Patient Allocation in a Maternity Ward: A Report of Some of the Findings

1982 ◽  
pp. 246-272
Author(s):  
Claire A. Metcalf
Keyword(s):  
Maternity Ward ◽  
Patient Allocation

Assessment of Complications associated in Malnutrition among Pregnant women visiting Maternity ward of South Indian Teaching Hospital

2019 ◽  
Vol 9 (1) ◽  
pp. p8549
Author(s):  
Vinod Immanuel ◽  
Vinod Pagidipalli ◽  
Sandhya Goud ◽  
Sindhu Nalluri ◽  
Pooja Vanganti
Keyword(s):  
Pregnant Women ◽  
Teaching Hospital ◽  
Maternity Ward ◽  
South Indian

scholarly journals Village-to-village screening for hepatitis B and C using quantitative HBsAg and anti-HCV testing with reflex HCV core antigen tests in the remote communities of a resource-rich setting: a population-based prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046115
Author(s):  
Te-Sheng Chang ◽  
Kao-Chi Chang ◽  
Wei-Ming Chen ◽  
Nien-Tzu Hsu ◽  
Chih-Yi Lee ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hepatitis B ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Population Based ◽  
Core Antigen ◽  
Remote Communities ◽  
Community Based ◽  
Patient Allocation ◽  
Hcv Testing

ObjectivesCommunity-based screening for hepatitis B virus (HBV) and hepatitis C virus (HCV) is essential for hepatitis elimination. This study attempted to increase screening accessibility and efficacy by using alternative tools.DesignPopulation-based prospective cohort study.SettingHepatitis elimination program at Yunlin County, Taiwan.ParticipantsAll 4552 individuals participated in 60 screening sessions of a community-based HBV and HCV screening project in five rural townships with approximately 95 000 inhabitants in central-western Taiwan.InterventionsTo increase accessibility, 60 outreach screening sessions were conducted in 41 disseminative sites. Quantitative HBV surface antigen (qHBsAg) and anti-HCV testing with reflex HCV core antigen (HCV Ag) tests were employed as alternative screening tools.Main outcome measuresCalculate village-specific prevalence of HBsAg, anti-HCV and HCV Ag and establish patient allocation strategies according to levels of qHBsAg HCV Ag and alanine aminotransferase (ALT).ResultsOf 4552 participants, 553, 697 and 290 were positive for HBsAg, anti-HCV and HCV Ag, respectively; 75 of them had both HBsAg and anti-HCV positivity. The average (range) number of participants in each screening session was 98 (31–150). The prevalence rates (range) of HBsAg, anti-HCV and HCV Ag were 12.1% (4.3%–19.4%), 15.3% (2.6%–52.3%) and 6.4% (0%–30.2%), respectively. The HCV Ag positivity rate among anti-HCV-positive participants was 42% (0%–100%). Using cut-off values of >200 IU/mL for qHBsAg, >3 fmol/L for HCV Ag and >40 IU/mL for ALT as criteria for patient referral, we noted an 80.2% reduction in referral burden. Three villages had high anti-HCV prevalences of 52.3%, 53.8% and 63.4% with corresponding viraemic prevalences of 23.2%, 30.1% and 22% and thus constituted newly identified HCV-hyperendemic villages.ConclusionOutreach hepatitis screening increases accessibility for residents in rural communities. Screening HBV and HCV through qHBsAg and HCV Ag tests provides information concerning viral activities, which might be conducive to precise patient allocation in remote communities.

scholarly journals The Treatment of Brain AVMs Study (TOBAS): an all-inclusive framework to integrate clinical care and research

2018 ◽  
Vol 128 (6) ◽  
pp. 1823-1829 ◽  
Author(s):  
Elsa Magro ◽  
Jean-Christophe Gentric ◽  
André Lima Batista ◽  
Marc Kotowski ◽  
Chiraz Chaalala ◽  
...  
Keyword(s):  
Clinical Research ◽  
Clinical Judgment ◽  
Clinical Care ◽  
Clinical Trial Registration ◽  
Treatment Allocation ◽  
Patient Allocation ◽  
Test Study ◽  
Brain Avms ◽  
Management Groups

