants will complete the Evaluation Protocol at baseline, after 3 weeks (PERIOD 1),after 6 weeks (PERIOD 2), and for follow-up at 3, 6, and 12 months post-treatment. During PERIOD 1 (first 3 weeks), participants in ARM 1 will receive Vocal Hygiene Training as well as Airflow Exercise Training and participants in ARM 2 (the Control Arm) will receive only Vocal Hygiene Training. Vocal hygiene training alone has been demonstrated to have minimal impact on voicing32-34. During Period 2 (second 3 weeks), participants in BOTH ARMS will receive Vocal Hygiene Training and Airflow Exercise Training (Fig 3). Thus, participants in Arm 2 will receive no Flow Phonation for initial controlled comparison then 3 weeks of Flow Phonation for dose response comparison to Arm 1 (non-control) participants.. Assessment Protocol. Each participant will receive the Complete Evaluation Protocol at Baseline, after 3 weeks(PERIOD 1), after an additional 3 weeks (PERIOD 2), as well as at 3, 6, and 12 months ...
It's common knowledge that osteochondrosis—a developmental orthopedic disease that results from a disruption in the growth of articular cartilage located in specific joints—can cause problems for young horses, but how common is it? How are different breeds affected? Where are the most common lesion sites? And, of course, what’s the m...
A. P. Sreeja, R. D. Kiran, T. P. Angel Rose*, Edcy Edvi, Celesti Sibi Jose, Sandra Elsa Thomas. ABSTRACT. Obstructive airway diseases refers to a group of disease that cause airflow blockage and air breathing related problems, and it includes emphysema ,chronic bronchitis, bronchiectasis and asthma. According to WHO estimates these diseases have remained the leading cause of death globally in last 15 years especially among old aged patients. The aim of this study was to apply the Medication Appropriateness Index (MAI) by a clinical pharmacist to identify issues of inappropriate prescribing amongst patients admitted from the general medicine. This was a prospective observational study conducted in 202 patients to determine the inappropriateness of antibiotic in obstructive airway diseases. The most common problems were seen with indication, dose of antibiotic, directions, duplication, expensiveness and duration of therapy. Of the 202 patients, 174(86%) cases had a problem with antibiotic ...
Sepsis is a common cause for morbidity and mortality in critically ill patients. With the development of medical skills, the mortality is still remain very high. Inappropriateness of initial antibiotic treatment is an important risk factor for mortality and effective antimicrobial administration within the first hour of documented hypotension was associated with increased survival to hospital discharge in adult patients with septic shock. However, the early treatment based on early diagnosis.But it is very difficult to diagnosis because of lack of specific clinic symptom and sign.When severe sepsis occur, biomarker could be helpful to diagnosis. Unfortunately, the diagnostic value of single biomarker is limited. Therefore, combine several biomarkers could enhance the diagnostic value ...
OBJECTIVE: To utilize the diagnostic criteria of frontal lobe dementia (FLD). METHODS: We studied 12 patients with FLD diagnosed clinically, with radiological confirmation in 10 and autopsy confirmation in 2; sixteen patients with Alzheimers disease matched for stage and severity to FLD and 11 patients with depressive dementia were used as control groups. A 24-item Frontal Behavioral Inventory (FBI) using the most relevant behavioral manifestations of FLD was administered in these populations. RESULTS: FLD patient scores on the FBI were much higher compared with control groups (AD and DD). Item analysis showed loss of insight, indifference, distractibility, personal neglect and apathy as the most frequent negative symptoms. Perseveration, disinhibition, inappropriateness, impulsivity, and irresponsibility were the most significant positive symptoms. An operational definition of FLD included a minimum FBI score of 27. Only one false positive was shown in the depressive group and none among the ...
bq. Formatting objects dont have any semantics and should therefore not be represented in XML.. Why not? In the letters that make up the initialism XML, I dont see anything that stands for Semantics. XML is just a toolchest for building any markup language you wish, and one of those happens to be the page layout language called XSL-FO. And it isnt just a bunch of font tags? anymore than CSS is-I think we both know XSL-FO is to be generated from XSLT rather than written by hand, and when generated from an XSLT script its equivalent to a CSS stylesheet in separating content and presentation.. bq. Indeed, the tagset is limited, but HTML has a wonderful extension mechanism: the «class» attribute. Using the class attribute, you can convert any XML document into HTML and back-without losing information.. Doesnt the use of a kluge indicate the inappropriateness of the format? And, um, talking about semantics, are you aware that class attributes are style directives, containing no more ...
