Academic literature on the topic 'District Base Hospital'
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Journal articles on the topic "District Base Hospital"
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Pulungan, Muhammad Rusli. "NASOPHARYNGEAL CARCINOMA IN PANYABUNGAN DISTRICT HOSPITAL." INTERNATIONAL JOURNAL OF NASOPHARYNGEAL CARCINOMA (IJNPC) 2, no. 02 (June 20, 2020): 38–39. http://dx.doi.org/10.32734/ijnpc.v2i02.3932.
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Abstract Introduction: Nasopharyngeal carcinoma is the most common malignancy found in the head and neck area. Non-specific initial symptoms and hidden locations often make it difficult to diagnose early nasopharyngeal carcinoma. The limitations of tools and human resources in the district are a problem in enforcing and finding patients with nasopharyngeal carcinoma in this situation. Objective: The purpose of this study is to observe the prevalence of nasopharyngeal carcinoma in Departement of Otorhinolaryngology-Head and Neck Surgery Panyabungan District Hospital. Method: This study collecting data from medical record of Nasopharyngeal carcinoma (NPC) at Panyabungan District Hospital. Result: The distribution of NPC patients during January-December 2018 there were 10 patients. NPC base on gender male 50% and female 50%. NPC based on age groups in 46-55 years is 40%, 56-65 years old is 20% and 16-25 years, 26-35 years, 36-45 years, and 66-75 years each of 10%. NPC patients based of clinical appearance is limadenophaty colli is 100%, epistaxis 80%, Nasal congesty 70%.ear fulness 40% and diplopia 30%. NPC based on histophatologycal types is WHO type I 10%, WHO type II 50% and WHO type III 40%. Conclusion: Nasopharyngeal carcinoma is a malignant tumor originating from the nasopharyngeal epithelium. The patient NPC were diagnosed at an advanced stage. All of patients showed enlargement of neck limph nodes and some showed diplopia.
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Stovban, Mykola P., Vasyl M. Mykhalchuk, Alexander K. Tolstanov, and Vira V. Maglona. "INTERACTION LINKS OF HEALTHCARE INSTITUTIONS WITHIN ONE HOSPITAL DISTRICT." Wiadomości Lekarskie 74, no. 3 (2021): 756–60. http://dx.doi.org/10.36740/wlek202103236.
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The aim: Theoretical substantiation and determination of the main characteristics of the interaction links of medical institutions within one hospital district in the conditions of aggravation of the epidemiological situation in Ukraine on the analysis basis of the legislative base and elaboration of literary sources. Materials and methods: In the work is used a range of methods: content analysis, bibliosemantic, systematic approach, analysis of products of activity. Conclusions: The authors propose a doctrinal definition of the term “hospital district”. The key problems of the domestic healthcare sector in the context of a pandemic have also been identified. The author points out that in order to successfully reform the health care system and the effective interaction of hospitals in one hospital district, it is necessary to pay attention to funding sources and proper legal regulation, as without the latter any initiatives will have no legal force and will be ignored. health care may be ineffective.
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ALWI, MUHAMMAD, PUTU KARISMAWAN, I. DEWA KETUT YUDHA S, and IWAN HARSONO. "SARANA PENDIDIKAN, KESEHATAN DAN TINGKAT KEMISKINAN DI KECAMATAN TANJUNG SEBAGAI PUSAT PERTUMBUHAN KABUPATEN LOMBOK UTARA, PASKA GEMPA 2018 DAN MASA PANDEMI COVID-19." GANEC SWARA 16, no. 2 (September 10, 2022): 1616. http://dx.doi.org/10.35327/gara.v16i2.327.
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Earthquake 2018 and than Covid-19 Pandemic as starting point to conduct research about condition of educations, healties and rate of poverty in Tanjung Districts, North Lombok, West Nusa Tenggara Province. Base on analysis data of centre of Statistic Bureau of North Lombok (BPS) and population projection of Tanjung districts untill 2025, the condition are: fasilities of kindergarten has not been enough yet. The distibution of that finfrastructure among the vilages is not equal. The elemnteray or primary school (Sekolah Dasar), junior high school ( Sekolah Menengah Pertama) are more than enough, Midle high school (sekolah Menengah Atas) are not enough yet. The aditional education fasilities in 2022 need to add, such as 20 units of new kindergarten, 1 units of Midle high school. Health fasilities relatively has not been enough yet, compare to district Tanjung population as much 220.412 and the position distric Tanjung as capital of North Lombok regency e.g community helath centre and sub community health centre (Puskesmas dan Puskesmas Pembantu), polyclinic and laboratory, hospital, private doctor services, farmacy are not enough yet realtively to population. It should there 5 unit of Community health centre dan 82 sub cummunity helath centre, 10 private doctor services, 1 unit of laboratory, 3 unit of hospital C or 1 B type. Base on qualitative data that rate of poverty in Tanjung district is relativly high. The lowest education level, skill, Lack of employment opurtunity, and capital are the prime faktor of poverty
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Stovban, M. P., and O. K. Tolstanov. "Medical and Social Justification of the Financial and Economic Status of the Snyatyn Central District Hospital before and after the Introduction of the Hospital District." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 6 (December 28, 2022): 116–23. http://dx.doi.org/10.26693/jmbs07.06.116.
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The article is devoted to the study of the issue of medical and social substantiation of the financial and economic status of the Snyatyn Central District Hospital before and after the introduction of the hospital district. The purpose of the study was to analyze the financial economic status of the Snyatyn Central District Hospital in order to determine the efficiency of the introduction of the hospital district. Materials and methods. The object of the study of this scientific article is the activity of the Snyatyn Central District Hospital, which experts have recognized as one of the most successful not only in the region, but also in Ukraine. It is a unique experience in building an effective financial and economic system, which should be taken into account almost by every hospital district when building an effective system of medical services. Results and discussion. Despite the fact that the financial result of the Snyatyn Central District Hospital during the period being studied is negative, the financial condition is determined by stability, autonomy, independence, liquidity and solvency. These are the indicators that allow the organization to plan their expenses according to the needs, to improve the staff and to expand the material and technical base. With regard to the medical and social aspect of the formation of finances during the formation of hospital districts, it should be noted that the reorganization changes have been negatively reflected in the organization's activities, as 45 employees had to be reduced. However, this fact allowed to increase the salary of the staff and to make minor investments in the upgrade of fixed capital. The financial system of the institution continues to improve, and its main purpose is to form the conditions for providing quality services to the population through the use of modern medical technologies and through consultations of highly qualified workers. Conclusion. Based on the results of the research, it can be concluded that the Snyatyn Central District Hospital is one of the most successful in the country, which is confirmed by the relevant certificate. The medical institution effectively manages its own finances and the funds allocated by the state are almost enough for it. The Snyatyn Central District Hospital really deserves a high rating for effective financial management, particularly important are the indicators of the organization's liquidity, which allows solving all the necessary needs of the institution, including the renewal of the material and technical base. Such financial system allows the organization to develop and create a competitive product
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Matthews, A. E. W. "CHIEF OCCUPATIONAL THERAPIST WARRNAMBOOL & DISTRICT BASE HOSPITAL WARRNAMBOOL VICTORIA." Australian Occupational Therapy Journal 23, no. 2 (August 27, 2010): 79. http://dx.doi.org/10.1111/j.1440-1630.1976.tb01049.x.
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Bykov, V. P. "SURGICAL SERVICE OF KARELIAN FRONT HOSPITAL BASE IN 1941-1945." Ekologiya cheloveka (Human Ecology) 22, no. 2 (February 15, 2015): 57–60. http://dx.doi.org/10.17816/humeco17147.
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To the Karelian front hospital base established in the Arkhangelsk region, there were removed patients that had been primarily operated in hospitals of the military district and needed long-term treatment. Limb bullet and fragment wounds, complicated by osteomyelitis, apostems, phlegmons and fistulas prevailed. Improvement of therapy outcomes was reached due to establishment of specialized surgical wards and training of surgeons in treatment of gunshot injuries, Military Traumatology and surgical infections. The proportion of reconditioned senior officers and soldiers in 1944 was 52.5 %. 16.4 % of the patients were recognized as disabled persons. The main reasons of disabilities were: limb shortening, false joints, amputation stumps, joint contractures. Hospital mortality because of septic complications among the wounded was 0.12 %.
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Natalia Krisnawati, Gita, Sucipto Sucipto, and Rina Firliana. "EVALUASI PENERAPAN SIM-RS MENGGUNAKAN COBIT 5 PADA RSUD LAWANG." Antivirus : Jurnal Ilmiah Teknik Informatika 13, no. 2 (November 30, 2019): 80–89. http://dx.doi.org/10.35457/antivirus.v13i2.858.
