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3967 records – page 1 of 397.

A 4-year review of pediatric mental health emergencies in Alberta.

https://arctichealth.org/en/permalink/ahliterature148300
Source
CJEM. 2009 Sep;11(5):447-54
Publication Type
Article
Date
Sep-2009
Author
Amanda S Newton
Samina Ali
David W Johnson
Christina Haines
Rhonda J Rosychuk
Rachel A Keaschuk
Philip Jacobs
Terry P Klassen
Author Affiliation
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta. mandi.newton@ualberta.ca
Source
CJEM. 2009 Sep;11(5):447-54
Date
Sep-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Alberta - epidemiology
Analysis of Variance
Child
Child, Preschool
Emergencies
Emergency Service, Hospital - utilization
Humans
Infant
Mental Disorders - epidemiology
Risk factors
Abstract
We sought to determine and compare rates of pediatric mental health presentations and associated costs in emergency departments (EDs) in Alberta.
We examined 16 154 presentations by 12 589 patients (patient age
PubMed ID
19788789 View in PubMed
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A 5-year follow-up study of 117 battered women

https://arctichealth.org/en/permalink/ahliterature68577
Source
American Journal of Public Health. 1991 Nov;81(11):1486-1489
Publication Type
Article
Date
Nov-1991
  1 website  
Author
Bergman, B
Brismar, B
Author Affiliation
Department of Psychiatry, Huddinge Hospital, Karolinska Institute, Sweden.
Source
American Journal of Public Health. 1991 Nov;81(11):1486-1489
Date
Nov-1991
Language
English
Geographic Location
Sweden
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Emergency Service, Hospital - utilization
Female
Follow-Up Studies
Hospitalization - statistics & numerical data
Humans
Marriage
Mental Health Services - utilization
Middle Aged
Patient Acceptance of Health Care - statistics & numerical data
Spouse Abuse - epidemiology - psychology
Sweden - epidemiology
Time Factors
Abstract
This paper reports register data concerning somatic and psychiatric hospital care on 117 battered women who were identified in a surgical emergency department and offered a treatment program. Data were collected during a period of 10 years before to 5 years after the battering in question. It was concluded that the battered woman seeks hospital care much more than the average woman of the same age. It is, however, not only traumatic injuries that bring her to the hospital, but also medical, gynecological, psychiatric, and unspecified disorders and suicide attempts. In this study it was hypothesized that this overuse of hospital care reflects the situation at home characterized by ongoing battering and other psychosocial problems. During the 5 years following the battering, the women did not show any signs of reducing their use of hospital care. It is alarming that this high use of medical care continues over years, and doctors should consider battering as one possible explanation for this phenomenon.
PubMed ID
1951810 View in PubMed
Online Resources
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A 10 year asthma programme in Finland: major change for the better.

https://arctichealth.org/en/permalink/ahliterature168103
Source
Thorax. 2006 Aug;61(8):663-70
Publication Type
Article
Date
Aug-2006
Author
T. Haahtela
L E Tuomisto
A. Pietinalho
T. Klaukka
M. Erhola
M. Kaila
M M Nieminen
E. Kontula
L A Laitinen
Author Affiliation
Skin and Allergy Hospital, Helsinki University Central Hospital, P O Box 160, FIN-00029 HUS, Finland. tari.haahtela@hus.fi
Source
Thorax. 2006 Aug;61(8):663-70
Date
Aug-2006
Language
English
Publication Type
Article
Keywords
Adult
Anti-Asthmatic Agents - therapeutic use
Asthma - economics - epidemiology - therapy
Child
Communication
Cost of Illness
Disabled Persons
Emergency Treatment - statistics & numerical data
Finland - epidemiology
Health Promotion - economics - organization & administration - trends
Hospitalization - statistics & numerical data
Humans
Incidence
Insurance, Disability - economics
Interprofessional Relations
National Health Programs - economics - trends
Pharmaceutical Services - standards
Primary Health Care
Program Evaluation
Smoking - epidemiology
Abstract
A National Asthma Programme was undertaken in Finland from 1994 to 2004 to improve asthma care and prevent an increase in costs. The main goal was to lessen the burden of asthma to individuals and society.
The action programme focused on implementation of new knowledge, especially for primary care. The main premise underpinning the campaign was that asthma is an inflammatory disease and requires anti-inflammatory treatment from the outset. The key for implementation was an effective network of asthma-responsible professionals and development of a post hoc evaluation strategy. In 1997 Finnish pharmacies were included in the Pharmacy Programme and in 2002 a Childhood Asthma mini-Programme was launched.
The incidence of asthma is still increasing, but the burden of asthma has decreased considerably. The number of hospital days has fallen by 54% from 110 000 in 1993 to 51 000 in 2003, 69% in relation to the number of asthmatics (n = 135 363 and 207 757, respectively), with the trend still downwards. In 1993, 7212 patients of working age (9% of 80 133 asthmatics) received a disability pension from the Social Insurance Institution compared with 1741 in 2003 (1.5% of 116 067 asthmatics). The absolute decrease was 76%, and 83% in relation to the number of asthmatics. The increase in the cost of asthma (compensation for disability, drugs, hospital care, and outpatient doctor visits) ended: in 1993 the costs were 218 million euro which had fallen to 213.5 million euro in 2003. Costs per patient per year have decreased 36% (from 1611 euro to 1031 euro).
It is possible to reduce the morbidity of asthma and its impact on individuals as well as on society. Improvements would have taken place without the programme, but not of this magnitude.
Notes
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PubMed ID
16877690 View in PubMed
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A 10-year incidence of acute whiplash injuries after road traffic crashes in a defined population in northern Sweden.

