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2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
B. Niyazov ◽  
S. Niyazovа

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

2022 ◽  
Vol 2022 ◽  
pp. 1-10
Liyan Jiang ◽  
Qiaoling Xie ◽  
Lingwei Chen

With the continuous deepening of medical reforms and the continuous attempts and explorations of various management models, the traditional health care model is undergoing tremendous changes, and patients’ needs for medical institutions are becoming more and more comprehensive. Medical institutions are meeting the needs of providing medical services to patients at the same time. It is even more necessary to change our thinking and enhance the service concept. This article is based on case-based deep learning hospital nursing business process reengineering and the application and feasibility study of integrated nursing information construction in nephrology nursing. This article uses the literature analysis method, the social survey method, and other methods to discuss the construction of integrated nursing information. On the one hand, the content of this article uses the concept of process reengineering to analyze the current development status and existing problems of the hospital care industry and find countermeasures to solve problems. On the other hand, the main research content of this article is the construction of integrated nursing information and its analysis of the application and feasibility of nursing in the nephrology department. At the same time, under the background of the rapid development of the mobile Internet, we will carry out extended thinking on the continuous transformation of the construction of nursing information. According to the survey results, 87.5% of patients in the nephrology department are dissatisfied with the current hospital’s work efficiency, and 85.7% of the nursing staff in the nephrology department are generally satisfied with the information management of the current department. After the implementation of the hospital information integration system, patient satisfaction is as high as 98.2%, and the satisfaction of medical staff reached 94.2%. The construction of integrated nursing information has played a great role in the application of nephrology nursing.

2022 ◽  
Vol 9 ◽  
Oksana Matsyura ◽  
Lesya Besh ◽  
Olena Borysiuk ◽  
Taras Gutor ◽  
Andriana Malska ◽  

Aim: To determine the prevalence and to estimate factors associated with food hypersensitivity in young children of the Lviv region in Ukraine.Methods: A prospective cross-sectional survey study was conducted between 2016 and 2017 in the Lviv region of Ukraine. A specially designed questionnaire about food hypersensitivity of young children developed and validated by M. J. Flokstra-de Blok was used after translation into the Ukrainian language. The questionnaire included 34 questions, grouped into general and detailed information. Parents of children aged 0–3 years were asked to complete the questionnaire at pre-schools and medical institutions.Results: Among 4,500 distributed questionnaires, 3,214 (71%) were completed and processed. Parents reported that 25% of their young children had food hypersensitivity. According to the survey the most common agents involved in food hypersensitivity in young children were cow's milk (34%), egg (28%), and wheat (24%). Hypersensitivity to milk occurred in 50% of children in the age group of 1–2 years. Regional differences associated with food hypersensitivity were also found. Namely, in the Carpathians, there was more hypersensitivity to fish (27%) and honey (22%) than in other regions, while hypersensitivity to soy was detected mostly in Lviv City residents (8.5%). Unknown causes of food hypersensitivity were highly reported (34%) in the Carpathians.Conclusion: Prevalence and some distinctiveness of food hypersensitivity revealed in four geographic and climate zones as well as in Lviv City have a considerable practical use for formulation of recommendations for children with food hypersensitivity.

2022 ◽  
Vol 17 (1) ◽  
Leire Solís ◽  
Julia Nordin ◽  
Johan Prevot ◽  
Nizar Mahlaoui ◽  
Silvia Sánchez-Ramón ◽  

Abstract Background The “Primary Immunodeficiencies (PIDs) principles of care” were published in 2014 as the gold standard for care of patients with PIDs, setting a common goal for stakeholders to ensure that patients with PID have access to appropriate care and good quality of life. Since then, IPOPI (the International Patient Organisation for Primary Immunodeficiencies), has been working with national PID patient organisations as well as collaborating with scientific and medical institutions and experts to bring these principles closer to the day-to-day life of individuals with PIDs. Method The six PID Principles of Care were revised to consider advances in the field, as well as political developments that had occurred after their initial publication in 2014. Based on this revision the list was updated, and a new principle was added. The six established principles were: diagnosis, treatment, universal health coverage, specialised centres, national patient organisations and registries. Each principle was structured and measured through a series of criteria, and was given the same weight, as they have been considered to all be equally important. Specific weights were attributed to the criteria depending on their relevance and importance to quantify the principle. The index was translated into a survey for data collection: initially involving data from selected countries for a pilot, followed by integration of data from IPOPI’s national member organisations and key countries. Results The PID Life Index was developed in 2020 to assess the status of the PID environment and the implementation of the 6 principles worldwide. The Index allows for benchmarking countries either according to a set of principles and criteria or based on the user’s preferences. This can be displayed in an interactive map or through a data visualisation system. Conclusion The PID Life Index has been developed successfully and has potential to become an important source of information for PID stakeholders, to increase awareness and information as well as support advocacy initiatives on PIDs nationally, regionally or globally.

