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Legionnaires' disease surveillance: England and Wales, 1991.

One hundred and eleven cases of legionnaires' disease were reported in England and Wales in 1991, a smaller total than in any year since reporting began in the late 1970s. Four cases were hospital acquired and a further nine may have been associated with a hospital stay. Nosocomial legionellosis remains a cause for concern. Fifty-two cases were associated with travel abroad.

Paediatric burn injuries in New England, USA.

The authors analysed a subset of data from the New England Regional Burn Program (NERBP) to describe the epidemiology of burn injuries for children aged from birth to 19 years in the six-state New England area of the USA. The subset of the NERBP data analysed pertained to residents of the six New England states who were admitted to hospital for the treatment of a burn injury sustained between 1 July 1978 and 30 June 1979. Analysis of the data revealed that 1128 (41 per cent) of the 2742 hospitalized burns identified occurred to persons between the ages of birth and 19 years, yielding an overal…

Malnutrition among tuberculosis patients in Harrow, England.

Nutritional assessment was performed on 30 patients, aged 19-61 years, admitted to the Lister Unit of Northwick Park Hospital, Harrow, with active tuberculosis. Nutritional measurements were related to the duration and extent of disease, and also compared with those obtained in healthy age-, sex- and ethnic-matched controls before and during treatment of patients. Tuberculosis patients had significant reductions in body mass index (weight/height2) (P = 0.001), triceps skinfold thickness (P = 0.01), arm muscle circumference (P = 0.002), serum albumin (P less than 0.0001), iron (P less than 0.00

Decreasing mortality for aortic and mitral valve surgery in Northern New England. Northern New England Cardiovascular Disease Study Group.

BACKGROUND: Although numerous reports have documented declining mortality rates associated with coronary artery bypass surgery in recent years, it is unknown whether similar trends have occurred with valve surgery during this time. METHODS: We conducted a regional, prospective study to assess trends in patient casemix and in-hospital mortality rates over time with aortic valve replacement (AVR), mitral valve replacement (MVR), and mitral valve repair. Data were collected from all patients undergoing AVR (n = 2,596), MVR (n = 759), or mitral valve repair (n = 522) in Northern New England betwe…

Seasonal Pattern of Glaucoma Emergencies in New England.

Acute angle closure varied seasonally, highest in the spring and lowest in fall. Other confirmed glaucoma emergencies showed no clear pattern. These trends may reflect environmental, behavioral, access factors and inform care.

The prevalence and incidence of Raynaud's in England, United Kingdom.

OBJECTIVES: To estimate the prevalence and incidence in Raynaud's and its association with age, sex, ethnicity and region in England. METHODS: The Clinical Practice Research Datalink Aurum database was used to identify individuals with Raynaud's from 1998 to 2023. The prevalence of Raynaud's in 2023 and incidence rates from 2003 to 2023 was calculated. Logistic regression, Poisson regression and survival-time analyses were used to assess any variation according to age, sex, ethnicity and region. RESULTS: There were 158 449 Raynaud's cases recorded in 2023, with a prevalence rate of 894.19 (9…

Неравный доступ к диагностике миальгического энцефаломиэлита в Англии.

Люди с мальгическим энцефаломелитом (ME/CFS; иногда называются синдромом хронической усталости) сталкиваются с низким качеством жизни, связанным со здоровьем, и лишь в редких случаях восстанавливаются. У МОС/КВПБ нет лечения и единого диагностического теста. Для принятия решений в области общественного здравоохранения и политики, имеющих отношение к МОС/КВПБ, требуется знание распространенности этого явления и препятствий на пути его диагностики. Вместе с тем люди, имеющие МОС/КВПБ, сообщают о длительных задержках с диагностикой и о том, что оценки распространенности значительно различаются из

Совпадение в аннотации оригинала
BackgroundPeople with Myalgic Encephalomyelitis (ME/CFS; sometimes referred to as chronic fatigue syndrome) experience poor health-related q … ender, age and ethnicity.MethodsHospital Episode Statistics data, routinely collected by the NHS in England, was downloaded from the Feasibility Self-Service of NHS DigiTrials. This was used to stratify individuals with the ICD-10 code that best reflects ME/CFS symptoms (G93.3) according to age, self-reported gender and ethnicity, General Practice and NHS …

