scholarly journals Emergency Department Discharge Outcome and Psychiatric Consultation in North African Patients

2018 ◽  
Vol 15 (9) ◽  
pp. 2033 ◽  
Author(s):  
Osnat Keidar ◽  
Sabrina Jegerlehner ◽  
Stephan Ziegenhorn ◽  
Adam Brown ◽  
Martin Müller ◽  
...  
Keyword(s):  
Local Population ◽  
University Hospital ◽  
Age Group ◽  
North African ◽  
Discharge Outcomes ◽  
Logistic Regressions ◽  
Admission Type ◽  
Emergency Department Discharge ◽  
African Patients ◽  
The University

Studies in Europe have found that immigrants, compared to the local population, are more likely to seek out medical care in Emergency Departments (EDs). In addition, studies show that immigrants utilize medical services provided by EDs for less acute issues. Despite these observed differences, little is known about the characteristics of ED use by North African (NA) immigrants. The main objective of this study was to examine whether there were differences in ED discharge outcomes and psychiatric referrals between NA immigrants and Swiss nationals. A retrospective analysis was conducted using patient records from NA and Swiss adults who were admitted to the ED of the University Hospital in Bern (Switzerland) from 2013–2016. Measures included demographic information as well as data on types of admission. Outcome variables included discharge type and psychiatric referral. A total of 77,619 patients generated 116,859 consultations to the ED, of which 1.1 per cent (n = 1338) were consultations by NA patients. Compared to Swiss national patients, NA patients were younger, with a median age of 38.0 (IQR 28–51 years vs. 52.0 (IQR 32–52) for Swiss and predominantly male (74.4% vs. 55.6% in the Swiss). NA patient admission type was more likely to be “walk-in” or legal admission (7.5% vs 0.8 in Swiss,). Logistic regressions indicated that NA patients had 1.2 times higher odds (95% CI 1.07–1.40, p < 0.003) of receiving ambulatory care. An effect modification by age group and sex was observed for the primary outcome “seen by a psychiatrist”, especially for men in the 16–25 years age group, whereby male NA patients had 3.45 times higher odds (95% CI: 2.22–5.38) of having being seen by a psychiatrist. In conclusion differences were observed between NA and Swiss national patients in ED consultations referrals and outcomes, in which NA had more ambulatory discharges and NA males, especially young, were more likely to have been seen by psychiatrist. Future studies would benefit from identifying those factors underlying these differences in ED utilization.

scholarly journals Saharan Dust Events in the Dust Belt -Canary Islands- and the Observed Association with in-Hospital Mortality of Patients with Heart Failure

2020 ◽  
Vol 9 (2) ◽  
pp. 376 ◽  
Author(s):  
Alberto Dominguez-Rodriguez ◽  
Néstor Baez-Ferrer ◽  
Sergio Rodríguez ◽  
Pablo Avanzas ◽  
Pedro Abreu-Gonzalez ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Mortality ◽  
Saharan Dust ◽  
University Hospital ◽  
Pm10 And Pm2.5 ◽  
Patients With Heart Failure ◽  
Logistic Regressions ◽  
Dust Events ◽  
The University ◽  
Heart Failure Diagnosis

Recent studies have found increases in the cardiovascular mortality rates during poor air quality events due to outbreaks of desert dust. In Tenerife, we collected (2014–2017) data in 829 patients admitted with a heart failure diagnosis in the Emergency Department of the University Hospital of the Canaries. In this region, concentrations of PM10 and PM2.5 are usually low (~20 and 10 µg/m3), but they increase to 360 and 115 μg/m3, respectively, during Saharan dust events. By using statistical tools (including multivariable logistic regressions), we compared in-hospital mortality of patients with heart failure and exposure to PM10 and PM2.5 during dust and no-dust events. We found that 86% of in-hospital heart failure mortality cases occurred during Saharan dust episodes that resulted in PM10 > 50 µg/m3 (interquartile range: 71–96 µg/m3). A multivariate analysis showed that, after adjusting for other covariates, exposure to Saharan dust events associated with PM10 > 50 µg/m3 was an independent predictor of heart failure in-hospital mortality (OR = 2.79, 95% CI (1.066–7.332), p = 0.03). In conclusion, this study demonstrates that exposure to high Saharan dust concentrations is independently associated with in-hospital mortality in patients with heart failure.

scholarly journals Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the “ENT” and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Y. M. C. Gyebre ◽  
R. W.-L. Ouedraogo ◽  
A. Elola ◽  
B. P. Ouedraogo ◽  
M. Sereme ◽  
...  
Keyword(s):  
Prospective Study ◽  
Otitis Media ◽  
Preventive Measures ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
University Hospital ◽  
Clinical Aspects ◽  
Age Group ◽  
A Prospective Study ◽  
The University

