A register-based study comparing planned rehabilitation following acute stroke in 2011 and 2017

AbstractThis cross-sectional, register-based study aimed to explore patterns of planned rehabilitation at discharge from stroke units in Sweden in 2011 and 2017 and identify explanatory variables for planned rehabilitation. Multivariable binary logistic regression was used to identify variables that could explain planned rehabilitation. There were 19,158 patients in 2011 and 16,508 patients in 2017 with stroke, included in the study. In 2011, 57% of patients were planned for some form of rehabilitation at discharge from stroke unit, which increased to 72% in 2017 (p < 0.001). Patients with impaired consciousness at admission had increased odds for planned rehabilitation (hemorrhage 2011 OR 1.43, 95% CI 1.13–1.81, 2017 OR 1.66, 95% CI 1.20–2.32), (IS 2011 OR 1.21, 95% CI 1.08–1.34, 2017 OR 1.49, 95% CI 1.28–1.75). Admission to a community hospital (hemorrhage 2011 OR 0.56, 95% CI 0.43–0.74, 2017 OR 0.39, 95% CI 0.27–0.56) (IS 2011 OR 0.63, 95% CI 0.58–0.69, 2017 OR 0.54, 95% CI 0.49–0.61) or to a specialized non-university hospital (hemorrhage 2017 OR 0.66, 95% CI 0.46–0.94), (IS 2011 OR 0.90, 95% CI 0.82–0.98, 2017 OR 0.76, 95% CI 0.68–0.84) was associated with decreased odds of receiving planned rehabilitation compared to admission to a university hospital. As a conclusion severe stroke was associated with increased odds for planned rehabilitation and patients discharged from non-university hospitals had consistently decreased odds for planned rehabilitation.

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Determinants of occupational multisite musculoskeletal disorders: a cross sectional study among 254 patients

Reumatismo ◽

10.4081/reumatismo.2018.1047 ◽

2018 ◽

Vol 70 (2) ◽

pp. 92 ◽

Cited By ~ 1

Author(s):

A. Mahfoudh ◽

K. Fennani ◽

M. Akrout ◽

K. Taoufik

Keyword(s):

Social Support ◽

Musculoskeletal Disorders ◽

Rest Period ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

University Hospital ◽

Individual Risk ◽

Sectional Study ◽

Cross Sectional ◽

Dependent Children

The aim was to describe the profile of workers with occupational multi-site musculoskeletal disorders (MSMSD) and study the relationship between these lesions and socio-professional factors. This is a cross-sectional study involving 254 subjects with occupational musculoskeletal disorders (MSD), identified in the Department of Occupational Medicine at the University Hospital of Mahdia, in Tunisia, over a period of 10 years from 2005 to 2014. The study population was subdivided into two groups; mono-site MSD and multi-site (≥2 sites) groups. Data collection was based on a questionnaire prepared beforehand and covered the description of sociodemographic and professional characteristics. To study psychosocial constraints at work, we have used the Karasek questionnaire. MS-MSD was correlated to the number of dependent children (p=0.02), job/place of work (p=0.00), qualification (p=0.02), taking a rest period (p=0.03), decision latitude (p=0.00), mental demands (p=0.002), social support (p=0.00) and job stress (p=0.04). After binary logistic regression, MS-MSD depended significantly on the number of dependent children (p=0.013; OR=0,33; IC=0,17-0,83), working spouse (p=0.05; OR=0.35; IC=0.12-0.99), job/place of work (p=0.00; OR=4.16; IC=1.95-8.88), qualification (p=0.008; OR=0.28; IC=0.11-0.72), taking a break during work (p=0.04; OR=3.10; IC=1.04-9.22) and social support (p=0.00; OR=7,1; IC=1,9-25,3). When individual risk factors are fixed, the prevention of MS-MSD must target modifiable levers, related to the professional environment of the employees.

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Axillary surgery in breast cancer patients treated with breast-conserving surgery at german breast cancer centers within the last 14 years – comparison of a university center and a community hospital

Senologie - Zeitschrift für Mammadiagnostik und -therapie ◽

10.1055/a-0868-8241 ◽

2019 ◽

Vol 16 (01) ◽

pp. 59-66

Author(s):

Amelie de Gregorio ◽

Peter Widschwendter ◽

Susanne Albrecht ◽

Nikolaus de Gregorio ◽

Thomas Friedl ◽

...

