scholarly journals Medical services provided on the ‘Harmonious Mission—2017’ Peace Ark from China

2021 ◽  
pp. e001659
Author(s):  
Bihan Tang ◽  
Y Han ◽  
X Liu ◽  
H Zhang ◽  
M Li ◽  
...  
Keyword(s):  
Low Income ◽  
Medical Information ◽  
Demographic Data ◽  
Cataract Extraction ◽  
Medical Personnel ◽  
International Classification Of Diseases ◽  
Low Income Countries ◽  
Medical Services ◽  
General Internal ◽  
Classification Of Diseases

IntroductionThe Chinese Naval ship Peace Ark provided humanitarian medical services to people in eight low-income countries in Africa and Asia during the 2017 “Harmonious Mission’. The expedition lasted 155 days. Our study aimed to analyse the details of the medical services provided including outpatient care, medical patrol, operations, examinations and medications.MethodThe patient demographic data and medical information were extracted from electronic medical records. The diagnoses and procedures aboard were coded by the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The sociodemographic data of the medical staff aboard were collected via questionnaire. Descriptive statistics and statistical software (SAS, V.9.4) were used to analyse the data.ResultsIn total, 115 Chinese military medical personnel participated in the mission, completing a total of 50 758 outpatient visits, 10 232 medical patrols and 252 operations. The five most frequently used outpatient departments were ophthalmology, general surgery, general internal medicine, orthopaedics and traditional Chinese medicine. The five most common operations were lipoma excision, cataract extraction, skin tissue removal (such as warts and cysts), pterygium transposition and herniorrhaphy.ConclusionsOur study revealed the medical services in demand during the ‘Harmonious Mission—2017’. It is essential to report their experiences so that future ventures can provide medical services more effectively.

scholarly journals Epidemiological transition in morbidity: 10-year data from emergency consultations in Dakar, Senegal

2019 ◽  
Vol 4 (4) ◽  
pp. e001396 ◽  
Author(s):  
Bamba Gaye ◽  
Massamba Diop ◽  
Kumar Narayanan ◽  
Lucile Offredo ◽  
Peter Reese ◽  
...  
Keyword(s):  
Low Income ◽  
Emergency Service ◽  
Mixed Model ◽  
International Classification Of Diseases ◽  
Primary Diagnosis ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Epidemiological Transition ◽  
African City ◽  
Sub Saharan

BackgroundIt is thought that low-income countries are undergoing an epidemiological transition from infectious to non-communicable diseases; however, this phenomenon is yet to be examined with long-term data on morbidity.MethodsWe performed a prospective evaluation of all emergency medical consultations at a major emergency service provider in Dakar, Senegal from 2005 to 2014. Using standardised definitions, the primary diagnosis for each consultation was classified using the International Classification of Diseases-10 and then broadly categorised as ‘infectious’, ‘non-communicable’ and ‘other’ diseases. Morbidity rates for each year in the 10-year observation period were plotted to depict the epidemiological transition over time. To quantify the yearly rate ratios of non-communicable over infectious diagnosis, we used a generalised Poisson mixed model.ResultsComplete data were obtained from 49 702 visits by African patients. The mean age was 36.5±23.2 and 34.8±24.3 years for women and men, respectively. Overall, infections accounted for 46.3% and 42.9% and non-communicable conditions 32.2% and 40.1% of consultations in women and men, respectively. Consultation for non-communicable compared with infectious conditions increased by 7% every year (95% CI: 5% to 9%; p<0.0001) over the 10 years. Consultations for non-communicable condition were more likely in women compared with men (RR=1.29, 95% CI: 1.18, 1.40) and at older ages (RR=1.27; 95% CI 1.25, 1.29 for 10-year increase in age).ConclusionUsing high-quality disease morbidity data over a decade, we provide novel data showing the epidemiological transition of diseases as manifested in emergency service consultations in a large Sub-Saharan African city. These results can help reorientation of healthcare policy in Sub-Saharan Africa.

scholarly journals Patterns of Injury and Mortality in Pediatric Patients Attending Emergency Department in a Tertiary Care Center in Eastern Nepal

2017 ◽  
Vol 56 (207) ◽  
pp. 331-334 ◽  
Author(s):  
Pramendra Prasad Gupta ◽  
Gyanendra Bahadur Malla ◽  
Rabin Bhandari ◽  
Rosan Prasad Shah Kalawar ◽  
Madan Mandal
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Soft Tissue Injuries ◽  
Low Income Countries ◽  
Health Concern ◽  
Cross Sectional ◽  
Pattern Of Injury

