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Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.

The hospital landscape is shifting to new care models to meet current challenges in demand, technology, available budgets and staffing. These challenges also apply to the paediatric population, leading to a reduction in paediatric hospital beds and occupancy rates. Paediatric hospital-at-home (HAH) care is used to substitute hospital care in an attempt to bring hospital services closer to children's homes. In addition, these models attempt to avoid fragmentation of care between hospitals and the community. An important prerequisite for this paediatric HAH care is that it is safe and at least a

Risk associations of submicroscopic malaria infection in lakeshore, plateau and highland areas of Kisumu County in western Kenya.

BACKGROUND: Persons with submicroscopic malaria infection are a major reservoir of gametocytes that sustain malaria transmission in sub-Saharan Africa. Despite recent decreases in the national malaria burden in Kenya due to vector control interventions, malaria transmission continues to be high in western regions of the country bordering Lake Victoria. The objective of this study was to advance knowledge of the topographical, demographic and behavioral risk factors associated with submicroscopic malaria infection in the Lake Victoria basin in Kisumu County. METHODS: Cross-sectional community

Zambia mental health country profile.

This country profile for Zambia was compiled between 1998 and 2002. The objectives of the exercise were to first of all avail policymakers, other key decision makers and leaders in Zambia, information about mental health in Zambia in order to assist policy and services development. Secondly, to facilitate comparative analyses of mental health services between countries. The work involved formation of a core group of experts who coordinated the collection of information from the various organizations in Zambia. The information was later shared to a broad spectrum of stakeholders for consensus.

Sleep medicine in Saudi Arabia: evolution, current landscape, and future directions a state-of-the-art review with an embedded health-services analysis of Ministry of Health sleep centers, 2022 to 2025.

BACKGROUND: Sleep medicine in Saudi Arabia has developed from a single academic laboratory in the late 1990s into an emerging national service. That development has played out against a heavy and still under-recognized burden of obstructive sleep apnea (OSA), low public awareness, and rising national attention to prevention, access, road safety, and value-based care. OBJECTIVE: To describe the evolution and current landscape of sleep medicine in Saudi Arabia, document the Ministry of Health (MOH) National Sleep Medicine Program delivered during 2022 to 2025, and interpret remaining service ga

[Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks?].

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has caused major sanitary crisis worldwide. Half of the world has been placed in quarantine. In France, this large-scale health crisis urgently triggered the restructuring and reorganization of health service delivery to support emergency services, medical intensive care units and continuing care units. Health professionals mobilized all their resources to provide emergency aid in a general climate of uncertainty. Concerns about the mental health, psychological adjustment, and recovery of health care workers treating and caring for p

A Comparative Study of Maternal and Neonatal Outcomes in Obese and Non-obese Iraqi Pregnant Women Undergoing Cesarean Section.

BACKGROUND: Obesity has become a global health concern, and it is on the rise in developed nations among both the general and the obstetric populations. To know if a person has obesity or normal body weight, the body mass index (BMI) is now widely used and regarded as a trustworthy indicator. AIM: This study was designed to compare maternal and neonatal outcomes between obese and non-obese pregnant women who underwent cesarean section (C/S) in Basra city in the south of Iraq. METHOD: This comparative observational cross-sectional study was done in Basra Teaching Hospital, Basra, Iraq, from M

Evaluation and conservative management of spondylolisthesis.

Plain x-rays of the lumbar spine are not helpful in diagnosing most known causes of low back pain but can reveal structural changes such as disc space narrowing, scoliosis, lumbarization or sacralization, spondylolysis, and spondylolisthesis. Spondylolisthesis is defined as the forward displacement of one vertebrae upon another, usually at the L5-S1 level, but also occurring at L4-5. For spondylolisthesis to occur there must be an anatomical change in the structures which normally resist the anterior displacement of one vertebrae upon the other. Forward slippage is resisted by the bony block o

Therapeutic respiratory and functional rehabilitation protocol for intensive care unit patients affected by COVID-19: a structured summary of a study protocol for a randomised controlled trial.