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Information technology (IT) has become a crucial part for companies or institutions with enterprise scale. The problem in this research is the service of patients in RSUD Lawang has not been entirely done using the SIM-RS application directly. This study focuses on the implementation of the SIM-RS in Lawang District Hospital in providing health services to the community. This research standard uses COBIT 5 standard with APO 07 domain which discusses the preparation of HR in Lawang District Hospital, BAI 07 discusses readiness in obtaining new information systems (SIM-RS), and DSS 01 discusses procedural development and treatment of all forms operations, infrastructure, and facilities related to the information system used. The conclusions of this study are: (1) The level reached by the APO 07 domain is at level 1. This is due to the application of the SIM-RS in the Lawang District Hospital, which has a base practice but in the design of activities that have not been adequately monitored and evaluated and the work products that have not been applied, controlled, and maintained as appropriate. (2) The level achieved by the BAI 07 domain is at level 2. This is due to the application of the SIM-RS in Lawang District Hospital, which has a planned base of practice, is well monitored and evaluated. Its implementation is following agency needs. But related to the implementation process is still not following established standards. (3) The level achieved by the DSS 01 domain is at level 1. This is due to the application of the SIM-RS in Lawang District Hospital having a base practice. Still, in the design of activities, it has not been adequately monitored and evaluated, and the work products they have not been implemented, controlled, and maintained as should be.
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Gajapati, Charushila Gajapati, Shankargauda H. Patil, and Anupama Desai. "Efficacy of rural camps in achieving vision 2020: Our contribution." Indian Journal of Clinical and Experimental Ophthalmology 7, no. 3 (September 15, 2021): 579–82. http://dx.doi.org/10.18231/j.ijceo.2021.113.
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: To assess the effectiveness of rural camps held under DBCS (District Blindness Control Programme) & compare the results of cataract surgery at base hospital cases. It is a retrospective observational study, medical records of patients operated for cataract in camp & patients operated in base hospital are analyzed.In our hospital outpatient department, we saw 2,08,716 patients from 2010-2019 and 7796 underwent cataract surgery. Under DBCS we conducted 262 camps from 2010-2019 & 4611 underwent cataract surgery.A total of 27,524 patients got screened in 262 rural camps and 4671 underwent small incision cataract surgery at the base hospital after detailed clinical examination and IOL (intraocular lens) power calculation for each patient. Among 2,08,716 outpatients at the base hospital, 7796 underwent cataract surgery. The rate of intraoperative complications in the base hospital was 0.885% whereas in camp cases 1.94%.IOL implantation is done in 100%cases in base hospital surgeries and 0.064%patients left aphakic among rural camps.Screening at outreach camps and surgeries at the base hospital can have excellent results. Mass surgeries in camps following standard protocol can have the least number of complications.
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Tangsawad, Sasithorn, and Surasak Taneepanichskul. "Increasing smear positive-pulmonary tuberculosis cases by strengthening district TB coordinating team in low case-detection provinces, Thailand." Journal of Lung, Pulmonary & Respiratory Research 5, no. 6 (December 20, 2018): 202–10. http://dx.doi.org/10.15406/jlprr.2018.05.00192.
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Background: Tuberculosis (TB) is a communicable infectious diseases and remains a major global health problem as the cause of death from an infectious disease worldwide. This study was increased TB cases notification by strengthening the system of district TB coordinating team. Materials and methods: The research was mixed method, Quasi - Experimental study with two –group control and intervention pre–post analysis. The two low TB-case notification provinces in public health region 7 were purposive selected and two districts from each province was random selected to be the area of the study. Selapoom district, Roiet province and Banpai district, Khonkaen province were the study sites for intervention and control group respectively. The sample size included all of TB suspected cases in both group. Data collected from the suspected TB cases form case record form in each district hospital in 9 month period of base line before and after intervention period in both group. The satisfaction questionnaire collected from participants in district TB coordinating team. The curriculum for TB knowledge applied from the standard of National TB program (NTP ) for teaching in the intervention workshop .Focus group discussion was done about system implementation. Data analysis by descriptive statistic, chi square test, focus group analysis was used in qualitative study. Results: The district TB coordinating team was set up in the intervention hospital included of 14 health personnel from hospital, district health office and health center. The work flow and monitoring system was implemented by the district team in intervention group in 9 months period. There were 838 and 324 suspected TB cases in baseline 9 months before the study and 769 and 379 of suspected TB cases in post 9 months after intervention period among control and intervention hospital respectively. The most age group of TB suspected cases were more than 60 year and the most occupation were agriculturists in both group. In both group found that the factors of gender, chest radiography, sputum microscopy, chest radiography with sputum microscopy, chest radiography with completed microscopic examinations, were associated statistically significant at the 0.05 level. For the relative risk of TB notification cases in control hospital ( RR=0.74 ,95%CI 0.54-1.03, p-value 0.07) and intervention hospital (RR=1.61 ,95%CI 1.04-2.51, p-value 0.03) defined that in the hospital with non-intervention provided had a 25% reduction of TB notification cases and in the hospital with intervention provided had a 61% increase of TB notification cases.. Focus group analysis concluded that district TB coordinating team was benefit in district level and helping team to monitoring of TB control program. The coordinating system especially having TB coordinator was the most satisfaction from the participants. Conclusion: Strengthening district TB coordinating team and the coordinating network in hospital , district health office and health center help to increase TB case notification and percent of suspected tuberculosis cases to complete the investigation in district level.
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Tangsawad, Sasithorn, and Surasak Taneepanichskul. "Efficacy of district tuberculosis co-ordinating team on health service performance for suspected TB patient in district hospital." Journal of Health Research 32, no. 3 (May 14, 2018): 251–56. http://dx.doi.org/10.1108/jhr-05-2018-026.
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Purpose The purpose of this paper is to study the efficacy of a district tuberculosis (TB) co-ordinating team on health service performance for suspected TB patients in a district hospital in northeastern Thailand. Design/methodology/approach A comparison study of pre- and post-evaluations of TB system improvement was conducted in a district hospital in northeastern Thailand between October 2016 and June 2017. Data collection reviewed the record of suspected TB cases reported in the district hospital in the past nine months as a base line for describing the health service performance in term of received investigation for TB diagnosis. Participants from a TB clinic, district health office and health center set up a TB co-ordinating team to explore situations and systematic gaps. The TB co-ordinating team gave recommendations of health service performance for suspected TB patients over a nine-month period. Records of suspected TB cases health service performance were collected nine months after intervention. Data analysis by descriptive statistics and to test the effect of intervention was performed. Findings The records from 324 and 379 suspected TB cases reported in the hospital from the 9 months preceding and 9 months, respectively, after intervention were reviewed. A TB co-ordinating team was set up to improve the system and health service performance in terms of investigation for TB diagnosis. The results revealed that health service performance in terms of complete microscopy and investigation in both chest radiography and microscopy increased after intervention. When comparing between pre- and post-intervention, suspected cases received both chest radiography and microscopy in 176 cases and 283 cases, respectively (p-value=0.001). There were 27 cases diagnosed for smear positive TB in pre-intervention and 51 cases diagnosed in post-intervention (p-value=0.011). There were 21 cases pre- and 36 cases post-intervention that had referral documents from health center with no statistically significant difference. Originality/value The TB co-ordinating team had the role to improve health service performance for suspected TB cases to enroll in investigation process for increase TB diagnosis in district hospital.
Dissertations / Theses on the topic "District Base Hospital"
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Wu, Jie, and Lina Zhou. "GIS-Based Multi-Criteria Analysis for Hostital Selection in Haidian District of Beijing." Thesis, Högskolan i Gävle, Avdelningen för Industriell utveckling, IT och Samhällsbyggnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-13021.
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China has the largest population and the fastest growing economy in the world. The general public's demand for health is rising promptly with the improvement of the living standard. However, the limited and unbalanced medical resource have caused the prominent problem of the society, even in the capital city of Beijing, the new hospital constructions with rational allocation is iminent and significant. Along with the technology development and Internet popularization, GIS approaches and related products has been widely used in the people's daily life. The main focus of this paper is to select a site for building a new hospital in Haidian District of Beijing using GIS-based Multi-Criteria Analysis (MCA). With Analytical Hieraichy Process(AHP) and Rank Order Method (ROM) for the weight setting on factor criteria, necessity tests and sensitivity tests are applied to check which criteria are really necessary and how the results are sensitive to their weight change. The optimal site located in Wenquan Town (E: 116.182, N:40.039) is screened from several candidate sites usin Google Earth maps, which makes the ultimate result more convincing and practical. It can be concluded that GIS-based MCA with necessity and sensitivity tests proposes a novel and useful reference to other site selection decision makers, and also provides constructive tools for the public asministration to set up efficent databases for decision makers to carry out spatial analyses. To make it more maneuverable and practical, a further research on th improvement of this method will have a promising future.
