scholarly journals Main trends of changes in indicators of emergency outpatient care for adult population of the large industrial city

2017 ◽  
Vol 98 (1) ◽  
pp. 105-110
Author(s):  
I R Iskandarov ◽  
A A Gilmanov
Keyword(s):  
Chronic Diseases ◽  
Acute Exacerbation ◽  
Emergency Care ◽  
Outpatient Care ◽  
Adult Population ◽  
Circulatory System ◽  
Health Organizations ◽  
Outpatient Visits ◽  
Number Of Patients ◽  
Outpatient Settings

Aim. To study major trends of emergency outpatient visits on the example of the city of Naberezhnye Chelny adult population of different categories by age and sex according to the time indices - the month and day of the week.Methods. 3,393,351 outpatient visits of the Naberezhnye Chelny adult population for 2011-2013 were analyzed.Results. The highest attendance rates of adult population to health organizations providing emergency care in outpatient settings were registered in spring (March, April, May) and in autumn (September, October, November) with a peak attendance in April and October. There is a certain pattern of distribution of cases of outpatient visits for acute exacerbation of chronic diseases, and by the day of the week. Thus, a significant number of patients attended health organizations on Monday (26%). In the following days, their number gradually decreased and reached minimum on Saturday and Sunday. During the study period, the number of outpatient visits for acute exacerbation of chronic diseases by adult population on Monday rose by 12.1%. In the structure of emergency outpatient care, proportion of the diseases of respiratory, musculoskeletal and circulatory systems was the highest. During the study period number of visits for diseases of respiratory system increased by 2.4%, circulatory system - by 1.2%, musculoskeletal system - has not changed.Conclusion. The main workload of medical organizations providing emergency care in outpatient settings is unequally distributed by days of the week and months; there is a need for translating outpatient care on a 7-day work schedule to avoid the maximum load on the outpatient clinic on Monday and in the morning hours as a result of the accumulated over the weekend and night hours incidence.

scholarly journals Factors Associated with Free Hospital Outpatient Service Use among Middle-Aged and Older Urban Homeless Adults in Taipei

2021 ◽  
Vol 18 (10) ◽  
pp. 5330
Author(s):  
Lan-Ping Lin ◽  
Li-Yun Wang ◽  
Tai-Wen Wang ◽  
Yun-Cheng Chen ◽  
Jin-Ding Lin
Keyword(s):  
Logistic Regression ◽  
Depressive Symptoms ◽  
Chronic Diseases ◽  
Service Use ◽  
Outpatient Service ◽  
Homeless People ◽  
Cross Sectional Survey ◽  
Factors Associated ◽  
Hospital Outpatient ◽  
Outpatient Visits

Homeless individuals have many negative experiences with inequality regarding access to and the use of primary healthcare services, so policies to eliminate the disparities in and barriers to primary care access for these people are needed. The aim of this study was to explore the use and determinants of free hospital outpatient services for homeless people, in order to describe the provision of free healthcare policies for this vulnerable population in Taipei. One cross-sectional survey was conducted to recruit homeless people aged 45 years old and over in Taipei in 2018. A structured questionnaire was used, and face-to-face interviews were conducted by three social workers to collect the data. Finally, 129 participants were recruited in the study. The results show that 81.4% of the homeless people had made free hospital outpatient care visits (mean = 5.9 visits) in the last three months. An unadjusted logistic regression analysis showed that those homeless people who reported having usual healthcare providers, with higher depressive symptom scores, who used medication and had been hospitalized within one year, and had more chronic diseases, were significantly more likely to make free hospital outpatient visits. The adjusted logistic regression model indicates that homeless people with severe depressive symptoms (odds ratio (OR) = 9.32, 95% CI = 1.15–56.07), who had received medication (OR = 3.93; 95% CI = 1.06–14.52), and who had more than five chronic diseases (OR = 1.06, 95% CI = 1.35–13.27), were significantly more likely to make free hospital outpatient visits than their counterparts. The findings highlight that homeless people have higher healthcare requirements than the general population, and the healthcare system should pay more attention to factors associated with higher outpatient service use, such as homelessness, severe depressive symptoms, the receipt of medication and chronic diseases.

