Demographic and Clinical Characteristics Associated with COVID-19 Infection in Hormozgan Province, Iran Between January 24 to June 10, 2020

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Yadolah Fakhri ◽  
Ali Mouseli ◽  
Mehdi Hassani Azad ◽  
Zahra Mastaneh ◽  
Mansour Sarafraz ◽  
...  
Keyword(s):  
Information System ◽  
High Pressure ◽  
Severe Acute Respiratory Syndrome ◽  
Muscle Pain ◽  
Clinical Characteristics ◽  
Health Information System ◽  
P Value ◽  
Pain Symptom ◽  
Partial Pressure Of Oxygen ◽  
Using Data

Background: Coronavirus disease 2019 (COVID‐19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection has been widespread. Objectives: We aim to investigate the demographic and clinical characteristics associated with COVID-19 infection between January 24 to June 10, 2020. Methods: All data related to tested patients (positive and negative cases) were extracted from the integrated health information system (IHIS) between January 24 to June 10, 2020. Statistical analyses were performed using data related to the anamnesis of all patients, odds ratios (OR) of COVID-19 infection in defined subgroups including contact history, partial pressure of oxygen (PO2) higher than 93 mmHg, the muscle-pain symptom, the cough symptom, and the fever symptom. Results: The COVID-19 infection was significantly associated with contact history (OR 5.25, [95% CI 4.35 to 6.34], P-value < 0.0001); PO2 higher than 93 mmHg (OR 1.74 [95% CI 1.44 to 2.22], P-value < 0.0001); muscle-pain symptom (OR 1.89 [95% CI 1.58 to 2.26], P-value < 0.0001); cough symptom (OR 1.32 [95% CI 1.14 to 1.53], P-value < 0.0001); and fever symptom (OR 1.29 [95% CI 1.11 to 1.49], P-value = 0.0004). Conclusions: The results of our study indicated that contact with patients or suspicious individuals can be considered as the most important symptoms of COVID-19 disease. Furthermore, the high pressure of oxygen, muscle-pain, cough, and fever symptoms were identified as considerable symptoms of COVID-19 disease.

scholarly journals Epidemiological Comparison between Microsurgery and Embolization of Aneurysms in Brazil from 2010 to 2015

2018 ◽  
Vol 27 (2) ◽  
pp. 168-174
Author(s):  
Matheus De Andrade Bannach ◽  
Mariana Lima Caetano ◽  
Caio Átila Saloio ◽  
José Édison Da Silva Cavalcante ◽  
Helioenai De Sousa Alencar
Keyword(s):  
Health Information System ◽  
Mean Value ◽  
Morbidity And Mortality ◽  
Endovascular Coiling ◽  
P Value ◽  
International Literature ◽  
Surgical Clipping ◽  
The Mean ◽  
Using Data ◽  
The Cost

Introduction: Intracerebral Aneurysms are important causes of morbidity and mortality, with mortality rate of up to 50%. Endovascular coiling was introduced as an alternative to surgical clipping, and has shown better results with a reduction in morbidity and mortality risk of 6-9%. Objective: To characterize the two types of treatment for intracerebral aneurysms within Brazilian scenario, and to compare the results with the international literature. Methods: An analytic observational study using data from the SIH / DATASUS (National Health Information System) in the period of 2010-2015. Results: The total number of hospitalizations decreased, with a 38.3% decrease in clipping and 18.4% in embolizations. The mean value of embolization was significantly higher, however, presenting a downward trend (R$ 22,011.37 in 2010 to R$ 15,607.18 in 2015), while the value of microsurgery increased (R$ 7,022.31 to R$ 8,645.28, respectively). Microsurgery was a risk factor for death (p-value <0.01). Conclusion: It has been shown that the international trend of transition from clipping to embolization did not occur in Brazil. The cost of embolization is much higher. For the authors, the death outcome contrasts with literature due to confounding factors that act within limitations of the study.

