scholarly journals Examination of Patient Profiles Admitted to the Paediatric Emergency According to Various Variables

2021 ◽  
Author(s):  
Ayfer YUKSEL
Keyword(s):  
Health Care Services ◽  
Emergency Service ◽  
Emergency Services ◽  
Unknown Origin ◽  
University Hospital ◽  
Age Group ◽  
Chi Square ◽  
Paediatric Emergency ◽  
Care Services ◽  
Chi Square Test

Abstract Purpose: The aim is to examine the applications to the paediatric emergency service of Foundation University Hospital in Ankara according to variables: gender, age, season of application, diagnosis, number of consultations and hospitalizations, and triage codes. Materials and methods: The research is a retrospective descriptive study. The data of patients admitted to the paediatric emergency department of a hospital in Ankara between 01.08.2017-31.07.2018 were obtained (n=16383). Frequency, percentages, cross table, and chi-square test were used for comparison. Findings: 0% of patients: very urgent application, 19%: urgent and 81%: non-urgent. The most common first three diagnoses: “unknown origin fever”, “cough”, "nausea and vomiting”. The 0-28 days age group had the lowest number of applications with 5% and had the highest emergency triage status with 66.5%; and the 19 months-5 years age group had the highest number of applications with 49% and had the lowest emergency triage rate with 12.8%.Conclusion: The reasons for applying to PES may differ according to contextual variables and providing parents with information from reliable sources may reduce unnecessary anxiety and emergency service admissions. There should be strengthened primary health care services and referral system to maintain high-quality emergency services.

scholarly journals Knowledge, Attitudes and Practices Regarding Dengue Fever in a Cohort of Nursing Students

2019 ◽  
pp. 1-9
Author(s):  
Mansoor Shueai Al Awfi ◽  
Bushra Anaam AL Sharabi ◽  
Abdullah Al Alimi ◽  
Mohammed Abdo Abkar
Keyword(s):  
Nursing Students ◽  
Dengue Fever ◽  
Health Care Services ◽  
Dengue Infection ◽  
Chi Square ◽  
Attitudes And Practices ◽  
Care Services ◽  
Chi Square Test ◽  
Questionnaire Method ◽  
Knowledge Attitudes And Practices

Background: Good knowledge, attitudes and practices (KAP) on dengue fever will result a significant effect on prevention and control. Conversely, poor KAP help spread of dengue vectors and virus resulting in dengue epidemics. Objective: This study aimed to evaluate the knowledge, attitudes and practices regarding dengue fever among a cohort of nursing students in faculty of medicine and health sciences, Hodiedah University, Hodiedah, Yemen. Methods: Data was collected from 80 students using questionnaire method consists of a set of questions during 2016–2017educational year. KAP were assessed as satisfactory or unsatisfactory using a scoring system. Data was analyzed by using the Statistical Package for Social Sciences (SPSS®). Chi-square test was used for testing associations.  Results: According to KAP scores, 12.5%, 97.5% and 25% of respondents had satisfactory knowledge, attitudes and practices respectively. While 87.5%, 2.5% and 75% of them had unsatisfactory knowledge, attitudes and practices about dengue fever. There is significant association between knowledge and practices (p= 0.001). However, there is no significant association between knowledge and attitudes (p= 0.588) about dengue fever. Conclusion: Present study concluded that 87.5 % and 75% of participants nursing students have unsatisfactory knowledge and practices regarding dengue infection. Therefore, it is importance to enhance their knowledge and practices before graduation and employing them for health care services in the community.

Parental Custody Negotiations and Health Insurance Access for Children

2003 ◽  
Vol 84 (2) ◽  
pp. 223-228
Author(s):  
Walter L. Ellis
Keyword(s):  
Access To Health Care ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Chi Square ◽  
Healthy Development ◽  
Care Services ◽  
Access To Health ◽  
Sole Custody ◽  
Chi Square Test ◽  
Logical Regression

Family practitioners who provide divorce education programs should be aware that a child in a sole-custody household (especially one headed by the father) is highly likely to lack insurance coverage for access to health care services for healthy development. Examining 543 divorce records in New Hampshire, the author analyzed coverage across divergent family types following custody negotiations and found that a child in a sole-custody household was at higher risk for lacking coverage than was one in a shared-custody household. These results were confirmed by a chi-square test and logical regression statistical analysis. In a multivariate analysis, the author found that teenagers, children whose parents earned high incomes, and those with working mothers were likely to be covered, although the likelihood was lower in the case of daughters.

scholarly journals Maternal risk factors for neonatal jaundice: a hospital-based cross-sectional study in Tehran