https://arctichealth.org/en/permalink/ahliterature122426
Source
PM R. 2012 Oct;4(10):739-47
Publication Type
Article
Date
Oct-2012
Author
Johan Styrke
Britt-Marie Stålnacke
Per-Olof Bylund
Peter Sojka
Ulf Björnstig
Author Affiliation
Division of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, 901 85 Umeå, Sweden. johan.styrke@surgery.umu.se
Source
PM R. 2012 Oct;4(10):739-47
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data - trends
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Automobiles
Bicycling
Catchment Area (Health)
Child
Child, Preschool
Emergency Service, Hospital
Female
Humans
Incidence
Insurance Claim Reporting - statistics & numerical data - trends
Male
Middle Aged
Questionnaires
Sex Distribution
Sweden - epidemiology
Trauma Centers
Whiplash Injuries - epidemiology
Young Adult
Abstract
To examine the annual incidence of acute whiplash injuries after road traffic crashes in a geographic catchment area in Northern Sweden during the period 2000-2009.
Descriptive epidemiology determined by prospectively collected data from a defined population.
The study was conducted at a public hospital in Sweden.
The population of the hospital's catchment area (136,600 inhabitants in 1999 and 144,500 in 2009).
At the emergency department, all injured persons (approximately 11,000 per year) were asked to answer a questionnaire about the injury incident. Data from the medical records also were analyzed. From 2000-2009, 15,506 persons were injured in vehicle crashes. Persons who were subject to an acute neck injury within whiplash-associated disorder grades 1-3 were included. The overall and annual incidences were calculated as incidence. Age, gender, type of injury event, and direction of impact were described. The incidences were compared with national statistics on insurance claims from 2003, 2007, and 2008 to detect changes in the proportions of claims.
The annual incidence of acute whiplash injuries. Secondary outcome measures were types of injury events, age and gender distribution, changes in the proportion of rear-end crashes during 2000-2009, and changes in the proportion of insurance claims during 2003-2008.
During 2000-2009, 3297 cases of acute whiplash injury were encountered. The overall incidence was 235/100,000/year. The average yearly increase in incidence was 1.0%. Women comprised 51.9% and men 48.1% of the injured. Car occupants (86.4%) and bicycle riders (6.1%) were most frequently injured. The proportion of rear-end crashes decreased from 55% to 45% from 2000-2009. The proportion of insurance claims significantly decreased between 2003 and 2008 (P
PubMed ID
22819305 View in PubMed
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24-hour dental service for foreign seamen.

https://arctichealth.org/en/permalink/ahliterature247141
Source
J Can Dent Assoc. 1979 Jun;45(6):272
Publication Type
Article
Date
Jun-1979
Source
J Can Dent Assoc. 1979 Jun;45(6):272
Date
Jun-1979
Language
English
Publication Type
Article
Keywords
Canada
Dental Health Services
Emergency medical services
Humans
Naval Medicine
Ships
PubMed ID
383217 View in PubMed
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25- to 30-nm virus particle associated with a hospital outbreak of acute gastroenteritis with evidence for airborne transmission.