Abstract 03: Outpatient Care Preceding Incident Heart Failure (HF) and Implications for Long-Term Outcomes. The Atherosclerosis Risk in Communities (ARIC) Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Anna Kucharska-Newton ◽  
Lloyd Chambless ◽  
Ricky Camplain ◽  
Carmen Cuthbertson ◽  
Patricia Chang ◽  
...  
Keyword(s):  
Outpatient Care ◽  
Primary Care Physicians ◽  
Fee For Service ◽  
Physician Visits ◽  
Comorbidity Score ◽  
Risk Of Death ◽  
Outpatient Visits ◽  
Outpatient Physician ◽  
One Year ◽  
Aric Study

Hypothesis: We hypothesized that outpatient management of patients at risk for a HF hospitalization is associated with lower mortality following an incident HF hospitalization. Methods: Patterns of outpatient visits prior to incident HF hospitalization were assessed among CMS Medicare beneficiaries with continuous fee-for-service eligibility residing during 2003-2006 in four geographic areas of CVD surveillance conducted by the ARIC Study. Incident HF hospitalization was defined as hospitalization with ICD9 code 428.x with no HF hospitalizations in preceding 2 years. Outpatient visits to primary care physicians, general internists, or cardiologists were identified from Carrier files. A comorbidity score was calculated from ICD9 codes at the time of incident HF hospitalization. Cox proportional hazard models adjusted for age, comorbidity score, gender, and race were used to estimate mortality. Results: Mean age among beneficiaries with observed incident HF hospitalization (n=2006; 90.4% white, 45.1% male) was 79.8 years (SD 7.4). Mean comorbidity score was 3.6 (SD 1.9). Mean number of outpatient physician visits occurring in two years preceding the incident HF hospitalization, was 9.6 (SD 9.0); 19.6% beneficiaries had no observed prior outpatient physician visits. Risk of death within one year of incident HF hospitalization was greater among those with no preceding outpatient physician visits as compared to those with at least one physician visit (adjusted HR=1.81 (95% CI 1.50, 2.18); Figure). Adjustment for the presence of an outpatient visit within 2 weeks following the HF hospitalization attenuated the risk of death (HR=1.56 (1.29, 1.89)). Conclusion: Lack of outpatient care in two years prior to a HF-related hospitalization is associated with increased mortality within one year following hospitalization. Further inquiry is warranted to assess whether the association reflects diversity in causes/manifestations of HF, ambulatory care received in ED settings, or benefits associated with outpatient care.

Emergencies in diseases of the circulatory system of the adult population of the Khabarovsk krai: the current status and trends

2021 ◽  
Vol 89 (3) ◽  
pp. 16-25
Author(s):  
K.P. Topalov ◽  
◽  
T.V. Zaitseva ◽  
T.G. Trembach ◽  
◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cerebral Circulation ◽  
Adult Population ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Current Status ◽  
Newly Diagnosed ◽  
Khabarovsk Krai ◽  
Coronary Syndrome ◽  
Status And Trends

The indicators of morbidity of the adult population of the Khabarovsk Krai with diseases of the circulatory system and mortality caused by these diseases in 2002–2019 were studied. Special attention is paid to urgent pathology - acute coronary syndrome and acute disorders of cerebral circulation. It was found that acute coronary syndrome and acute disorders of cerebral circulation in the region account for about 75–85% of all newly diagnosed diseases of the circulatory system - ischemic heart disease, cerebrovascular diseases; they result in up to 32% of deaths from diseases of the circulatory system

scholarly journals Prevalence of Advance Care Planning Practices Among People with Chronic Diseases in Hospital and Community Settings: A Quasi-Experimental Design

2020 ◽  
Author(s):  
Sarah Yeun-Sim Jeong ◽  
Tomiko Barrett ◽  
Se Ok Ohr ◽  
Peter Cleasby ◽  
Ryan Davey
Keyword(s):  
Health Care ◽  
Chronic Diseases ◽  
Advance Care Planning ◽  
Healthcare Professionals ◽  
Community Setting ◽  
Care Planning ◽  
Community Settings ◽  
Future Health ◽  
Number Of Patients ◽  
Advance Care

Abstract Background: Advance Care Planning (ACP) enables healthcare professionals to embrace the important process where patients think about their values in life and goals for health care, and discuss their future health care preferences with family members for a time when they are not able to make health care decisions. Despite the promotion of ACP last two decades, and well-known benefits of ACP and a written Advance Care Directive (ACD), they are still underutilised in Australia and across the world. Previous studies have provided some insights, however, an uptake of ACP and prevalence of ACDs in community setting is rarely reported.Methods: The aim of this study was to determine the uptake of ACP and prevalence of ACDs among people with chronic diseases in hospital and community settings. A retrospective medical record audit of eligible patients looking for evidence of ACP was conducted in 16 research sites (eight intervention and eight control) in hospital and community care settings. Participants included those who were admitted to one of the research sites, and who were aged 18 years and over with at least one of nine nominated chronic diseases. The primary outcome measures included the number of patients with evidence of ACP through the following practices: completion of an ACD, appointment of an Enduring Guardian (EG), or completion of a resuscitation plan. Results: The overall prevalence of ACD was 2.8% (n=28) out of 1006 audited records, and only 10 of them were legally binding. The number of EGs legally appointed was 39 (3.9%) across the sites. A total of 151 (15.4%) resuscitation plans were found across the eight hospital sites. 95% (n=144) of the resuscitation plans advised ‘Not-for-resuscitation’. Conclusions: The uptake of ACP is very low. Current medical recording system reveals the challenges in ACP lie in the process of storage, access and execution of the ACDs. Given that having an ACD or EG in place is only useful if the treating physician knows how and where to access the information, it has implications for policy, information system, and healthcare professionals’ education. Trial registration: The study was retrospectively registered with the Australian New Zealand Clinical Trials Registry (Trial ID: ACTRN12618001627246). The URL of the trial registry record http://www.anzctr.org.au/trial/MyTrial.aspx