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Soares, Emanuelly Paulino. "Análise da inserção do Hospital de Base na rede de atenção às urgências e emergências do Distrito Federal." reponame:Repositório Institucional da UnB, 2014. http://repositorio.unb.br/handle/10482/17590.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, 2014.Submitted by Ana Cristina Barbosa da Silva (annabds@hotmail.com) on 2015-01-27T18:01:02Z No. of bitstreams: 1 2014_EmanuellyPaulinoSoares.pdf: 2673929 bytes, checksum: a18bdfa24ac8a1239343424879f6ea63 (MD5)
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O Brasil e o mundo enfrentam um cenário epidemiológico, demográfico e econômico dinâmico que sugere grandes desafios para os sistemas de saúde, especialmente os públicos e universais. O crescimento e a agudização das doenças crônicas não-transmissíveis e a perda prematura de pessoas jovens por acidentes e violências são problemas que exigem a configuração de um modelo de atenção centrado. Neste sentido, o Ministério da Saúde junto aos estados e municípios vem trabalhando desde 2010 na implantação de redes de atenção à saúde, no intuito de superar a gestão e a atenção fragmentadas. O presente estudo teve como objetivo geral analisar a inserção do Hospital de Base na Rede de Atenção às Urgências e Emergências no Distrito Federal, e como objetivos específicos caracterizar o HBDF no SUS, caracterizar o serviço de pronto-socorro, Centro de Trauma, deste hospital no SUS, bem como descrever a aplicação dos critérios de qualificação desse serviço enquanto porta de entrada hospitalar de urgência e emergência prioritária. A coleta de dados se deu através de informações secundárias dos sistemas oficiais do Ministério da Saúde e do hospital em questão e da aplicação de questionário com gestores e trabalhadores do serviço de prontosocorro e do Centro de Trauma, porta de entrada dos usuários graves. Os dados coletados foram analisados devidamente considerando a triangulação utilizando-se a técnica de análise temática. Conclui-se que há desconhecimento dos profissionais de saúde participantes do estudo quanto à inserção do hospital na Rede de Atenção às Urgências e Emergência do Distrito Federal; a alta demanda de usuários e definição de fluxos assistenciais e pactos na rede incipiente; a aplicação parcial dos critérios estabelecidos pelo Ministério da Saúde; o pouco investimento na educação permanente em saúde dos trabalhadores; boas práticas em relação à regulação de urgências e emergências pelo SAMU; e, o anseio dos gestores pela efetivação do trabalho em rede. Assim, o processo de inserção do hospital estudado na rede de atenção às urgências e emergências no Distrito Federal acontece de forma lenta e gradual, porém esta ação está presente nos anseios dos gestores e trabalhadores do serviço de prontosocorro e do Centro de Trauma do hospital, por isso deve ser geradora de mobilização para a mudança e para a efetivação da rede de atenção à saúde. __________________________________________________________________________ ABSTRACT
The Brazil and the world face a dynamic epidemiological, demographic and economic scenario suggests major challenges for health systems, especially public and universal. Growth and worsening of chronic non-communicable diseases and premature loss of young people from accidents and violence are problems that require the setting of a model of focused attention. In this regard, the Ministry of Health with states and municipalities has been working since 2010 on the establishment of networks of health care in order to overcome the management and fragmented attention. The present study had as main objective to analyze the insertion of the Base Hospital Network Emergency Care and Emergencies in the Federal District, and characterize the specific objectives HBDF in SUS, characterizing the service emergency room, trauma center, this hospital the SUS, as well as describe the application of eligibility criteria that service while hospital entrance door of urgency and priority emergency. Data collection occurred through secondary information systems officers from the Ministry of Health and the hospital concerned and a questionnaire with managers and workers of the emergency services and trauma center, a gateway for serious users. The collected data were analyzed with due regard to triangulation using the technique of thematic analysis. We conclude that there is a lack of health professionals participating in the study as the insertion of the hospital in the Network Emergency Care and Emergency Federal District; the high demand of users and defining care flows and covenants in incipient network; partial application of the criteria established by the Ministry of Health; little investment in continuing education in health workers; good practice in relation to the regulation of the SAMU emergency care; and the desire of managers for effective networking. Thus, the insertion process studied in the care network to emergency care in Federal District hospital happens slowly and gradually, but this action is present in the anxieties of managers and workers of the emergency services and trauma center's hospital, so it should be generating mobilization for change and for the effectiveness of the health care network.
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Freitas, Waleriano Ferreira de. "Perfil epidemiológico e clínico dos pacientes com sorologia e agente para sífilis atendidos no Hospital de Base do Distrito Federal no período de 2012 a 2015." reponame:Repositório Institucional da UnB, 2017. http://repositorio.unb.br/handle/10482/23776.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Medicina, Pós-graduação em Medicina Tropical, 2017.Texto parcialmente liberado pelo autor. Conteúdo liberado: resumos, referências e apêndices.
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A sífilis é uma doença infecto-contagiosa de transmissão sexual e vertical. Nos últimos anos, sua incidência vem aumentando em gestantes, recém nascidos, homens que fazem sexo com homens e em portadores do HIV. A sífilis pode ser classificada em estágios segundo o tempo de infecção e as manifestações clínicas. O acometimento ocular e do sistema nervoso central pode ocorrer em qualquer fase da doença. O diagnóstico da sífilis é realizado atráves da associação de dados clínicos, epidemiológicos e laboratoriais. Os pacientes devem ser atendidos na atenção básica, à exceção daqueles com manifestações graves. Este estudo propôs estudar o perfil clínico e epidemiológico dos pacientes atendidos no Hospital de Base do Distrito Federal. Objetivo: Descrever o perfil clínico e epidemiológico dos pacientes com sífilis atendidos no Hospital de Base do Distrito Federal no período de1º de janeiro de 2012 a 31 de dezembro de 2015. Métodos: Realizou-se um estudo descritivo baseado na análise dos dados clínicos, epidemiológicos e laboratoriais contidos nos prontuários. Resultados: Foram avaliados 191 pacientes atendidos nos ambulatórios, enfermarias e na emergência. A maioria (79,58%) era proveniente do Distrito Federal. A idade média foi 48 anos, com predomínio do sexo masculino (66,49%). A sífilis latente tardia representou 110 (57, 59%) casos; sífilis primária 8 (4,2%); sífilis secundária 4 (2,1%) e a sífilis latente recente 3 (1,57%) casos. A infecção pelo HIV estava associada em 54 (28,27%) pacientes. A sífilis ocular foi diagnosticada em 16 (8,37) casos e a neurossífilis em 12 (6,28%). Dos 153 (80,1%) pacientes com indicação de tratamento, somente 72 (47,05%) foram tratados. Discussão: A grande maioria dos pacientes foi diagnosticada como portadora de sífilis latente tardia, principalmente devido baixa qualidade dos dados relativos a sinais e sintomas da doença disponíveis nos prontuários. Pelo mesmo fato, em 81 (42,40%) pacientes não apresentavam nenhum registro de tratamento nos prontuários e prescrições médicas. Entre os pacientes sem dados relativos ao tratamento, dois tinham neurossífilis e cinco sífilis ocular. Conclusão:.As limitadas informações relativas a sinais, sintomas e ao tratamento da sífilis foram determinantes para o elevado número de pacientes com diagnóstico de sífilis latente tardia. A excassez de dados comprometeu de forma importante a avaliação do perfíl clínico dos pacientes da instituição e evidenciou fragilidades no atendimento dos pacientes com sífilis.