Keyword(s):

Breast Cancer ◽

Community Hospital ◽

Breast Conserving Surgery ◽

University Hospital ◽

Axillary Lymph ◽

Breast Cancer Patients ◽

University Hospitals ◽

Cancer Centers ◽

Axillary Surgery ◽

Over Time

Abstract Background Guideline recommendations for axillary surgical approach in breast cancer (BC) treatment changed over the last decade. Methods Data from all invasive BC patients (n = 5344) treated with breast conserving surgery (BCS) at the breast cancer centers of the University Hospital Ulm (U‑BCC) and the community hospital Dachau (D‑BCC) were included into a retrospective analysis for assessing information on axillary surgery between 2003 and 2016 based on the documented cancer registry data. Results The average annual rate of sentinel node biopsy (SNB) was 85.5 % and 87.2 % in Ulm and Dachau, respectively. SNB was performed more precisely at the U‑BCC with a median of 2.4 resected lymph nodes (LN) compared to a median of 3.2 resected LN in Dachau. Median number of resected LN for axillary lymph node dissection (ALNE) showed a statistically significant reduction over time in Ulm (rs = − 0.82; p < 0.001) and Dachau (rs = − 0.76; p = 0.002). The rate of secondary ALNE (after SNB; 2° ALNE) decreased significantly in U‑BCC (rs = − 0.76; p = 0.002) while it remained stable in D‑BCC. The influential publication of the Z0011 study in 2010 resulted in a significant reduction of secondary ALNE (24.1 % pre Z0011 and 14.4 % postZ0011; p < 0.001) in Ulm. Conclusion Changes in axillary surgery over time can be seen in the annual statistics of the reviewed BCCs. With BCS, mostly SNB was performed and numbers of removed LN in ALNE have decreased. In the U‑BCC, the rate of 2° ALNE dropped after the publication of the Z0011 data. The fact that no such decrease for 2° ALNE was found in D‑BCC suggests that university hospitals implement new data and research results into clinical routine earlier than peripheral community hospitals.

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Indigenous Employment Policy and Foreign-Owned Corporation Employee’s Well-Being in Liberia

JOURNAL OF SOCIAL SCIENCE RESEARCH ◽

10.24297/jssr.v14i0.8108 ◽

2019 ◽

Vol 14 ◽

pp. 3146-3160

Author(s):

Taofik Olatunji Bankole ◽

Daniel Denny Gray ◽

Abiodun Oluwaseun Oyebode ◽

Gbelimu Elizabeth Lawal

Keyword(s):

Social Insurance ◽

Binary Logistic Regression ◽

Well Being ◽

The State ◽

Primary Data ◽

Employment Policy ◽

Cross Sectional ◽

Explanatory Variables ◽

Course Of Action ◽

Foreign Corporations

Every country institutes policy to take a course of action in favour of its citizens’ welfare. The view of indigenization policy in alignment with employment and workers treatment in Liberia takes different dimension. Liberia problem of unemployment cannot be compared to its underemployment and bad working conditions. The Liberian Indigenous policy has not reaped its fruit with marginalization, exploitation dispossession and poverty in commonplace. This study addresses the ineffectiveness of the indigenous employment policy and the state of workers’ well-being in foreign corporations in Liberia. This study adopts cross sectional method, and employs primary data. Information from 400 employees working with foreign-owned corporation was extracted from survey conducted in 2018 by the authors on the state of welfare of foreign-owned corporations’ employees in Liberia. The key explanatory variables are healthcare, social insurance, safety measures, stable job assignment, stable work hour, promotion on the job, and job security. The binary logistic regression was applied using version 22 of SPSS to examine association between the response and explanatory variables. The outcomes of this study showed that indigenous environmental policy was significant with worker’s well-being (p<0.05). The study concluded that indigenous employment policy has significant influence on the foreign-owned corporation workers’ well-being in Liberia.