scholarly journals FEATURES OF THE MORBIDITY IN OBESE CHILDREN AND ADOLESCENTS OF THE REPUBLIC OF UZBEKISTAN

2019 ◽  
Vol 96 (3) ◽  
pp. 274-277
Author(s):  
B. B. Rakhimov
Keyword(s):  
Adult Population ◽  
Circulatory System ◽  
Endocrine System ◽  
Normal Weight ◽  
Obese Children ◽  
Nutrition Disorders ◽  
Digestive System Diseases ◽  
The Republic ◽  
All Diseases ◽  
Obesity In Children

Aim of the study. To estimate the prevalence of the obesity in children and adult population of the Republic of Uzbekistan and the identification of the structure of the overall incidence of child and adolescent obesity. Methods. Clinical, analytical and statistical. The prevalence rate of obesity in the Republic of Uzbekistan in 2012-2014 among adults was founded to be of 31-34 ‰, in children - 50-66 ‰. Results. There was noted the gain in the rate obesity in children by 30% over 3 years. In contrast to children with normal weight, in the structure of diseases in obese children in order of significance there are dominated diseases of the endocrine system and nutrition disorders, respiratory diseases, diseases of the digestive system, diseases of the circulatory system and neuro - psychiatric disorders, amounting in total of 75% of all diseases.

scholarly journals Transfer of human proinsulin gene into Cucumber (Cucumis sativus L.) via agrobacterium method

Genetika ◽  
2017 ◽  
Vol 49 (2) ◽  
pp. 717-728
Author(s):  
Kameh Abookazemi ◽  
Javaran Jalali ◽  
Mehdi Mohebodini ◽  
Akbar Vaseghi
Keyword(s):  
Transgenic Plants ◽  
Molecular Farming ◽  
Adult Population ◽  
Advanced Technology ◽  
High Rate ◽  
35S Promoter ◽  
Dot Blot ◽  
Hormone Production ◽  
Human Proinsulin ◽  
Number Of Patients

Nowadays, approximately 5.8% in adult population around the world are suffering by diabetes. It can be caused by an increase in risk factors such as being overweight. Also it has been estimated that the number of patients will be doubled in near future and the demands for insulin hormone will be growing up by 3 to 4 % annually. Therefore, it?s necessary to develop new methods for hormone production with high rate of capacity in future. By advanced technology of transgenic DNA, the transgenic plants are introduced as an attractive system for expression and production of many kinds of pharmaceutical proteins. In this study, we investigated transfer of Human Proinsulin Gene into the Cucumber (Cucumissativus L.). Transgenic cucumber could be a great prospect for future source of eatable insulin pharmaceutical drugs to be taken by patients.Agrobacterium tumefaciensstrain LBA4404 carrying proinsulin genes with CaMV 35S promoter was used for the transformation purpose. The transgenic plants were analyzed by PCR, RT-PCR, SDS-PAGE, Dot blot and Electrochemiluminescence techniques. Production of proinsulin in cucumber could be a great prospect in molecular farming of human proinsulin.

scholarly journals Peculiarities of the disease and prevalence of chronic cystitis among the female population of Ukraine in the regional aspect

2021 ◽  
Vol 26 (4) ◽  
pp. 212-219
Author(s):  
N.O. Saidakova ◽  
V.P. Stus ◽  
N.V. Havva ◽  
V.І. Grodzinsky
Keyword(s):  
Growth Rate ◽  
Adult Population ◽  
High Growth ◽  
High Growth Rate ◽  
Chronic Cystitis ◽  
Female Population ◽  
Regional Aspect ◽  
Number Of Patients ◽  
Southeastern Region ◽  
Intensive Growth

