Reports of Doses Administered and Adverse Reactions to Snake Antivenom Used in Uruguay in 2018

In Uruguay, around 60 cases of snakebite accidents occur every year that need to be treated with specific antivenom. They are caused by two snakes of Bothrops genus: Bothrops alternatus and Bothrops pubescens. Snakebite accidents are mandatory notification events, allowing the acquisition of an accurate registry and a fluent communication with the health care services. The aim of this study is to analyze and report the doses administered to achieve the neutralization of the venom and the adverse reactions caused by snake antivenoms used in Uruguay in 2018, when a change was made in the type of antivenom available. In this year, Uruguay started to use the BIOL® antivenom (lyophilized) and this use coexists with traditional antivenom liquid forms (Vital Brazil and Malbran). The number of patients treated with heterologous BIOL® antivenom were 28 and the ones treated with heterologous solutions Malbran and Vital Brazil antivenoms were 21. The initial dose of BIOL antivenom was 8 vials instead of 4 vials regularly used with the others antivenoms and it achieved the neutralization of most cases (27/28 cases). Early adverse reactions were detected in 4 patients (3 in children) treated with BIOL antivenom and there were no adverse reactions in those treated with Malbran or Vital Brazil antivenoms. Lyophilized antivenom BIOL is being used widely in Uruguay without major complications.

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Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics

Prehospital and Disaster Medicine ◽

10.1017/s1049023x18001048 ◽

2018 ◽

Vol 33 (6) ◽

pp. 607-613

Author(s):

Mehmet Ali Ceyhan ◽

Gültekin Günhan Demir ◽

Gamze Babur Güler

Keyword(s):

Health Care ◽

Political Parties ◽

Health Care Services ◽

Heat Index ◽

Election Campaign ◽

Medical Conditions ◽

Public Meetings ◽

Care Services ◽

Number Of Patients ◽

The Impact

AbstractBackgroundPolitical parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs.ObjectivePolitical parties arranged PPMs in 2015 during the election campaign for general election of MoP. The present study aimed to investigate the context of health care services, the distribution of assigned health staff, as well as the number and the symptoms of patients admitted in health care tents in these PPMs.MethodsTwo general elections for MoP were done in Turkey on June 7, 2015 and November 1, 2015. Health care services were provided by the City Emergency Medical Services Department (CEMSD) in the cities. Demographic characteristics, symptoms, comorbid conditions, treatment, discharge, and hospital transfer of the patients were obtained from patient medical registration records. Information about the distribution and the number of the assigned staff was received from local CEMSDs. The impact of variables such as the number of attendees, heat index, humidity, and the day of the week on the number of patients and the patient presentation rate (PPR) were analyzed.ResultsA total of 97 PPMs were analyzed. The number of total attendees was 5,265,450 people. The number of patients seeking medical help was 1,991. The PPR was 0.5 (0.23-0.91) patients per 1,000 attendees. Mean age of the patients was 40 (SD=19) years old while 1,174 (58.9%) of the patients were female. A total of 1,579 patients were treated in the tents and returned to the PPM following treatment. Two-hundred and three patients were transferred to a hospital by ambulance. Transfer-to-hospital ratio (TTHR) was 0.05 (0.0-0.13) patients per 1,000 attendees. None of the patients suffered sudden cardiac death (SCD) or cardiac arrest. Medical conditions were the main cause for admission. The most common symptoms were dizziness, low blood pressure, fatigue, and hypertension, respectively. The most commonly used medical agents included pain killers and myorelaxants. The number of attendees, heat index, and weekend days were positively correlated with the number of the patients.Conclusion: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.CeyhanMA, DemirGG, GülerGB. Evaluation of health care services provided in political public meetings in Turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.