Introduction: Trauma is a major and increasing global health concern in the recent world is now the leading cause of death among people less than 18 years old. Methods: This is a retrospective cross sectional study done in Emergency Department of B.P.Koirala Institute of Health Sciences. Patients aged less than 16 years were included with history of Trauma from January 1st 2013 to 31st December 2013.The details of patient were taken from computerized medical records of the hospital. The data Demographic data, Pattern of injury, Mode of injury, Diagnosis and outcomes were tabulated in Microsoft excel. Results: Total 3958 pediatrics patient were enrolled in this study. Male: Female=3.6:1,Mean age 9.6±3.2 years, fall injury & RTAs common modes and fractures of limbs, soft tissue injuries and cut injuries were common patterns. Conclusions: Injury is a serious problem for children in Low Income countries like Nepal.

PATIENTS’ SATISFACTION WITH THE QUALITY OF MEDICAL SERVICES AT DIFFERENT STAGES OF THE PROJECT “LEAN HOSPITAL” IN TOMSK REGION

2019 ◽  
Vol 33 (4) ◽  
pp. 154-157 ◽  
Author(s):  
A. A. Solovyev ◽  
N. V. Kopysova
Keyword(s):  
Call Center ◽  
Medical Information ◽  
Medical Personnel ◽  
Medical Information System ◽  
Medical Services ◽  
City Hospital ◽  
Medical Institutions ◽  
Tomsk Region ◽  
Insufficient Number

The purpose of the study was to analyze the state of satisfaction of the population in the provision of medical services and to observe the changes taking place in this area in connection with the start of the national project “Lean Polyclinic”. The studies were conducted in the form of a questionnaire survey of patients of two medical institutions, namely: the Regional Public Health Institutions “Children’s City Hospital No. 2” and “B. I. Alperovich City Clinical Hospital No. 3”.The material of the study was the responses on paper of the interviewed patients. The average indicators of patient satisfaction with the received medical services were determined by means of statistical calculations. The survey was conducted at the start of the project in May‑July of 2017 and again in October‑December of 2017.Results. The initial survey revealed the presence of such problems as insufficient number of automated workplaces; heavy workload of the doctor when working in the Medical Information System of the Tomsk Region; imperfection of the card filing cabinet; insufficient number of racks for storing outpatient cards, front-office and back-office were located in the same room and did not have a partition, which created noise and interfered with the work of call-center operators; the need to contact the registry to get the outpatient card when the visit was previously assigned; difficult orientation of patients in the clinic; long-term preventive examination of children aged 1 year; mixed flows of healthy and sick patients; and lack of personnel. The repeated survey reflected the changes that occurred in connection with the start of the “Lean Polyclinic” project: the number of detected violations tended to decrease, which indicated the improvement in the quality of services and the improvement in the organization of medical personnel work.Conclusion. Thus, the present study established that the use of lean production technologies contributed to the quality of medical services and it had a beneficial effect on the processes of organizing the work of medical institutions. 

Automated ICD Coding Using Deep Learning

2022 ◽  
pp. 115-127
Author(s):  
Sagar Sudhir Dhobale ◽  
Sharda Bapat
Keyword(s):  
Deep Learning ◽  
Text Classification ◽  
Medical Information ◽  
Patient Discharge ◽  
Classification Problem ◽  
International Classification Of Diseases ◽  
Medical Coding ◽  
Huge Data ◽  
Classification Of Diseases ◽  
Discharge Summaries

ICD (international classification of diseases) is a system developed by the WHO in which every unique diagnosis and procedure has a unique code. It provides a standardized way to represent medical information and makes it sharable and comparable across different hospitals and countries. Currently, the task of assigning ICD codes to patient discharge summaries is performed manually by medical coders. Manual coding is costly, time consuming, and inefficient for huge data. So, the healthcare industry requires automated solutions to make the medical coding more efficient, accurate, and consistent. In this study, the automated ICD-9 coding is approached as a multi-label text classification problem. A deep learning system is presented to assign ICD-9 codes automatically to the patient discharge summaries. Convolutional neural networks and word2vec model are combined to automatically extract features from the input text. The best model has achieved 83.28% accuracy. The results of this research prove the usability of deep learning for multi-label text classification and medical coding.