Unequal access to diagnosis of myalgic encephalomyelitis in England

Background People with Myalgic Encephalomyelitis (ME/CFS; sometimes referred to as chronic fatigue syndrome) experience very poor health-rel … r, age and ethnicity. Methods Hospital Episode Statistics data is routinely collected by the NHS in England together with patient age, gender and ethnicity. This data, downloaded from the Feasibility Self-Service of NHS DigiTrials, was used to stratify individuals with the ICD-10 code that best reflects ME/CFS symptoms (G93.3; “Postviral fatigue syndrome” …

Blastomycosis in New England: 5 Cases and a Review.

The geographic range of blastomycosis is thought to include New England, but documentation is sparse. We report 5 cases of infection with Blastomyces dermatitidis that were likely acquired in New England between 2011 and 2021. Our experience suggests that chart coding for the diagnosis of blastomycosis is imprecise and that mandatory reporting might help resolve uncertainties about the prevalence and extent of blastomycosis.

An Update to the Malthus Model for Radiotherapy Utilisation in England.

AIMS: The Malthus Programme predicts national and local radiotherapy demand by combining cancer incidence data with decision trees detailing … into our model, generating a current estimate of fraction demand for these four cancer sites across England. MATERIALS AND METHODS: The decision tree update was based on evidence from practice-changing randomised controlled trials, published guidelines, audit data and expert opinion. Site- and stage-specific incidence data were taken from the National Di …

Fatalities associated with gabapentinoids in England (2004-2020).

The gabapentinoids were reclassified as Schedule II medications and Class C drugs in the UK in 2019 due to their potential misuse. In this study we examined deaths following gabapentinoid use in England reported to the National Programme on Substance Abuse Deaths. A total of 3051 deaths were reported (gabapentin: 913 cases; pregabalin: 2322 cases [both detected in 184 cases]). Prescribed and illicitly obtained gabapentinoids accounted for similar proportions of deaths (gabapentin illicit 38.0%, prescribed 37.1%; pregabalin illicit 41.0%, prescribed 34.6%). Opioids were co-detected in most case…

Is there seasonal variation in gallstone related admissions in England?

BACKGROUND: Gallstone related pathology (GRP) accounts for a significant proportion of general surgery admissions. The aim of this study is to investigate if seasonal variation for GRP admissions exist in England allowing improved resource allocation and planning. METHODS: This multicentre retrospective cohort study included only emergency adult (≥18 years old) admissions to acute secondary care with ICD-10 codes associated with gallstones between 01/01/2010 to 31/12/2019 in England using Hospital Episode Statistics data. Seasons were defined according to United Kingdom Met Office. RESULTS: …

Epidemiology of COVID-19 in Prisons, England, 2020.

Using laboratory data and a novel address matching methodology, we identified 734 cases of coronavirus disease in 88 prisons in England during March 16-October 12, 2020. An additional 412 cases were identified in prison staff and household members. We identified 84 prison outbreaks involving 86% of all prison-associated cases.

Trends in hospital admissions for childhood fractures in England.

PURPOSE: Fractures to the axial and appendicular skeleton are common in children causing loss of opportunities and disability. There are relatively few studies available to quantify the number of children who have their fractures diagnosed in the emergency department and are then admitted to hospital for ongoing management. The purpose of this study is to explore trends of frequency, types and age of children sustaining fractures who were admitted for intervention to National Health Service (NHS) hospitals. DESIGN: The study uses data from the Hospital Episode Statistics and Office for Nation

Risk of Suicide After Cancer Diagnosis in England.

ImportanceA diagnosis of cancer carries a substantial risk of psychological distress. There has not yet been a national population-based study in England of the risk of suicide after cancer diagnosis.ObjectivesTo quantify suicide risk in patients with cancers in England and identify risk factors that may assist in needs-based psychological assessment.Design, setting, and participantsPopulation-based study using data from the National Cancer Registration and Analysis Service in England linked to death certification data of 4 722 099 individuals (22 million person-years at risk). Patients (aged …