scholarly journals The general characteristics and organic matters of therapeutic mud from Lake Noot (Mongolia)

2021 ◽  
Vol 22 (48) ◽  
pp. xx-xx
Author(s):  
Ganzaya Gankhurel ◽  
Nomintsetseg Byambajav ◽  
Bayaraa Batnasan ◽  
Dolmaa Gania
Keyword(s):  
Organic Matter ◽  
Chemical Composition ◽  
Health Care Services ◽  
Gas Chromatography Mass Spectrometry ◽  
Local Health ◽  
Total Organic Matter ◽  
Natural Origin ◽  
Care Services ◽  
Local Health Care ◽  
Antibacterial And Antifungal

In this investigation, we examined the chemical composition, physicochemical properties, and organic matter of therapeutic mud from Lake Noot in the Arkhangai province of Mongolia. The therapeutic mud from “Lake Noot” is used in the pelotherapy of local health care services for some time but without deep characterization. Due to this, a study of therapeutic mud samples was required. Our research concentrated on identifying general characteristics, organic matter, mineralogical, and chemical composition of therapeutic mud at two different Lake Noot sites. Results showed that the therapeutic mud belongs to the continental hydrogen sulfide sticky mud type. The total organic matter in the therapeutic mud of Lake Noot was 14.44%. Total organic matter contains a humic substance of 42.17%, lipid 16.62%, and carbohydrate 7.13%. A total of 172 compounds were identified in the dissoluble organic matter of therapeutic mud, mainly of natural origin, using the gas chromatography-mass spectrometry (GC/MS) method. The dominant compounds were saturated and unsaturated hydrocarbons with 13–44 carbon atoms and carboxylic acids and their ethers. Some of the identified organic compounds have been reported antimicrobial, anti-inflammatory, antibacterial, and antifungal properties.

Part 5: Community Perception of Local Health Care Services

1991 ◽  
Vol 7 (5) ◽  
pp. 542-559 ◽  
Author(s):  
L. Gary Hart ◽  
Denise M. Lishner ◽  
Bruce A. Amundson
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Local Health ◽  
Community Perception ◽  
Care Services ◽  
Local Health Care

Mass-gathering Events: The Role of Advanced Nurse Practitioners in Reducing Referrals to Local Health Care Agencies

2016 ◽  
Vol 31 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Anthony E. Kemp
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Nurse Practitioners ◽  
Health Care Services ◽  
Local Health ◽  
Medical Team ◽  
Mass Gathering ◽  
Care Services ◽  
Local Health Care

AbstractIntroductionThe introduction of advanced practitioner roles has challenged the traditional boundaries of health care. While studies have been undertaken to understand the role of physicians in respect of mass-gathering medicine, the role of advanced nurse practitioners (ANPs) has not been investigated.ProblemDoes the presence of an ANP reduce the referral rates of patients presenting for medical care at mass-gathering events to external health care resources?MethodsA prospective observational study was undertaken to determine whether the presence of an ANP would reduce the patient referral rate to external health care services by first aiders and paramedics working within an event medical team. Patients identified as requiring referral were reviewed by an ANP as part of the on-site medical provision for four mass-gathering events in the south of England. Additionally, information was gathered identifying which patients would have been transported to hospital by ambulance compared to those actually transported following ANP review. Statistical analysis was undertaken for three key measures (referrals to all local health resources, referrals to hospital-based acute services, and transfers to hospital by ambulance).ResultsA rounded total of 842,000 people attended four mass-gathering events held over 14 days. Of these, 652 presented for medical care, many self-referring.Using a one-tailed Fisher’s Exact Test and Phi analysis, this study demonstrated statistically significant reductions in the overall referral of patients to all external health care resources (P<.001; φ=0.44), to the emergency department (ED; P<.001; φ=0.43), and a reduction in ambulance transport (P<.001; φ=0.42). Effect size analysis demonstrated a medium-sized effect evident for all of the above, which was also demonstrated in economic terms.The event medical team would have referred 105 (16.3%) of the 652 patient presentations to external health care services; 47 (7.2%) would have been transported by ambulance. In comparison, the ANP referred 23 patients (3.5%) with 11 (1.7%) being transported by ambulance. It also was noted that the first aiders and paramedics could be more selective in their referral habits that were focused primarily on the ED.ConclusionsAppropriately trained and experienced ANPs working within event medical teams have a positive impact on referral rates from mass-gathering events.KempAE. Mass-gathering events: the role of advanced nurse practitioners in reducing referrals to local health care agencies. Prehosp Disaster Med. 2016;31(1):58–63.

scholarly journals Continuity of care is associated with satisfaction with local health care services

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Lautamatti ◽  
M. Sumanen ◽  
R. Raivio ◽  
K. J. Mattila
Keyword(s):  
Health Care ◽  
Continuity Of Care ◽  
Health Care Services ◽  
Local Health ◽  
Care Services ◽  
Local Health Care

scholarly journals Effective Containment of a COVID-19 Subregional Outbreak in Italy Through Strict Quarantine and Rearrangement of Local Health Care Services