2018 ◽  
Vol 28 (3) ◽  
Author(s):  
Reza Tavakolizadeh ◽  
Anahita Izadi ◽  
Golnar Seirafi ◽  
Leila Khedmat ◽  
Sayed Yousef Mojtahedi
Keyword(s):  
Risk Factors ◽  
Health Care Services ◽  
Neonatal Jaundice ◽  
Cross Sectional Study ◽  
Maternal Risk Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Care Services ◽  
Chi Square Test

Diagnosis and timely treatment of neonatal jaundice is critical to preventing its dangerous side effects. Knowing the predisposing factors of neonatal jaundice is still a serious debate, which can be effective in controlling jaundice and the primary problem. The aim of this study was to evaluate maternal risk factors that contribute to the Hyperbilirubinemia among newborns admitted to Imam Khomeini and Ziaeean hospitals during 2015. We collected random samplings for the current study. Medical records for all newborns with jaundice were examined for risk factors associated with Hyperbilirubinemia. All variables were analyzed by SPSS software, version 19. Chi-square test and T-test were applied to evaluate qualitative and quantitative data, respectively. Our findings revealed that maternal age, weight, BMI, WBC, Hb, PLT, birth in the first pregnancy, numbers of pregnancies and prolonged delivery were significantly associated with bilirubin levels. Preventing the risk correlated with maternal factors or identifying neonates with these risk factors is important in effective management of infants. Therefore, the evaluation of neonatal jaundice in health care services should always be considered as a fundamental policy.

A retrospective evaluation of analgesic exposures from Izmir, Turkey

2007 ◽  
Vol 26 (8) ◽  
pp. 629-636 ◽  
Author(s):  
Nil Hocaoglu ◽  
Sule Kalkan ◽  
Aylin Akgun ◽  
Sedat Capar ◽  
Yesim Tuncok
Keyword(s):  
Age Groups ◽  
University Hospital ◽  
Age Group ◽  
Retrospective Evaluation ◽  
Chi Square ◽  
Standard Data ◽  
Information Center ◽  
Chi Square Test ◽  
Database Program ◽  
Gastrointestinal Decontamination

The objective of this study is to analyze exposures concerning analgesics that were reported to Dokuz Eylul University Drug and Poison Information Center (DPIC) and admitted to the Department of Emergency Medicine in Dokuz Eylul University Hospital (EMDEU) between 1993 and 2004. Demographics of the patients, characteristics of analgesic exposures, performed treatment attempts and outcome of the poisoned patients were recorded on standard data forms and were then entered into a computerized database program. Statistical analysis was performed by using the chi-square test. The DPIC recorded 55 962 poisoning calls, 48 654 (86.9%) of them related to medicines. Analgesics accounted for 16.3% (7 939 cases) of all medicine-related exposures; among them 446 exposures were admitted to EMDEU. More than half of the analgesic exposure calls and admitted cases involved adults (55.9%, 4 440). Females dominated in all age groups (70.3%, 5 578). Mean age was 20.2 ± 11.8. The most involved analgesics were paracetamol (47.9%), propionic acid derivatives (16.1%) and salicylates (13.7%). Most of the poisonings were intentional (75.1%), especially in 19—29 years age group of adults and 13—18 years age group of children. Most of the patients reported to DPIC and admitted to EMDEU were asymptomatic (84.4% and 54.7%, respectively). Gastrointestinal decontamination methods were performed more frequently for admitted poisoning cases before hospital admission than reported poisoning cases (61% vs. 23%). Paracetamol ingestion was the most common cause of analgesic exposures reported to our DPIC. Most of the analgesic exposures reported to DPIC were asymptomatic or mild. DPICs have an important role for the referral of analgesic exposures without unnecessary gastrointestinal decontamination procedures. Human & Experimental Toxicology (2007) 26, 629—636

scholarly journals Attitude of Staff Working in Primary Health Centres with Special Reference to Thoothukudi District

2019 ◽  
Vol 8 (4S3) ◽  
pp. 130-133
Keyword(s):  
Health Care Services ◽  
Secondary Data ◽  
Primary Data ◽  
Occupational Performance ◽  
Chi Square ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Chi Square Test