EISS implemented an evaluation protocol to assess the quality of clinical data collected by sentinel networks for the surveillance of influenza. The protocol was applied in Belgium and in three regions in Spain where it resulted in recommendations to improve the national and regional surveillance networks.
There is no need to make an appointment, with patients treated in order of priority rather than order of attendance.. The unit is open between 8.30am and 6pm, seven days a week. X-ray facilities are available between 9am and 5pm, Monday to Friday.. ...
Welcome to NHS Forth Valley, responsible for providing health services and improving the health for the population of Forth Valley.
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Attendance is optimised. Attendance is an important factor in ensuring progress is being made. This could be a challenge for some in the early years sector as it is not a statutory phase. It is worth investigating ways of ensuring attendance has a high profile to establish good habits and to ensure the strategy will be as effective as possible. The EPPE resreach shows that frequent attendance is a factor in improving outcomes for children. There is a focus on attendance in the revised Ofsted evaluation schedule ...
Overtreatment is a neologism coined some 15 years ago to denote medical and surgical interventions that are unnecessary. It is a topical term for an old concept. However, it has rapidly become a shibboleth for those inclined toward finger-pointing and blaming in matters of health policy. As such, it is a foe that heats up rather than modulates debate. But if one examines the notion in the context of the contemporary patient-physician dialogue, it is anything but a foe. Overtreatment and its fellow travelers, overutilization and overprescription, face off with contrary notions when a patient contends with the challenge of evaluating any clinical option ...
this article talks about the use and misuse of sec.-498 A of I.P.C.,it also talks about the measures and also it talks about the role of judiciary in it.
We provide services at three minor injury units across Cambridgeshire, which aim to provide care and treatment for patients whose minor injuries or illness is not severe enough to warrant a trip to accident and emergency
TY - JOUR. T1 - Reducing diagnostic errors worldwide through diagnostic management teams. AU - Verna, Roberto. AU - Velazquez, Adriana Berumen. AU - Laposata, Michael. N1 - Publisher Copyright: © Korean Society for Laboratory Medicine.. PY - 2019. Y1 - 2019. N2 - A major challenge facing most countries is the growing cost of healthcare. Laboratory testing costs constitute approximately 3% of all clinical costs, while waste of funds due to inappropriate admissions to clinical departments is reported to be as high as 15%. A frequently used approach to save money in healthcare is random reduction of laboratory budgets, focusing on decreasing the number of unnecessary laboratory tests. The World Health Assembly has approached this problem by publishing a list of essential in vitro diagnostic tests, to achieve a global rationalization of the problem. A much more thoughtful strategy to reducing healthcare expenditure is to improve the efficiency of the diagnostic process. Decreasing the time to a ...
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Our findings suggest that future studies seeking to determine how to prevent ambulatory care-sensitive conditions in people with CKD should target remote dwellers and those with comorbid conditions such as concomitant heart failure and liver disease.
Strength of our study is the longitudinal character of the data set. The involved GPs are stimulated to improve the registration of CECs (the problem list) by automated computer-assisted algorithms and regular feedback on their registration activity.10 By using this automated coding system coding differences between GPs are expected to be small. The GPs were not blinded for the FA status. But these frequent contacts actually helped the GPs to better distinguish between chronic and transient problems and avoided misclassifications. Although one would expect more RFEs linked to CECs in (persistent) FAs (frequent consultations and more problems on the problem lists), we found more TECs in FAs of longer duration, also after adjustment for age, sex and the number of problems. Our retrospective study was based on routinely and prospectively collected data reflecting every day, urban general practice in the Netherlands.. We also see limitations: patients often present several RFEs during a consultation ...