2022 ◽  
Vol 2022 ◽  
pp. 1-12
Jinzhou Tang

Because modern human beings pay more and more attention to physical health, and there are many problems in the traditional medical service system, human beings have a higher and higher voice for the new medical model. At present, there are many researches on the application of modern science and technology to put forward solutions to medical development, but they generally pay attention to some details and ignore the construction of the whole medical service system. In order to solve the problems of low efficiency of the traditional medical model, difficult communication between doctors and patients, unreasonable allocation of medical resources, and so on, this article proposes establishing a perfect medical and health service system. First, the correlation functions are used, such as cosine correlation, to calculate the correlation of various medical products, and then the correlation measurement methods of cloud computing and the Internet of Things are used to realize the network connection of smart medical equipment, efficiently store, calculate and analyze health data, and realize online outpatient services, health file management, data analysis, and other functions. Then, the energy consumption formula of the wireless transceiver was used to reduce the resource loss in the operation of the system. Then, we use the questionnaire to understand the current situation of mobile medical and put forward improvement suggestions. This article also scores the performance of the system. The experimental results show that the performance rating of traditional medical institutions is B, while the model rating of mobile medical institutions is a, and the efficiency is optimized by 4.42%.

2022 ◽  
pp. medethics-2021-107836
Olivia Schuman ◽  
Joelle Robertson-Preidler ◽  
Trevor M Bibler

This article discusses the triage response to the COVID-19 delta variant surge of 2021. One issue that distinguishes the delta wave from earlier surges is that by the time it became the predominant strain in the USA in July 2021, safe and effective vaccines against COVID-19 had been available for all US adults for several months. We consider whether healthcare professionals and triage committees would have been justified in prioritising patients with COVID-19 who are vaccinated above those who are unvaccinated in first-order or second-order triage. Given that lack of evidence for a correlation between short-term survival and vaccination, we argue that using vaccination status during first-order triage would be inconsistent with accepted triage standards. We then turn to notions of procedural fairness, equity and desert to argue that that there is also a lack of justification for using vaccination status in second-order triage. In planning for future surges, we recommend that medical institutions base their triage decisions on principles meant to save the most lives, minimise inequity and protect the public’s trust, which for the time being would not be served by the inclusion of vaccination status.

2022 ◽  
Wooyoung Jang ◽  
Bongyoung Kim ◽  
Eu Suk Kim ◽  
Kyoung-Ho Song ◽  
Song Mi Moon ◽  

Abstract Background: Infection-control measures against the coronavirus disease 2019 (COVID-19) within a hospital are often based on expert experience and intuition due to the lack of clear guidelines. This study aimed to survey the current strategies for the prevention of the spread of COVID-19 in medical institutions.Methods: In a systematic review of national-level guidelines, 13 key topics were selected. Six hospitals were provided an open survey between August 11 and 25, 2020, to assess their responses to these topics. Using these data, an online questionnaire was developed and sent to the infection-control teams of 46 hospitals in South Korea. The survey was conducted between January 31, 2021, and February 20, 2021.Results: All 46 hospitals responded to the survey. All hospitals operated screening clinics, while 89.1% (41/46) allowed symptomatic patients without COVID-19-associated symptoms to visit the general outpatient clinics. Most hospitals (87.2%; 34/39) conducted polymerase chain reaction (PCR) tests for all hospitalised patients. Moreover, 35 (76.1%) hospitals had preemptive isolation policies for hospitalised patients, of which 97.1% (34/35) released patients from isolation after a single negative PCR test. Most hospitals (76.9%; 20/26) allowed shared-room accommodation for patients who met the national criteria for release from isolation but showed positive PCR results with cycle threshold values above a certain threshold (34.6%; 9/26) or after a certain period that satisfied the national criteria (26.9%; 7/26). Conclusions: Various guidelines were being applied by each medical institution, but an explicit set of national guidelines to support these guidelines was unavailable.

