scholarly journals Estimating the cost of Pneumonia cases admitted at the internal medicine wards of a tertiary Government Hospital in the Philippines

2015 ◽  
Vol 18 (3) ◽  
pp. A255-A256
Author(s):  
A.S. Rivera
2021 ◽  
Author(s):  
Louis Mervyn B. Leones ◽  
Lance Isidore G. Catedral ◽  
Jhoanna Rose H. Velasquez ◽  
Lia Aileen Palileo-Villanueva

Background. Preparedness before discharge correlates with good clinical outcomes.Objective. The study described the perception, attitudes, and perceived preparedness of patients and caregivers fordischarge from the Internal Medicine wards of the University of the Philippines-Philippine General Hospital (UP-PGH).Methods. A cross-sectional survey among 142 patients about to be discharged from the Internal Medicine wards ofthe Philippine General Hospital and/or their caregivers from May to June 2017 was done using a validated Filipinoversion of B-PREPARED, an 11-item self-administered questionnaire that measures patient preparedness for home.The questionnaire has three domains: self-care information, equipment/services, and confidence. The highest possibleB-PREPARED score is 22 with higher scores indicating better discharge preparedness. Mean B-PREPARED scoreswere calculated. Post-hoc linear regression analysis between the scores and characteristics was performed.Results. The Filipino translation of the B-PREPARED questionnaire had good internal consistency (Cronbach’salpha 0.8). One hundred forty-two patients and caregivers participated. The mean B-PREPARED score was 14.57± 4.34, with a median of 15. The lowest scores were for information on available community services (1.20 ± 0.76),arranged equipment (0.83 ± 0.88), information on side effects of medications (1.19 ± 0.85), and additional informationsought (0.61 ± 0.92). There was no significant correlation between preparedness and age, employment status,educational attainment, diagnosis, length of hospitalization, the number of admissions one year prior, or whether therespondent was a patient or caregiver.Conclusion. The Filipino translation of the B-PREPARED questionnaire had good internal consistency. Althoughmost participants reported being confident and prepared for discharge, most felt they did not receive sufficientinformation on side effects and available community services, and assistance in arranging for the necessary equipmentfor home care.


Nutrition ◽  
2020 ◽  
Vol 69 ◽  
pp. 110588 ◽  
Author(s):  
Francesco Bellanti ◽  
Aurelio Lo Buglio ◽  
Elena Di Stasio ◽  
Giorgia di Bello ◽  
Rosanna Tamborra ◽  
...  

Author(s):  
Alessandra Bandera ◽  
Alessandro Nobili ◽  
Mauro Tettamanti ◽  
Sergio Harari ◽  
Silvano Bosari ◽  
...  

2014 ◽  
Vol 05 (03) ◽  
pp. 814-816 ◽  
Author(s):  
D. Morra ◽  
V. Lo ◽  
S. Quan ◽  
R. Wu ◽  
K. Tran

Summary Objective: To describe the uses of institutional and personal smartphones on General Internal Medicine wards and highlight potential consequences from their use. Methods: A mixed methods study consisting of both quantitative and qualitative research methods was conducted in General Internal Medicine wards across four academic teaching hospitals in Toronto, Ontario. Participants included medical students, residents, attending physicians and allied health professionals. Data collection consisted of work shadowing observations, semi-structured interviews and surveys. Results: Personal smartphones were used for both clinical communication and non-work-related activities. Clinicians used their personal devices to communicate with their medical teams and with other medical specialties and healthcare professionals. Participants understood the risks associated with communicating confidential health information via their personal smartphones, but appear to favor efficiency over privacy issues. From survey responses, 9 of 23 residents (39%) reported using their personal cell phones to email or text patient information that may have contained patient identifiers. Although some residents were observed using their personal smartphones for non-work-related activities, personal use was infrequent and most residents did not engage in this activity. Conclusion: Clinicians are using personal smartphones for work-related purposes on the wards. With the increasing popularity of smartphone devices, it is anticipated that an increasing number of clinicians will use their personal smartphones for clinical work. This trend poses risks to the secure transfer of confidential personal health information and may lead to increased distractions for clinicians. Citation: Tran K, Morra D, Lo V, Quan S, Wu R. The use of smartphones on General Internal Medicine wards: A mixed methods study. Appl Clin Inf 2014; 5: 814–823http://dx.doi.org/10.4338/ACI-2014-02-RA-0011


2013 ◽  
Vol 88 (5) ◽  
pp. 739-747
Author(s):  
Luiz Mauricio Costa Almeida ◽  
Michelle dos Santos Diniz ◽  
Lorena dos Santos Diniz ◽  
Jackson Machado-Pinto ◽  
Francisco Chagas Lima Silva

BACKGROUND: Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES: To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS: It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS: We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION: It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Valerio Verdiani

Data regarding the treatment of heart failure (HF) patients derived from randomized, controlled clinical trials, which, with rare exceptions, appear to be distant from the real world of internal medicine. Many trials have been conducted in cardiology departments: however, the characteristics of patients admitted to cardiology wards are largely different from those of patients hospitalized in internal medicine wards. Recently, the PARADIGM-HF study established the efficacy of sacubitril-valsartan – the first drug of the angiotensin II receptor neprilysin inhibitor (ARNI) class - versus enalapril in increasing survival and reducing hospitalizations in a selected population of HF patients with reduced ventricular function. Although practical guidance on the use of ARNI has been published, it is not specific to HF patients admitted to internal medicine wards. In this review, we examine all available data in order to understand if the characteristics of HF patients followed in internal medicine departments hinder or contraindicate the use of sacubitril-valsartan and what indications appear more appropriate in this setting.


2016 ◽  
Vol 13 (1) ◽  
pp. 67-76 ◽  
Author(s):  
Abdul Mongid

This study examines the determinants of cost inefficiency of banks operating in 8 member countries of the Association of Southeast Asian Nations (ASEAN): Indonesia, Malaysia, Singapore, Thailand, the Philippines, Cambodia, Brunei and Vietnam. The author defines the cost inefficiency using accounting based efficiency known as business efficiency (CIR). Second, the researcher regresses the cost inefficiency ration on a set of bank specific variables (size, equity to total asset, personnel expenses to total expenses) and economic variables (economic growth and inflation rate) using ordinary least squared (OLS) regression analysis. The dataset of 504 banks in the ASEAN countries is used for the period from 2008 to 2012. The results show that the average cost inefficiency ratio during the period is about 59%. Banks from Vietnam exhibit the lowest cost inefficiency relative to banks in the other ASEAN countries. It is found that cost inefficiency is positively determined by inflation, loan loss provision, personnel expenses, capital adequacy and negatively by asset size and liquidity position


2015 ◽  
Vol 49 (4) ◽  
Author(s):  
Carmela Augusta F. Dayrit ◽  
Clarita C. Maaño ◽  
Michael Lawrenz F. Co

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