Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education

2011 ◽  
Vol 51 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Jennifer Keehbauch ◽  
Gretchen San Miguel ◽  
Leslie Drapiza ◽  
Julie Pepe ◽  
Richard Bogue ◽  
...  
Keyword(s):  
Clinical Management ◽  
Rate Of Change ◽  
Physician Education ◽  
Overweight Children ◽  
Age And Gender ◽  
Training And Education ◽  
Medicine Resident ◽  
Before And After ◽  
And Gender ◽  
One Year

Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01). Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct.

3333Contemporary mortality rates in myocardial infarction patients in Sweden: a tale of two registries

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
J Siverskog ◽  
M Janzon ◽  
L.-Å Levin ◽  
J Alfredsson ◽  
M Henriksson
Keyword(s):  
Myocardial Infarction ◽  
Intensive Care ◽  
Patient Characteristics ◽  
Primary Diagnosis ◽  
Age And Gender ◽  
Quality Registry ◽  
Mortality Outcome ◽  
Mortality Difference ◽  
And Gender ◽  
One Year

Abstract Background Sweden has contributed to the understanding of the long-term prognosis after myocardial infarction (MI) utilising the quality registry SWEDEHEART, including patients admitted to heart intensive care, and the National Patient Registry (PAR), based on administrative records for Swedish hospitals. As registration procedures differ between the registries, and not all MI patients are admitted to heart intensive care, MI patients identified in SWEDEHEART and PAR, respectively, will yield different cohorts of patients. This may result in different epidemiological research findings regarding prognosis after MI. Purpose To study MI populations identified in SWEDEHEART and PAR, respectively, and investigate potential differences in mortality outcome. Methods Patients hospitalised with an MI primary diagnosis (ICD-10 I21) between 2002 and 2015 were identified using SWEDEHEART and PAR. The analysis time started at the date of hospital admission and survivors were followed for 365 days. Kaplan-Meier analysis was used to estimate survival by cohort category controlling for age and gender. Results Excluding cases with invalid data (n=1,905), 225,612 and 282,118 SWEDEHEART and PAR patients, respectively, were identified. We found 213,367 patients in both SWEDEHEART and PAR, whereas 12,245 and 68,751 patients were unique to SWEDEHEART and PAR, respectively. The one-year survival probability after MI in the SWEDEHEART population was 0.841, compared to 0.788 in PAR (Figure). This discrepancy can be explained by high mortality among patients not covered by SWEDEHEART and persists after controlling for age and gender (Table). To what extent differences in registration procedures and other patient characteristics can explain the mortality difference is an area for further research. One-year survival by age and gender Age ± 1 year Male Female PAR S.H. Diff. PAR S.H. Diff. 65 0.922 0.936 0.015 0.919 0.936 0.017 70 0.893 0.909 0.016 0.889 0.908 0.019 75 0.829 0.858 0.029 0.834 0.860 0.026 80 0.743 0.783 0.040 0.768 0.800 0.033 85 0.625 0.677 0.052 0.662 0.705 0.042 One-year survival after MI Conclusion Estimated one-year survival for MI patients differs by up to 5 percentage points depending on the registry used. Although further research is needed to fully understand these differences, epidemiological findings regarding MI prognosis should be interpreted in light of registry type used and population represented. Acknowledgement/Funding Region Östergötland

Influence of Age and Gender Before and After Liver Transplantation

2013 ◽  
Vol 19 (2) ◽  
pp. 122-134 ◽  
Author(s):  
Patrizia Burra ◽  
Eleonora De Martin ◽  
Stefano Gitto ◽  
Erica Villa
Keyword(s):  
Liver Transplantation ◽  
Age And Gender ◽  
Before And After ◽  
And Gender

scholarly journals Prevalence and Public Health Importance of Hydatidosis in Sheep Slaughtered by Unlicensed Ways

2019 ◽  
Vol 12 (1) ◽  
pp. 399-402 ◽  
Author(s):  
Fadia Abd Al-Muhsin Al-Khayat
Keyword(s):  
Public Health ◽  
Microscopic Examination ◽  
Prevalence Rate ◽  
Parasitic Disease ◽  
Public Health Importance ◽  
Age And Gender ◽  
Control Programs ◽  
And Gender ◽  
One Year ◽  
The Relationship