scholarly journals Acute Infectious Morbidity in Multiple Gestation

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Sarah K. Dotters-Katz ◽  
Emily Patel ◽  
Chad A. Grotegut ◽  
R. Phillips Heine
Keyword(s):  
Demographic Data ◽  
Mode Of Delivery ◽  
International Classification Of Diseases ◽  
Infectious Complications ◽  
Multiple Gestation ◽  
Susceptibility To Infection ◽  
Infectious Morbidity ◽  
Intestinal Infections ◽  
Increased Risk ◽  
Classification Of Diseases

Objectives. Physiologic and immunologic changes in pregnancy result in increased susceptibility to infection. These shifts are more pronounced in pregnancies complicated by multiple gestation. The objective of this study was to determine the association between multiple gestation and risk of infectious morbidity.Study Design. The Nationwide Inpatient Sample for the years 2008–2010 was used to identify pregnant women during admission for delivery with International Classification of Diseases codes. Logistic regression was used to compute odds ratios and 95% confidence intervals for demographic data, preexisting medical conditions, and acute medical and infectious complications for women with multiple versus singleton gestations.Results. Among women with multiple gestation, 38.4 per 1,000 women had an infectious complication compared to 12.8 per 1,000 women with singletons. The most significant infectious morbidity associated with multiple gestation was intestinal infections, pyelonephritis, influenza, and pneumonia. After controlling for confounding variables, infectious complications at delivery persisted for women with multiples, though the association was dependent on mode of delivery.Conclusions. Women with multiple gestations are at increased risk for infectious morbidity identified at the time of delivery. This association was diminished among women who had a cesarean suggesting that operative delivery is not responsible for this association.

scholarly journals Impact of intestinal helminthes infections on stunting, wasting, normal biochemical and hematological values on school children in Gondar town, Ethiopia.

2019 ◽  
Author(s):  
Wossenseged Lemma ◽  
Daniel Tarekegn ◽  
Meseret Birhanie
Keyword(s):  
Nutritional Status ◽  
School Children ◽  
Low Income ◽  
Demographic Data ◽  
Normal Growth ◽  
Low Income Countries ◽  
Intestinal Helminth ◽  
Age Group ◽  
Gondar Town ◽  
Z Scores

Abstract Abstract Background: Ethiopia, the second populous nation in Africa, has been grouped under low income countries. Stunting, underweight and wasting in school children in Ethiopia are very common. The aim of this research was to evaluate the nutritional status compared to WHO standards and impact of intestinal helminthes on normal growth, normal hematological and biochemical values in the school children in Azezo Elementary School in Gondar Town. Methods: Demographic data and information about possible risk factors were obtained using standard pre-tested questioners for all study subjects. WHO AnthroPlus software version 1.04 (WHO, Geneva, Switzerland) were used to classify school children as normal, stunted, wasted and obese after height and body weight measurements were obtained. The Kato Katz technique was performed to screen students for intestinalhelmenthinfections and calculate eggs per gram stool (epg). Haematological and biochemical normal values were obtained from hematology fully-automated cell counter (Mindray BC-3200) and Mindray BS-200E chemistry analyzer. Results: Atotal of 384 school children with age ranged from 7 to 15 years old were recruited in this study. Of the total school children analysed for body mass index and height for age Z scores (BAZ and HAZ scores), 103 (26.8%) were wasted (Z scores < -2SD) and 47 (12.2%) stunted (< -2SD). Gender showed no statistically significantly differences (p>0.05) for BAZ and HAZ. The prevalence of overall stunting in 7-10 age group was 0.7% (1/146) compared to 19.5% (46/236) in 11-15 age group (p=0.000). Intestinal helminthes infections were statistically significantly associated (p = 0.000) with hypo-gycocemia, hypo-proteinaemia and anemia compared with non-infected school children. The likelihood of anemia in intestinal helminth infected school children, when it was compared with uninfected was 148 times higher for both Ascarislumbericoides-Schistosomamansoni co-infection, 38 times for Hook worm, 20 times for Schistosomamansoni and 3 times for Ascarislumbericoidesmono-infection. Conclusion: Malnutrition and intestinal helminthes infections are serious problem in normal growth of the school children. Poverty associated malnutrition is the most important risk factor for stunting. Key Words: School children; Malnutrition; Intestinal Helminth infections; Nutritional status ; Gondar town

scholarly journals An Assessment of Frequency of Dermatologic Diseases in Patients Admitted to Shiraz Referral Dermatology Ward, Southern Iran 2008-2011