Tianna graduated from James Cook University in Townsville, Qld in 2014 with a Bachelor of Occupational Therapy. Tianna held an interest in Occupational Therapy for many years, returning to study to gain her degree. Tianna is a current Associate Member of the Australian Hand Therapy Association.. Tianna has developed broad clinical skills working in the Sunraysia community. She is a TAC & Worksafe Framework OT, as well as FCE trained (Ergoscience PWPE (Physical work performance evaluation) protocol).. Tianna has a particular interest in hand therapy, working with clients to ensure maximum function to perform their day to day activities. Tianna has been instrumental in the development of the Lime Therapy Hand Therapy Service and is passionate about providing exceptional care to her clients to enable them to regain their pre-injury function.. With the commencement of Lime Legends Tianna has been able to further her interest in working with our paediatric client base, through focusing on handwriting ...
Due to the rising COVID-19 numbers, the medical expert has issued a statewide order postponing all non-urgent surgeries and procedures requiring an overnight stay.. Earlier this week, Dobbs announced that restrictions would be placed on elective procedures requiring overnight hospitalization in six Mississippi counties, but the State Health Officer has since changed his mind, deciding to extend the policy across the entirety of the state.. According to the post, elective surgeries that can be safely postponed should be pushed back beyond July 20th.. The post Rising COVID-19 numbers put a halt to non-urgent surgeries appeared first on News Mississippi.. ...
The diversity of designs, definitions and methods in the current literature on FAs in general practice hampers comparison of their precision, validity and generalizability, and calls for cautious interpretation and adoption of a common, generally acceptable definition in future studies.
Source: Michigan Resident Inpatient Files created by the Division for Vital Records and Health Statistics, Michigan Department of Health & Human Services, using data from the Michigan Inpatient Database obtained with permission from the Michigan Health & Hospital Association Service Corporation (MHASC). Usage rights: Portions of this data are taken from a proprietary database owned and maintained by the MHASC. All rights reserved. This data may not be used for commercial purposes without first obtaining written permission from the MHASC. Contact MHASC at [email protected] for more information.. ...
Source: Michigan Resident Inpatient Files created by the Division for Vital Records and Health Statistics, Michigan Department of Health & Human Services, using data from the Michigan Inpatient Database obtained with permission from the Michigan Health & Hospital Association Service Corporation (MHASC). Usage rights: Portions of this data are taken from a proprietary database owned and maintained by the MHASC. All rights reserved. This data may not be used for commercial purposes without first obtaining written permission from the MHASC. Contact MHASC at [email protected] for more information.. ...
Through partial hospitalization/day treatment, you will be able to enjoy many of the same benefits that you would derive from an inpatient addiction recovery center without having to live at the rehabilitation facility around the clock. Further, they can offer you the skills and resources that you need to be able to overcome your substance abuse and addiction.. While enrolled in this program, you will benefit from highly structured treatment and recovery programming without receiving 24-hour medical supervision, care, and management services.. Further, the program will design your treatment plan using feedback between you and your counselors and therapists. You will start by going through intensive assessment and evaluation to determine the severity of your substance abuse and addiction.. After that, you will receive a treatment plan that could involve the use of medically supervised detoxification to manage any drug and alcohol cravings that you might be struggling with as well as take care of ...
Hospital Use Electrolyte Analyzer products ☆ Find Hospital Use Electrolyte Analyzer products, manufacturers, suppliers and exporters
Queen Marys Hospital is a comfortable and convenient setting for patients offering the latest treatment techniques using state of the art equipment and diagnostic facilities.Services are provided to both children and adults.The hospital has a minor injuries unit that treats: cuts and grazes ...
Summarizes how the implementation of CHIs designed to improve childrens access to primary care helped reduce preventable hospitalizations among lower-income children. Includes policy implications.
In the current debate around healthcare utilization, some believe that patients who present to emergency departments (EDs) with nonurgent complaints might be
Video created by University of Michigan for the course Data Science Ethics. Data validity is not a new concern. All too often, we see the inappropriate use of Data Science methods leading to erroneous conclusions. This module points out common ...
Thailands Culture Ministry is criticizing Lady Gaga over what it says was her inappropriate use of a Thai flag during a Bangkok concert last month.
Dear patients and friends, our clinic is preparing to extend our services to non-urgent eye care needs soon ( by appointments only). Our team is working hard to optimize our procedures for a very careful, gradual reopen process. If your previous appointments have been cancelled or postponed due to the COVID-19 pandemic, we will contact you in the following days and weeks to reschedule your appointments ...