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Sara Tedeschi ◽  
Lorenzo Badia ◽  
Fabio Berveglieri ◽  
Rodolfo Ferrari ◽  
Simona Coladonato ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
World Health ◽  
Nasopharyngeal Swab ◽  
Local Health ◽  
Telephone Contact ◽  
Care Services ◽  
Local Health Care ◽  
Emilia Romagna Region ◽  
Health Organization

Abstract Background Since the beginning of the pandemic, the epidemiology of coronavirus disease 2019 (COVID-19) in Italy has been characterized by the occurrence of subnational outbreaks. The World Health Organization recommended building the capacity to rapidly control COVID-19 clusters of cases in order to avoid the spread of the disease. This study describes a subregional outbreak of COVID-19 that occurred in the Emilia Romagna region, Italy, and the intervention undertaken to successfully control it. Methods Cases of COVID-19 were defined by a positive reverse transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on nasopharyngeal swab. The outbreak involved the residential area of a small town, with ~10 500 inhabitants in an area of 9 km2. After the recognition of the outbreak, local health care authorities implemented strict quarantine and a rearrangement of health care services, consisting of closure of general practitioner outpatient clinics, telephone contact with all residents, activation of health care units to visit at-home patients with symptoms consistent with COVID-19, and a dedicated Infectious Diseases ambulatory unit at the nearest hospital. Results The outbreak lasted from February 24 to April 6, 2020, involving at least 170 people with a cumulative incidence of 160 cases/10 000 inhabitants; overall, 448 inhabitants of the municipality underwent at least 1 nasopharyngeal swab to detect SARS-CoV-2 (positivity rate, 38%). Ninety-three people presented symptoms before March 11 (pre-intervention period), and 77 presented symptoms during the postintervention period (March 11–April 6). Conclusions It was possible to control this COVID-19 outbreak by prompt recognition and implementation of a targeted local intervention.

Home Visiting of Varying Frequency and Child Development

PEDIATRICS ◽  
1989 ◽  
Vol 84 (1) ◽  
pp. 157-164
Author(s):  
Christine Powell ◽  
Sally Grantham-McGregor
Keyword(s):  
Health Care Services ◽  
Home Visiting ◽  
Relative Effectiveness ◽  
Local Health ◽  
Control Groups ◽  
Developmental Quotient ◽  
Care Services ◽  
And Performance ◽  
Local Health Center ◽  
And Control

Two studies were made of home visiting and psychosocial stimulation with deprived urban children in Jamaica. The aim was to determine the relative effectiveness of different frequencies of visiting on the children's developmental levels and the feasibility of integrating the model into government primary health care services. Health paraprofessionals supervised by a nurse from a local health center conducted the intervention. In the first study, 152 children aged 6 to 30 months were assigned to groups visited biweekly, monthly, or not at all by area of residence. The biweekly group showed small but significant increases in scores on the Griffiths Mental Development Scales (developmental quotient) and performance subscale compared with the monthly and control groups, whereas no benefit was shown in the Griffiths scores of the monthly group. In the second study, 58 children aged 16 to 30 months from the same neighborhoods were randomly assigned to weekly visited and control groups. The group visited weekly showed marked improvements in the performance and hearing and speech subscales as well as the developmental quotient scores. The results indicate that as the frequency of visiting increases from none through monthly and biweekly to weekly, the benefits increase as well.

scholarly journals Helsepersonells erfaringer med pasientforløp i kommuner i Vest-Norge

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole
Keyword(s):  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
User Participation ◽  
Local Health ◽  
Care Services ◽  
Western Norway ◽  
Patient Pathways ◽  
Specialist Health Care ◽  
Group Interviews

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 

scholarly journals ‘We are not blaming anyone, but if we don't know about amenities, we cannot seek them out’: black and minority older people's views on the quality of local health and personal social services in England

2008 ◽  
Vol 29 (1) ◽  
pp. 93-113 ◽  
Author(s):  
JILL MANTHORPE ◽  
STEVE ILIFFE ◽  
JO MORIARTY ◽  
MICHELLE CORNES ◽  
ROGER CLOUGH ◽  
...  
Keyword(s):  
Older People ◽  
Social Services ◽  
Health Care Services ◽  
The Body ◽  
Local Health ◽  
Individual Interviews ◽  
Care Services ◽  
National Service Framework ◽  
Nominal Groups ◽  
Minority Ethnic

ABSTRACTImproving access to culturally-appropriate services and enhancing responses to the needs of older people from black and minority ethnic backgrounds were among the aims of theNational Service Framework for Older People(NSFOP) that was introduced in England in 2001. Progress in meeting the aims of the NSFOP was evaluated by a mid-term independent review led by the Healthcare Commission, the body responsible for regulating health-care services in England. This paper reports the consultation with older people that underpinned the evaluation. It focuses on the views and experiences of older people from black and minority ethnic (BME) groups and of the staff that work in BME voluntary organisations. A rapid appraisal approach was used in 10 purposively selected local councils, and plural methods were used, including public listening events, nominal groups and individual interviews. In total 1,839 older people participated in the consultations and 1,280 (70%) completed a monitoring form. Some 30 per cent defined themselves as of a minority ethnic background. The concerns were more about the low recognition of culturally-specific and language needs than for the development of services exclusively for BME older people.

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