Syphilis is an infectious disease sexual and vertical transmission. In recent years, its incidence has been increasing in pregnant women, newborns, men who have sex with men and people with HIV. Syphilis can be classified in stages according to the time of infection and clinical manifestations. Ocular and central nervous system involvement may occur at any stage of the disease. The diagnosis of syphilis is made through the association of clinical, epidemiological and laboratory data. Patients should be cared for in basic care, except for those with severe manifestations. This study proposed to study the clinical and epidemiological profile of the patients attended at the Base Hospital of the Federal District. Objective: To describe the clinical and epidemiological profile of patients with syphilis attended at the Base Hospital of the Federal District from january 1, 2012 to december 31, 2015. Methods: A descriptive study was conducted based on the analysis of the clinical, epidemiological and laboratory data contained in the medical records. Results: A total of 191 patients attended at outpatient clinics, hospitalization room and in the emergency room were evaluated. The majority (79.58%) came from the Federal District. The mean age was 48 years, with a predominance of males (66.49%). Late latent syphilis represented 110 (57, 59%) cases; primary syphilis 8 (4.2%); secondary syphilis 4 (2.1%) and recent latent syphilis 3 (1.57%) cases. HIV infection was associated in 54 (28.27%) patients. Ocular syphilis was diagnosed in 16 (8.37) cases and neurosyphilis in 12 (6.28%). Of the 153 (80.1%) patients with indication of treatment, only 72 (47.05%) were treated. Discussion: The vast majority of patients were diagnosed as having latent late syphilis, mainly due to poor quality of data regarding signs and symptoms of the disease available in the medical records. By the same fact, in 81 (42.40%) patients did not present any records of treatment in medical records and prescriptions. Among the patients with no treatment data, two had neurosyphilis and five ocular syphilis. Conclusion: Limited information on signs, symptoms and treatment of syphilis were determinant for the high number of patients diagnosed with latent late syphilis. The lack of data significantly compromised the evaluation of the patients' clinical profile and showed weaknesses in the care of patients with syphilis.
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Lopes, Renata Vernay. "Elaboração de um manual de reserva de concentrados de hemácias para cirurgias eletivas no Hospital de Base do Distrito Federal." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/17/17155/tde-08012019-154356/.
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O maior consumo de concentrados de hemácias está relacionado a pacientes que enfrentam procedimentos cirúrgicos. A solicitação de reserva de concentrados de hemácias para cirurgia em quantidades muito além do necessário sobrecarrega a Agência Transfusional, configura desperdício de recursos humanos, danos ao erário e prejuízo ao paciente, haja vista que muitos hemocomponentes são reservados para cirurgias, mas poucos são utilizados. A dificuldade no transporte e armazenamento dos hemocomponentes em condições adequadas fora da Agência Transfusional é fato que agrava essa situação e aumenta o desperdício, pois muitos hemocomponentes são solicitados, não são utilizados e retornam ao Serviço de Hemoterapia sem condições de serem reintegrados ao estoque. Tendo em vista que o Hospital de Base do Distrito Federal é a unidade hospitalar com o maior quantitativo em solicitação de reservas de concentrados de hemácias, e por ser recomendável que cada Serviço de Hemoterapia desenvolva seu protocolo específico e personalizado, o objetivo desse estudo é criar um manual de reserva de concentrados de hemácias para procedimentos invasivos, com o quantitativo de hemocomponentes a serem reservados para cada tipo de cirurgia, visando promover o uso racional do sangue no referido hospital. Para isso foi realizado um levantamento dos dados de cirurgias realizadas no Hospital de Base do Distrito Federal nos meses de fevereiro a julho de 2015. Em cada cirurgia foi analisado se houve solicitação e utilização de reserva de hemocomponentes. Com os dados obtidos foi calculado o índice de pacientes transfundidos para cada tipo de cirurgia, sendo confeccionado o manual, que consiste em um quadro com a conduta hemoterápica a ser adotada em cada tipo de cirurgia, se nenhuma, ou realização de tipagem e pesquisa de anticorpos irregulares, ou realização de prova de compatibilidade e reserva de concentrado de hemácias. Foi calculada a quantia aproximada de recursos com insumos que seria economizada caso fosse adotada a conduta sugerida no ano estudado. Para que o manual seja efetivamente aplicado tanto no momento de realizar a solicitação da reserva quanto no momento de preparar a reserva, deve haver uma sistemática de implantação do manual no ambiente hospitalar, com orientações quanto ao correto preenchimento do tipo de cirurgia no mapa cirúrgico e na requisição de reserva ao Banco de sangue. É importante a reavaliação periódica e comparação das solicitações de reservas de concentrados de hemácias para cirurgias eletivas com o cenário do ano anterior. O sucesso na implementação deste manual depende da compreensão e colaboração de uma equipe multidisciplinar de cirurgiões, anestesistas e colaboradores da Agência Transfusional.Optimizing blood ordering and transfusion has been largely discussed because of patient\'s safety and money constraints. The highest use of red blood cells in a hospital is related to surgical procedures. The preoperative blood order in quantities much higher than necessary, overloads the Blood bank, which configures wasted human resources, wasted public resources and can cause injury to the patient. In most hospitals many blood components are reserved for surgeries, but few are used. The difficulty in transporting and storing the blood components in suitable conditions outside the Blood bank aggravates this situation and increases the costs. Many blood components are requested but not used and return to the blood transfusion service without conditions to be reintegrated into the stock. Considering that Hospital de Base of the Federal District Brazil is the one with the highest quantity of preoperative crossmatching orders in our state, the purpose of this study was to create a maximum blood ordering schedule (MBOS) for elective surgeries. MBOS has been established since 1977 and should be based on recommendation that each hospital may develop for its specific needs. This MBOS should recommend the maximum packed red blood cell quantity to be reserved for each type of surgery, aiming to promote the rational use of blood in the hospitals. For that, a survey of the data of surgeries performed at the Hospital de Base was carried out from February to July 2015. For each surgery, we analyzed if there was a request and use of a packed red blood cell. With the data obtained, the index of patients transfused for each type of surgery was calculated, and the manual was elaborated, consisting of a chart with hemotherapy decision to be adopted in each type of surgery. The manual included 3 types of recommendations for blood bank staff: none, type and screen only, or crossmatch units of packed red blood cells. The approximate amount of resources that would be saved if the suggested strategy were adopted in 2015 were also calculated. The idea is to have a systematic implementation of the manual in the hospital considering the moment of ordering blood products and the moment of adopting the strategy proposed at the blood bank. Some improvements are needed such as guidelines with suggestions including the complete and accurate filling of the surgical map (exact type of surgery) and implementation of a better blood ordering system with more information about patients and surgeries. This kind of manual most be reviewed periodically since surgical procedures can change over time with new techniques been included in the therapeutic strategies. The success in implementing this manual depends on the consent and collaboration of a multidisciplinary team including surgeons, anesthesiologists, and blood bank staff.
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Silveira, Carlos Alberto Pinto da. "Resposta ao tratamento com mesilato de Imatinibe nos portadores de Leucemia Mielóide Crônica do Hospital de Base do Distrito Federal." reponame:Repositório Institucional da UnB, 2011. http://repositorio.unb.br/handle/10482/7596.
