scholarly journals CLASSIFICATION OF HEALTH CARE LEGISLATION

Author(s):  
I.S. Demchenko ◽  
2020 ◽  
pp. 84-89
Author(s):  
Inna Ivanovna Lapkina

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.


1979 ◽  
Vol 1 (1) ◽  
pp. 108-121 ◽  
Author(s):  
Peter I. Heller ◽  
Maria del Carmen Rivera-Worley ◽  
H. Paul Chalfant

2013 ◽  
pp. 87-90
Author(s):  
Alessia Rosato ◽  
Claudio Santini

Introduction The traditional classification of Pneumonia as either community acquired (CAP) or hospital acquired (HAP) reflects deep differences in the etiology, pathogenesis, approach and prognosis between the two entities. Health-Care Associated Pneumonia (HCAP) develops in a heterogeneous group of patients receiving invasive medical care or surgical procedures in an outpatient setting. For epidemiology and outcomes, HCAP closely resembles HAP and possibly requires an analogous therapeutic regimen effective against multidrug-resistant pathogens. Materials and methods We reviewed the pertinent literature and the guidelines for the diagnosis and management of HCAP to analyze the evidence for the recommended approach. Results Growing evidence seems to confirm the differences in epidemiology and outcome between HCAP and CAP but fails to confirm any real advantage in pursuing an aggressive treatment for all HCAP and CAP patients. Discussion Further investigations are needed to establish the optimal treatment approach according to the different categories of patients and the different illness severities. Keywords Health Care Associated Pneumonia (HCAP); Community Acquired Pneumonia (CAP); Hospital Acquired Pneumonia (HAP); Multidrug-resistant (MDR) Pathogens


2021 ◽  
Vol 12 ◽  
pp. 215013272110497
Author(s):  
Janise Braga Barros Ferreira ◽  
Luciane Loures dos Santos ◽  
Luciana Cisoto Ribeiro ◽  
Belkiss Rolim Rodrigues Fracon ◽  
Sabrina Wong

The objective was to analyze the evidence available in the scientific literature on the concept of vulnerability, in theoretical perspectives and its use, in Primary Health Care. An integrative literature review was carried out with the inclusion criteria: articles in English, full text, peerreviewed, related to vulnerability and primary health care, with the explicit concept of vulnerability, and published until July 31, 2020. The electronic databases accessed were by crossing the descriptors “vulnerability,” “vulnerabilities,” “primary health care,” “primary healthcare,” and “primary care.” The final sample consisted of 19 articles. The thematic analysis produced 2 themes: “Theoretical foundations of the concept of vulnerability” and “The use of the concept of vulnerability in PHC.” In the second theme, 2 sub-themes emerged: Evaluation of health policies, programs, and services and Classification of individuals, groups, and families. There was a plurality of theoretical foundations for the concept of vulnerability and a smaller scope of its use in Primary Health Care. It is expected that the study will subsidize public policymakers and health teams in the design of services and actions aimed at vulnerable populations and in situations of vulnerability.


JAMA ◽  
2019 ◽  
Vol 322 (24) ◽  
pp. 2372
Author(s):  
Gail Wilensky

Author(s):  
Neelam Dinkar Patil ◽  
Vaishali Rajsingh Mohite ◽  
Manisha Christanand Gholap ◽  
Mahesh Bhupal Chendake

ABSTRACTObjectives: To assess the perception of health-care personnel regarding the concept of integration in nursing, to assess the attitude of health-carepersonnel toward the concept of integration in nursing, and to determine the association of perception and attitude toward the concept of integrationin nursing with selected socio-demographic variables.Methods: Research approach adopted was descriptive survey approach. Population were 159 health-care personnel’s working at various hospitalsand institutions in Maharashtra. Purposive sampling technique was used. Data were collected using structured rating scale, which consisted of3 sections. Section 1 comprising demographic data, Sections 2 and 3 consisted 10 questions to assess the perception and attitude of health-carepersonnel. Tool was developed pretesting and reliability of the rating scale was done.Results: Findings of the study showed that majority 118 (74.21%) of respondents had low perception, 41 (25.78%) had medium perception, andnone of respondents had high perception regarding the concept of integration. Classification of respondents based on the levels of attitude, the79 (49.68%) had unfavorable attitude, 75 (47.16%) had moderately favorable attitude, and 5 (3.14%) had favorable attitude.Conclusions: As the result shows that there is medium to low level of perception between the health-care personnel regarding the concept ofintegration and the attitude is also unfavorable, there is need to find out the barriers of integration in nursing profession.Keywords: Perception, Attitude, Integration, Health-care personnel.


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