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Hospital service quality based on HEALTHQUAL model and trusting nurses at Iranian university and non-university hospitals: a comparative study

BMC Nursing ◽

10.1186/s12912-020-00513-y ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Reza Nemati ◽

Masoud Bahreini ◽

Shahnaz Pouladi ◽

Kamran Mirzaei ◽

Farkhondeh Mehboodi

Keyword(s):

Service Quality ◽

Healthcare Services ◽

University Hospital ◽

Hospital Service ◽

University Hospitals ◽

Cross Sectional ◽

Mean Values ◽

Study Results ◽

Significant Difference ◽

The Mean

Abstract Background Establishment and improvement of patients’ trust in healthcare organizations like hospitals necessitate delivery of high-quality services by nurses, as the largest group of healthcare providers. The present study aimed to compare hospital service quality based on the HEALTHQUAL model and trusting nurses at university and non-university hospitals in Iran. Methods This comparative cross-sectional study was conducted on 990 patients admitted to university and non-university hospitals located in Bushehr Province, southern Iran, who were selected using the stratified random sampling method. The data were collected through the HEALTHQUAL questionnaire and the Trust in Nurses Scale, and then analyzed via the SPSS Statistics software (version 22) as well as the General Linear Model (GLM) univariate procedure and the Chi-square test with a significance level of 0.05. Results The study findings revealed that the mean values of real quality (perceptions) and ideal quality (expectations) were 3.89 ± 0.69 and 4.55 ± 0.47, respectively. The gap between the real and ideal quality (− 0.64) was also larger at non-university hospitals from the patients’ viewpoints. Comparing various dimensions of service quality, the largest gap at university and non-university hospitals was associated with “environment” (− 0.13) and “empathy” (− 0.18), respectively. Additionally, the mean scores of the patient trust in nurses at university and non-university hospitals were 10.34 ± 5.81 and 8.71 ± 4.05, respectively, being a statistically significant difference (p < 0.001). Conclusion The study results demonstrated that hospital service quality and trusting in nurses were at higher levels at the university hospital than the non-university one; however, hospital service quality was at a lower level than what the patients had expected. Accordingly, hospital managers and policy-makers were suggested to focus on patients to reduce gaps in service quality, to promote service quality, and to provide better healthcare services to patients.

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The role of PhD-prepared, hospital-based nurses: an inter-Nordic study

Journal of Research in Nursing ◽

10.1177/1744987119877213 ◽

2019 ◽

Vol 24 (7) ◽

pp. 470-485

Author(s):

Erik Elgaard Sørensen ◽

Kathrine Hoffmann Kusk ◽

Asa Muntlin Athlin ◽

Kirsten Lode ◽

Tone Rustøen ◽

...

Keyword(s):

Clinical Practice ◽

Close Contact ◽

Cross Sectional Study ◽

Nordic Countries ◽

University Hospital ◽

University Hospitals ◽

Cross Sectional ◽

Research Activities ◽

Evidence Based Care

Background Little is known about PhD-prepared nurses employed at Nordic university hospitals, how they are organised, what their practices look like or what career pathway they have chosen. Aims The purpose was to investigate and compare the prevalence of PhD-prepared nurses employed at university hospitals in the Nordic countries, to investigate what functions they fulfil and what research activities they undertake and to document how they describe their ideal work life. Methods A descriptive cross-sectional study. An electronic questionnaire was sent to 245 PhD-prepared nurses working at a university hospital in one of six Nordic countries and 166 responses were achieved (response rate 67%). Descriptive analyses were performed using SPSS Statistics. Results The study found notable differences among PhD-prepared nurses employed at university hospitals with respect to work function; organisational structure; satisfaction about time split between research and practice; and the mean scores of time spend on research, clinical practice and teaching, supervision and administration. Conclusions In order to succeed with capacity building among the nursing workforce, collaboration and networking with other researchers and close contact to clinical practice is important. The role of the hospital-based, PhD-prepared nurse needs to be better described and defined to ensure that evidence-based care is provided.

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Determinants of Obtaining COVID-19 Vaccination among Health Care Workers with Access to Free COVID-19 Vaccination: A Cross-Sectional Study

Vaccines ◽

10.3390/vaccines10010039 ◽

2021 ◽

Vol 10 (1) ◽

pp. 39

Author(s):

Mariam R. Elkhayat ◽

Maiada K. Hashem ◽

Ahmed T. Helal ◽

Omar M. Shaaban ◽

Ahmed K. Ibrahim ◽

...