2015 ◽  
Vol 4 (1) ◽  
pp. 50-52
Author(s):  
Ladan Dastgheib ◽  
Nasrin Saki ◽  
Sina Kardeh ◽  
Zakaria Rezaei
Keyword(s):  
Skin Diseases ◽  
Average Length ◽  
Demographic Data ◽  
International Classification Of Diseases ◽  
Occurrence Rate ◽  
Fars Province ◽  
Duration Of Treatment ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Drug Rash

Background: As the early and accurate diagnosis of all diseases, including skin disorders directly influences the duration of treatment and its costs, which may be a significant burden, it is very important for physicians to be familiar with all types of diseases, especially those with a higher incidence in population. Considering that disease patterns vary from region to region and there is no demographic data on patterns of skin diseases in Fars Province, we aimed to assess the frequency of skin diseases in admitted patients to Dermatology Ward of Shahid Faghihi Hospital. Materials and Methods: The medical records of 1450 patients, who completed a questionnaire during the years 2008 to 2011, were evaluated in this retrospective study. Demographic data and diagnoses of skin diseases were analyzed by SPSS software and classified according to the International Classification of Diseases (ICD-10).Results: Pemphigus (12.5%), drug rash (11.7%) and eczema (10.5%) were the most common cause of referral to dermatology ward. The mean age of patients was 41.89±20.79 and the average length of hospitalization in this study was 9.34 days.Conclusion: The high occurrence rate of Pemphigus and drug rash indicates that further study is required to root out the underlying causes. Proper health policies should be implemented to manage these diseases.

scholarly journals Immune Response After Three Doses of Hepatitis B Vaccine among Children Below Five Years of Age in Mwanza, Tanzania

2021 ◽  
pp. 25-31
Author(s):  
Delfina R. Msanga ◽  
Raphael Rwezaula ◽  
Semvua Kilonzo ◽  
Elizabeth Kwiyolecha ◽  
Tulla Masoza ◽  
...  
Keyword(s):  
Child Health ◽  
Hepatitis B ◽  
Low Income ◽  
Demographic Data ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Cross Sectional ◽  
Hbv Vaccine ◽  
Reproductive And Child Health ◽  
And Child Health

Background: Hepatitis B virus (HBV) infections is moderately endemic in many countries in the sub-Saharan Africa including Tanzania. Immunization of children below five years of age has been found to be an effective strategy in controlling infectious diseases. However, the data regarding immune responses following vaccination are very limited in low-income countries. Here, we report the sero-conversion among children below five years of age after three doses of HBV vaccine in Mwanza, Tanzania. Methodology: A cross-sectional study involving children below five years of age was conducted at Makongoro Reproductive and Child Health (RCH) clinic between May and June 2017. Socio-demographic data were collected, and vaccination status was confirmed from reproductive and child health (RCH) cards. Serum HBV surface antibodies (anti-HBs) were quantified using enzyme immunoassay (Enzygnost Anti-HBs II). Data were analysed by using STATA version 13 software.

Income transfer program for people with disabilities over 16 years old in Brazil

2020 ◽  
Author(s):  
Giovanna Kohatsu ◽  
Mariana Dias Campos ◽  
Eraldo Schunk Silva ◽  
Edson Luciano Rudey ◽  
Mirian Ueda Yamaguchi ◽  
...  
Keyword(s):  
Elementary Education ◽  
Low Income ◽  
People With Disabilities ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Transfer Program ◽  
Cross Sectional ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Main Determinants

Abstract Background: The Continuous Cash Benefit Program, known by BPC, is a public policy for assistance that guarantees a monthly income of a minimum wage to the elderly over 65 years old and people with disabilities in a state of poverty. The objective of this study was to analyze the socio-demographic profile of BPC applicants of people with disabilities, their concessions, and rejections, in the category over 16 years old and to identify the prevalence of the main International Classification of Diseases (ICD-10) among the BPC concessions, and the main determinants of the concession. Methods: Exploratory, cross-sectional and retrospective study, with applicants for BPC - People with Disabilities - 16 years or older as of the target audience. The Expert Medical Assessment forms provided by the National Social Security Institute of Brazil from May 2015 to October 2017 were analyzed. Results: The rejections exceeded the concessions, and the incomplete elementary education, mental and behavioral disorders prevailed as the predominant ICD-10 among the 1134 applications analyzed. The main cause of rejection corresponded to the non-fulfillment of the disability criteria for access to the BPC. Concession rates were lower for women, and moderate, severe and complete degrees led to higher concession rates. Conclusion: Although there are social assistance laws for people with disabilities and low income, this population is still in a state of vulnerability.

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