The study uses data from state and industry official statistics for 2008-2017. Absolute and relative indicators of morbidity and prevalence of chronic cystitis among the female population of Ukraine, its regions and areas were analyzed taking into account two five-year periods for comparative assessment of the nature and intensity of dynamic processes. It is revealed that the number of patients with chronic cystitis (СC) registered in Ukraine is at the expense of women, which are 3-3.5 times more in number than men, with their characteristic more intensive growth (for 10 years by 3.6% against 0.4% among the adult population in the country). The first three places in the structure belong to the Southeastern region, Kyiv, Western region, the next – Central, Southern, Northeastern regions. Levels of the prevalence of the disease among women (100 thousand) are higher than the average in Ukraine and have a high growth rate (for 10 years by 13.5% from 232.2 to 263.6 against 9.3% from 171.5 to 187.5, respectively). Typical for Ukraine persistent increase in patients with the first diagnosis of chronic cystitis (0.8%, 2.1% and 2.8%, respectively, in the first, second periods and 10 years to 15112 in 2017) is also formed by this category (women's growth was 3.4%, 12.4%, and 5.0%, respectively, to 11.295). A similar situation was also identified in the analysis of the level of morbidity (per 100 thousand). In Ukraine, its growth rate for the last five years was 9.6% against 1.8% for the previous year, for 10 years – 11.9%, and the value reached 43.4 in 2017 against 38.8 in 2008. Among women, its levels are higher than the average in Ukraine (in 2017 – 59.2 against 56.1 in 2008), and the increase was more intense (by 6.2% and 11.3% over the periods; for 10 years – by 11.98%).

scholarly journals The sociodemographic determinants of non-communicable diseases among the adult population of Dubai: self-reported data from Dubai household health survey, 2019

2021 ◽  
Author(s):  
Wafa K. Alnakhi ◽  
Heba Mamdouh ◽  
Hamid Y. Hussain ◽  
Gamal M. Ibrahim ◽  
Amar Sabri Ahmad ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Survey ◽  
Negative Impact ◽  
Adult Population ◽  
Communicable Diseases ◽  
The Self ◽  
Medical Attention ◽  
Older Individuals ◽  
Non Communicable Diseases

Abstract Background: Non-communicable diseases (NCDs) are the leading causes of death worldwide. In the UAE, NCDs account for nearly 77% of all deaths. There is limited empirical research on this topic in the UAE. We aim to examine this association among the adult population in the Emirate of Dubai.Method: This study used data from the Dubai Household Health Survey (DHHS), 2019. In this survey, 2,247 families were interviewed and only adults aged 18+ were included for the analysis. The self-reported chronic disease was defined as reporting any chronic morbidities occurred during the past year that required ongoing medical attention and medical care. Sociodemographic characteristics covariates were age group, marital status, nationality, gender, education and working status. The quasi-binomial distribution was used to identify factors associated with chronic disease.Results: The prevalence of chronic diseases among the adult population of Dubai was 15.01%. Individuals aged 60+, local Arabs (Emirati), divorced and widowed individuals, and individuals who were not currently working reported a chronic disease more than the other groups. In the regression analysis, age (years) was the strongest predictor (OR 3.6, 95% CI: 2.8, 4.7). Males were more likely to report a chronic disease (OR 1.61, 95% CI: 1.277, 2.035). Unmarried individuals were less likely to report a chronic disease (OR 0.11, 95% CI: 0.02, 0.70). However, older individuals who were unmarried were more likely to report a chronic disease compared to the reference group (OR 2.8, 95% CI: 1.2, 6.1). Emiratis were more likely to report a chronic disease (OR 2.08, 95% CI: 1.62, 2.67).Conclusion: The self-reported rate of chronic disease was shown to be higher in older individuals, males, Emiratis, and older individuals who were unmarried. This is one of the few studies related to chronic diseases in Dubai. It is important to translate the current study findings into policies to help reduce the incidence of chronic diseases in Dubai and to minimize the negative impact of these illnesses, particularly among those with the sociodemographic risk factors identified here. In addition, healthcare services and resources should be reallocated to the population groups with greater health needs.

Emergencies in diseases of the circulatory system in the adult population of the Khabarovsk Territory: the current status and trends Part 3. Acute disorders of cerebral circulation

2021 ◽  
Vol 90 (4) ◽  
pp. 37-42
Author(s):  
K.P. Topalov ◽  
◽  
T.E. Zaitseva ◽  
T.G. Trembach ◽  
◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cerebral Circulation ◽  
Adult Population ◽  
Circulatory System ◽  
Cerebrovascular Diseases ◽  
Current Status ◽  
Newly Diagnosed ◽  
Khabarovsk Krai ◽  
Coronary Syndrome ◽  
Status And Trends

The indicators of morbidity of the adult population of the Khabarovsk Krai with diseases of the circulatory system and mortality from them in 2002–2019 have been studied. Special attention is paid to urgent pathology – acute coronary syndrome and acute disorders of cerebral circulation. It was found that acute coronary syndrome and acute disorders of cerebral circulation in the region account for about 75–85% of all newly diagnosed diseases of the circulatory system – ischemic heart disease, cerebrovascular diseases; they give up to 32% of deaths from diseases of the circulatory system

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