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[PMID]:28079414
[Au] Autor:Griffith R
[Ti] Título:Ineligibility criteria and deprivation of liberty in relation to guardianship.
[So] Source:Br J Nurs;26(1):60-61, 2017 Jan 12.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Richard Griffith, Senior Lecturer in Health Law at Swansea University, discusses how the law surrounding deprivation of liberty safeguards relates to a person who is the subject of a guardianship order.
[Mh] Termos MeSH primário: Liberdade
[Mh] Termos MeSH secundário: Serviço Hospitalar de Admissão de Pacientes
Seres Humanos
Tutores Legais
Transtornos Mentais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170526
[Lr] Data última revisão:
170526
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.1.60


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[PMID]:27077558
[Au] Autor:Altobelli E; Vittorini P; Leuter C; Bianchini V; Angelone AM; Aloisio F; Cofini V; Zazzara F; Di Orio F
[Ad] Endereço:Dipartimento di Medicina clinica, sanità pubblica, scienze della vita e dell'ambiente (MESVA), Università degli Studi dell'Aquila, Italia.
[Ti] Título:[Health status and access to health services by the population of L'Aquila (Abruzzo Region, Italy) six years after the earthquake].
[Ti] Título:Stato di salute e accesso alle prestazioni sanitarie nella popolazione terremotata del comune di L'Aquila. Un bilancio a sei anni dal sisma..
[So] Source:Ig Sanita Pubbl;72(1):27-37, 2016 Jan-Feb.
[Is] ISSN:0019-1639
[Cp] País de publicação:Italy
[La] Idioma:ita
[Ab] Resumo:Natural disasters, such as the earthquake that occurred in the province of L'Aquila in central Italy, in 2009, generally increase the demand for healthcare. A survey was conducted to assess perception of health status an d use of health services in a sample of L'Aquila's resident population, five years after the event, and in a comparison population consisting of a sample of the resident population of Avezzano, a town in the same region, not affected by the earthquake. No differences were found in perception of health status between the two populations. Both groups reported difficulties in accessing specialized healthcare and rehabilitation services.
[Mh] Termos MeSH primário: Depressão/epidemiologia
Desastres
Terremotos
Serviços de Saúde/estatística & dados numéricos
Nível de Saúde
Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos
População Urbana/estatística & dados numéricos
[Mh] Termos MeSH secundário: Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos
Adulto
Idoso
Antipsicóticos/uso terapêutico
Assistência à Saúde/estatística & dados numéricos
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Itália/epidemiologia
Masculino
Meia-Idade
Prevalência
Qualidade de Vida
Reabilitação/estatística & dados numéricos
Inquéritos e Questionários
[Pt] Tipo de publicação:COMPARATIVE STUDY; ENGLISH ABSTRACT; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antipsychotic Agents)
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160415
[Lr] Data última revisão:
160415
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160415
[St] Status:MEDLINE


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[PMID]:27007384
[Au] Autor:Liu P; Wang X; Fan J; Xiao W; Wang Y
[Ad] Endereço:School of Environmental Science and Engineering, Shandong University, Jinan 250100, China. lp901012@gmail.com.
[Ti] Título:Effects of Air Pollution on Hospital Emergency Room Visits for Respiratory Diseases: Urban-Suburban Differences in Eastern China.
[So] Source:Int J Environ Res Public Health;13(3), 2016 Mar 19.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:A study on the relationships between ambient air pollutants (PM2.5, SO2 and NO2) and hospital emergency room visits (ERVs) for respiratory diseases from 2013 to 2014 was performed in both urban and suburban areas of Jinan, a heavily air-polluted city in Eastern China. This research was analyzed using generalized additive models (GAM) with Poisson regression, which controls for long-time trends, the "day of the week" effect and meteorological parameters. An increase of 10 µg/m³ in PM2.5, SO2 and NO2 corresponded to a 1.4% (95% confidence interval (CI): 0.7%, 2.1%), 1.2% (95% CI: 0.5%, 1.9%), and 2.5% (95%: 0.8%, 4.2%) growth in ERVs for the urban population, respectively, and a 1.5% (95%: 0.4%, 2.6%), 0.8% (95%: -0.7%, 2.3%), and 3.1% (95%: 0.5%, 5.7%) rise in ERVs for the suburban population, respectively. It was found that females were more susceptible than males to air pollution in the urban area when the analysis was stratified by gender, and the reverse result was seen in the suburban area. Our results suggest that the increase in ERVs for respiratory illnesses is linked to the levels of air pollutants in Jinan, and there may be some urban-suburban discrepancies in health outcomes from air pollutant exposure.
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos
Poluentes Atmosféricos/análise
Poluição do Ar/efeitos adversos
Serviços Médicos de Emergência/estatística & dados numéricos
Serviço Hospitalar de Emergência/estatística & dados numéricos
Admissão do Paciente/estatística & dados numéricos
Insuficiência Respiratória/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
China/epidemiologia
Cidades/estatística & dados numéricos
Feminino
Seres Humanos
Lactente
Masculino
Meia-Idade
Modelos Estatísticos
Fatores Sexuais
Fatores Socioeconômicos
População Suburbana/estatística & dados numéricos
Fatores de Tempo
População Urbana/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Air Pollutants)
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160324
[St] Status:MEDLINE