OBJECTIVES: The primary objective of the presented study is to analyze the respiratory and functional effects of a rehabilitation program in patients affected by hospitalization in Intensive Care Unit (ICU) due to COVID-19, in comparison with the group treated with standard of care, at discharge endpoint. The secondary objectives of the presented study are to evaluate different outcomes of the rehabilitation program in comparison to standard of care regarding: functional performance at 4-week and 12-week post- discharge mark; health-related quality of life, the impact on the health services (n

Feasibility and clinical efficacy of minimally invasive techniques in the treatment of type Ⅱ/Ⅲ brucellar spondylitis.

OBJECTIVE: To explore the clinical feasibility and perioperative superiority of combined minimally invasive techniques in treating type II/III Brucellar Spondylitis (BS), clarify the stratified surgical indications for different minimally invasive procedures and key technical points, provide evidence-based medical evidence for selecting appropriate surgical methods in the clinical treatment of type II/III BS, and provide a reference for formulating clinical norms for minimally invasive techniques in treating BS, thereby promoting the standardized and popularized application of minimally invasi

Autism Spectrum Disorder and Mental Health Comorbidity Leading to Prolonged Inpatient Admission.

Sam is a 6-year-old boy with a diagnosis of autism spectrum disorder (ASD) who recently relocated and has an appointment with you, his new pediatric clinician, to establish care. He was previously followed by a psychiatrist for 2 years for additional diagnoses of insomnia, bipolar disorder, anxiety, attention deficit hyperactivity disorder, and intellectual disability. He has tried and (apparently) failed multiple psychotropic trials including stimulants, nonstimulants, mood stabilizers, atypical antipsychotics, and nonbenzodiazepine hypnotics. He has a delayed sleep onset and frequent night a

The 2007 annual report of the Regional Infant and Child Mortality Review Committee.

The mission of the Regional Infant and Child Mortality Review Committee (RICMRC) is to review infant and child deaths so that information can be transformed into action to protect young lives. The 2007 review area includes South Dakota's Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hansen, Miner and Brookings counties. Although there were no deaths in 2007 that met the criteria of the Sudden Infant Death Syndrome (SIDS) in our region, there were three infant deaths associated with unsafe sleeping environments (including adult co-sleeping) that either caused or potentially may have c

Bird fancier's lung: a series of 86 patients.

Bird fancier's lung (BFL) is one of the most common types of hypersensitivity pneumonitis. Nevertheless, the criteria for diagnosing this condition are not standardized. The current study is an in-depth investigation into the clinical characteristics of BFL in the largest series examined for this purpose by a single group, to our knowledge, taking into account the acute, subacute, or chronic clinical presentation. From 1977 to 2003, BFL was diagnosed in 86 patients using a homogeneous protocol. Data from the clinical history and physical examination were analyzed, as well as the results from t

Comparison of outcome and characteristics between 6343 COVID-19 patients and 2256 other community-acquired viral pneumonia patients admitted to Dutch ICUs.

PURPOSE: Describe the differences in characteristics and outcomes between COVID-19 and other viral pneumonia patients admitted to Dutch ICUs. MATERIALS AND METHODS: Data from the National-Intensive-Care-Evaluation-registry of COVID-19 patients admitted between February 15th and January 1th 2021 and other viral pneumonia patients admitted between January 1st 2017 and January 1st 2020 were used. Patients' characteristics, the unadjusted, and adjusted in-hospital mortality were compared. RESULTS: 6343 COVID-19 and 2256 other viral pneumonia patients from 79 ICUs were included. The COVID-19 pati

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… This made it possible to analyze all COVID-19 patients admitted to the ICU from an entire healthcare system including its stress on bed occupancy, which would make international comparisons more meaningful. … We also adjusted for bed occupancy rate taking the average daily ICU occupancy rate during 2019 as a reference for 2020. …

Development of an evidence-based educational resource in oncology: 'Living safely with bone metastases'.

OBJECTIVE: To create an evidence-based patient education resource to better support cancer patients with bone metastases in carrying out safe movements during activities of daily living, to maintain their bone health and reduce the risk of fractures. METHODS: A quality improvement project was conducted in three phases: Development of the Resource, Preliminary Feedback and Revision, and French Canadian Translation. RESULTS: The educational resource Living Safely with Bone Metastases focuses on safe movement, activities of daily living, and exercise, organized within the sections Move with car

Приемлемость и пригодность ассистивных средств и технологий для лиц с множественным склерозом: качественное исследование с участием профессиональных терапевтов.