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Tese (doutorado)—Universidade de Brasília, Faculdade de Medicina, 2011.Submitted by Albânia Cézar de Melo (albania@bce.unb.br) on 2011-05-06T13:24:18Z No. of bitstreams: 1 2011_CarlosAlbertoPintoSilveira.pdf: 5518240 bytes, checksum: 757cb0184d2aada5bbe9321ff8efa9a3 (MD5)
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A leucemia mielóide crônica é doença mieloproliferativa crônica, caracterizada pela presença do cromossomo Filadélfia, que é o resultado da translocação balanceada entre os cromossomos 9 e 22. A conseqüência molecular desta translocação é a formação de um gene híbrido BCR-ABL, que codifica uma proteína quimérica com atividade tirosina quinase, diretamente implicada na patogênese da doença. O mesilato de imatinibe (Glivec®) é um inibidor seletivo dessa enzima. O presente estudo realizou uma análise descritiva, observacional e retrospectiva de pacientes atendidos no ambulatório de Hematologia do Hospital de Base de Brasília, no período compreendido entre maio de 2002 a abril de 2009 e teve como objetivo, avaliar a eficácia do tratamento com mesilato de imatinibe como opção de primeira linha, em portadores de leucemia mielóide crônica em fase crônica, através das respostas hematológica e citogenética, assim como pela avaliação de desfechos de longo prazo, como a sobrevida global e sobrevida livre de progressão para fases mais adiantadas da doença. Cento e cinco pacientes foram elegíveis, sendo que 98 (93,3%) deles, em fase crônica precoce, isto é, menos de um ano entre diagnóstico e início do tratamento. Cinquenta e cinco (70,5%) de 78 pacientes foram classificados como de risco intermediário ou alto risco, de acordo com o escore prognóstico de Sokal. A taxa de resposta hematológica foi de 96,4% ao longo do estudo. Aos doze meses, as respostas citogenéticas maior e completa foram de 71,7% e 65,9%, respectivamente, enquanto aos 48 meses, de 83,7% e de 80,5%, respectivamente. A resposta molecular maior apresentou taxa crescente de resposta acumulada, chegando a 59,5% aos 48 meses. A sobrevida global foi de 92,1% aos 48 meses, com 89,3% dos pacientes apresentando sobrevida livre de progressão para fases mais avançadas da doença, no mesmo período. A resposta citogenética maior aos 12 meses correlacionou-se, significativamente, com a sobrevida global (p = 0,010) e com a sobrevida livre de progressão (p = 0,032). Não houve diferenças significativas nas taxas de resposta citogenética completa aos 12 meses (p = 0,592), na sobrevida global (p = 0,489) e na sobrevida livre de progressão (p = 0,306), de acordo com o escore prognóstico de Sokal. A dose utilizada foi de 400mg ao dia, em média. A medicação foi bem tolerada, com apenas 2 (1,9%) dos pacientes mostrando toxicidade hematológica graus 3 – 4. A mediana de seguimento foi de 23 meses (variação de 3 a 97 meses). Ao término da avaliação 73 (69,5%) dos pacientes ainda faziam uso do mesilato de imatinibe e 32 (30,5%) tinham descontinuado a medicação, sendo que 18 (17.1%), por resposta insatisfatória. O tratamento de pacientes portadores de Leucemia Mielóide Crônica em fase crônica, com mesilato de imatinibe, proporcionou taxas de respostas inferiores às dos principais estudos clínicos, mas relacionou-se com sobrevida livre de progressão e sobrevida global em significativa proporção de pacientes. Seguimento por tempo mais prolongado será necessário para melhor avaliação dos desfechos de sobrevida, dado o relativo curto período de observação. ______________________________________________________________________________ ABSTRACT
Chronic myeloid leukemia is a myeloproliferative disorder characterized by Philadelphia chromossome, which is the result of a balanced translocation between chromosomes 9 and 22. The molecular consequence of this translocation is a hybrid BCR-ABL gene, which encodes a chimeric protein with tyrosine kinase activity, directly implicated in the pathogenesis of the disease. Imatinib mesylate (Glivec®) is a selective inhibitor of such protein. This was a descriptive, observational and retrospective analysis of patients in Hospital de Base, Brasília-Brazil, followed from May 2002 to April 2009. The aim was to assess the efficacy of imatinib mesylate as front-line therapy in chronic-phase chronic myeloid leukemia patients, with hematologic and cytogenetic response, as well the long-term outcomes, such overall survival and progression-free survival to later stages of the disease. One hundred and five patients were eligible and 98 (93.3%) were in late chronic-phase, that is, less than one year, from the start of therapy. Fifty-five (70.5%) out of 78 patients were in intermediate or high risk group of Sokal score. The hematologic response rate was 96.4% at any time during the observation period. The cumulative rates of major and complete cytogenetic responses at 12 months were 71.7% and 65.9%, respectively, while at 48 months, they were 83.7% and 80.5%, respectively. Molecular response rate improved slowly and steadily over time, reaching 59.5% at 48 months. The 4-year overall survival and progression free survival rates were 92.1% and 89.3%, respectively. Cytogenetic response by 12 months significantly correlated with overall survival (p = 0.010) and progression-free survival (p = 0,032). There were no significant differences in the rates of complete cytogenetic response at 12 months (p = 0.592), in overall survival (p = 0.489) and in progression free survival (p = 0.306), according to Sokal risk score. The dose of imatinib was 400 mg daily on average and the drug was well tolerated, with only 2 (1.9%) patients showing hematological toxicity grades 3-4. The median follow-up was 23 months (range 3 – 97). At the end of the evaluation 73 (69.5%) of patients were still using imatinib mesylate and 32 (30.5%) had discontinued the medication, eighteen (17.1%) for unsatisfactory response. Treatment with imatinib mesilate as frontline therapy in chronic-phase chronic myeloid leukemia patients, induced lower response rates than published data, but was related to satisfactory rates of survival and event-free survival. Best analysis of long-term outcomes requires extended follow-up, given the short observation period.
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Manning, Kathryn. "A facility-based therapeutic group programme versus usual care for weight loss in obese patients attending a district hospital in the Cape Metropole." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/5924.
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Includes abstract.Includes bibliographical references.
The primary aim of this research was to compare the impact of a six-week facility-based therapeutic group (FBTG) programme with that of usual care on weight loss and reduction in BMI in obese patients with one or more risk factors for the development of NCDs or existing NCDs, attending a district hospital in the Cape Metropole.
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Janssen, Maria Esther. "Fatores associados ao óbito por dengue no Distrito Federal, Brasil, no período de 2007 a 2015 : um estudo de caso-controle de base hospitalar." reponame:Repositório Institucional da UnB, 2017. http://repositorio.unb.br/handle/10482/24092.
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Dissertação (mestrado)—Universidade de Brasília, Faculdade de Medicina, Pós-graduação em Medicina Tropical, 2017.Texto parcialmente liberado pelo autor. Conteúdo restrito: Conclusão e apêndice.
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Introdução: os óbitos por dengue têm sido bastante estudados, porém não se conhece suficientemente bem todos os fatores associados a esses óbitos.Objetivo: identificar os fatores associados à mortalidade por dengue no Distrito Federal no período de 2007 a 2015. Métodos: estudo epidemiológico descritivo e analítico tipo caso-controle, de base hospitalar, de 71 óbitos por dengue ocorridos no Distrito Federal, Brasil, entre janeiro de 2007 e dezembro de 2015. O grupo de casos (pacientes que tiveram dengue com pelo menos um sinal de alarme, internados na rede pública ou privada do DF e evoluíram para óbito), foi comparado com o grupo controle (pacientes que tiveram dengue com pelo menos um sinal de alarme, internados na rede pública ou privada do DF e que sobreviveram). Casos e controles foram confirmados por critério laboratorial. As informações foram coletadas a partir de prontuários médicos, sendo analisadas, entre outras, algumas variáveis relacionadas à qualidade da assistência médica. Utilizou-se a regressão logística para a identificação dos fatores associados aos óbitos. A regressão logística multivariada foi realizada utilizando-se a análise de variância (ANOVA) do modelo completo, empregando-se, posteriormente, o teste qui-quadrado. Resultados: as seguintes variáveis foram selecionadas: “idade maior que 45 anos”, “presença de diabetes”, de “hipertensão arterial sistêmica”, de valores de “uréia maiores que 50 mg/dl”, de “leucócitos menores ou iguais a 4.000/mm3”, “tempo entre o início dos sintomas e o primeiro atendimento maior ou igual a 3 dias” e “percorreu três ou mais serviços de saúde”. Conclusões: as variáveis selecionadas foram consideradas fatores importantes para a ocorrência dos óbitos por dengue no Distrito Federal. Sugere-se a adoção de medidas nos serviços de saúde que garantam um atendimento mais adequado a esses pacientes.
Introduction: while there have been many studies about deaths by dengue, it is not well known all the risk factors associated with such deaths.Objective: to identify the risk factors associated with dengue mortality in the Brazilian Federal District during the period 2007 to 2015.Methods: a case-control, hospital-based, descriptive and analytical epidemiological study of 71 deaths from dengue in the Federal District, Brazil, occurred from January 2007 to December 2015.The case group (patients who had at least one warning sign, from the public or private hospital networks of Federal District, who died) was compared to the control group (patients who had at least one warning sign, from the public or private hospital networks of Federal District, who did not die). Cases and controls were confirmed by laboratorial criteria. The information was gathered by means of medical records, which were also analysed for quality of the medical service offered to the inpatients. Logistic regression was performed to identify the factors associated to the deaths. Multivariate logistic regression was performed using the analysis of variance (ANOVA) of the complete model, the chi-square test being used aftwerwards. Results: the following variables were selected: "age greater than 45 years", "presence of diabetes", "systemic arterial hypertension", "urea values greater than 50 mg / dl", "leukocytes less than or equal to 4,000 / mm3 "," time between onset of symptoms and first care greater than or equal to 3 days "and" went through three or more health services”. Conclusions: the selected variables were considered important factors for the occurrence of dengue deaths in the Federal District, Brazil. It is suggested to adopt measures in the health services that guarantee a more adequate care for these patients.
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Baba, Djara Monita Jean. "Performance measurement of district level hospitals in low income countries: participatory development of an instrument to assess inputs, processes, and outputs for evidence-based management and quality improvement." Thesis, Boston University, 2014. https://hdl.handle.net/2144/10935.
