Children's Surgical Forum report

2007 ◽  
Vol 89 (7) ◽  
pp. 246-247
Author(s):  
David Jones
Keyword(s):  
Surgical Care ◽  
First Report ◽  
Quality Of Treatment

The Children's Surgical Forum (CSF) will launch its new report in mid-July. In the seven years since the CSF published its first report, Children's Surgery: A First Class Service, the surgical landscape has changed almost beyond recognition and there are major threats to the standards of surgical care for children. While it may no longer be possible to treat children in the ways to which the population is accustomed, there must be networks of care in place that maintain the best quality of treatment for them. It is against this background that the CSF has brought thinking on the organisation and delivery of surgical care to the young up to date.

Quality of Treatment with Orthopedic Constructions as a Problem of Clinical Dentistry (Literature Review)

2018 ◽  
Vol 4 (2) ◽  
pp. 59-68
Author(s):  
I. Yanishen ◽  
◽  
A. Iarova ◽  
O. Berezhnaia ◽  
A. Dolia ◽  
...  
Keyword(s):  
Literature Review ◽  
Quality Of Treatment

scholarly journals First Speleomycological Study on the Occurrence of Psychrophilic and Psychrotolerant Aeromycota in the Brestovská Cave (Western Tatras Mts., Slovakia) and First Reports for Some Species at Underground Sites

Biology ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 497
Author(s):  
Rafał Ogórek ◽  
Mateusz Speruda ◽  
Justyna Borzęcka ◽  
Agata Piecuch ◽  
Magdalena Cal
Keyword(s):  
Global Warming ◽  
Immune System ◽  
Biological Material ◽  
Fungal Spores ◽  
Airborne Fungi ◽  
Fungal Species ◽  
Air Samples ◽  
Cold Adapted ◽  
First Report

Most underground ecosystems are heterotrophic, fungi in these objects are dispersed in the air in the form of spores, and they may be potentially hazardous to mammals. Research in underground sites has focused on mesophilic airborne fungi and only a few concerned cold-adapted species. Therefore, the goal of our research was the first report of psychrophilic and psychrotolerant aeromycota in the Brestovská Cave using culture-based techniques with genetic and phenotypic identification. Plates with PDA medium containing sampled biological material were incubated at 8 ± 0.5 °C. The density of mycobiota inside the cave ranged from 37.4 to 71 CFU 1 m−3 of air and 63.3 CFU 1 m−3 of air outside the cave. Thus, the level of fungal spores did not exceed the standards for the mycological quality of the air. A total of 18 species were isolated during the study, and some species may be potentially dangerous to people with weakened immune system. All fungal species were present inside the cave and only seven of them were outside. Cladosporium cladosporioides dominated in the external air samples and Mortierella parvispora was cultured most frequently from internal air samples. To our knowledge, this is the first discovery of the fungal species such as Coniothyrium pyrinum, Cystobasidium laryngis, Filobasidium wieringae, Leucosporidium drummii, M. parvispora, Mrakia blollopis, Nakazawaea holstii, and Vishniacozyma victoriae in the air inside the underground sites. Moreover, C. pyrinum, C. laryngis, L. drummii, M. blollopis, and N. holstii have never been detected in any component of the underground ecosystems. There are possible reasons explaining the detection of those species, but global warming is the most likely.

scholarly journals The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dimuthu Rathnayake ◽  
Mike Clarke
Keyword(s):  
Primary Care ◽  
Health Systems ◽  
Elective Surgery ◽  
Waiting Times ◽  
Surgical Care ◽  
High Income ◽  
Surgical Patients ◽  
Timely Access ◽  
Referral Systems

Abstract Background Long waiting times for elective surgery are common to many publicly funded health systems. Inefficiencies in referral systems in high-income countries are more pronounced than lower and middle-income countries. Primary care practitioners play a major role in determining which patients are referred to surgeon and might represent an opportunity to improve this situation. With conventional methods of referrals, surgery clinics are often overcrowded with non-surgical referrals and surgical patients experience longer waiting times as a consequence. Improving the quality of referral communications should lead to more timely access and better cost-effectiveness for elective surgical care. This review summarises the research evidence for effective interventions within the scope of primary-care referral methods in the surgical care pathway that might shorten waiting time for elective surgeries. Methods We searched PubMed, EMBASE, SCOPUS, Web of Science and Cochrane Library databases in December-2019 to January-2020, for articles published after 2013. Eligibility criteria included major elective surgery lists of adult patients, excluding cancer related surgeries. Both randomised and non-randomised controlled studies were eligible. The quality of evidence was assessed using ROBINS-I, AMSTAR 2 and CASP, as appropriate to the study method used. The review presentation was limited to a narrative synthesis because of heterogeneity. The PROSPERO registration number is CRD42019158455. Results The electronic search yielded 7543 records. Finally, nine articles were considered as eligible after deduplication and full article screening. The eligible research varied widely in design, scope, reported outcomes and overall quality, with one randomised trial, two quasi-experimental studies, two longitudinal follow up studies, three systematic reviews and one observational study. All the six original articles were based on referral methods in high-income countries. The included research showed that patient triage and prioritisation at the referral stage improved timely access and increased the number of consultations of surgical patients in clinics. Conclusions The available studies included a variety of interventions and were of medium to high quality researches. Managing patient referrals with proper triaging and prioritisation using structured referral formats is likely to be effective in health systems to shorten the waiting times for elective surgeries, specifically in high-income countries.