Keyword(s):

Vaccine Development ◽

Hospital Staff ◽

Cross Sectional Study ◽

University Hospital ◽

Vulnerable Groups ◽

Sources Of Information ◽

University Hospitals ◽

Cross Sectional ◽

Job Category ◽

To Receive

Introduction: Despite global efforts to contain the illness, COVID-19 continues to have severe health, life, and economic repercussions; thus, maintaining vaccine development is mandatory. Different directions concerning COVID-19 vaccines have emerged as a result of the vaccine’s unpredictability. Aims: To study the determinants of the attitudes of healthcare workers (HCWs) to receiving or refusing to receive the vaccine. Methods: The current study adopted an interviewed questionnaire between June and August 2021. A total of 341 HCWs currently working at Assiut University hospitals offered to receive the vaccine were included. Results: Only half of the HCWs (42%) accepted the COVID-19 vaccine. The most common reason that motivated the HCWs was being more susceptible than others to infection (71.8%). On other hand, the common reasons for refusing included: previously contracted the virus (64.8%); did not have time (58.8%); warned by a doctor not to take it (53.8%). Nearly one-third of nonaccepting HCWs depended on television, the Internet, and friends who refused the vaccine for information (p < 0.05). In the final multivariate regression model, there were six significant predictors: sex, job category, chronic disease, being vaccinated for influenza, and using Assiut University hospital staff and the Ministry of Health as sources of information (p < 0.05). Conclusion: Misinformation and negative conceptions are still barriers against achieving the desired rate of vaccination, especially for vulnerable groups such as HCWs.

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Prevalence of atrial fibrillation, oral anticoagulation prescription and associated factors in Brazilian older adults

Geriatrics Gerontology and Aging ◽

10.5327/z2447-212320202000065 ◽

2020 ◽

Vol 14 (4) ◽

pp. 228-235

Author(s):

Vitor Pelegrim de Oliveira ◽

Renato Gorga Bandeira de Mello ◽

Andry Fiterman Costa ◽

Roberta Rigo Dalla Corte ◽

Francine da Rocha Flores ◽

...

Keyword(s):

Atrial Fibrillation ◽

Anticoagulation Therapy ◽

Binary Logistic Regression ◽

The Elderly ◽

Treatment Method ◽

Cross Sectional Study ◽

University Hospital ◽

Porto Alegre ◽

Cross Sectional ◽

Cerebrovascular Events

INTRODUCTION: Atrial fibrillation increases five times the risk of stroke. Anticoagulation reduces the incidence of cerebrovascular events. However, many patients do not receive thromboprophylaxis. OBJECTIVES: To estimate the prevalence of atrial fibrillation in the elderly at a Brazilian university hospital and the proportion of anticoagulation prescription. Secondary objectives were to identify the therapeutic options, the main reasons for non-prescription and the factors associated with ineffectiveness or lack of treatment. METHOD: cross-sectional study with a consecutive sample of 1,630 outpatients selected at Hospital de Clínicas de Porto Alegre between April and June of 2017. Atrial fibrillation was identified in 220 (13.50%) individuals. Medical records from 145 patients were accessed, followed by a telephone interview. The association between variables and outcomes was checked using the Mann-Whitney’s U Test and the binary logistic regression. RESULTS: The prevalence of atrial fibrillation was 13.50%. Anticoagulation therapy was prescribed in 77.93% of cases. In 76.11% of patients, warfarin was the chosen drug. There was a tendency towards no prescription in patients with previous bleeding (RR = 2.32; 95%CI 0.95 – 5.64; p = 0.06) and falls (RR = 2.02; 95%CI 0.82 – 5.03; p = 0.08). We found an association between reduced functional capacity (Barthel’s Activities of Daily Living Score < 80) and higher rate of anticoagulation in therapeutic aim (RR = 0.22; 95%CI 0.06 – 0.87; p = 0.04). CONCLUSION: The prevalence of atrial fibrillation in this population was 13.50% and in 77.93% of cases anticoagulant were prescribed. Functional impairment was associated with a higher rate of anticoagulation in therapeutic aim.

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Evaluation of prognostic value of Fernandez scoring system on the management of ectopic pregnancy in the emergency room at Suez Canal University Hospitals, Egypt

International Surgery Journal ◽

10.18203/2349-2902.isj20171130 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1292

Author(s):

Ahmed A. Essa ◽

Elham H. Madny ◽

Osama M. Zayed ◽

Islam M. Elshaboury ◽

Bassma M. Mahmoud

Keyword(s):