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Health Care Services in Shopping Centers: A Routine Mass-Gathering Event

Prehospital and Disaster Medicine ◽

10.1017/s1049023x2000120x ◽

2020 ◽

Vol 35 (6) ◽

pp. 669-675

Author(s):

Mehmet Ali Ceyhan ◽

Gültekin Günhan Demir

Keyword(s):

Health Care ◽

Medical Care ◽

Health Care Providers ◽

Health Care Services ◽

Shopping Centers ◽

Medical Conditions ◽

Care Providers ◽

Care Services ◽

Number Of Patients ◽

Number Of Customers

AbstractBackground:Shopping centers (SCs) are social areas with a group of commercial establishments which attract customers of numerous people every day. However, analysis of urgent health conditions and provided health care in SCs has not been performed so far.Objective:The aim of the study was to perform a comparative analysis of clients visiting SCs and demographics, complaints, and health care of patients admitted to Emergency Medical Intervention Units (EMIU) located in grand SCs in Ankara, Turkey.Methods:Customer and health care records of nine grand SCs in Ankara from January 1, 2018 through December 31, 2018 were evaluated retrospectively. Health care services in EMIUs of SCs were provided by employed medical staff. Data including demographic characteristics, complaints, treatment protocols, discharge, and referral to hospital of the patients were retrospectively analyzed from medical registration forms.Results:Medical records of nine grand SCs were analyzed. Number of customers could not be obtained in three SCs due to privacy issues and were not included in patient presentation rate (PPR) and transport-to-hospital rate (TTHR) calculation. Total number of customers in the remaining six SCs were 53,277,239. The total number of patients seeking medical care was 6,749. The number of patients seeking health care in six SCs with known number of customers was 4,498 and PPR ranged from 0.018 to 0.381 patients per 1,000 attendants. The median age of the recorded 4,065 patients (60.2%) was 28 (interquartile range [IQR]: 38-21), and 3,611 (53.5%) of the patients admitted to EMIUs were female. The number of patients treated in the SC was 4,634 (68.6%) and 189 patients (2.8%) were transferred-to-hospital by ambulance for further evaluation and treatment. Transportation to hospital was required in 125 patients who sought medical care in six SCs which provided total number of customers, and TTHR ranged from 0.000 to 0.005 patients per 1,000 attendants. No sudden cardiac death was seen. Medical conditions were the primary reasons for seeking health care. The most frequent causes of presentation were laceration and abrasions (639 patients, 9.4%).Conclusion:The PPR and TTHR in SCs are low. The most common causes of presentation are minor conditions and injuries. Majority of urgent medical conditions in SCs can be managed by health care providers in EMIUs.

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La pianificazione socio-sanitaria: ruolo e funzioni del sociologo della salute

SALUTE E SOCIETÀ ◽

10.3280/ses2009-su3009 ◽

2009 ◽

pp. 116-131

Author(s):

Annamaria Perino

Keyword(s):

Health Care ◽

Key Words ◽

Social Services ◽

Empirical Research ◽

Health Care Services ◽

Care Services ◽

Integration Planning ◽

Sociology Of Health ◽

Made In

- In the first part of the essay, after pointing out the need for an integrated work between social services and health-care services, the topic of planning and defining features, objectives and instruments is introduced. In the second part, referring to an empirical research recently made in Italy, Perino describes the role and functions of the sociologist of health in the processes of planning, with particular attention to critical and unsolved issues. Annamaria Perino suggests that in order to be innovative, the medical sociologist should redefine his/her identity.Key words: integration, planning, exploration, mediation, reflexivity, sociology of health.Parole chiave: integrazione, pianificazione, esplorazione, mediazione, riflessivitÀ, sociologia della salute.

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Health Seeking Behavior among Mentally and Physically Ill Patients: A Comparative Study

COJ Nursing & Healthcare ◽

10.31031/cojnh.2018.03.000560 ◽

2018 ◽

Vol 3 (2) ◽

Author(s):

Naglaa M Gaber

Keyword(s):