Clinical efficacy of the drug 200 mg silver proteinate in the complex therapy of acute infectious rhinitis in children, which occurred as part of an acute respiratory infection

2021 ◽  
Vol 20 (4) ◽  
pp. 88-95
Author(s):  
A. B. Kiselev ◽  
◽  
Kh. T. Abdulkerimov ◽  
N. E. Terskova ◽  
V. A. Chaukina ◽  
...  
Keyword(s):  
Comparative Study ◽  
Pharmaceutical Company ◽  
Respiratory Infection ◽  
Nasal Spray ◽  
Clinical Efficacy ◽  
Acute Respiratory Infection ◽  
Quality Of Treatment ◽  
Complex Therapy

The effectiveness of pharmacotherapy of acute infectious rhinitis in children by means of drugs from the list of medicines of the J00 Standard and in addition to this pharmacotherapy with the drug silver proteinate – 200 mg nasal spray Sialor® (manufacturer of JSC «Production Pharmaceutical Company “Obnovlenie”, Russia) was evaluated in a multicenter randomized comparative study. A higher quality of treatment was demonstrated when using 200 mg silver proteinate (Sialor®) in the form of a nasal spray in complex therapy. The article presents evidence of the feasibility of including the drug 200 mg silver proteinate in the list of medicines of the J00 Standard.

CONCEPTUALIZATION OF THE DIAGNOSED CLINICAL SITUATION COMPONENTS FOR ELECTRONIC MONITORING OF THE TREATMENT QUALITY

2021 ◽  
Vol 67 (1) ◽  
pp. 10-10
Author(s):  
T.K. Lugovkina ◽  
Keyword(s):  
Clinical Practice ◽  
Care Delivery ◽  
The State ◽  
Information Environment ◽  
Medical Specialties ◽  
Philosophical Foundations ◽  
Conceptual Schemes ◽  
Quality Of Treatment ◽  
General Terms

Significance. Free care delivery within the framework of the State Guarantee Programs substantiates the development of electronic platforms for information support of doctors in prescribing medicines and monitoring quality of treatment. Conceptualization of the unified information environment of clinical practice, unified interpretation of the terms and components of the diagnosed clinical situations are important conditions for effective performance of the medical electronic platforms. Purpose: to conceptualize the scheme of information environment of clinical practice to support decision-making and monitor quality of treatment. Material and methods. The conceptual schemes of the information environment of clinical practice have been developed in accordance with the system principles. The methodology for constructing conceptual schemes is based on the general principles of philosophical foundations of science. Results. The conceptual schemes, conceptual apparatus, and information environment of structural elements of the model of information environment of clinical practice have been developed. A glossary of general terms and concepts of the information environment of clinical practice has been created. The structural model of information environment was tested at the prototype electronic platforms across different medical specialties. Conclusion. The use of ontologies and intelligent systems based on the expert knowledge in combination with digital coding of the diagnosed clinical situations serve a promising approach to monitor and control quality of care delivery and cost accounting within the framework of the State Guarantee Programs implementation. Scope of application. The concepts of the components of the diagnosed clinical situations meet the requirements of the interdisciplinary level of the information environment and are applicable for creating electronic platforms in various specialized areas of clinical practice.

scholarly journals Assessing the Quality of Surgical Care in Vascular Surgery; Moving from Outcome Towards Structural and Process Measures

2010 ◽  
Vol 40 (6) ◽  
pp. 696-707 ◽  
Author(s):  
A.J. Ploeg ◽  
H.C. Flu ◽  
J.H.P. Lardenoye ◽  
J.F. Hamming ◽  
P.J. Breslau
Keyword(s):  
Vascular Surgery ◽  
Surgical Care ◽  
Process Measures

CEU chief awarded professorship

2008 ◽  
Vol 90 (9) ◽  
pp. 299-299
Author(s):  
Matthew Worrall
Keyword(s):  
Health Services Research ◽  
Clinical Epidemiology ◽  
Surgical Care ◽  
Clinical Effectiveness ◽  
London School ◽  
Services Research ◽  
Senior Lecturer ◽  
The Uk ◽  
Key Staff

Since 1998 the College has been working in collaboration with the London School of Hygiene and Tropical Medicine (LSHTM) to understand better the quality of surgical care in the UK, through our Clinical Effectiveness Unit (CEU). Now the unit has gained further recognition through the promotion of key staff by the LSHTM as Jan van der Meulen, CEU head, has been appointed professor of clinical epidemiology (a new chair) and David Cromwell promoted to senior lecturer in health services research. To mark this, I interviewed Jan on the achievements of the department and on what challenges lie ahead.

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