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[PMID]:26901926
[Ti] Título:Hospital inpatients care: over 10,000 more admissions a day than 10 years ago.
[So] Source:J Perioper Pract;26(1-2):7, 2016 Jan-Feb.
[Is] ISSN:1750-4589
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos
Serviço Hospitalar de Admissão de Pacientes/tendências
Pacientes Internados/estatística & dados numéricos
Assistência ao Paciente/estatística & dados numéricos
Assistência ao Paciente/tendências
[Mh] Termos MeSH secundário: Previsões
Seres Humanos
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1603
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160224
[St] Status:MEDLINE


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[PMID]:26371621
[Au] Autor:Greenberg SE; VanHouten JP; Lakomkin N; Ehrenfeld J; Jahangir AA; Boyce RH; Obremksey WT; Sethi MK
[Ad] Endereço:The Vanderbilt Orthopaedic Institute Center for Health Policy, Nashville, TN.
[Ti] Título:Does Admission to Medicine or Orthopaedics Impact a Geriatric Hip Patient's Hospital Length of Stay?
[So] Source:J Orthop Trauma;30(2):95-9, 2016 Feb.
[Is] ISSN:1531-2291
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of our study was to determine the association between admitting service, medicine or orthopaedics, and length of stay (LOS) for a geriatric hip fracture patient. DESIGN: Retrospective. SETTING: Urban level 1 trauma center. PATIENTS/PARTICIPANTS: Six hundred fourteen geriatric hip fracture patients from 2000 to 2009. INTERVENTIONS: Orthopaedic surgery for geriatric hip fracture. MAIN OUTCOME MEASUREMENTS: Patient demographics, medical comorbidities, hospitalization length, and admitting service. Negative binomial regression used to determine association between LOS and admitting service. RESULTS: Six hundred fourteen geriatric hip fracture patients were included in the analysis, of whom 49.2% of patients (n = 302) were admitted to the orthopaedic service and 50.8% (3 = 312) to the medicine service. The median LOS for patients admitted to orthopaedics was 4.5 days compared with 7 days for patients admitted to medicine (P < 0.0001). Readmission was also significantly higher for patients admitted to medicine (n = 92, 29.8%) than for those admitted to orthopaedics (n = 70, 23.1%). After controlling for important patient factors, it was determined that medicine patients are expected to stay about 1.5 times (incidence rate ratio: 1.48, P < 0.0001) longer in the hospital than orthopaedic patients. CONCLUSIONS: This is the largest study to demonstrate that admission to the medicine service compared with the orthopaedic service increases a geriatric hip fractures patient's expected LOS. Since LOS is a major driver of cost as well as a measure of quality care, it is important to understand the factors that lead to a longer hospital stay to better allocate hospital resources. Based on the results from our institution, orthopaedic surgeons should be aware that admission to medicine might increase a patient's expected LOS. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/utilização
Fraturas do Quadril/epidemiologia
Fraturas do Quadril/cirurgia
Tempo de Internação/estatística & dados numéricos
Ortopedia/estatística & dados numéricos
Admissão do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Feminino
Serviços de Saúde para Idosos
Seres Humanos
Masculino
Meia-Idade
Prevalência
Distribuição por Sexo
Tennessee/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150916
[St] Status:MEDLINE
[do] DOI:10.1097/BOT.0000000000000440


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[PMID]:26430192
[Au] Autor:Morgan MY
[Ad] Endereço:UCL Institute for Liver and Digestive Health, Division of Medicine, Royal Free Campus, London, UK.
[Ti] Título:Acute alcohol toxicity and withdrawal in the emergency room and medical admissions unit.
[So] Source:Clin Med (Lond);15(5):486-9, 2015 Oct.
[Is] ISSN:1473-4893
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Alcohol-related hospital attendances and admissions continue to escalate despite a fall in alcohol consumption levels in the UK population overall. People with alcohol-related problems pose a significant and often disproportionate burden on acute medical services as their management is often complex and challenging. This article focuses on the management of alcohol intoxication, with particular emphasis on aggressive and possibly violent behaviour; alcohol withdrawal; fitting; and the prevention and treatment of Wernicke's encephalopathy.
[Mh] Termos MeSH primário: Delirium por Abstinência Alcoólica/terapia
Intoxicação Alcoólica/terapia
[Mh] Termos MeSH secundário: Serviço Hospitalar de Admissão de Pacientes
Delirium por Abstinência Alcoólica/fisiopatologia
Serviço Hospitalar de Emergência
Seres Humanos
Encefalopatia de Wernicke/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:151002
[Lr] Data última revisão:
151002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151003
[St] Status:MEDLINE
[do] DOI:10.7861/clinmedicine.15-5-486