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Thesis (Dr.P.H.)--Boston UniversityBACKGROUND: The potential of hospital performance measurement (HPM) to contribute to improved quality of care and patient outcomes is underrepresented in the health system strengthening literature and no standardized HPM instrument exists for hospitals in developing countries. The problem centered Participatory Action Research (PAR) approach is particularly suited to addressing complex organizational problems in low resource settings and is gaining acceptance as an applied research method in healthcare settings. METHODS: This quasi-experimental study using the PAR approach was carried out in 4 hospitals in Cameroon. Quantitative (415 surveys) and qualitative (129 interviews and 77 observations) methods examined how participating in the design of a HPM instrument influences health personnel's knowledge, attitude, interest, and intention to continue use of performance measurement for quality improvement. Changes in scores for the above outcomes from before and after implementation of the performance indicators were compared to scores from a non-participating control hospital at the same time points. RESULTS: Personnel designed and pilot tested performance measurement indicators in all hospital services. Hospitals that actively participated in instrument design showed a statistically significant increase in HPM knowledge and attitude, and were more likely to report intention to continue using HPM as compared to the non-participating hospital. Hospital personnel participating in the design process were more aware of the workload barriers to implementing HPM but nonetheless were more motivated to continue the HPM effort. In addition, the PAR approach fostered ownership, increased skills, raised awareness of performance gaps, and led to a contextually appropriate tool. CONCLUSIONS: The results of this study demonstrate the feasibility of designing and implementing an HPM instrument in a low-resource health care system and highlight the positive benefits of the PAR approach. Further research is needed to determine the effect of regular HPM on quality of care and its sustainability over time in resource constrained settings.
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Chi, Tony Wing-Cheong, and 池永昌. "Strategic Choice for The Hospital Governance Mode of Taiwan-based Private District Hospital." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/11049509656774979193.
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碩士國立臺灣大學
會計學研究所
92
The trend of the development of Taiwan healthcare industry is following the change of managed care system. Since the National Health Insurance (NHI) has dominantly controlled the redistribution of the healthcare resource, the reimbursement for hospitals is getting more inadequate than before. The referring system of NHI is failure so that the traditional pyramid form of healthcare network has been dissociated. The medical centers at the top level are getting bigger and bigger. They are not only doing the R&D and intensive care but also the primary care that is originally belonging to the district hospitals’ duty. According to the new global budget policy of NHI, the yearly growth rate of the health care system is limited within 4%. It is such a business crisis that the district hospitals at the middle level of the system have to deal with. Several steps have been done by hospitals for the changing of the external environment. Internally, the hospitals pay more attention to cost control, administrative management and flexibility, continue quality improvement, competitive advantage, medical informatics, and the segment of non-insurance payment services. Externally, they are looking for horizontal and/or vertical integrations, strategic alliances and portfolio investments. Take it for granted; the resource of the private district hospitals is in short supply. The strategic revolution of hospital management is going on and on. Systems or networks are being formed continually in Taiwan. We would like to know if any strategic choice for governance mode of Taiwan-based private district hospitals could create a sustainable ability of trans-regional extension of the healthcare enterprise, even entering the healthcare market of Mainland China. Three private district hospitals in Taoyuan County have been chosen purposely as materials in this case study. Deep interviews have been arranged to the top manager in each hospital. Through the interviews, the strategic choices, drivers and governance modes have been detected. The results of the observation are explained and analyzed with the review literatures. All of those hospitals have different strategic choices and governance modes. The hospital, which has a strategic alliance with a medical center, totally reserves its unified ownership and independent organization. The driver for change is induced by shortages of skills. The character of this kind of strategic alliance is in short term and conservative contracting. The other hospital emphasizes value added. Using the concept of centralization, it wants to integrate the resource within its system. The driver for change is induced by quality improvement. It is classified as a system with unified ownership. The last hospital follows the financial leadership. The driver for change is induced by cost containment. Its healthcare network of strategic alliance has been spreading around the whole country rapidly. Each unit preserves the ownership of its hospital. In the other words, the ownership of this kind of network is not unified but hybrid. They share the competitive advantage from cost down as well as the efficiency of professional or non-professional processing. Recently, This hospital is the first successful mover of Taiwan based hospitals extending its network to Mainland China. A suitable governance mode is probably one of the key factors of Taiwan-based private district hospitals not only the growing ability of system/network business locally but also the transnational healthcare business in Mainland China.
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Yu, Cheng-Ching, and 余政經. "The Difficulties and Strategies of Private District Hospitals under National Health Insurance System—the Feasibility of Developing Hospital-Based Nursing Homes." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/32103287208415942484.
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碩士國立臺灣大學
醫療機構管理研究所
94
Objective The objectives of this study are to understand: (1) the characteristics of the district hospitals; (2) the management problems that district hospitals are facing currently; (3) the feasibility of developing hospital-based nursing home (4) the SWOT analysis of hospital-based nursing home (5) the key factors that have helped district hospitals transformed into nursing homes. Method This study has adopted in-depth interview of qualitative research in 2005 on three individuals who were CEO of district hospitals to discuss the management problems that the district hospitals are facing currently and whether the establishment of nursing home can be the solution. Subsequently, interview with two former health officers are supplemented to address the dilemma faced by district hospitals and broader viewpoints on the establishment of nursing home. Significant findings & conclusion The major dilemma faced by district hospitals: the difficulties of recruitment, the decreasing source of income from inpatients, the inadequacy of competitive advantages, the tightening of health insurance subsidy and the rigidity of evaluation standard. The strategies of district hospitals: the strategic alliance, the joint venture, the hospital-based nursing home, the joint outpatient service and collective purchase. The SWOT analysis for hospital- based nursing home: (1) Strengths (S) – the better hardware equipments, the outstanding emergent nursing quality, the flexible human resource allocation, the abundant medical resources and the professional nursing staff; (2) Weaknesses (W) – more medical disputes, worse atmosphere in hospitals, high turnover rate of nursing staff and higher charges; (3) Opportunities (O) – the increasing needs for sub-acute care, the rising medical treatment of chronic illness for elderly, the ageing needs and the social needs; (4) Threats (T) – keen competition in prices and demand for improving quality. Suggestions Policy and management: (1) The government should establish sub-acute care system and assist small-scaled hospitals to develop hospital-based nursing home, converting them into sub-acute care institutions, as well as consolidating their concepts of long-term care and reduce the minimum number of bed for acute illness from 20 to 10. (2) The Bureau of National Health Insurance should subsidize sub-acute care. (3) The district hospitals should improve their management quality to ward sub-acute residents from large-scaled hospitals to independent nursing home. Future study: (1) Conduct more interviews in district hospitals, large scale hospitals and independent nursing homes in the Northern cities or other cities in Taiwan to get a better understanding of whether there are cultural differences between the Northern cities and Southern cities, as well as participation and interaction among all levels of health care organizations; (2) investigate the number of potential sub-acute patients and using the results as references for assisting district hospitals to develop sub-acute care institution.
Books on the topic "District Base Hospital"
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Forth, G. J. A history of the Warrnambool & District Base Hospital. Rushcutters Bay, N.S.W: Halstead Press, 2002.
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Council, Manitoulin-Sudbury District Health. Hospital based emergency health services, Regional Municipality of Sudbury: Report one of the Hospital Services Study Group, emergency health services co-ordinating committee Manitoulin-Sudbury District Health Council. Sudbury, Ont: Sudbury-Manitoulin District Health Council, 1985.
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Jyrkinen, Anna Riitta. Mielisairaanhoito Kellokosken piirimielisairashoitolassa vuosina 1915-1918: Hoitolan ensimmäisten potilaiden dokumentteihin perustuva analyysi = Mental health care in the Kellokoski Mental District Hospital during the years 1915-1918 : the analysis based on the documents of the first patients. Kuopio: Kuopion yliopisto, 2005.
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Davidson, Robert, Andrew J. Brent, Anna C. Seale, and Lucille Blumberg, eds. Oxford Handbook of Tropical Medicine 5e. 5th ed. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198810858.001.0001.
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The Oxford Handbook of Tropical Medicine provides an authoritative, accessible and comprehensive, signs-and-symptoms-based source of information on medical problems commonly seen in the tropics. Designed to be used as a practical tool for diagnosis and management, it is an essential and handy guide for trainees and clinicians in the tropics, and medical officers working in district or rural level hospitals in the developing world.
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Newton, Andrew. Macro-Level Generators of Crime, Including Parks, Stadiums, and Transit Stations. Edited by Gerben J. N. Bruinsma and Shane D. Johnson. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780190279707.013.16.
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This chapter examines the occurrence of crime at particular places that bring together lots of people in time and place, namely macro crime generators. Examples of these include hospitals, parks, large transit stations and interchanges, entertainment districts, and shopping malls. It begins by defining crime attractors and crime generators, and explores the subtle difference between them. It then examines why crime hotspots and crime generators tend to coexist, and considers the importance of scale in place-based studies of crime. Following this is a discussion of the “busyness” of crime generators, how the density of people, proximity of people, and interactions between people are all factors that influence crime opportunities at macro generators. Finally, the chapter reviews current evidence of three case studies of macro generators, namely parks, large stadiums, and large transit stations.
