Search results for "Hospital."
showing 10 items of 2242 documents
Higher Fluid Balance Increases the Risk of Death From Sepsis: Results From a Large International Audit
2017
Contains fulltext : 177598.pdf (Publisher’s version ) (Closed access) OBJECTIVES: Excessive fluid therapy in patients with sepsis may be associated with risks that outweigh any benefit. We investigated the possible influence of early fluid balance on outcome in a large international database of ICU patients with sepsis. DESIGN: Observational cohort study. SETTING: Seven hundred and thirty ICUs in 84 countries. PATIENTS: All adult patients admitted between May 8 and May 18, 2012, except admissions for routine postoperative surveillance. For this analysis, we included only the 1,808 patients with an admission diagnosis of sepsis. Patients were stratified according to quartiles of cumulative f…
Monte Carlo evaluation of kerma in an HDR brachytherapy bunker
2004
In recent years, the use of high dose rate (HDR) after-loader machines has greatly increased due to the shift from traditional Cs-137/Ir-192 low dose rate (LDR) to HDR brachytherapy. The method used to calculate the required concrete and, where appropriate, lead shielding in the door is based on analytical methods provided by documents published by the ICRP, the IAEA and the NCRP. The purpose of this study is to perform a more realistic kerma evaluation at the entrance maze door of an HDR bunker using the Monte Carlo code GEANT4. The Monte Carlo results were validated experimentally. The spectrum at the maze entrance door, obtained with Monte Carlo, has an average energy of about 110 keV, m…
Systematic Analysis of Readability of Patient Information on Internet Pages from Departments for Trauma Surgery of German University Hospitals
2020
The need-based information transfer in education as well as for the recruitment of patients becomes more and more relevant. Here, the internet has emerged as an increasingly important factor in recent years and therefore information pages on hospital homepages can be very helpful. However, it is known that basic text comprehension skills are lacking among large populations.The aim of the present study was to evaluate the readability of the patient information available on the websites of trauma departments of German university hospitals. For this purpose, a search for information material on 10 different diagnoses was carried out. Out of 360 texts possible, 185 were found and assigned to 2 …
Collaboration interprofessionnelle et émergence de la confiance en management hospitalier
2022
Patient support requires interprofessional collaboration that is complex to implement in hospital organizations. According to the literature, this is closely linked to the emergence of trust. This emergence depends on organizational factors that are only partially identified in the literature, the links established remaining minimal and imprecise. We propose in this qualitative study carried out with 32 agents of the public hospital service to specify and complete these links. In particular, this work opens up new perspectives regarding organizational factors such as connectivity, values, common goals, etc. The identified factors are declined through 2 perspectives directly transposable in …
Hospitalizations of patients in Burgundy and in nine other french regions, spatial analysis of interregional flows from french hospital claims data
2015
Introduction / presentation of the context : The creation of ARS (Regional Healthcare Agencies) was accompanied by the regionalized organization of healthcare. Even though the administrative procedures for dividing the country into areas for healthcare coverage are well known, we propose a geographic analysis of the reasons why patients attend one hospital rather than another, which seem to escape the logic used by the authorities.Methods employed and sources of data : Using the PMSI-MCO, we studied the flow of patients living in one region to hospitals in other regions according to ten reasons for visiting hospitals. The analysis was completed by a cartographic analysis, which related the …
Inmigrantes “chinxs” en la Buenos Aires globalizada
2018
En las últimas décadas y debido a la globalización, aun siendo su afincamiento restrictivo, la movilidad de personas coloca incluso a sociedades como la argentina, que se autodefine como de inmigrantes, frente a interesantes encrucijadas discursivas: ¿Qué elementos mueve la vulnerabilidad de los actuales inmigrantes en la autopercepción de las autobiografías migratorias de lxs argentinxs? El artículo 25 de la Constitución argentina fomenta explícitamente “la inmigración europea”, pero, ¿qué sucede con la “nueva migración”, por ejemplo con la de personas originarias de China, que se establecieron en los años 1980 y ya cuentan con una “segunda generación” o con otras llegadas aún más reciente…
Education as a Strategy to Tackle Over Tourism for Overtourism and Inclusive Sustainability in the Twenty-First Century
2020
Overtourism is a systemic indicator of failure in the process of planning and destination management and temporary patchworks will not solve it. Inclusive Sustainable Tourism is proposed as a lasting intervention to address the evil of Overtourism. Cultural analysts call the attention on over-tourism as a post-modern social malady which exhibits the decline of the social bondage. This vantage point needs to meet with the more pragmatic ones advanced by tourism management practitioners and find an agreeable middle ground. It is believed that both sides find agreement in the need for providing appropriate educational interventions to overcome the problem of Overtourism.
Intestinal Involvement in Kawasaki Disease
2018
Objectives To describe a case of Kawasaki disease with intestinal involvement and to analyze other published reports to define clinical characteristics, diagnostic issues, and therapeutic approaches of gastrointestinal involvement in Kawasaki disease. Study design A computerized search without language restriction was conducted using PubMed and SCOPUS. An article was considered eligible for inclusion in the systematic review if it reported data on patient(s) with intestinal involvement in Kawasaki disease. Our case was also included in the analysis. Results Thirty-three articles reporting 48 cases of Kawasaki disease with intestinal involvement were considered. Fever, abdominal pain, and vo…
Comparison of Intraocular Pressure During Corneal Flap Preparation Between a Femtosecond Laser and a Mechanical Microkeratome in Porcine Eyes
2011
To compare the increase in intraocular pressure (IOP) during corneal flap preparation in porcine eyes when using a femtosecond laser or a mechanical microkeratome.The present study was conducted at a university hospital and a private clinic.The vitreous IOP was directly measured with a cannula through the optic nerve in 24 porcine globes (n = 12 for each device). In the first procedure (worst-case procedure), the eye interface was lowered against the globe until abortion of the docking maneuver when using the IntraLase femtosecond laser (Abbott Medical Optics, Santa Ana, CA) or the suction ring was pressed very firmly against the globe when using the Amadeus microkeratome (Ziemer Ophthalmic…
En el interior de los hospitales. Personas, espacios y enseres
2010
Las instituciones hospitalarias medievales son objeto de numerosos estudios desde diversas perspectivas y modelos de investigación: tipología, orígenes, régimen económico y administrativo, aspectos histórico-médicos, etc., pero no es fácil estudiar cuestiones que atañen a su estructura arquitectónica, al reparto de espacios, a su organización, mobiliario o enseres, entre otros muchos aspectos. Los inventarios que en ocasiones se hacían de estos centros, son una fuente importante para poder conocer estos aspectos. En este trabajo estudiamos los que se realizaron, a finales del siglo XV, en los hospitales más importantes de la ciudad de Valencia. (A)