Emergency Room ◽

Ectopic Pregnancy ◽

First Trimester ◽

Cross Sectional Study ◽

Suez Canal ◽

University Hospital ◽

Management Decision ◽

University Hospitals ◽

Cross Sectional ◽

Nonsurgical Management

Background: Ectopic pregnancy is a major cause of morbidity and mortality in reproductive-aged women, accounting for 9% of pregnancy-related deaths in the first trimester. Clinical prediction tools have been developed to aid management decision making. Fernandez et al “1991” developed a score based on gestational age, β-hCG level, progesterone level, abdominal pain, hemo-peritoneum volume, and hematosalpinx diameter. A score of less than 12 predicts more than 80% success with expectant or nonsurgical management. Aim of the study was to improve the outcome of patients with ectopic pregnancy attending the emergency room at Suez Canal University hospitals, Egypt.Methods: This is a descriptive (cross-sectional) study conducted on 62 patients diagnosed to have ectopic pregnancy in the emergency department in Suez Canal University Hospital. The patients were subjected to full assessment including full history, examination, investigation and Fernandez score. These data were collected in a questionnaire, interpretted using SPSS program and the score was calculated.Results: The study revealed that 48.8% of the patients were in the age group between 31-40 years. It was found that in 61 patients (98%) the decision matched using Fernandez score and experts’s opinion while only one patient was given a different decision. Using Fernandez score, 40 patients had results less than 12 which guided to conservative management and 22 patients had a score more than 12 which guided to operative management.Conclusions: It was found that Fernandez score has 100% sensitivity and 95.2% specificity.

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Prevalence of Food Allergy in Egyptian Patients complaining of food adverse events attending allergy clinic at Ain Shams University Hospitals

QJM ◽

10.1093/qjmed/hcab100.046 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Zeinab A Yousif ◽

Manar F Mohammed ◽

Dahab N Zakaraya

Keyword(s):

Food Allergy ◽

Adverse Events ◽

Immune Reaction ◽

Cross Sectional Study ◽

University Hospital ◽

Allergy Clinic ◽

University Hospitals ◽

Cross Sectional ◽

Egyptian Patients ◽

Ige Mediated

Abstract Background Food allergy is defined as an immune reaction to proteins in the food and can be immunoglobulin (Ig)E-mediated or non–IgE-mediated. IgE-mediated food allergy is a worldwide health problem that affects millions of persons and numerous aspects of a person’s life. Allergic reactions secondary to food ingestion are responsible for a variety of symptoms involving the skin, gastrointestinal tract, and respiratory tract. While all other non-allergic food reactions are categorized as “food intolerance”. Aims to assess prevalence of Food allergy among Egyptian patients complaining of food adverse events attending Allergy clinic at Ain Shams University Hospital. Methods This was a randomized cross sectional study involving 200 patients complaining of food adverse events attending Allergy clinic at Ain Shams University Hospitals between the first of February 2019 till the end of January 2020, 90 patents had confirmed food allergy Results The Total patients who were presented to the Allergy outpatient clinic at Ain Shams University hospital between the first of February 2019 and the end of January 2020 were 200 patients presented complaining of food adverse events with the percentage (9.5%). Among the 200 patients presented complaining of food adverse events, there were 90 patients who were confirmed food allergy. Conclusion food allergy may be over estimated along patient with food adverse events.

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Assessment of the quality of effluent management from university hospitals in the Littoral department in Benin

BMC Public Health ◽

10.1186/s12889-021-11478-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Judicaël Todedji ◽

Ghislain Sopoh ◽

Cyriaque Degbey ◽

Arouna Yessoufou ◽

Fidèle Suanon ◽

...

Keyword(s):

Poor Quality ◽

University Hospital ◽

Pathogenic Microorganisms ◽

University Hospitals ◽

Cross Sectional ◽

Evaluative Study ◽

Littoral Region ◽

Hospital Effluents ◽

Poor Management

Abstract Background Liquid discharges from hospitals (effluents) threaten the environment and are now a central concern of all stakeholders in the health system and those in the protection of the environment. The management of effluents is a major problem in developing countries. The objective of this study was to assess the quality of effluent management at the level of university hospital centers (CHU) in the Littoral region in Benin. Methods It was a cross-sectional, descriptive, evaluative study that took place in 2020 to assess the “structure”, “process” and “results” components according to standard thresholds (Bad: < 60%; Acceptable: [60–80% [and Good: ≥ 80%). Results In all the CHUs, all the components, as well as the overall quality of the management of hospital effluents, had a score between 0 and 60%, with an assessment deemed bad. The poor quality of the process highlighted the non-compliance with standards relating to the management of hospital liquid discharges. Several factors linked to the “structure”, “process” and “results” components at the same time explain this poor management of university hospitals effluents. Conclusion These effluents discharged without prior treatment into wastewater could constitute a source of dissemination of potentially pathogenic microorganisms. It is therefore important to develop methods for treating these effluents before they are released into the natural environment.

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