Most health care, services are meant for delivering health services at a rural base within prescribed location of the villages vis-a-vis the health centres. The beneficiaries', opinion on services, an attempt has been made to analyse the data related to the staff at various levels in primary health centres on occupational performance oriented tasks. The study examines the attitude of staff working in most health centres in Thoothukudi District. Both the primary data and secondary data used. Most data collected through interview schedules and secondary data collected through published articles, journals, magazines, books, newspapers, and websites. The data collected from about 300 respondents selected using a random sampling methods covering the villages Alwarthirunagari, Anandhapuram, Arumuganeri, Authur, Boothalapuram, Eppothumvendran, Erachi, Eral, Kadambur, Kalugumalai, Kayathar, Karungulam, Katcherithalavaypuram, Kayamozhi, Keelachekkarakudi, Keelairal, Kulaseharapattinam, Kulathur, Mappilaiyurani, Megnanapuram, Mookkuperi, Mudalur, Mudivaithanendal, Mullakadu, Nagalapuram, Ottanattham, Padukkapathu, Paramankuruchi, Pasuvanthanai, Perilovanpatti, Petmanagar, Pitchivilai, Pudukkottai, Puthiamputhur, Puthur, S. Kailasapuram, Salaiputhur, Sebathiyapuram, Sivakalai, Thenthiruperai, Udaiyarkulam, Vallanadu, Vellalankottai, Veppalodai, Vembar and Villiseri. Statistical Package for Social Science (SPSS) was used to analyze the data. The collected data was analyzed by using appropriate statistical tools like percentage and chi-square test for arriving at conclusions. Finding the study is the hectic pace of life in the world today is taking a great toll on people’s body and mind. The villagers', both body and mind feel more at ease only when treated well at centres where they go for treatment..

scholarly journals Profil Epidémiologique Des Lymphomes Malins NonHodgkinien Gastrique Au Maroc

2016 ◽  
Vol 12 (36) ◽  
pp. 378
Author(s):  
Ben khali Abdellah ◽  
Belamalem Souad ◽  
Qyou Ali ◽  
Houria Chahed Ouazzani ◽  
Soulaymani Abdelmajid
Keyword(s):  
Retrospective Study ◽  
Clinical Signs ◽  
University Hospital ◽  
Socioeconomic Level ◽  
Age Group ◽  
General State ◽  
Chi Square ◽  
Low Socioeconomic ◽  
Significant Difference ◽  
Chi Square Test

Retrospective study was done on some cases having Malin Lymphoma Non-Hodgkin's gastric recorded in Hepato-Gastroenterology department of University Hospital in Rabat during the period 2000 to 2010. The objective of this work is to identify primary and clinics Non Hodgkin lymphomas Malins of the stomach lymphosarcoma type. During the study periodwe registered 47 cases of Hodgkin's Lymphoma Non Malin, an average of 4 ± 0.59 cases / year. The majority of cases were from Kenitra-Rabat-Sale with 40% of cases. Males were the most affected with 55%. The chi-square test showed no significant difference between gender (χ2 = 0.53, P> 0.05). 56 ± 2.8 years. The average age of the patients was hospitalized with ends from 19 years to 85 years, a predominance of the age group [70-80 [with 24%. The majority of patients have a low socioeconomic level (95%). The most registered clinical signs are generally: Alteration of the general state (17%), fever (12%), anemia (10%), epigastric burn type and epigastric cramping in 8% for each of them. The location Antro - pyloric was the most frequent (54%), then the fundus location (18%) and diffuse forms in 9%.

Evaluation of caustics and household detergents exposures in an emergency service

2011 ◽  
Vol 31 (6) ◽  
pp. 533-538 ◽  
Author(s):  
MA Arıcı ◽  
D Ozdemir ◽  
NC Oray ◽  
M Buyukdeligoz ◽  
Y Tuncok ◽  
...  
Keyword(s):  
Parent Education ◽  
Emergency Service ◽  
Clinical Signs ◽  
Length Of Hospital Stay ◽  
University Hospital ◽  
Chi Square ◽  
Frequent Finding ◽  
Chi Square Test ◽  
Household Detergent ◽  
Household Detergents

Objective: The aim of this study was to analyse the caustic and household detergent exposure cases were admitted to the Department of Emergency Medicine at Dokuz Eylul University Hospital (EMDEU) between 1993 and 2008. Methods: Age, sex, reason of exposure, clinical signs, rate of endoscopy in oral exposures, treatment attempts, length of hospital stay and outcome were evaluated. A chi-square test was used to analyse statistical differences. Results: Caustic exposures accounted for 8.5% (1160 cases) and 4.1% (1988 cases) of all poisonings in children and adults, respectively. Female/male ratio of caustic exposure poisonings was 0.8. Most of the exposures were unintentional (158, 86.8%). Intentional exposures were common in cases between 19 and 29 years old (χ2 = 25.685, p < 0.001). The most common caustic substance was alkaline (106, 58.3%) followed by acidic (47, 25.8%) and other household detergents (28, 15.4%). Vomiting (35.7%), nausea (14.8%) and sore throat (13.1%) were the most common clinical signs. The patients who had endoscopy, the most frequent finding was first-degree damage (58.7%). A 48-year-old man died from intentional hydrochloric acid ingestion. Conclusion: Because of the large number of unintentional caustic exposures, parent education is very important to decrease the caustic exposures in children.