Objectives. The aim of this study was to analyze the epidemiological and clinical aspects of chronic otitis media and its therapeutic processes in our context. Patients and Methods. In a prospective study over a period of 1 year (March 2009–February 2010), 79 patients with chronic otitis media have been cared for in the otolaryngology ward of the University Hospital of Ouagadougou. Results. Chronic otitis media (COM) commonly occurs in the age group from 0 to 15 years (40.50%). Otorrhea was the main reason for consultation in 53 cases (67.10%); the most frequently encountered clinicopathological forms were simple COM (71%) followed by otitis media with effusion (24.30%). Intra-auricular instillations of traditional products (46.09%) were the dominant favoring factor. Treatment was essentially through medication in 59 cases with a stabilization of lesions. Endotemporal complications were noticed in 6 cases. Conclusion. The fight against chronic otitis media is carried out through preventive measures of education the of people.

scholarly journals Profile of invasive group A and group B Streptococcal infections in patients hospitalized at the University Hospital for Infectious Diseases „Dr. Fran Mihaljević“ during the period from 2011 to 2018

2020 ◽  
Vol 40 (1) ◽  
pp. 11-14
Author(s):  
Lana Šepec Rožmarić ◽  
Suzana Bukovski
Keyword(s):  
Infectious Diseases ◽  
Invasive Disease ◽  
University Hospital ◽  
Age Group ◽  
Streptococcal Infections ◽  
Invasive Group ◽  
Common Cause ◽  
Group A ◽  
Group B ◽  
The University

Aim: Beta-haemolytic streptococci (BHS) rarely cause invasive disease (ID). Usually the most common cause of ID is group B BHS (BHS-B). However, in our recent routine work higher number of group A BHS (BHS-A) isolates from blood was noted. The aim of this study was to report trends and findings by group BHS-A and BHS-B causing laboratory confirmed disease from 2011 to 2018 at the University Hospital for Infectious Diseases „Dr. Fran Mihaljević”. Methods: Data on patients from the electronic database of microbiological laboratory at UHID for the period 2011-2018 was collected and analysed. Results: During the period 2011-2018, 151 BHS A and B were identified from normally sterile body sites. Most isolates were from blood cultures (96.7%). BHS-A and BHS-B were isolated almost equally. The highest number of isolates was recorded in 2012 and 2017. The number of BHS A isolates peaked in 2012, 54% more than BHS-B, and 50% more in 2016. Children presented 19.9% of patients, and were mostly isolated with BHS-A. 80.1% patients were adults. Adults predominated in the age group &gt;65 years. 12 children and 18 adults were hospitalised in intensive care unit. Conclusion: Invasive group A and group B streptococcal infections predominantly affect most vulnerable age groups, children and elderly. In this study invasive BHS disease is most common among adults above 65 years of age. BHS-A was most common cause of invasive disease among paediatric patients as well as in the age group above 65 years. Typing and characterization of BHS-A isolates due to its characteristics should be foreseen as important diagnostic tool, especially to monitor changes in virulence and to prevent potential outbreaks.

scholarly journals Association between gender and deep pit and fissure among index age group 35-45 years

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1685-1690
Author(s):  
Nurul Husniyah Binti Che Soh ◽  
Arthi Balasubramaniam
Keyword(s):  
Dental Caries ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Fissure Sealant ◽  
Number Of Teeth ◽  
Deep Pit ◽  
The University ◽  
Life Type

Dental caries is a well-known factor leading to various dental complications, affecting both the health and quality of life. Type of pit and fissures such as "V" and "K" are more susceptible to dental caries where mechanical cleaning becomes a challenge. This study is conducted to evaluate the association of gender with deep pit and fissure among the Index age group 35-44 years old. A retrospective cross-sectional study was conducted using the patient records of the University hospital. A total of 103 consecutive case records of patients who underwent pit and fissure sealant were retrieved and analysed. Descriptive statistics were done to find the prevalence and association of gender and deep pit and fissures among the index age group. The number of teeth with bottomless pit and fissures was higher in males (52.43%) than in females (47.57%). Also, individuals of age group 35-40 years had a larger number of teeth with deep pit and fissures (74.75%) than the age group 41-45 years. No significant association was found between gender and the number of deep pits and fissures (p>0.05). The proportion of deep pit and fissures was high in males compared to females.

scholarly journals Alopecia areata in Black African patients: epidemiological, clinical, and therapeutic aspects

2021 ◽  
Vol 12 (1) ◽  
pp. 24-26
Author(s):  
Yao Isidore Kouassi ◽  
Koffi Kouamé Pacôme GBANDAMA
Keyword(s):  
Alopecia Areata ◽  
Systemic Treatment ◽  
Local Treatment ◽  
Young Male ◽  
University Hospital ◽  
Female Ratio ◽  
Black African ◽  
Plaque Type ◽  
African Patients ◽  
The University

Background: The aim was to describe the epidemiological, clinical, and therapeutic aspects of alopecia areata in Black African patients. Material and Methods: This was a retrospective descriptive study conducted at the Dermatology and Venerology Department of the University Hospital Center of Treichville over a 5-year. Results: The prevalence of alopecia areata was 0.2%. The mean age was 24.6 years and the male-to-female ratio was 1.47. Stress preceding the symptomatology was found in 3 cases. As for the clinical distribution, there were 25 cases of plaque-type alopecia areata, 10 cases of total descending alopecia areata, and 7 cases of universal alopecia areata. There was no nail damage and no associated pathologies. Local treatment only was administered in 31 cases, local and systemic treatment in 8 cases, and systemic treatment only in 3 cases. Conclusions: Alopecia areata predominates in young male populations and pathologies associated with alopecia are very rare.