2022 ◽  
Junmin Zhu ◽  
Yunhai Fan ◽  
Quanhui He ◽  
Wanglin Peng

Abstract Background: To develop a set of R scripts that could efficiently and accurately identify the home page information of medical records and perform China Healthcare Security Diagnosis Related Groups (CHS-DRG) simulating grouping.Methods: Based on the CHS-DRG grouping rules, we abstracted the DRG grouping process into a standard algorithm and compiled the R script Z-DRG. The DRG simulating groupings by Z-DRG were compared with the DRG results from the regional CHS-DRG integrated service platform to evaluate the accuracy.Results: The Z-DRG includes one function module (zdrgfun. Rc), one operation module (zdrgpro. R) and one database form (zdrgcodes.RData). The function module set 7 algorithm steps and 8 custom functions. The functions were set for multiple diagnoses, multiple operations, joint diagnosis and operation. Only (17.85±0.11) milliseconds were taken for CHS-DRG simulating grouping of one case. Compared with the regional CHS-DRG results, the accuracy rate was 99.10%. The difference in the number of other diagnoses is the main reason that affected the accuracy.Conclusions: Z-DRG is easy to operate. The CHS-DRG simulating groupings were efficient and accurate. The simulation results could be effectively applied for medical institutions to carry out CHS-DRG grouping prediction and improve the implementation effect of CHS-DRG payment work.

Public Health ◽  
2022 ◽  
Vol 1 (4) ◽  
pp. 68-75
V. N. Pavlov ◽  
V. V. Viktorov ◽  
A. G. Imelbaeva ◽  
R. M. Gumerov ◽  
I. I. Lutfarakhmanov ◽  

During the pandemic of the new coronavirus infection Covid 19, the healthcare system faced serious challenges, one of which is a shortage of qualified personnel. One of the methods for solving this problem was the creation of mobile multidisciplinary mobile teams on the basis of federal medical institutions. In this article, the authors analyze the legal aspects of the functioning of mobile teams, and also give the experience of the employees of the Federal State Budgetary Educational Institution of Higher Education Bashkir State Medical University in the regions of Russia and abroad.

2022 ◽  
Vol 24 (1) ◽  
Ming Fu ◽  
Hongming Zhou ◽  
Yushi Li ◽  
Hai Jin ◽  
Xiqing Liu

Abstract Background Hip osteoarthritis is a common disabling condition of the hip joint and is associated with a substantial health burden. We assessed the epidemiological patterns of hip osteoarthritis from 1990 to 2019 by sex, age, and socio-demographic index (SDI). Methods Age-standardized rates (ASRs) were obtained for the incidence and disability-adjusted life years (DALYs) of hip osteoarthritis from 1990 to 2019 for 21 regions, encompassing a total of 204 countries and territories. The estimated annual percentage changes (EAPCs) of ASRs were calculated to evaluate the trends in the incidence and DALYs of hip osteoarthritis over these 30 years. Results Globally, from 1990 to 2019, the age-standardized incidence rate (ASIR) of hip osteoarthritis increased from 17.02 per 100,000 persons to 18.70 per 100,000 persons, with an upward trend in the EAPC of 0.32 (0.29–0.34), whereas the age-standardized DALY rate increased from 11.54 per 100,000 persons to 12.57 per 100,000 persons, with an EAPC of 0.29 (0.27–0.32). In 2019, the EAPCs of the ASIR and age-standardized DALY rate of hip osteoarthritis were positively associated with the SDI of hip osteoarthritis. In 1990 and 2019, the incidence of hip osteoarthritis was unimodally distributed across different age groups, with a peak incidence in the 60–64-year-old age group, whereas the DALYs increased with age. Conclusions The incidence and DALYs of hip osteoarthritis have been increasing globally. The EAPCs of the ASIR and age-standardized DALY rate were particularly significant in developed regions and varied across nations and regions, indicating the urgent need for governments and medical institutions to increase the awareness regarding risk factors, consequences of hip osteoarthritis.

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