Ergonomic risk factors and physical fatigue among ambulance workers in Bulgaria

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Samuneva-Zhelyabova ◽  
K Lyubomirova ◽  
T Kundurjiev
Keyword(s):  
Health Care Services ◽  
Negative Impact ◽  
Poor Sleep ◽  
Physical Fatigue ◽  
Mental Strain ◽  
Chi Square ◽  
Care Services ◽  
Stress Coping Strategies ◽  
Chi Square Test ◽  
Risk Reduction Measures

Abstract Background Ambulance workers' job is characterized by extended shifts, inconsistent shift patterns, poor sleep, non-ergonomic work places and work postures, high levels of physical and mental strain. Fatigue in the Emergency Medical Services (EMS) workplace may be related to high patient care loads, demanding work schedules, physical overload and associated stress. The impaired health of those workers can result in pressure on health and insurance systems for treating them as well as bad health care services for emergency patients. Methods The study was conducted among 468 workers in emergency healthcare centers in Bulgaria in the period from December 2017 to April 2018. A sociological method was used - a questionniare. The results of the study are presented using descriptive statistics and Chi-square test. Results The biggest part of participants complained from ergonomic hazards such as lifting, carrying weights have negative impact on their health: 71.1% of the ambulance drivers, 61.4% of the doctors, 53% of paramedics, followed by nurses with 52.4% and sanitarians with 51.9%. The distribution by positions show that high levels of physical fatigue are among paramedics 59.1%, followed by doctors - 58.3%, nurses 47.6%, medical orderly 33.3% and ambulance drivers 31.9%. The highest levels of the physical fatigue are among respondents at age up to 35 years. Risk reduction measures were developed and distributed among ambulance workers and their employers. Special stress coping strategies were implemented. Conclusions Work among ambulance workers is associated with a number of risks as among the main once are ergonomics and related high levels of physical fatigue at the end of the working day. Key messages The levels of ergonomic hazards are high among ambulance workers. Ergonomic hazards have negative impact on ambulance workers’ health and the prevalence of musculoskeletal disorders is very high.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania

2021 ◽  
Vol 18 (5) ◽  
pp. 2767
Author(s):  
Laura Nedzinskienė ◽  
Elena Jurevičienė ◽  
Žydrūnė Visockienė ◽  
Agnė Ulytė ◽  
Roma Puronaitė ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Chronic Disease ◽  
National Health Insurance ◽  
Health Care Services ◽  
Age Groups ◽  
Age Group ◽  
Resource Usage ◽  
Care Services ◽  
Care Costs

Background. Patients with multimorbidity account for ever-increasing healthcare resource usage and are often summarised as big spenders. Comprehensive analysis of health care resource usage in different age groups in patients with at least two non-communicable diseases is still scarce, limiting the quality of health care management decisions, which are often backed by limited, small-scale database analysis. The health care system in Lithuania is based on mandatory social health insurance and is covered by the National Health Insurance Fund. Based on a national Health Insurance database. The study aimed to explore the distribution, change, and interrelationships of health care costs across the age groups of patients with multimorbidity, suggesting different priorities at different age groups. Method. The study identified all adults with at least one chronic disease when any health care services were used over a three-year period between 2012 and 2014. Further data analysis excluded patients with single chronic conditions and further analysed patients with multimorbidity, accounting for increasing resource usage. The costs of primary, outpatient health care services; hospitalizations; reimbursed and paid out-of-pocket medications were analysed in eight age groups starting at 18 and up to 85 years and over. Results. The study identified a total of 428,430 adults in Lithuania with at least two different chronic diseases from the 32 chronic disease list. Out of the total expenditure within the group, 51.54% of the expenses were consumed for inpatient treatment, 30.90% for reimbursed medications. Across different age groups of patients with multimorbidity in Lithuania, 60% of the total cost is attributed to the age group of 65–84 years. The share in the total spending was the highest in the 75–84 years age group amounting to 29.53% of the overall expenditure, with an increase in hospitalization and a decrease in outpatient services. A decrease in health care expenses per capita in patients with multimorbidity after 85 years of age was observed. Conclusions. The highest proportion of health care expenses in patients with multimorbidity relates to hospitalization and reimbursed medications, increasing with age, but varies through different services. The study identifies the need to personalise the care of patients with multimorbidity in the primary-outpatient setting, aiming to reduce hospitalizations with proactive disease management.

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