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[PMID]:26315153
[Au] Autor:Jefferies D; Duff M; Burns E; Nicholls D
[Ad] Endereço:School of Nursing and Midwifery, University of Western Sydney, Penrith South, New South Wales, Australia.
[Ti] Título:Historical perspectives: a snapshot of women admitted to psychiatric facilities with psychosis or mania after childbirth in the late Victorian and inter-war periods.
[So] Source:J Adv Nurs;71(12):2799-810, 2015 Dec.
[Is] ISSN:1365-2648
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: This study analysed historical healthcare records to investigate how women diagnosed with mania or psychosis and admitted to two mental health facilities in Australia following childbirth, were described in the late Victorian (1885-1895) and inter-war period (1925-1935). BACKGROUND: Although historians have examined the history of mental health systems in Australia, there is no published scholarship that considers the healthcare records of these women. This was a unique opportunity to explore these documents. DESIGN: An historical study examining healthcare records. The data collection occurred in 2012. METHODS: Women admitted to mental health facilities with a diagnosis of psychosis or mania were identified in the admission registers found in the State Record Office of New South Wales and, if available, their healthcare record was transcribed verbatim. The records were imported into NVivo 10 for content analysis to determine the range and scope of information. A further textual analysis was conducted to see if the woman's diagnosis was congruent with the outcome of her admission. RESULTS/FINDINGS: 155 cases were identified across the two periods. Although, demographic data and the description of the women on admission were remarkably similar, 17% of women were physically, rather than mentally, ill and died soon after admission. The findings demonstrate the importance of current practices such as taking a comprehensive healthcare assessment and the use of antibiotics and sanitary measures during labour and in the postnatal period. CONCLUSION: Historical investigations of healthcare records provide legitimacy for current healthcare practices.
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/história
Transtorno Bipolar/história
Hospitais Psiquiátricos/história
Registros Médicos
Serviços de Saúde Mental/história
Parto/psicologia
Transtornos Psicóticos/história
[Mh] Termos MeSH secundário: Adulto
Feminino
História do Século XIX
História do Século XX
Seres Humanos
New South Wales
Gravidez
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:150829
[St] Status:MEDLINE
[do] DOI:10.1111/jan.12761


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[PMID]:26109328
[Au] Autor:Martin WG; Galligan J; Simpson S; Greenaway T; Burgess J
[Ad] Endereço:Department of Medicine, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
[Ti] Título:Admission blood glucose predicts mortality and length of stay in patients admitted through the emergency department.
[So] Source:Intern Med J;45(9):916-24, 2015 Sep.
[Is] ISSN:1445-5994
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Hyperglycaemia has been associated with adverse outcomes in several different hospital populations. AIM: The aim of this study was to investigate the relationship between admission blood glucose level (BGL) and outcomes in all patients admitted through the emergency department. METHODS: This study was a retrospective observational cohort study from an Australian tertiary referral hospital. Patients admitted in the first week of each month from April to October 2012 had demographic data, co-morbidities, BGL, intensive care unit admission, length of stay and dates of death recorded. Factors associated with outcomes were assessed by multi-level mixed-effects linear regression. RESULTS: Admission BGL was recorded for 601 admissions with no diagnosis of diabetes and for 219 admissions diagnosed with type 2 diabetes (T2DM). In patients with no diagnosis of diabetes, admission BGL was associated with in-hospital and 90-day mortality (P < 0.001). After multivariate analysis, BGL greater than 11.5 mmol/L was significantly associated with increased mortality at 90 days (P < 0.05). In patients with T2DM increased BGL on admission was not associated with in-hospital or 90-day mortality but was associated with length of hospital stay (ß: 0.22 days/mmol/L; 95% confidence interval 0.09-0.35; P < 0.001), although this association was lost on multivariable analysis. In patients with T2DM, increased coefficient of variation of BGL was also positively associated with length of hospital stay in an almost dose-dependent fashion (P < 0.001). CONCLUSION: Admission BGL was independently associated with increased mortality in patients with no diagnosis of diabetes. Glycaemic variability was associated with increased length of hospital stay in patients with T2DM.
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos
Glicemia/metabolismo
Serviço Hospitalar de Emergência
Mortalidade Hospitalar/tendências
Hospitalização/estatística & dados numéricos
Hiperglicemia/mortalidade
Tempo de Internação/estatística & dados numéricos
Centros de Atenção Terciária/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Hiperglicemia/sangue
Hiperglicemia/diagnóstico
Masculino
Meia-Idade
Avaliação de Processos e Resultados (Cuidados de Saúde)/estatística & dados numéricos
Valor Preditivo dos Testes
Estudos Retrospectivos
Fatores de Risco
Tasmânia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Blood Glucose)
[Em] Mês de entrada:1607
[Cu] Atualização por classe:150903
[Lr] Data última revisão:
150903
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150626
[St] Status:MEDLINE
[do] DOI:10.1111/imj.12841


