scholarly journals Challenges in Diagnosis of ChronicOsteomyelitis : ACase Report from Sri Lanka

2020 ◽  
Vol 5 (1) ◽  
pp. 118
Author(s):  
V Thadchanamoorthy ◽  
Kavinda Dayasiri
Keyword(s):  
Biochemical Markers ◽  
Health Care Services ◽  
Chronic Osteomyelitis ◽  
Health Sciences ◽  
Pneumococcal Vaccines ◽  
X Ray ◽  
Care Services ◽  
Orthopedic Surgeons ◽  
Intravenous Antibiotics

The prevalence of osteomyelitis has been continuously decreasing in children with improvement of health care services and introduction of Hemophilus and Pneumococcal vaccines. Despite this, diagnosis and management of osteomyelitis are often a challenge to pediatricians as well as orthopedic surgeons. We report a 13-year old boy who had been treated as for rheumatic fever over 2 years with Benzathene penicillin, but ultimately turned out to have chronic osteomyelitis of right tibia. Evidence of chronic osteomyelitis was radiologically confirmed by X-ray and Computerized tomogram (CT) of right tibia and pus cultures grew staphylococcus aureus. Clinical features and biochemical markers completely resolved upon debridement of pus and intravenous antibiotics. He is currently on follow up at the orthopedic and pediatric clinics in the local hospital.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 118-121

scholarly journals Health care services and costs after hip fracture, comparing conventional versus standardised care: A retrospective study with 12-month follow-up

Injury ◽  
2021 ◽  
Author(s):  
Kristin Haugan ◽  
Vidar Halsteinli ◽  
Øystein Døhl ◽  
Trude Basso ◽  
Lars G. Johnsen ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Hip Fracture ◽  
Health Care Services ◽  
Care Services

A Follow up to Semi-Automatic Systems for Exchanging Health Information

2016 ◽  
pp. 1316-1334
Author(s):  
Dimitrios Emmanouil ◽  
Antonia Mourtzikou
Keyword(s):  
Health Care ◽  
Health Information ◽  
Mobile Devices ◽  
Automatic System ◽  
Health Care Services ◽  
Care Services ◽  
Fully Automatic ◽  
Citizen Service ◽  
Automatic Systems

The present research is an attempt to explore the applicability of the best possible service in the area of organized health care services, at fixed predefined points of service. The suggestion is that there should be a system that will receive and provide information about health matters of general public concern. Thus following the lead of Citizen Service Centers in Greece, it can be extended conveniently to mobile devices. The main survey was conducted on a sample of Municipalities and Citizens in the year 2013. The results indicate that the new proposed system could be more secure for citizens for future use, based on supervising procedure by proper employee who will provide more help to the users, instead of a fully automatic system.

scholarly journals P376 Real life health care utilisation in paediatric patients with inflammatory bowel disease in the era of biologics

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S354-S354
Author(s):  
S A Tchogna ◽  
X Y Yang ◽  
C Deslandres ◽  
P Jantchou
Keyword(s):  
Health Care ◽  
Disease Severity ◽  
Health Care Services ◽  
Activity Index ◽  
Healthcare Utilisation ◽  
Adult Care ◽  
Care Services ◽  
Inflammatory Bowel ◽  
Baseline Disease Severity

Abstract Background The burden associated with the management of paediatric patients with inflammatory bowel disease (IBD) has been rising as the incidence of IBD is increasing in children. In addition, the widespread use of biologics and a treat-to-target approach also contributes to the increase of healthcare utilisation. Methods The purpose of this study was to assess the health care services utilisation and the associated factors in a prospective cohort of children diagnosed with IBD in Quebec, Canada. Patients diagnosed from 2013 to 2015 and followed up until the transfer to adult care were identified in our IBD database. Data on IBD related services and treatments: imaging procedures, hospitalisations and outpatient visits, medications from diagnosis to transition was extracted. We analyzed the healthcare utilisation according to the baseline disease severity (paediatric Crohn’s disease activity index or paediatric ulcerative colitis activity index) at diagnosis, and according to exposition to intravenous biologics. Results In total, 144 patients were included in the study [(77 males), CD (N = 98), UC (N = 31) and IBD-U (N = 15); median (interquartile(IQR)) age at diagnosis 15.2 (14.3–16.3) years]. The median (IQR) duration of paediatric follow-up was 2.9 (1.8–3.9) years. The median (min-max) number of imaging procedures varied largely: esophagogastroduodenoscopy 1(0–2), colonoscopy 1(1–6), abdominal ultrasound1(0–13), abdominal MRI 1(0–4), tomodensitometry 0(0–2), bone densitometry 1(0–5). Patients had various follow-up encounters (median(min–max)): outpatient visits 9(1–28), IBD nurses phone follow-ups 4(0–33). Sixty-four per cent of patients had at least one hospitalisation [median(min–max)1(0–10); median duration 4(0–150 days)] and 35.41% had at least one emergency visit. Baseline disease severity did not predict the disease burden: the mean number of encounters was 3.0/year in the moderate/severe group as compared with 2.5/year in the mild group; p = 0.61. Among the, 63.5% of patients exposed to an intravenous biologic (Infliximab or Vedolizumab), those exposed earlier (<3 months after diagnosis) used more health care services (mean = 3.3/year) than those exposed later (mean = 2.23/year); p <0.0001. In addition, the median (IQR) cumulative days of healthcare utilisation (missing school days) for patients treated with intravenous biologics was 48.5(32.4–67.9) days during paediatric care. Conclusion Adolescents with IBD have several healthcare encounters between the diagnosis and transfer to adult care. Disease severity at diagnosis was not related to a higher level of health services utilisation during follow-up. However, treatment with intravenous biologics was associated with a high health service utilisation and school missing during follow-up.