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Enabling clinical work: Proposals formulated at a workshop held in September 1984 about the organisational arrangements required to enable hospital clinical work, based on studies done in five districts. [London]: King's Fund, 1985.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "1974–1982: A Unified Geographically Based Health System." In Community Nursing Services in England, 17–31. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_3.
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AbstractIn this chapter, we detail the first major re-organisation of the NHS since its inception and the consequences for community nursing. The 1974 wholesale re-organisation was born out of frustrations with the management and fragmentation of services resulting from the tripartite system. Services were bought together in a unitary model, centrally controlled but geographically organised. Local Authorities (LAs) were divested of many of their healthcare responsibilities including community nursing, which was transferred under the responsibility of newly created Area Health Authorities (AHAs). There was optimism that bringing community nursing under the NHS umbrella would foster a new era of co-ordinated working between all disciplines in the system, such as hospital nursing. Unfortunately, many of these intended aspirations were not realised despite the importance of the service to policy agendas emphasising integration, out-of-hospital care and prevention of ill health. In terms of managing and financing the district nursing service, this was not simplified by the re-organisation and population coverage continued as a mix of geographical and attachment to GP services. We conclude this chapter by emphasising the increasing demand for community and district nursing services. It became apparent in this era that the re-organisation did not bring any significant improvements and thus the attention shifted again towards organisational and management solutions to the NHS’ problems.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2015–Date: Focus on Integration." In Community Nursing Services in England, 83–91. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_8.
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AbstractThis chapter centres on the publishing of the NHS Long Term Plan in 2019 and subsequent revised Health and Social Care Act (2022), both of which focus on integrated, out-of-hospital approaches to health service delivery. The creation of a layered system across geographical levels is advocated, with nested levels of ‘place’ and ‘neighbourhood’ intended to be the building blocks of Integrated Care Systems (ICS), which replaced CCGs in July 2022. We introduce the concept of newly created, ‘neighbourhood level’, Primary Care Networks (PCNs) of general practices and how district nurses fit into them, especially with regard to their organisation around geographical versus GP registered lists. Whilst not explicitly mentioned in the H&SC Act, it is clear that the Act situates community-based services as essential in the context of the desire to reduce the amount of hospital care, which has implications for district nursing services in particular. This mode of care delivery will require multi-disciplinary team working across all levels of the new system whereby community nurses will be required to liaise and co-ordinate with primary and social care to deliver services. Continuance of case management approaches for patients with complex needs and lack of funding in the social care system, means that we discuss in this chapter, the further strain on already pressured community nursing teams.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2010–2015: The Health and Social Care Act, NHS Fragmentation." In Community Nursing Services in England, 75–82. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_7.
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AbstractA change of government in 2010 brought fresh NHS reforms and a new Health and Social Care Act (HSCA, 2012). Both, along with the 2014, Five Year Forward View (NHSE) set the tone for this Chapter. We discuss how the continued emphasis on competition between providers, and the introduction of Clinical Commissioning Groups (CCGs) which replaced Primary Care Trusts (PCTs) as commissioners of community services, impacted on community nursing service management and delivery. Policy shifted in favour of a more co-operative approach to service provision and familiar agendas were set out for keeping people out of hospital with reform based around integration between health care sectors and between health and social care services. There was little change on the ground for district nurses in this era despite increasing emphasis on integrated care, collaborative, cross-sector working (i.e. with LA social care) and multi-disciplinary team management of complex patients. The HSCA 2012 began to unravel almost as soon as it was enacted, with the emphasis on competition undermined by the Five Year Forward View shift towards integration between sectors as a dominant organising principle. Community Health Services (CHS) were, to some extent, protected from the fragmentation associated with the Act, and in terms of district nursing practice, this era generated little change with patterns of service provision remaining very much as they were following the upheaval generated by the Transforming Community Services agenda.
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Behera, Sachin Kumar. "Medical Tourism in Visakhapatnam by People of South Odisha." In Global Developments in Healthcare and Medical Tourism, 96–111. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9787-2.ch006.
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Vishakhapatnam is a coastal city of Andhra Pradesh, one of the commercial hubs of Andhra Pradesh and very near to the south part of Odisha. The city has many super specialty hospitals and is home to various tourist destinations. People of Southern Odisha do not have good medical facilities always rush to Visakhapatnam for even small treatments. Southern Odisha comprises of the following districts: Gajapati, Rayagada, Koraput, Nabrangpur, Malkangiri, and Ganjam. These districts are still deprived of basic medical facilities, and traveling to Visakhapatnam is more suitable than to the capital of Odisha (Bhubaneswar) due to distance. The methodology of this chapter is based on secondary sources such as a published book, journals, reports, articles, newspapers, and online sources. In this chapter, a descriptive method is employed. Primary data was collected from the people staying in various hospitals in Vishakhapatnam for medical purposes.
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Ruban S, Naresh A, and Sanjeev Rai. "A Noninvasive Model to Detect Malaria Based on Symptoms Using Machine Learning." In Advances in Parallel Computing Technologies and Applications. IOS Press, 2021. http://dx.doi.org/10.3233/apc210119.
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The impact of Artificial Intelligence in the domain of Healthcare has been growing, day by day. These applications bring a drastic change in the healthcare system and affects our lives based in the change it brings to the Patientcare system, transforming the traditional way of handling sicknesses and diseases. Machine Learning algorithms that use data, have a big role in the AI based applications that are used in the Healthcare. Hence the Data source and the nature of Data holds an important role in developing effective AI based solutions for many health issues in the society. Data is available in all the hospitals and medical care facilities for many years now. However, without transforming them into a format where Machine Learning algorithms work, it is impossible to use them to develop an AI based application. In this research paper, we briefly discuss the process of developing an AI based application to predict Malaria, which is one of the most common vector borne diseases in the coastal districts of Karnataka. This pioneer work was done over the data collected from the clinical notes of a 1500 bed hospital situated in Mangalore. Few machine learning algorithms like Logistic regression, Support vector machine XGB Booster classifier, CAT Booster Classifier and Random forest classifier were used over the dataset. Our experimental study revealed that, Random Forest classifier works efficiently for this data set, compared with the other algorithms that we used. It gave the best accuracy of 90.92.
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Tapuria, Archana, Maria Kordowicz, Mark Ashworth, Ewan Ferlie, Vasa Curcin, Rositsa Koleva-Kolarova, Julia Fox-Rushby, Sylvia Edwards, Tessa Crilly, and Charles Wolfe. "IT Evaluation of Foundation Healthcare Group Vanguard Project." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210246.
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The aim of the Foundation Healthcare Group (FHG) Vanguard model was to develop a sustainable local hospital model between two National Health Service (NHS) Trusts (a London Teaching Hospital Trust and a District General Hospital Trust) that makes best use of scarce resources and can be replicated across the NHS, UK. The aim of this study was to evaluate the provision, use and implementation of the IT infrastructure; based on qualitative interviews and focused mainly on the perspectives of the IT staff and the clinicians’ perspectives. In total 24 interview transcripts, along with ‘Acute Care Collaboration’ questionnaire responses, were analysed using a thematic framework for IT infrastructure, sharing themes across the vascular, paediatric and cardiovascular strands of the FHG programme. Findings indicated that Skype for Business had been an innovative and helpful development widely available to be used between the two Trusts. Clinicians initially reported lack of IT support and infrastructure expected at the outset for a national Vanguard project, but later appreciated that remote access to most clinical applications between the two Trusts became operational. The Local Care Record (LCR), an IT project was perceived to have been delivered successfully in South London. Shared technology reduced patient travelling time by providing locally based shared care. Spreading and scaling-up innovations from the Vanguard sites was the aspiration and challenge for system leaders.
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Esteves, Francisco Madeira, Luís Manuel de Macedo Gomes Lagartinho, and Pedro Fernandes da Anunciação. "Information Systems for Management Decision Support in Portuguese Public Hospital." In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care, 1172–90. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-3990-4.ch061.
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The information systems have assumed a central role in the health sector. Particularly in the public domain, health institutions have traditionally been marked by management practices based on contextual contingencies without much concern of the accurate results and their assessment. The traditional concern about the low efficiency and effectiveness in managing public resources has been replaced by the emerging and urgent need for rational management instruments and methods. This need presents the opportunity for a new management paradigm that should not be restricted to the financial aspects of health institutions, but it should include all dimensions of core and non-core activities. The budget slippages and ruptures cannot continue being used as the excuse for the need of systematic and permanent increase of financial resources spent on provision of public health services, often justified by an increasing of the population or the average life expectancy. The budget problems and difficulties of the Portuguese State, particularly the urgent need of the expenditure growth control, show the need of a new management paradigm. This demand has caused, on the one hand, a heavy investment in information technologies to support management decisions, and on the other hand, it has shown other problems, such as the difficulty experienced in the architectural integration of information and technologies as well as problems of a significant complexity and high resource consumption. This chapter discusses the current information systems for management decision support in Portuguese public hospitals based on the analysis of a district hospital in Portugal.