Health Care ◽

Mental Illness ◽

Mentally Ill ◽

Health Care Services ◽

Health Seeking ◽

Care Services ◽

Number Of Patients ◽

Seeking Behavior ◽

Remedial Actions ◽

Physical Diseases

Health-seeking behaviour has been defined as a sequence of remedial actions that individuals undertake to rectify perceived ill-health. Therefore, this study was to assess the barriers affecting seeking health care services as perceived by mentally and physically ill patients. A descriptive comparative design was utilized in this study. A sample of convenience of 100 patients (50 physically ill patients and 50 mentally ill patients) was recruited for the conduction of this study. Socio-demographic/medical data sheet, barriers affecting seeking health care services questionnaire were used for data collection. Findings of this study indicated that, near half of studied sample of patients with mental illness express severe level of difficulties in seeking health care services as compared to more than one third of patients with physical diseases. Meanwhile, more than one third of studied sample of patients with mental illness express moderate level of difficulties in seeking health care services as compared to two thirds of patients with physical diseases. To conclude no statistical difference was found between patients with mental illness and patients with physical disease in relation to barriers affecting seeking health care services. Further studies on a larger number of patients with different diagnoses from different geographical areas are recommended

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Insects as Diet and Therapy: Perspectives on Their Use for Combating Diabetes Mellitus in Tanzania

Pharmaceuticals ◽

10.3390/ph14121273 ◽

2021 ◽

Vol 14 (12) ◽

pp. 1273

Author(s):

Geert René Verheyen ◽

Luc Pieters ◽

Sheila Maregesi ◽

Sabine Van Miert

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Risk Factor ◽

Small Molecules ◽

Health Care Services ◽

New Drugs ◽

Traditional Medicines ◽

Care Services ◽

Number Of Patients ◽

Treatment Of Diabetes

More than 450 million people worldwide are suffering from diabetes and this number is expected to increase. In developing countries, such as Tanzania, the number of patients suffering from diabetes and associated diseases is increasing as well. Up to 80% of the Tanzanian people rely on traditional medicines for their health care services. The nature of Tanzanian is very rich in different plant and insect species, and this could be exploited through their implementation in preventive and/or curative approaches in the battle against diabetes. The implementation of healthy insects in the diets of people may help in the prevention of obesity, which is a risk factor in the etiology of diabetes, while the identification of small molecules in insects may help in the discovery of potential new drugs that can be used in the treatment of diabetes. In this paper, an overview on the potential implementation of insects against diabetes is presented.

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Trends in new cancer treatments with targeted molecular therapies before and during the COVID-19 outbreak in Veneto, Italy: A real-world, population-based study.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.e18734 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. e18734-e18734

Author(s):

Fabio Girardi ◽

Sandro Tognazzo ◽

Alberto Bortolami ◽

Marina Coppola ◽

Valentina Guarneri ◽

...

Keyword(s):

Health Care ◽

Cancer Patients ◽

Health Care Services ◽

Population Based ◽

Molecular Therapy ◽

Targeted Molecular Therapy ◽

Care Services ◽

Number Of Patients ◽

Molecular Therapies ◽

Targeted Molecular Therapies

e18734 Background: The COVID-19 outbreak has had a huge impact on health care services worldwide. Previous studies projected delays in cancer diagnoses and excess mortality for cancer patients as a result of the pandemic. Little is known, however, on the impact of the pandemic on the functioning of cancer services. We aimed to fill this gap by using a region-wide, population-based administrative health care data repository. Methods: We obtained data for patients initiating a targeted molecular therapy during 2017-2020 (January-September, by quarter) in Veneto. Eligible treatments were those with lapatinib, pertuzumab, TDM-1 and trastuzumab for breast cancer; with afatinib, alectinib, crizotinib, erlotinib, gefitinib and osimertinib for lung cancer; with cobimetinib, dabrafenib, trametinib and vemurafenib for melanoma; and with niraparib, olaparib and rucaparib for ovarian cancer. Patients starting more than one targeted molecular therapy in a given calendar year were included only once. We estimated the normalised difference between the number of patients for a given quarter in 2020 and the mean number of patients for the corresponding quarter during 2017-2019. Statistical significance was calculated assuming a type I error probability of 5%. Results: The study included 3,180 patients. In 2020, patients starting a targeted molecular therapy were 361 in the first quarter, 260 in the second quarter and 268 in the third quarter. The normalised difference between the number of treatments in 2020 and the mean number of treatments during 2017-2019 for all cancer types combined was statistically significant only for the first quarter, with more therapies in 2020 than in 2017-2019. In a breakdown by cancer type, differences were unremarkable for breast, lung or ovarian cancer, while there were significantly more treatments for melanoma for all the three quarters in 2020 compared to 2017-2019. Conclusions: We chose to use the rate of initiation of targeted molecular therapies as a proxy for the effectiveness of oncology services in managing cancer patients, because these therapies require that at least pathology and diagnostic facilities are fully operational. The study covered a population of nearly five million people, in a region where universal health coverage is available and where cancer care has been prioritised, by law, over non-cancer related health care services during the COVID-19 outbreak. Our findings suggest that provision of oncology care has not been substantially impacted by the pandemic in Veneto. Of note, label indications were unchanged for these drugs in 2020. The findings are also in line with the priority-based, adapted European Society for Medical Oncology recommendations. Further research is needed to assess whether delays at earlier stages of the route to cancer diagnosis (e.g. GP referrals for specialist care) may have occurred.