ВВЕДЕНИЕ: Вспомогательное оборудование и технология (АЭ и Т) часто являются частью практики профессиональной терапии для лиц с множественным склерозом (МС). Мы стремимся изучить приемлемость и удобство использования ЭИ и Т людьми, имеющими НР, с точки зрения профессиональных терапевтов. МЕТОДЫ: В нашем исследовании использовался качественный описательный дизайн с использованием полуструктурированных опросов, проведенных с пятью квалифицированными профессиональными терапевтами, имеющими по меньшей мере 6-месячный опыт в деле обеспечения профессиональной терапии взрослых, имеющих MS. Для анализа

Home infusion services in Saudi Arabia: Where are we standing?

Diseases management has reached the highest level of complexity and cost in history, worldwide, and in Saudi Arabia in particular, which led to prolonged, unnecessary hospital stays. There have been many recent innovative measures to reduce these issues. One is to provide home infusion services. Hence, this narrative review emphasizes the expected benefits and challenges of such services and the applicability of their implementation in Saudi Arabia. A literature search was conducted via PubMed database, involving all published studies from inception until March 24th, 2023. Many studies showed

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… However, the home infusion effectively reduced patients’ hospital stays and bed occupancy. This review identified four studies discussing the benefits of home infusion services in reducing the length of hospital stay. Details of these studies are provided in Table 1 . …

[Report on health status of residents in areas with industrial, mining or military sites in Sardinia, Italy].

UNLABELLED: The work described in the present report has been requested by the Secretary of Hygiene, Health and Social Welfare of the Sardinia Region (Italy). It has been carried out by the Regional Epidemiological Observatory within the domain of ESA (Epidemiology Development and Environment) and with the support of the European Union. Eighteen areas (for a total of 73 municipalities) were identified a priori as "potentially polluted", accounting for a population of 917,977 in 2001 census (56% of the total population of Sardinia). The areas have been named after the most important town, as li

A critical care outreach team under strain - Evaluation of the service provided to patients with haematological malignancy during the Covid-19 pandemic.

PurposeCritical Care Outreach Teams (CCOTs) have been associated with improved outcomes in patients with haematological malignancy (HM). This study aims to describe CCOT activation by patients with HM before and during the Covid-19 pandemic, assess amny association with worse outcomes, and examine the psychological impact on the CCOT.Materials and methodsA retrospective, mixed-methods analysis was performed in HM patients reviewed by the CCOT over a two-year period, 01 July 2019 to 31 May 2021.ResultsThe CCOT increased in size during the surge period and reviewed 238 HM patients, less than in

Прогнозирование неблагоприятных явлений для стратификации риска химиотерапии на основе мобилизации стволовых клеток в множестве миеломы.

Автологическая трансплантация стволовых клеток является фундаментальной терапией для множественных миелом. Хотя стационарная химическая мобилизация стволовых клеток (КЦМ) является в Германии стандартной системой ухода, амбулаторные подходы могут облегчить проблемы, связанные с медицинским обслуживанием. Мы проанализировали 109 Пациенты миэломы проходят курс SCM и коллекционируются в медицинском центре Университета Геттингена на предмет безопасности. Затем мы подготовили модели машинного обучения для прогнозирования неблагоприятных явлений (АЭ), требующих госпитализации, и прогнозирования сроко

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… Our simulations suggest that adapted patient admission policies could even in conservative scenarios reduce bed occupancy up to 75% compared to the current standard inpatient treatment (see Fig. 2 ). … By additionally treating selected adverse events in an outpatient setting, hospital bed occupation could be reduced by more than 90% of bed-days overall (see Supplementary Fig. 1 ). …

Implementing patient-centred outcome measures in palliative care clinical practice. An updated systematic review of facilitators and barriers.

BackgroundPatient-centred outcome measures (PCOMs), when well implemented, are powerful tools facilitating patient, family and clinical communication to better respond to patient needs. Their routine use in palliative care practice still faces challenges.ObjectiveTo update a systematic review of PCOMs implementation, reviewing and synthesising new evidence on facilitators, barriers, lessons learned, measures used, models of implementation, costs, implementation outcomes, and consequences in clinical practice.MethodsWe searched eight information sources supplemented by hand-searching and citati