Hydatidosis is a zoonotic, helminthes parasitic disease that cause veterinary and human problems due to economic burden. Amis of the current study was to estimate the prevalence rate of hydatidosis infecting different organs of sheep slaughtered in street. In addition, investigate the relationship between age, gender and the infected rates in some Baghdad areas during a period from may to end of July 2018.A total of 188 sheep was examined for detection of Hydatid cyst in different organs using macroscopic and microscopic examination The overall prevalence rate of 47.9% was recorded. The results indicate non significant differences according to age and gender, the highest rate 57% was observed in sheep more than one year old compared with small ages 31.3%. The females showed the highest rate 59.3% while the male recorded 30.7%. The most affected organ was the liver 64.4% followed by the lung 25.6% and finally the spleen 10%. Conclusion of this study indicates the higher prevalence rate lead to the necessity for control programs against hydatidosis includ preventing of illegal slaughtering.

scholarly journals Pengaruh Terapi Kompres Air Hangat terhadap Nyeri Post Operasi ORIF pada Pasen Fraktur di RSUD Dr. Doris Sylvanus Palangka Raya

2021 ◽  
Vol 6 (2) ◽  
pp. 82-87
Author(s):  
Vina Agustina ◽  
Suryagustina Suryagustina ◽  
Henry Wiyono
Keyword(s):  
Postoperative Pain ◽  
Health Workers ◽  
Wilcoxon Test ◽  
Warm Water ◽  
P Value ◽  
Internal Factors ◽  
Age And Gender ◽  
Common Complaint ◽  
Before And After ◽  
And Gender

A fracture or often called a fracture is a break in the continuity of bone tissue and is determined according to its type and extent. Pain is the most common complaint in fracture patients. Based on the results of the preliminary survey on February 14, 2018, in the Dahlia room, RSUD dr. Doris Sylvanus Palangka Raya, from 10 patients, it was found that 6 patients did not know that warm water compress therapy could reduce pain and 4 patients had heard that warm water compresses could reduce pain but still did not dare to take action alone without advice from a health professional. The results of the analysis research with the Wilcoxon test obtained a significant p-value (0.008 <0.05), then Ha is accepted, which means that there is an effect of giving warm water compress therapy before and after on the postoperative pain of ORIF in fracture patients. It can be concluded that the factors that influence the provision of warm water compress therapy to postoperative pain in ORIF fracture patients are age and gender (internal factors) and external factors including the compressing medium, warm water temperature, and the duration of the compress so that the warm water compress method is effective against decreasing intensity. pain. Health workers are advised to apply warm compress therapy as an intervention to reduce postoperative pain in patients with ORIF fractures.

scholarly journals Implantation of Cardioverter-Defibrillator in Children With Long-QT Syndrome: Assessment of Indications, Efficacy, and Safety Based on 10-Year Experience

Kardiologiia ◽  
2018 ◽  
Vol 58 (12) ◽  
pp. 52-58 ◽  
Author(s):  
R. A. Ildarova ◽  
M. A. Shkolnikova ◽  
S. A. Termosesov
Keyword(s):  
Sudden Cardiac Arrest ◽  
Efficacy And Safety ◽  
Primary And Secondary Prevention ◽  
Icd Implantation ◽  
Age And Gender ◽  
Before And After ◽  
History Of ◽  
The Mean ◽  
High Doses ◽  
And Gender

Purpose: to assess specificities of course of the long­QT syndrome in children before and after implantation of cardioverter­defibrillator (ICD), and optimization of indications to ICD­therapy.Materials and methods. We included in this study 48 children with long­QT syndrome from 44 unrelated families (28 boys and 20 girls), who underwent ICD implantation at the mean age 11.8±3.8 years. Mean duration of follow­up after implantation was 5.2±2.8 years. Data from these children were compared with those from 59 children of comparable age and gender with long­QT syndrome from 46 unrelated families receiving antiarrhythmic therapy (β­adrenoblockers). We assessed clinical and electrocardiographic characteristics of the disease obtained at initial visit and their dynamics thereafter.Results. Children with long­QT syndrome and ICD were mainly probands with interval QT longer than 500 ms, recurrent syncope and often history of sudden cardiac arrest requiring high doses of β­adrenoblockers for control of ventricular tachyarrhythmias.Conclusion. ICD implantation is an effective and safe method both of primary and secondary prevention of sudden cardiac death in children with long­QT syndrome.