https://arctichealth.org/en/permalink/ahliterature233035
Source
Am J Epidemiol. 1988 Jun;127(6):1261-71
Publication Type
Article
Date
Jun-1988
Author
L A Sawyer
J J Murphy
J E Kaplan
P F Pinsky
D. Chacon
S. Walmsley
L B Schonberger
A. Phillips
K. Forward
C. Goldman
Author Affiliation
Division of Viral Diseases, Centers for Disease Control, Atlanta, GA 30333.
Source
Am J Epidemiol. 1988 Jun;127(6):1261-71
Date
Jun-1988
Language
English
Publication Type
Article
Keywords
Adult
Air Microbiology
Cross Infection - epidemiology - microbiology - transmission
Disease Outbreaks
Emergency Service, Hospital
Epidemiologic Methods
Female
Gastroenteritis - epidemiology - microbiology - transmission
Hospital Units
Humans
Male
Middle Aged
Norwalk virus - isolation & purification
Ontario
Virion - isolation & purification
Virus Diseases - epidemiology - transmission
Abstract
Between November 1 and 22, 1985, an outbreak of acute, nonbacterial gastroenteritis occurred in a 600-bed hospital in Toronto, Ontario, Canada. Illness in 635 of 2,379 (27%) staff was characterized by fatigue, nausea, diarrhea, and vomiting and had a median duration of 24-48 hours. The finding of virus-like particles measuring 25-30 nm in six stool specimens and low rates of seroresponse to Norwalk virus (3/39) and Snow Mountain agent (1/6) suggest that a Norwalk-like virus was responsible for the outbreak. The outbreak was of abrupt onset and high incidence, affecting 79 people in a single day. No common food or water exposure could be identified. The attack rate was greatest (69%) for staff who had worked in the Emergency Room. Of 100 patients and their companions who visited the Emergency Room on November 11-12 for unrelated problems, 33 (33%) developed gastroenteritis 24-48 hours after their visit, versus 0 of 18 who visited the Emergency Room on November 8 (p less than 0.001). An analysis of housekeepers who worked at least once during the period from November 9-13, which included those who became ill during the period of November 9-14, showed that the risk of becoming ill was four times greater for those who visited or walked through the Emergency Room than for those who did not (p = 0.028). These data are consistent with the possibility of the airborne spread of a virus.
PubMed ID
2835899 View in PubMed
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The 26th Congress: a successful event north of the Arctic Circle.

https://arctichealth.org/en/permalink/ahliterature192331
Source
Acta Anaesthesiol Scand. 2001 Nov;45(10):1285-9
Publication Type
Conference/Meeting Material
Date
Nov-2001
Author
L J Bjertnaes
Source
Acta Anaesthesiol Scand. 2001 Nov;45(10):1285-9
Date
Nov-2001
Language
English
Publication Type
Conference/Meeting Material
Keywords
Anesthesiology
Emergency Medicine
Humans
Intensive Care
Scandinavia
Societies, Medical
PubMed ID
11736684 View in PubMed
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Source
J Emerg Med. 1988 Mar-Apr;6(2):143
Publication Type
Article
Author
J. Crosby
Source
J Emerg Med. 1988 Mar-Apr;6(2):143
Language
English
Publication Type
Article
Keywords
Canada
Emergency Medical Service Communication Systems
Emergency medical services
Humans
Telephone
PubMed ID
3385178 View in PubMed
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The 2004 ACC/AHA Guidelines: a perspective and adaptation for Canada by the Canadian Cardiovascular Society Working Group.

https://arctichealth.org/en/permalink/ahliterature178142
Source
Can J Cardiol. 2004 Sep;20(11):1075-9
Publication Type
Article
Date
Sep-2004
Author
Paul W Armstrong
Peter Bogaty
Christopher E Buller
Paul Dorian
Blair J O'Neill
Author Affiliation
VIGOUR Centre, University of Alberta, Edmonton. paul.armstrong@ualberta.ca
Source
Can J Cardiol. 2004 Sep;20(11):1075-9
Date
Sep-2004
Language
English
Publication Type
Article
Keywords
Canada
Defibrillators, Implantable - standards
Electrocardiography
Emergency Medical Services - standards
Emergency Service, Hospital - standards
Female
Guideline Adherence
Humans
Male
Myocardial Infarction - diagnosis - therapy
Myocardial Reperfusion - standards
Severity of Illness Index
Survival Analysis
Treatment Outcome
Abstract
Major changes in acute ST elevation myocardial infarction (STEMI) management prompted a comprehensive rewriting of the American College of Cardiology/American Heart Association Guidelines. The Canadian Cardiovascular Society (CCS) participated in both the writing process and the external review. Subsequently, a Canadian Working Group (CWG), formed under the auspices of the CCS, developed a perspective and adaptation for Canada. Herein, accounting for specific realities of the Canadian cardiovascular health system, is a discussion of the implications for prehospital care and transport, optimal reperfusion therapy and an approach to decision making regarding reperfusion options and invasive therapy following fibrinolytic therapy. Major recent developments regarding indications for implantable cardioverter defibrillator(s) (ICDs) also prompted a review of indications for ICDs and the optimal timing of implantation given the potential for recovery of left ventricular function. At least a 40-day, preferably a 12-week, waiting period was judged to be optimal to evaluate left ventricular function post-STEMI. A recommended algorithm for the insertion of an ICD is provided. Implementation of the new STEMI guidelines has substantial implications for resources, organization and priorities of the Canadian health care system. While on the one hand, the necessary incremental funding to provide tertiary and quaternary care and to support revascularization and device implantation capability is desirable, it is equally or more important to develop enhanced prehospital care, including the capacity for early recognition, risk assessment, fibrinolytic therapy and/or triage to a tertiary care centre as part of an enlightened approach to improving cardiac care.
PubMed ID
15457302 View in PubMed
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3967 records – page 1 of 397.