scholarly journals Utilization and referral pattern at Sidamo Regional Hospital: A one-year prospective registration study in 1985/86

2019 ◽  
Author(s):  
Bernt Lindtjorn

Hospitals can serve as important complement to Primary Health Care. Periodic reviews of hospital functions are therefore needed. We have reviewed hospital use and referral pattern at a regional hospital in southern Ethiopia. 85 % of admitted patients were from the region, and 2/3 from the local province. The effect of proximity on hospital use is shown but varied for the different patient groups. Patients from the local province were less often referred than patients from the remote provinces. The hospital functions mainly as a local hospital for the Sidamo Province and less as a referral hospital for the other parts of the region. The very large functional catchment area may worsen the local population's access to the hospital.

2018 ◽  
Vol 1 (1) ◽  
pp. 28-30
Author(s):  
Leepa Vaidya ◽  
Rajan Sharma

Background: The referral rates of psychiatric patients in Nepal are very low, considering the higher rates of psychiatric morbidity in patients who attend various departments of a general hospital. Studying the pattern of psychiatric referrals may facilitate the management of the mentally ill in a comprehensive and holistic manner. Materials and methods: The study was conducted at Western Regional Hospital (WRH) over the period of one year. The patients referred from different departments were assessed by the consultant psychiatrists. Result: A total of 816 patients were referred for psychiatric consultation out of which majority was from department of medicine and the most common reason for referral was anxiety disorder. Conclusion: Multi-disciplinary interaction is beneficial to identify the psychiatric morbidity in the patients who attend general hospital.


1994 ◽  
Vol 28 (3) ◽  
pp. 412-417 ◽  
Author(s):  
Kelly Y. C. Lai ◽  
C. K. Wong

The referral pattern by three major sources to the Child and Adolescent Psychiatric Unit of a university teaching hospital in Hong Kong is reviewed. In a health care system where primary health care is not properly developed, referral of children with psychiatric problems relies heavily on secondary health care professionals. Over a three year period, 37.8% of the new cases were referred by the other departments of the same hospital, while the Education Department and general practitioners each referred 17.4%. Overall, up to 80% of these children had definite psychiatric problems. Because the morbidities of these children often traverse physical, psychological, social, and educational dimensions, a close liaison with all the different professionals involved is vital.


2011 ◽  
Vol 15 (2) ◽  
Author(s):  
Peter P. Smith

The United States is in a bind. On the one hand, we need millions of additional citizens with at least one year of successful post-secondary experience to adapt to the knowledge economy. Both the Gates and Lumina Foundations, and our President, have championed this goal in different ways. On the other hand, we have a post-secondary system that is trapped between rising costs and stagnant effectiveness, seemingly unable to respond effectively to this challenge. This paper analyzes several aspects of this problem, describes changes in the society that create the basis for solutions, and offers several examples from Kaplan University of emerging practice that suggests what good practice might look like in a world where quality-assured mass higher education is the norm.


2020 ◽  
Vol 175 ◽  
pp. 12002 ◽  
Author(s):  
Issam Boukhanef ◽  
Anna Khadzhidi ◽  
Lyudmila Kravchenko ◽  
Zeroual Ayoub ◽  
Kastali Abdennour

In Algeria, the problems of erosion and sediment transport are critical, since they have the most dramatic consequences of the degradation of agricultural soils on the one hand and the siltation of the dam on the other .The sediment transport in the Algerian basins is very important especially during the periods of floods, It is in this sense that this study, which consists of estimating the sediment transport in suspension and determining the models of relation linking the liquid discharge and the sediment discharge in order to estimate the solid transport in the absence of suspended sediments concentration data at the Sidi Akkacha station at the outlet of the basin of Oued Allala which is subject to a high water erosion, it degrades from one year to the other under the effect of this phenomenon especially during the floods which drain high amounts of fine particles exceeding in general, the concentration of 150 g/l, the results obtained from the application of the models are very encouraging since the correlation between liquid and solid discharge exceeds 80 %.


Author(s):  
Gul Muhammad Baloch ◽  
Kamilah Kamaludin ◽  
Karuthan Chinna ◽  
Sheela Sundarasen ◽  
Mohammad Nurunnabi ◽  
...  