scholarly journals Assessing the Health Needs of Chinese Older Adults: Findings from a Community-Based Participatory Research Study in Chicago's Chinatown

2010 ◽  
Vol 2010 ◽  
pp. 1-12 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Bernarda Wong ◽  
Kimberly A. Skarupski ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Participatory Research ◽  
Health Care Services ◽  
Community Based Participatory Research ◽  
Health Sciences ◽  
Health Needs ◽  
Community Based ◽  
Chinese Older Adults ◽  
Care Services

The objective of this study is to examine the cultural views of healthy aging, knowledge and barriers to services, and perception of health sciences research among community-dwelling Chinese older adults in Chicago's Chinatown. This qualitative study is guided by the Precede-Proceed conceptual model with community-based participatory research design. Data analysis is based on eight focus group interviews with Chinese older (age60+) adults (n=78). We used a grounded theory framework to systematically guide the thematic structure of our data. Findings show participants described cultural conception of health in terms of physical function, psychological well-being, social support, and cognitive function. The availability, affordability, and cultural barriers towards health care services were major negative enabling factors that inhibit participants from fulfilling health needs. Perception and knowledge of health sciences research were also discussed. This study has implications for the delivery of culturally appropriate health care services to the Chinese aging population.

scholarly journals CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS: (DIS) CONTINUITY OF CARE

2021 ◽  
Vol 30 ◽  
Author(s):  
Mariane Caetano Sulino ◽  
Aline Cristiane Cavicchioli Okido ◽  
Eliane Tatsch Neves ◽  
Edmara Bazoni Soares Maia ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Health Workers ◽  
Children And Youth ◽  
Care Services ◽  
Healthcare Needs ◽  
Primary Health ◽  
Primary Health Care Services

ABSTRACT Objective to investigate the follow-up and characteristics of children and youth with special healthcare needs within Primary Health Care services located in a city in the State of São Paulo, Brazil. Method this qualitative study was supported by the Primary Health Care framework, and interviews were held with 37 health workers from the primary health care units located in the interior of São Paulo. Data were collected from May to December 2018 and treated with inductive thematic analysis. Results from the perspective of the health workers, the characteristics of these children and youth are centered on the dependence of specific care such as to promote psychomotor development, and dependence on technology and pharmacological treatments. They reported the difficulty to access health services while the primary health care services do not implement systematic follow-up. Conclusion these children and youth demand continuous and longitudinal care, which, however, is not provided by primary health care services, considering the discontinuity of care and a lack of networked follow-up. Therefore, health services need to be reorganized to keep up with changes in the child and youth morbidity and mortality to ensure continuous, integral, and networked follow-up to this population.

scholarly journals Wireless Sensor Network to Support Home Care in Telemedicine Applications

2008 ◽  
pp. 1407-1411
Author(s):  
Silvia Jiménez-Fernández ◽  
Antonio Cobo-Sánchez-de-Rojas ◽  
Álvaro Araujo-Pinto ◽  
Pedro Malagón ◽  
Octavio Nieto-Taladriz ◽  
...  
Keyword(s):  
Home Care ◽  
Remote Monitoring ◽  
Health Care Services ◽  
Point Of Care ◽  
Wireless Sensor ◽  
Care Services ◽  
The World ◽  
New Models

The care of patients suffering from chronic diseases is a growing source of expense for health care services around the world. The implementation of new models for patients’ treatment and follow-up needs to be faced in order to increase patients’ quality of life, and to reduce the costs associated. In this article, we propose a point-of-care for home care scenarios that is based on the remote monitoring of biomedical parameters.

