Dying at a Usual Residence

2021 ◽  
pp. 1540-1540
Keyword(s):  
Author(s):  
Chang Park ◽  
Kapil Sugand ◽  
Arash Aframian ◽  
Catrin Morgan ◽  
Nadia Pakroo ◽  
...  

Abstract Introduction COVID-19 has been recognized as the unprecedented global health crisis in modern times. The purpose of this study was to assess the impact of COVID-19 on treatment of neck of femur fractures (NOFF) against the current guidelines and meeting best practice key performance indicators (KPIs) according to the National Hip Fracture Database (NHFD) in two large central London hospitals. Materials and methods A multi-center, longitudinal, retrospective, observational study of NOFF patients was performed for the first ‘golden’ month following the lockdown measures introduced in mid-March 2020. This was compared to the same time period in 2019. Results A total of 78 cases were observed. NOFFs accounted for 11% more of all acute referrals during the COVID era. There were fewer overall breaches in KPIs in time to theatre in 2020 and also for those awaiting an orthogeriatric review. Time to discharge from the trust during the pandemic was improved by 54% (p < 0.00001) but patients were 51% less likely to return to their usual residence (p = 0.007). The odds ratio was significantly higher for consultant surgeon-led operations and consultant orthogeriatric-led review in the post-COVID era. There was no significant difference in using aerosol-generating anaesthetic procedures or immortality rates between both years. Conclusion The impact of COVID-19 pandemic has not adversely affected the KPIs for the treatment of NOFF patients with significant improvement in numerous care domains. These findings may represent the efforts to ensure that these vulnerable patients are treated promptly to minimize their risks from the coronavirus.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Antonio Pino ◽  
María Albán ◽  
Alejandra Rivas ◽  
Erika Rodríguez

<em>Background</em>: Maternal mortality ratio in Ecuador is the only millennium goal on which national agencies are still making strong efforts to reach 2015 target. The purpose of the study was to process national maternal death databases to identify a specific association pattern of variable included in the death certificate. <br /><em>Design and methods:</em> The study processed mortality databases published yearly by the National Census and Statistics Institute (INEC). Data analysed were exclusively maternal deaths. Data corresponds to the 2003-2013 period, accessible through INEC’s website. Comparisons are based on number of deaths and use an ecological approach for geographical coincidences. <br /><em>Results</em>: The study identified variable association into the maternal mortality national databases showing that to die at home or in a different place than a hospital is closely related to women’s socioeconomic characteristics; there was an association with the absence of a public health facility. Also, to die in a different place than the usual residence could mean that women and families are searching for or were referred to a higher level of attention when they face complications. <br /><em>Conclusions</em>: Ecuadorian maternal deaths showed <em>Patterns of inequity in health status, health care provision and health risks</em>. A predominant factor seems unclear to explain the variable association found processing national databases; perhaps every pattern of health systems development played a role in maternal mortality or factors different from those registered by the statistics system may remain hidden. Some random influences might not be even considered in an explanatory model yet.


2020 ◽  
Vol 36 (1) ◽  
pp. 1-24 ◽  
Author(s):  
Elin Charles-Edwards ◽  
Martin Bell ◽  
Radoslaw Panczak ◽  
Jonathan Corcoran

AbstractThere is considerable demand for official statistics on temporary populations to supplement statistics on resident and working populations. Progress has been slow, with temporary population statistics not part of the standard suite of measures produced by national statistical offices. This article adopts the framework for official statistics proposed by Raymer and colleagues as a guide to aspects relating to society, concepts, data, processing, outputs and validation. The article proposes a conceptual framework linking temporary population mobility, defined as a move more than one night in duration that does not entail a change in usual residence, and temporary populations. Using Australia as an example, we discuss various dimensions of temporary mobility that complicate its measurement. We then report the outcomes of a survey of user needs for temporary population statistics along with a desktop review of OECD countries to identify the best formulation of temporary population statistics, and current international practice respectively. The article concludes by proposing two related concepts for temporary populations: population present and person-time, which overcome a number of issues currently impeding progress in this area and discuss their potential implementation.


2003 ◽  
Vol 35 (1) ◽  
pp. 113-132 ◽  
Author(s):  
John Stillwell ◽  
Oliver Duke-Williams

Population censuses are among the primary sources of information on directional flows of migrants between places of usual residence, and of commuters between places of dwelling and work in Great Britain. The use of census origin–destination counts has in the past been restricted by data complexities and the lack of user accessibility. In order to improve accessibility a new, web-based interface has been developed which is the core of a Census Interaction Data Service, launched in 2002. The authors explain the Web-based Interface to Census Interaction Data from a user perspective, focusing on various features of the system that enable queries to be constructed and subsets of flow data to be extracted and downloaded in a quick and easy manner. Examples are provided to demonstrate alternative types of query and to illustrate the value of these data sets in providing insights into interaction behaviour.


1993 ◽  
Vol 28 (10) ◽  
pp. 159-167 ◽  
Author(s):  
A. Liénard ◽  
C. Boutin ◽  
R. Bois

The study of wastewater treatment series based on the use of macrophyte beds, in accordance with a design initially developed in Germany by Dr. Seidel, was initiated by CEMAGREF in 1983. The number of plants constructed was deliberately limited and they were subject to regular assessments and improvements. It was thus shown that only reed bed filters that were drained and alternately fed, were able to handle a pollutant load of the order of 80 g COD m-2 day-1 with satisfactory treatment reliability over a period of several years. The Gensac la Pallue plant, in the Charente department, is original since it combines this type of filter in the first treatment stage with three microphyte ponds designed with a low theoretical residence time of 21 days (compared with the usual residence time of 30 days in tertiary treatment). The whole treatment series only occupies an effective surface area of approximately 6 m2 per p.e. (about 1 m2 and 5 m2 for filters and ponds respectively). After 5 years of operation and monitoring, it has been clearly established that filters dosed with raw wastewater at a rate of 65 g of COD and 30g of TSSm-3 per day, regularly achieve a removal rate of 70 to 85 % of these same elements without clogging. The daily hydraulic load that the filter can withstand in service regularly exceeded 2 metres in the month of November 1992. The ponds finish the treatment and this article limits itself to analysing results relating to the elimination of nutrient, which reaches 35% for nitrogen and 55% for phosphorus. Residence times that are too short in winter, in conjunction with a large part of the sewerage system being of combined type, can sometimes temporarily lead to an increase in the amounts of nitrogen and phosphorus discharged to the natural environment.