COVID-19 has speedily immersed the globe with 72+ million cases and 1.64 million deaths, in a span of around one year, disturbing and deteriorating almost every sphere of life. This study investigates how students in Pakistan have coped with the COVID-19. Zung’s self-rating anxiety scale (SAS) was used for measuring anxiety and the coping strategies were measured on four strategies i.e., seeking social support, humanitarian, acceptance, and mental disengagement. Among 494 respondents, 61% were females and 77.3% of the students were in the age group of 19–25 years. The study findings indicate that approximately 41 percent of students are experiencing some level of anxiety, including 16% with severe to extreme levels. Seeking social support seemed to be the least preferred coping strategy and that female students seek social support, humanitarian, and acceptance coping strategies more than males. Students used both emotion-based and problem-based coping strategies. The variables of gender, age, ethnicity, level and type of study, and living arrangement of the students were associated with usage of coping strategies. Findings showing that students do not prefer to seek social support. The study outcomes will provide basic data for university policies in Pakistan and the other countries with same cultural contexts to design and place better mental health provisions for students.


1963 ◽  
Vol 4 (36) ◽  
pp. 809-812
Author(s):  
R. L. Shreve

AbstractIn August 1961 an aluminum pipe (3.5 cm. internal diameter, 4.2 cm. external diameter) having 92 specially modified socket couplings (5.0 cm. external diameter) sealed with a quick-polymerizing synthetic rubber was sunk 226 m. in a vertical water-filled bore hole in Blue Glacier, Washington. U.S.A. The geometry of threads and mating surfaces of pipe and coupling was designed to cause increasing external water pressure to tighten the seal. One joint at a depth of 66 m. immediately developed an extremely slow leak (probably because of faulty cleaning), but the other 91 joints apparently were sound, as the pipe was free of water to a depth of at least 157 m. when resurveyed after one year.


1987 ◽  
Vol 15 (2) ◽  
pp. 105-109 ◽  
Author(s):  
Göran Westman ◽  
Marianne Hanning ◽  
Bengt Mattsson

At the Vännäs Health Centre changes in practice style and work routines were introduced in 1978. The concomitant changes in hospital use in Vännäs and three reference areas were followed. The results were based on recorded visits to the emergency department of the hospital three months each year 1976–1980 and upon all individual admissions to hospital care in the county 1977–1979. We found a decrease in the number of visits to the emergency department and no changes in admissions to inpatient care for inhabitants of the Vännäs catchment area. The question remains unresolved, whether a mere change in the way of working in the health centre, caused a change in hospital use.


2017 ◽  
Vol 63 (3) ◽  
pp. 479-525 ◽  
Author(s):  
Gianpiero Petriglieri ◽  
Jennifer Louise Petriglieri ◽  
Jack Denfeld Wood

Through a longitudinal, qualitative study of 55 managers engaged in mobile careers across organizations, industries, and countries, and pursuing a one-year international master’s of business administration (MBA), we build a process model of the crafting of portable selves in temporary identity workspaces. Our findings reveal that contemporary careers in general, and temporary membership in an institution, fuel people’s efforts to craft portable selves: selves endowed with definitions, motives, and abilities that can be deployed across roles and organizations over time. Two pathways for crafting a portable self—one adaptive, the other exploratory—emerged from the interaction of individuals’ aims and concerns with institutional resources and demands. Each pathway involved developing a coherent understanding of the self in relation to others and to the institution that anchored participants to their current organization while preparing them for future ones. The study shows how institutions that host members temporarily can help them craft selves that afford a sense of agentic direction and enduring connection, tempering anxieties and bolstering hopes associated with mobile working lives. It also suggests that institutions serving as identity workspaces for portable selves may remain attractive and extend their cultural influence in an age of workforce mobility.


2008 ◽  
Vol 64 (1) ◽  
Author(s):  
Douglas Maleka ◽  
D. Franzsen ◽  
A. Stewart

This study was conducted to determine the opinion of physiotherapists and physiotherapy assistants with regards to physiotherapyservices required at a Primary Health Care (PHC) level in two provinces ofSouth Africa, one being urban (Gauteng) and the other one more rural(Limpopo). Using a descriptive study design, a sample consisting of 728 physio-therapists and assistants was selected from the HPCSA register list. Datacollection was by a self-administered questionnaire. Sixty six percent of physiotherapists in Gauteng Province and 68% inLimpopo Province agreed that promotive services are required whereas thepercentage for physiotherapy assistants in Gauteng province and Limpopoprovince were 78% and 89% respectively. Preventative services were suggested by 82% and 85% by physiotherapistsand 95% and 96% by physiotherapy assistants in Gauteng and Limpopo. Eighty nine percent and 88% of physio-therapists, 80% and 85% of physiotherapy assistants in Gauteng and Limpopo respectively agreed that curative services are required.  Rehabilitative services were suggested to be required by 83% and 90% of physiotherapists, 85% and 95% by physiotherapy assistants in Gauteng and Limpopo respectively.


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