OBJECTIVEThe management of brain arteriovenous malformations (bAVMs) remains controversial. The Treatment of Brain AVMs Study (TOBAS) was designed to manage patients with bAVMs within a clinical research framework. The objective of this study was to study trial feasibility, recruitment rates, patient allocation to the various management groups, and compliance with treatment allocation.METHODSTOBAS combines two randomized care trials (RCTs) and a registry. Designed to be all-inclusive, the study offers randomized allocation of interventional versus conservative management to patients eligible for both options (first RCT), a second RCT testing the role of preembolization as an adjunct to surgery or radiotherapy, and a registry of patients managed using clinical judgment alone. The primary outcome of the first RCT is death from any cause or disabling stroke (modified Rankin Scale score > 2) at 10 years. A pilot phase was initiated at one center to test study feasibility, record the number and characteristics of patients enrolled in the RCTs, and estimate the frequency of crossovers.RESULTSAll patients discussed at the multidisciplinary bAVM committee between June 2014 and June 2016 (n = 107) were recruited into the study; 46 in the randomized trials (23 in the first RCT with 21 unruptured bAVMs, 40 in the second RCT with 17 unruptured bAVMs, and 17 in both RCTs), and 61 patients in the registry. Three patients crossed over from surgery to observation (first RCT).CONCLUSIONSClinical research was successfully integrated with normal practice using TOBAS. Recruitment rates in a single center are encouraging. Whether the trial will provide meaningful results depends on the recruitment of a sufficient number of participating centers.Clinical trial registration no.: NCT02098252 (clinicaltrials.gov)

scholarly journals Characteristics of reproductive health of women in their generative age

2011 ◽  
Vol 139 (1-2) ◽  
pp. 44-51 ◽  
Author(s):  
Snezana Miljkovic ◽  
Dragoljub Djokic ◽  
Slavica Djukic-Dejanovic ◽  
Dejan Mitrasinovic ◽  
Gordana Grbic ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Reproductive Period ◽  
Individual Characteristics ◽  
Factorial Analysis ◽  
Maternity Ward ◽  
Female Reproductive Health ◽  
Contraceptive Devices ◽  
Contraception Use ◽  
Components Method ◽  
Complex Term

Introduction. Any research of reproductive health has to encompass the relevant connotations of this complex term. In order to establish relevant multidimensional characteristics, it is necessary to assess intercorrelations of the characteristics most commonly used to describe it. Objective. Our aim was to describe the characteristics of reproductive health and to establish their significance in describing this term. Methods. Within the study of health of adult inhabitants of Serbia, on the sample of 2,817 women aged 20-49 years, the data on different reproductive health characteristics were collected by way of a structured questionnaire. By way of factorial analysis (principal components method, Kaisser Varimax criterion), representative characteristics (factors) were selected out of a large number of characteristics, describing reproductive health of women in a multidimensional way, interrelationships of the factors were explained, and carriers - the most important individual characteristics - were selected for further analysis. Results. The characteristics of female reproductive health in Serbia are poor, both from the health policy standpoint and in comparison with other countries. Reproductive health describes 7 relevant factors and their carriers (characteristics which best reflect the variability of characteristics involved in a factor). These involve sexual behaviour (self-assessed HIV infection risk), contraception (use of contraceptive devices on one?s own initiative), adequate protection of reproductive health (usage of gynaecological services even when healthy), abortions (pregnancy outcome), HIV control (HIV testing usage), postpartal protection (visits of field nurses after being discharged from maternity ward) and reproductive period (doctor visits after being discharged from maternity ward). Conclusion. All the characteristics of reproductive health used in various studies are not equally important in the description of this complex phenomenon. Factorial analysis can explain intercorrelations of the studied characteristics and make possible the selection of those most representative.

Sign in / Sign up

Export Citation Format

Share Document