Stanovnistvo ◽  
2016 ◽  
Vol 54 (1) ◽  
pp. 15-40 ◽  
Author(s):  
Damir Josipovic

The aim of the article is to integrally assess the demographic changes after 1990. It is presumed that considerable variations exist in terms of intensity of demographic processes. The following analyses encompassed the relevant national or regional statistics, employing methodological adjustment in order to enable data comparison. Herewith, the changing definitions of population presented a special analytical problem. The so-called principle of ?permanent? residence was largely replaced with the principle of ?usual? residence. By way of the usual residence it was possible to single out the present population and thus to approach the analysis. The main goal was to assess the direct and indirect demographic loss within the post-Yugoslav space. The combined analysis showed that the whole post Yugoslav area suffered a loss of about 5 million inhabitants (including the permanent emigration of the former guest-workers). Except from Slovenia, and stagnating Montenegro and Macedonia, all other countries from the Yugoslav space have lost more or less of their population. Losing a quarter of its pre-war population, Bosnia-Herzegovina suffered the most (1.093 million), but the high loss was determined also for the neighboring Serbia and Croatia. Serbia within its pre-war territory lost almost a million or one tenth of its population, while Croatia lost more than half a million or one ninth of its population. The three core Yugoslav areas lost more than 2.5 million. The analyses confirmed the striking regional differences as well. The highest relative depopulation was recorded in Republika Srpska of Bosnia-Herzegovina.


Encyclopedia ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 689-709
Author(s):  
Johann Fuchs ◽  
Doris Söhnlein ◽  
Patrizio Vanella

Migration is defined as the permanent change in an individual’s usual residence. Forecasting migration is an important requisite for population forecasts or for planning in fields that depend on the future size and structure of the population, such as economics, epidemiology, social insurance, or infrastructure. As migration is the most volatile of all demographic components, its modeling is especially difficult. International migration can be modeled and forecast very differently; users should be familiar with the flaws and strengths of these different approaches.


2017 ◽  
Vol 24 (5) ◽  
pp. 344-350 ◽  
Author(s):  
Rebecca J Mitchell ◽  
Kate Curtis ◽  
Kim Foster

BackgroundChildhood injury is a leading cause of hospitalisation, yet there has been no comprehensive examination of child injury and survival over time in Australia. To examine the characteristics, temporal trend and survival for children who were hospitalised as a result of injury in Australia.MethodA retrospective examination of linked hospitalisation and mortality data for injured children aged 16 years or less during 1 July 2001 to 30 June 2012. Negative binomial regression examined change in injury hospitalisation trends. Cox proportional hazard regression examined the association of risk factors on 30-day survival.ResultsThere were 6 86 409 injury hospitalisations, with an age-standardised rate of 1489 per 1 00 000 population (95% CI 1485.3 to 1492.4) in Australia. Child injury hospitalisation rates did not change over the 10-year period. For every severely injured child, there are at least 13 children hospitalised with minor or moderate injuries. The total cost of child injury hospitalisations was $A2.1 billion (annually $A212 million). Falls (38.4%) were the most common injury mechanism. Factors associated with a higher risk of 30-day mortality were: child was aged ≤10 years, higher injury severity, head injury, injured in a transport incident or following drowning and submersion or other threats to breathing, during self-harm and usual residence was regional/remote Australia.ConclusionsChildhood injury hospitalisation rates have not reduced in 10 years. Children’s patterns of injury change with age, and priorities for injury prevention alter according to developmental stages. The development of a national multisectorial childhood injury monitoring and prevention strategy in Australia is long overdue.


2019 ◽  
Vol 3 (56) ◽  
pp. 39
Author(s):  
Leticia Virginia LEIDENS

ABSTRACTThis is a study of the 1980 Convention on Civil Aspects of International Child Abduction, an instrument of protection of children in the international sphere, specifically when they are subjected to the change of usual residence, resulting from the act of retention or illegal transfer of the parent. The issues include the verification of the contents of two conventional articles, which lack subjectivity in the normative plan and allow the judge to dismiss the order of return of the child to the State of usual residence. The option for methodological verification consists of the case law verification of the topic, more thoroughly with regard as to how they are materialized in Brazilian practice.KEYWORDS: Application; Exception articles; Hague Convention; Interpretation; Jurisprudence.RESUMOTrata-se de um estudo da Convenção sobre Aspectos Civis do Sequestro Internacional de Crianças de 1980, instrumento de proteção da criança no plano internacional, especificamente quando esta se encontra submetida à mudança de residência habitual, decorrente do ato de retenção ou transferência ilícita do genitor(a). A problemática perpassa na verificação do teor de dois artigos convencionais, os quais carecem de objetividade no plano normativo e permitem que o julgador afaste a ordem de retorno da criança ao Estado de residência habitual. A opção metodológica verificativa consiste na averiguação jurisprudencial do tema, detidamente em como eles se materializam na prática brasileira.PALAVRAS-CHAVE: Aplicação; Artigos exceções; Convenção da Haia; Interpretação; Jurisprudência. 


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