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Esteves, Francisco Madeira, Luís Manuel de Macedo Gomes Lagartinho, and Pedro Fernandes da Anunciação. "Information Systems for Management Decision Support in Portuguese Public Hospital." In Healthcare Administration, 1015–33. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch053.
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The information systems have assumed a central role in the health sector. Particularly in the public domain, health institutions have traditionally been marked by management practices based on contextual contingencies without much concern of the accurate results and their assessment. The traditional concern about the low efficiency and effectiveness in managing public resources has been replaced by the emerging and urgent need for rational management instruments and methods. This need presents the opportunity for a new management paradigm that should not be restricted to the financial aspects of health institutions, but it should include all dimensions of core and non-core activities. The budget slippages and ruptures cannot continue being used as the excuse for the need of systematic and permanent increase of financial resources spent on provision of public health services, often justified by an increasing of the population or the average life expectancy. The budget problems and difficulties of the Portuguese State, particularly the urgent need of the expenditure growth control, show the need of a new management paradigm. This demand has caused, on the one hand, a heavy investment in information technologies to support management decisions, and on the other hand, it has shown other problems, such as the difficulty experienced in the architectural integration of information and technologies as well as problems of a significant complexity and high resource consumption. This chapter discusses the current information systems for management decision support in Portuguese public hospitals based on the analysis of a district hospital in Portugal.
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Adamo-Villani, Nicoletta, and Hazar Dib. "Online Virtual Learning Environments." In Web Design and Development, 16–37. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8619-9.ch002.
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This article is an overview of online virtual learning environments for discovery learning. The paper defines Virtual Learning Environments and discusses literature findings on the benefits of using web-based VEs for self-directed learning. It gives an overview of the latest technologies/platforms used to develop online VEs, discusses development and delivery challenges posed by complex, information-rich web-based 3D environments, and describes possible solutions that can be adopted to overcome current limitations. The paper also presents and discusses two 3D web-deliverable virtual learning environments that were recently developed by the authors: the “Virtual Tour of the Muscatatuck State Hospital Historic District (MSHHD)” and the “VELS: Virtual Environment for Learning Surveying”. The “Interactive 3D Tour of MSHHD” is a web-based digital heritage application that uses Virtual Reality as a tool to document and preserve historic sites and educate the public about them; the “VELS” is an online virtual learning environment whose objective is to help undergraduate students learn surveying concepts and practices.
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Adamo-Villani, Nicoletta, and Hazar Dib. "Online Virtual Learning Environments." In Mobile Computing and Wireless Networks, 327–48. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8751-6.ch015.
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This article is an overview of online virtual learning environments for discovery learning. The paper defines Virtual Learning Environments and discusses literature findings on the benefits of using web-based VEs for self-directed learning. It gives an overview of the latest technologies/platforms used to develop online VEs, discusses development and delivery challenges posed by complex, information-rich web-based 3D environments, and describes possible solutions that can be adopted to overcome current limitations. The paper also presents and discusses two 3D web-deliverable virtual learning environments that were recently developed by the authors: the “Virtual Tour of the Muscatatuck State Hospital Historic District (MSHHD)” and the “VELS: Virtual Environment for Learning Surveying”. The “Interactive 3D Tour of MSHHD” is a web-based digital heritage application that uses Virtual Reality as a tool to document and preserve historic sites and educate the public about them; the “VELS” is an online virtual learning environment whose objective is to help undergraduate students learn surveying concepts and practices.
Conference papers on the topic "District Base Hospital"
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Aslam, Usama, Mehreen Mudassar, and Mohsin Munir. "P079 Approach to primary biliary cholangitis management in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.87.
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Saunsbury, Emma, and Daniel Maggs. "P010 End of life care in patients with cirrhosis: a district general hospital perspective." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.19.
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Chew, Yun Jie, Savanthi Fernando, and John Hutchinson. "P013 Retrospect analysis of patients with primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.22.
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Roskilly, Anna, Rebecca Day, and Charlotte Ford. "OP24 Upper gastrointestinal bleeding in patients with chronic liver disease; a district general hospital experience." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 20–23 September 2022. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2022. http://dx.doi.org/10.1136/gutjnl-2022-basl.37.
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Chew, Yun Jie, and John Hutchinson. "P015 Retrospective analysis of follow up in primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.24.
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Chew, Yun Jie, Savanthi Fernando, and John Hutchinson. "P014 Treatment of primary biliary cholangitis (PBC): retrospective review of current therapies in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.23.
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Chew, Yun Jie, and John Hutchinson. "P027 Retrospective analysis of bone protection care in primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.36.
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Smith, Clare, Susan Dargan, Ria Wright, Katherine Gumbs, and Sinead Henderson. "83 Evidencing care of the dying adult in a district general hospital." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.110.
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Newton, Ayla, Denise Dunsire, Brigid Purcell, Maria King, Penny McNamara, and Richella Ryan. "58 Anticipatory prescribing practice at a district general hospital: a service evaluation." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.85.
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Mosquéra, Júlia Milhomem, Amanda Ribeiro Alves, Gianna Carolina Pereira Cavalli, Larissa Feitosa de Albuquerque Lima Ramos, and Flávio Lúcio Vasconcelos. "GLOBAL SURVIVAL BASED ON CLINICAL, HISTOLOGICAL, AND BIOLOGICAL TUMOR CRITERIA IN A SECONDARY PUBLIC BRAZILIAN HOSPITAL." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2045.
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Objective: To analyze the overall survival of women with breast cancer based on clinical, histological, and biological tumor data in a secondary hospital in Federal District/Brazil. Method: Retrospective cohort study of women diagnosed with breast cancer from 2012 to 2019, followed up until December 2020, having its data analyzed in 2021. The population studied was from the area covered of the Regional Hospital of Santa Maria (Brasília/Distrito Federal/Brazil), a secondary service, linked to the Brazilian Unified Health System. The information analyzed in this study were state at the last visit (life or dead), the presence of clinically compromised axillary lymph nodes, staging by the TNM system, location of distant metastasis (bone or visceral), histological type and grade, and tumor biological profile. Subsequently, survivals were analyzed in relation to variables previously described. The data were analyzed with the aid of the statistical package SPSS (version 26.0), with p<0.05 is considered significant. Results: This study included a total of 203 patients, of which 158 (77.8%) survived and 45 (22.2%) died. Regarding deaths, 67.5% had a clinically compromised armpit (p<0.001) and 50% were in stage IV (p<0.001). In relation to overall survival, worse survival was observed for patients with clinically suspect lymph nodes (p<0.001), for tumors measuring between 2 and 5 cm and tumors larger than 5 cm in relation to tumors smaller than 2 cm (p<0.001), and for stages III and IV compared to stages I and II (p<0.001). There was no worsening of survival in relation to the histological type (p=0.39), histological grade (p=0.65), location of metastases (bone and visceral) (p=0.76), or biological profile (p=0.40). Conclusion: There were more deaths in relation to the clinically compromised axillary state and in stages III and IV. Larger tumors, more advanced staging, and a clinically compromised armpit worsened overall survival.
Reports on the topic "District Base Hospital"
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Rapid appraisal of IPP-VI training of ANMs in Uttar Pradesh. Population Council, 1996. http://dx.doi.org/10.31899/rh1996.1005.
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This report provides findings of a rapid appraisal of the Auxiliary Nurse Midwife (ANM) training program in Uttar Pradesh, India. The appraisal was undertaken by the Population Council and State Innovations in Family Planning Agency (SIFPSA). As SIFPSA is in the process of planning a training program to strengthen the technical skills and competence of ANMs and update their contraceptive knowledge, it was felt that a rapid appraisal of the training program would help in understanding the strengths and weaknesses of previous training efforts. The ANM training initiatives of SIFPSA would then build upon the experiences gained from earlier training programs and the existing training needs of ANMs. The emphasis was on improving ANMs' technical and counseling skills by providing on-the-job practical training. The program was a three-week skill-based training, during which ANMs were attached to a CHC/PPC or a district hospital. This was followed by one week of training at an ANM Training Centre in IEC and counseling. The objective was to review how the training program was organized and how it helped improve the technical skills and competence of ANMs.