SEASONAL CHANGE IN HEMATOLOGICAL AND BIOCHEMICAL BLOOD VALUES OF HEREFORD CATTLE

2020 ◽  
Author(s):  
В.И. РАИЦКАЯ
Keyword(s):  
Blood Cells ◽  
White Blood Cells ◽  
Age And Gender ◽  
Autumn Period ◽  
Hereford Cattle ◽  
The Republic ◽  
And Gender ◽  
One Year ◽  
Physiological Values ◽  
Gender Groups

Исследования проведены в Республике Хакасия. Проанализированы изменения некоторых гематологических и биохимических параметров крови у разных половозрастных групп крупного рогатого скота герефордской породы весной, летом, осенью и зимой. Анализ крови здоровых особей показал, что в различные периоды года отмечались колебания изучаемых показателей, что может являться следствием дефицита в организме углеводного, минерально-витаминного и белкового обменов. Количество лимфоцитов в крови у коров, быков-производителей и нетелей в зимний период были ниже физиологической нормы. В осенний период этот показатель так и не приблизился к установленной норме у коров и составил 1,7×109/л, что можно объяснить погрешностями в кормлении высокопродуктивных животных и более слабыми окислительно-восстановительными процессами в их организме. Пониженное число эритроцитов в крови в зимний период у коров, быков-производителей и нетелей, кроме бычков до года, может быть также обусловлено неполноценным кормлением. Морфологический состав крови у животных различных половозрастных групп в основном находился в пределах физиологических значений и свидетельствовал о том, что они были здоровы. Уменьшение в сыворотке крови общего белка, по сравнению с физиологической нормой, в весенний период происходило у коров на 32,8%, нетелей — на 30,8%, у бычков до года — на 39,7%, а у быков-производителей летом на 36,9%, что также можно объяснить недостатком протеина в кормах и рационах. В осенний период данный показатель у всех групп приблизился к физиологической норме. The research was carried out in the Republic of Khakassia. The changes of certain hematological and biochemical blood values in various age and gender groups of cattle belonging to Hereford breed were analyzed in spring, summer, autumn, and winter. The analysis of blood from healthy animals showed the presence of fluctuations in the studied values during various periods of the year, which can be a consequence of a deficiency of carbohydrate, mineral and vitamin, as well as protein metabolism in the bodies. The number of white blood cells in the blood of cows, seed bulls, and heifers was lower than the physiological norm. During the autumn period this value in cows did not get close to the set norm and amounted to 1.7x109/L which can be explained by the errors of feeding highly-productive animals, as well as weaker redox processes in their organisms. Decreased number of red blood cells in cows, seed bulls, and heifers, except for bulls younger than one year of age, can be also caused by inadequate feeding. The morphological composition of blood of animals belonging to various age and gender groups was generally within the physiological values and showed that they were healthy. The decrease of total protein in blood serum compared to the physiological norm during the spring period was seen in cows by 32.8%, heifers — by 30.8%, bulls younger than one year of age — 39.7%, and in seed bulls during the summer, by 36.9%, which can also be explained by the lack of protein in the feed and diet. During the autumn period this value was closer to the physiological norm in all groups.

AGE AND GENDER DIFFERENCES IN GROWTH OF MASS, LENGTH AND WIDTH OF CALVARIA IN ONTOGENESIS OF ROMANOV BREED SHEEP

2020 ◽  
Keyword(s):  
Statistical Processing ◽  
Postnatal Life ◽  
Morphological Parameters ◽  
Age And Gender ◽  
Age And Gender Differences ◽  
Biological Laws ◽  
And Gender ◽  
One Year ◽  
Breed Sheep ◽  
Uterine Development

This article presents the results of scientific studies of morphometric indicators of calvary in the pre-and postnatal ontogenesis of Romanov breed sheep. Changes related to the sex of experimental animals were also studied. In order to detect general patterns of growth of calvari morphological parameters, the age stages of selecting material for research were determined: from a 2-month-old fetus to 12 months of postnatal life and from adult sheep 5-6 years old. We measured the mass, length and width of the studied material. The data obtained were subjected to statistical processing. The calvary maturity at each age in percentage, was determined. As a result of our studies, we were able to establish that the growth of linear indicators of calvary subjected to general biological laws of a decrease in its intensity with age, i.e. more rapidly, it proceeds in uterine development compared with postnatal. As for the changes in sex-related animals, it was found that growth of mass, length and width of calvary occurs in both sexes simultaneously and with almost the same intensity. In their growth, two decreases are observed: the first - before birth and the second - from 3 to 6 months. Throughout the entire periods of research, the calvary mass in females approaches its final value faster, and its length, on the contrary, in males. As for its width, in uterine development it grows somewhat faster than in females, and after birth in males. By one-year-old age of sheep, none of the calvari indicators in either males or females reaches its definitive state.

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