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The Status of Whistle-blowing in Bio-Medical/Nursing Ethics

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2021.11.3.643 ◽

1969 ◽

Vol 11 (3) ◽

pp. 175-178

Author(s):

Muhammad Suliman ◽

Haider Ali Khan ◽

Obaid-ur-Rehman

Keyword(s):

Health Care ◽

Health Care Services ◽

Developed Countries ◽

Nursing Ethics ◽

Line Managers ◽

Whistle Blowing ◽

Care Services ◽

The Status ◽

Incident Reports ◽

Made In

The paper is a commentary based on the ethical argumentations of the status of whistle-blowing practising in biomedical andnursing health care services. Whistle-blowingis a disclosure from a member of organization about some practice usually considersmisconduct, harmful, unethical or illegalin that organization.In nursing,the suggestion is made in favour of internaltype of whistleblowing,whichis reporting inside the channelto correct an obnoxious situation,common examples are incident reports,verbal andwritten reporting to channel of commands or line managers etc. The paper also highlighted the aftermath of reporting whistleblowing with examples of developed countries which already exists protection law for the whistle-blowers. In Pakistan, only theKhyber Pakhtunkhwa province has the distinction ofpassingthe whistle-blowing act in 2016.Keywords: Whistle-blowing, Bio-medical/nursing ethics, Law, Pakistan.

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Analysis of Cerrrahpaşa Medical School Hospital's Children Nephrology Service in Terms of Length of Stay in 2012

International Conference on Eurasian Economies 2015 ◽

10.36880/c06.01428 ◽

2015 ◽

Author(s):

Volkan Öngel ◽

Emel Duran

Keyword(s):

Health Care ◽

Hospital Stay ◽

Health Care Services ◽

Pediatric Nephrology ◽

Careful Examination ◽

Factors Affecting ◽

Care Services ◽

Number Of Patients ◽

Hospitalization Period ◽

Hospital Pediatric

It is known that operational costs of health care organizations constitute an important part of health expenditure in the world. Careful examination of all kinds affecting costs is inevitable in order to provide more effective and efficient health care services. For this reason, in the study, impact of factors affecting hospitalization period on costs is mentioned. The purpose of the study is to measure the effects of these factors on costs by identifying the factors prolonging the duration of patients’ hospital stay. It is regarded that the factors extending the duration of patients’ hospital stay increase the costs. In the scope of the study, 405 patients who are discharged from Cerrahpaşa Faculty of Medicine Hospital Pediatric Nephrology Service in 2012 are discussed. Variables of the study, the average hospitalization days, number of patients, the maximum number of patients, bed occupancy rate, bed turnover and bed units are used in the rev range. The data of the patients included in our study has been gathered with the help of retrospective study area, retrospective method, scanning archives, and financial epicrisis in the system of hospital automation. The obtained data have been studied on standard deviation, maximum and minimum value by making use of the excel programme. As a result of studies based on these reviews, it has been found out that the factors extending the period of patients’ hospital stay increase the costs.

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