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[PMID]:25993374
[Au] Autor:Turner C
[Ad] Endereço:Clinical Quality and Patient Safety Manager for Care Homes, North East London Commissioning Support Unit.
[Ti] Título:Reducing costs and avoiding hospital admissions: can mobile working help?
[So] Source:Br J Community Nurs;20(5):245-6, 248-9, 2015 May.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The UK has an increased length of hospital stay in comparison with other European countries, and the need for further investment in community services is required if patients are to truly receive care closer to home. The increase in hospital admissions over the last few years may be attributed to the ageing UK population, as well as poor management of long-term conditions. This may be due to variations in the service provision and availability of case managers and community matrons. The poor working relationships and fragmentation of health and social care services remain a significant issue, despite renewed calls to improve integrated working, which is considered fundamental to achieving a reduction in avoidable hospital admissions. Mobile working was introduced in the NHS to help reform community health-care practice and improve continuity of care. Among other things, it provides clinicians with access to electronic patient records in real time, thus helping to reduce delays in treatment. However, we have to bear in mind that a number of factors could hinder the reduction in hospital admissions.
[Mh] Termos MeSH primário: Serviço Hospitalar de Admissão de Pacientes/economia
Redução de Custos/métodos
Registros Eletrônicos de Saúde
Medicina Estatal/economia
Telemedicina/economia
[Mh] Termos MeSH secundário: Serviço Hospitalar de Admissão de Pacientes/estatística & dados numéricos
Redução de Custos/economia
Hospitalização/economia
Hospitalização/tendências
Seres Humanos
Telecomunicações
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1507
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:150521
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2015.20.5.245


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[PMID]:25744615
[Au] Autor:Roberts SC; Fuentes L; Kriz R; Williams V; Upadhyay UD
[Ad] Endereço:Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, Oakland, CA. Electronic address: robertss@obgyn.ucsf.edu.
[Ti] Título:Implications for women of Louisiana's law requiring abortion providers to have hospital admitting privileges.
[So] Source:Contraception;91(5):368-72, 2015 May.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2014, Louisiana passed a law requiring abortion providers to have hospital admitting privileges. This law is temporarily on hold while a court case challenging it continues. We aimed to describe the population who would be affected if the law goes into effect and how closures of between three and five Louisiana abortion facilities would affect the distance Louisiana women would need to travel for an abortion. STUDY DESIGN: We abstracted patient data from three of the five Louisiana abortion care facilities in the year before the law was scheduled to take effect. We then estimated distance traveled and distances women would need to travel if clinics close. FINDINGS: Half (53%) of women who had an abortion had no education beyond high school, most were black (62%) or white (30%), three fourths (73%) had a previous live birth, and most (89%) were having a first-trimester abortion. Seventy-nine percent resided in Louisiana and 15% in Texas. The parishes in which abortion patients resided had lower median income and higher percentage poverty than the Louisiana average. Abortion patients residing in Louisiana traveled a mean distance of 58 miles each way for an abortion. If all Louisiana facilities close, the mean distance women would need to travel would more than triple to 208 miles, and the proportion of Louisiana women of reproductive age who live more than 150 miles from an abortion facility would increase from 1% to 72%. CONCLUSION: The admitting privileges law will likely significantly increase the distance Louisiana women need to travel for an abortion. This burden is likely to disproportionately affect Louisiana's more vulnerable residents. IMPLICATIONS: If all Louisiana abortion facilities close due to Louisiana's hospital admitting privileges law, the mean distance women would need to travel for an abortion would more than triple from 58 to 208 miles. Louisiana's law would thus present a considerable burden on many Louisiana women, particularly those who are more vulnerable.
[Mh] Termos MeSH primário: Aborto Induzido/legislação & jurisprudência
Aborto Legal/legislação & jurisprudência
Acesso aos Serviços de Saúde/legislação & jurisprudência
Viagem/estatística & dados numéricos
[Mh] Termos MeSH secundário: Serviço Hospitalar de Admissão de Pacientes
Adolescente
Adulto
Criança
Feminino
Seres Humanos
Louisiana
Gravidez
Fatores Socioeconômicos
Texas
Populações Vulneráveis
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1601
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150307
[St] Status:MEDLINE



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