Posaconazole Administration in Hospitalized Children in the United States

2018 ◽  
Vol 8 (5) ◽  
pp. 481-484
Author(s):  
Sondra Lavigne ◽  
Brian T Fisher ◽  
Darcy Ellis ◽  
Theoklis E Zaoutis ◽  
Kevin J Downes
Keyword(s):  
United States ◽  
Information System ◽  
Health Information ◽  
Health Information System ◽  
The United States ◽  
Hospitalized Children ◽  
Pediatric Health ◽  
System A ◽  
Using Data

Abstract In this study, we evaluated posaconazole use among hospitalized children between October 2006 and September 2015 using data from the Pediatric Health Information System. A total of 878 children (in 1949 admissions) received posaconazole, and administration increased 22% per year overall and 27% per year in children aged <13 years for whom the drug was not approved.

scholarly journals An environmental health information system - assessment of the situation in Greece

2013 ◽  
Vol 13 (3) ◽  
pp. 300-308
Keyword(s):  
Information System ◽  
Environmental Health ◽  
Health Information ◽  
Health Information System ◽  
Health Indicators ◽  
Environment And Health ◽  
Environmental Agents ◽  
Health Action ◽  
Legislative Framework ◽  
Using Data

Presented are the results, with emphasis on the situation in Greece, of the ENHIS-2 project “Establishment of Environment and Health Information System Supporting Policy Making”. The information system is based on a set of Environmental Health Indicators developed and updated by the project, organized according to the four WHO CEHAPE (Children’s Environment and Health Action Plan for Europe) Regional Priority Goals (RPGs). In total 30 indicators have been developed and calculated using data from international and national databases. The outcome of the indicator piloting and the collection of information on relevant policies is used to make a preliminary assessment for Greece of the effects of environmental agents to population health in general and to children’s health in particular. The preliminary conclusions are that environmental problems in Greece are similar to those experienced by other European countries. Regarding legislation and policies, Greece as a European member state has a well established legislative framework based mainly on the ratification of E.C. Directives. There is however a lack in more specific policies and action plans , and a lack of a well organized system for inspecting, monitoring and reporting environmental health problems.

Effectivness of Health Information System Applications: Clinical Information and Diagnosis-Treatment Systems in Turkey

2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL
Keyword(s):  
Decision Making ◽  
Information System ◽  
Information Systems ◽  
Management Information System ◽  
Health Sector ◽  
Health Information System ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Management Information

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.

The Vision for a Person-Centered Health Information System

2018 ◽  
Vol 8 (10) ◽  
Author(s):  
Keith Horvath ◽  
◽  
Patricia Sengstack ◽  
Frank Opelka ◽  
Andrea Borondy Kitts ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System

scholarly journals Variable clinical characteristics and laboratory results in five patients with Chinese Good's syndrome (thymoma and hypogammaglobulinemia): an 8-year retrospective analysis in a university hospital in China

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jinyao Ni ◽  
Junwu Zhang ◽  
Yanxia Chen ◽  
Weizhong Wang ◽  
Jinlin Liu
Keyword(s):  
Information System ◽  
Lichen Planus ◽  
Hospital Information System ◽  
Clinical Characteristics ◽  
Opportunistic Infections ◽  
Clinical Symptoms ◽  
University Hospital ◽  
Ivig Treatment ◽  
Good’S Syndrome ◽  
Laboratory Results