Symptomatic vascular complications after vascular closure device use following diagnostic and interventional catheterisation

VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger
Keyword(s):  
Current Literature ◽  
Vascular Complications ◽  
University Hospital ◽  
Closure Device ◽  
Ultrasound Guided ◽  
Vascular Closure Device ◽  
Device Use ◽  
Arterial Stenoses ◽  
The University ◽  
Stenotic Lesions

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.

User Evaluation of an Integrated Medical Workstation for Clinical Data Analysis

1993 ◽  
Vol 32 (05) ◽  
pp. 365-372 ◽  
Author(s):  
T. Timmeis ◽  
J. H. van Bemmel ◽  
E. M. van Mulligen
Keyword(s):  
Data Analysis ◽  
Clinical Research ◽  
Clinical Data ◽  
University Hospital ◽  
User Evaluation ◽  
Scientific Staff ◽  
Medical Institutions ◽  
Clinical Data Analysis ◽  
Research Problems ◽  
The University

AbstractResults are presented of the user evaluation of an integrated medical workstation for support of clinical research. Twenty-seven users were recruited from medical and scientific staff of the University Hospital Dijkzigt, the Faculty of Medicine of the Erasmus University Rotterdam, and from other Dutch medical institutions; and all were given a written, self-contained tutorial. Subsequently, an experiment was done in which six clinical data analysis problems had to be solved and an evaluation form was filled out. The aim of this user evaluation was to obtain insight in the benefits of integration for support of clinical data analysis for clinicians and biomedical researchers. The problems were divided into two sets, with gradually more complex problems. In the first set users were guided in a stepwise fashion to solve the problems. In the second set each stepwise problem had an open counterpart. During the evaluation, the workstation continuously recorded the user’s actions. From these results significant differences became apparent between clinicians and non-clinicians for the correctness (means 54% and 81%, respectively, p = 0.04), completeness (means 64% and 88%, respectively, p = 0.01), and number of problems solved (means 67% and 90%, respectively, p = 0.02). These differences were absent for the stepwise problems. Physicians tend to skip more problems than biomedical researchers. No statistically significant differences were found between users with and without clinical data analysis experience, for correctness (means 74% and 72%, respectively, p = 0.95), and completeness (means 82% and 79%, respectively, p = 0.40). It appeared that various clinical research problems can be solved easily with support of the workstation; the results of this experiment can be used as guidance for the development of the successor of this prototype workstation and serve as a reference for the assessment of next versions.

Sharing of Worldwide Spread Knowledge Using Hypermedia Facilities & Fast Communication Protocols (Mosaic and World Wide Web): The Example of ExPASy

1995 ◽  
Vol 34 (01/02) ◽  
pp. 75-78 ◽  
Author(s):  
R. D. Appel ◽  
O. Golaz ◽  
Ch. Pasquali ◽  
J.-C. Sanchez ◽  
A. Bairoch ◽  
...  
Keyword(s):  
World Wide Web ◽  
World Wide ◽  
Relevant Literature ◽  
Communication Protocols ◽  
Laboratory Data ◽  
Central Element ◽  
University Hospital ◽  
New Information ◽  
The University ◽  
Link Information

Abstract:The sharing of knowledge worldwide using hypermedia facilities and fast communication protocols (i.e., Mosaic and World Wide Web) provides a growth capacity with tremendous versatility and efficacy. The example of ExPASy, a molecular biology server developed at the University Hospital of Geneva, is striking. ExPASy provides hypermedia facilities to browse through several up-to-date biological and medical databases around the world and to link information from protein maps to genome information and diseases. Its extensive access is open through World Wide Web. Its concept could be extended to patient data including texts, laboratory data, relevant literature findings, sounds, images and movies. A new hypermedia culture is spreading very rapidly where the international fast transmission of documents is the central element. It is part of the emerging new “information society”.

Prospective evaluation for gastrointestinal bleedings at the University Hospital St. Pölten – one year of follow-up

2019 ◽  
Author(s):  
M Stättermayer ◽  
F Riedl ◽  
S Bernhofer ◽  
A Stättermayer ◽  
A Mayer ◽  
...  
Keyword(s):  
University Hospital ◽  
Prospective Evaluation ◽  
One Year ◽  
The University
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