Osteonecrosis of the Talus: Treatment by Hindfoot Fusion

1996 ◽  
Vol 17 (5) ◽  
pp. 275-282 ◽  
Author(s):  
Marc W. Urquhart ◽  
Michael A. Mont ◽  
James D. Michelson ◽  
Kenneth A. Krackow ◽  
David S. Hungerford
Keyword(s):  
Chronic Osteomyelitis ◽  
Average Length ◽  
Excellent Result ◽  
Bony Union ◽  
Intravenous Antibiotics ◽  
Long Time ◽  
Subsequent Revision ◽  
Cosmetic Outcomes ◽  
Hindfoot Fusion

The results were reviewed for 11 ankles (10 patients) that had been treated with various hindfoot arthrodeses because of symptomatic osteonecrosis of the talus. Follow-up averaged 6.5 years (range, 2–15 years). A functional assessment using a modified Mazur grading system was performed both before surgery and at final follow-up. Data were also collected on the duration of the procedure, intraoperative findings, and the patient's assessment of postoperative cosmesis (excellent, good, fair, or poor). Radiographs were analyzed to determine the interval from the procedure until bony union. Nine of the 11 arthrodeses (82%) fused with the primary procedure and achieved excellent Mazur ratings (mean, 86 points; range, 81–90 points). The average interval until radiographic fusion was 7 months (range, 4–13 months). All eight patients (nine fusions) with successful fusions graded their cosmetic outcomes as excellent or good. The average length of the procedure was 148 minutes (range, 130–300 minutes), compared with an average of 92 minutes (range, 62–151 minutes) for ankle arthrodeses performed by the same surgeons in rheumatoid or osteoarthritic ankles ( P < 0.001) and 102 minutes (range, 75–164 minutes) from a report in the literature. Two of the procedures were complicated by nonunions secondary to infections. In one patient, after treatment by debridement and intravenous antibiotics, reinfection and chronic osteomyelitis developed with a subsequent below-knee amputation. The other patient was treated successfully with debridement, antibiotics, and subsequent revision arthrodesis, which fused solidly at 9 months with an excellent result. We conclude that hindfoot arthrodeses for osteonecrosis can be technically demanding, but, despite having a long time to bony union, they can have an excellent clinical outcome.

scholarly journals Stroke follow-up in primary care: a discourse study on the discharge summary as a tool for knowledge transfer and collaboration

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rune Aakvik Pedersen ◽  
Halfdan Petursson ◽  
Irene Hetlevik ◽  
Henriette Thune
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Discourse Analysis ◽  
Knowledge Transfer ◽  
Health Care Services ◽  
Discharge Summary ◽  
Care Services ◽  
Discharge Summaries

Abstract Background The acute treatment for stroke takes place in hospitals and in Norway follow-up of stroke survivors residing in the communities largely takes place in general practice. In order to provide continuous post stroke care, these two levels of care must collaborate, and information and knowledge must be transferred between them. The discharge summary, a written report from the hospital, is central to this communication. Norwegian national guidelines for treatment of stroke, issued in 2010, therefore give recommendations on the content of the discharge summaries. One ambition is to achieve collaboration and knowledge transfer, contributing to integration of the health care services. However, studies suggest that adherence to guidelines in general practice is weak, that collaboration within the health care services does not work the way the authorities intend, and that health care services are fragmented. This study aims to assess to what degree the discharge summaries adhere to the guideline recommendations on content and to what degree they are used as tools for knowledge transfer and collaboration between secondary and primary care. Methods The study was an analysis of 54 discharge summaries for home-dwelling stroke patients. The patients had been discharged from two Norwegian local hospitals in 2011 and 2012 and followed up in primary care. We examined whether content was according to guidelines’ recommendations and performed a descriptive and interpretative discourse analysis, using tools adapted from an established integrated approach to discourse analysis.  Results We found a varying degree of adherence to the different advice for the contents of the discharge summaries. One tendency was clear: topics relevant here and now, i.e. at the hospital, were included, while topics most relevant for the later follow-up in primary care were to a larger degree omitted. In most discharge summaries, we did not find anything indicating that the doctors at the hospital made themselves available for collaboration with primary care after dischargeof the patient. Conclusions The discharge summaries did not fulfill their potential to serve as tools for collaboration, knowledge transfer, and guideline implementation. Instead, they may contribute to sustain the gap between hospital medicine and general practice.

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