Abstract Background Good's syndrome (GS) is a rare secondary immunodeficiency disease presenting as thymoma and hypogammaglobulinemia. Due to its rarity, the diagnosis of GS is often missed. Methods We used the hospital information system to retrospectively screen thymoma and hypogammaglobulinemia patients at the First Affiliated Hospital of Wenzhou Medical University from Apr 2012 to Apr 2020. The clinical, laboratory, treatment, and outcome data for these patients were collected and analyzed. Results Among the 181 screened thymoma patients, 5 thymoma patients with hypogammaglobulinemia were identified; 3 patients had confirmed diagnoses of GS, and the other 2 did not have a diagnosis of GS recorded in the hospital information system. A retrospective review of the clinical characteristics, laboratory results, and follow-up data for these 2 undiagnosed patients confirmed the diagnosis of GS. All 5 GS patients presented with pneumonia, 2 patients presented with recurrent skin abscesses, 2 patients presented with recurrent cough and expectoration, 1 patient presented with recurrent oral lichen planus and diarrhea, and 1 patient presented with tuberculosis and granulomatous epididymitis. In the years after the diagnosis of hypogammaglobulinemia with mild symptoms, all 5 patients had received irregular intravenous immunoglobulin (IVIG) treatment. As the course of the disease progressed, the clinical symptoms of all patients worsened, but the symptoms were partly resolved with IVIG in these patients. However, 4 patients died due to comorbidities. Conclusion GS should be investigated as a possible diagnosis in thymoma patients who present with hypogammaglobulinemia, especially those with recurrent opportunistic infections, recurrent skin abscesses, chronic diarrhea, or recurrent lichen planus.

scholarly journals POS0826 SKIN LIMITED IGA VASCULITIS IN ADULTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 666.1-666
Author(s):  
A. Hočevar ◽  
J. Ostrovrsnik ◽  
K. Perdan-Pirkmajer ◽  
M. Tomsic ◽  
Z. Rotar
Keyword(s):  
Clinical Characteristics ◽  
Systemic Disease ◽  
Elevated Serum ◽  
Skin Lesions ◽  
Current Smoker ◽  
P Value ◽  
Symptom Duration ◽  
Iga Vasculitis ◽  
Reactive Protein

Background:IgA vasculitis (IgAV) could be limited to skin or evolve into a systemic disease, affecting characteristically joints, gastrointestinal tract and/or kidneys.Objectives:We aimed to look for differences between adult IgAV patients with disease limited to skin compared to systemic IgAV.Methods:Medical records of histologically proven adult IgAV cases, diagnosed between January 2010 and December 2020 at our secondary/tertiary rheumatology centre were analyzed.Results:During the 132-month observation period we identified 328 new IgAV cases (59.5% males, median (IQR) age 64.3 (45.1; 76.1) years). Ninety-four (40.2%) patients had skin limited disease, and the rest systemic IgAV.Clinical differences between skin limited and systemic adult IgAV are presented in table 1. Adults with IgAV limited to skin were significantly older, had less commonly skin lesions above the waistline and a lower level of C reactive protein compared to patients with a systemic disease. There were no differences in the frequency of skin necroses between the compared IgAV subgroups. The frequency of potential vasculitis triggers (prior infections, new medications, malignancy) was similar between the compared subgroups.Table 1.Clinical characteristics of IgA vasculitis patients with skin limited and systemic diseaseClinical characteristicsSkin limited IgAV (94)Systemic IgAV (234)P valueMale gender (%)54.361.50.263Age (years)*68.0 (55.0-80.5)61.5 (41.7-75.8)0.007Current smoker (%)13.821.80.123Antecedent infection (%)28.733.80.434New medication23.423.51.0History of cancer12.810.70.569Symptom duration (days)*7 (5-21)8 (5-14)0.756Purpura above waistline36.255.60.002Skin necroses (%)52.145.70.329ESR /mm/h) *32 (18-52)34 (17-53)0.873CRP (g/l) *13.5 (1-32)30 (11-68)<0.001Elevated serum IgA (%)50.649.10.892Legend: * median and IQR;Follow up data were available for 250 (76.2%) patients. During the follow up of median (IQR) 12.5 (6.8 – 22.4) months 35 patients relapsed (13/70 (18.6%) with skin limited IgAV and 22/180 (12.2%) with systemic IgAV, p= 0.224).Conclusion:Skin limited IgAV was associated with older age and less extensive skin puprura in adults. However, relapses of purpura were as common as in systemic IgAV.Disclosure of Interests:None declared

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