Skip header and navigation

Refine By

1895 records – page 1 of 190.

A 10-year population-based study of people with multiple sclerosis in Stockholm, Sweden: use of and satisfaction with care and the value of different factors in predicting use of care.

https://arctichealth.org/en/permalink/ahliterature275585
Source
BMC Health Serv Res. 2015;15:480
Publication Type
Article
Date
2015
Author
Charlotte Chruzander
Sverker Johansson
Kristina Gottberg
Ulrika Einarsson
Jan Hillert
Lotta Widén Holmqvist
Charlotte Ytterberg
Source
BMC Health Serv Res. 2015;15:480
Date
2015
Language
English
Publication Type
Article
Keywords
Ambulatory Care - utilization
Disabled Persons - psychology - statistics & numerical data
Epidemiologic Methods
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Multiple Sclerosis - epidemiology - psychology - therapy
Patient Acceptance of Health Care - psychology
Patient Satisfaction - statistics & numerical data
Primary Health Care - utilization
Sweden - epidemiology
Abstract
The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, disease-specific factors and functioning on the use of care and to explore patient satisfaction with care in a 10-year perspective.
Information regarding personal factors, disease-specific factors, functioning and satisfaction with care was collected by home-visits; use of care was collected from the Stockholm County Council computerised register.
Data from 121 people with MS (PwMS) was collected. Primary care accounted for the majority of all care. Neurology and Rehabilitation Departments together accounted for two-thirds of all hospital outpatient care. Rehabilitation Departments accounted for one-third of the total number of inpatient days. Lower coping capacity, impaired manual dexterity and activity of daily living dependency at baseline, together with progress in MS disability predicted a higher use of care. Overall, patient satisfaction with care was stable over time.
The extensive use of care offers challenges to care coordination. Implementation of person-centred care could be a strategy to increase efficacy/outcome of care.
Notes
Cites: J Neurol Sci. 2014 Apr 15;339(1-2):57-6324492009
Cites: Arch Phys Med Rehabil. 2000 Aug;81(8):1034-810943751
Cites: Scand J Rehabil Med. 2000 Dec;32(4):173-911201624
Cites: Med Care. 1978 Apr;16(4):327-36651398
Cites: Neurology. 1983 Nov;33(11):1444-526685237
Cites: Int Rehabil Med. 1985;7(4):176-814093249
Cites: J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):714-93612152
Cites: Scand J Rehabil Med. 1991;23(4):193-2021785028
Cites: Soc Sci Med. 1993 Mar;36(6):725-338480217
Cites: Scand J Caring Sci. 1993;7(1):3-108502852
Cites: Neurology. 1996 Apr;46(4):907-118780061
Cites: J Pers Assess. 1996 Dec;67(3):588-978991972
Cites: Neurology. 1998 Jun;50(6):1594-6009633699
Cites: Md State Med J. 1965 Feb;14:61-514258950
Cites: Mult Scler. 2005 Jun;11(3):328-3715957516
Cites: Cochrane Database Syst Rev. 2006;(1):CD00443116437487
Cites: Mult Scler. 2006 Jun;12(3):340-5316764349
Cites: J Rehabil Med. 2006 Jul;38(4):230-616801205
Cites: Eur J Health Econ. 2006 Sep;7 Suppl 2:S75-8517310342
Cites: J Adv Nurs. 2007 Apr;58(1):11-2217394612
Cites: BMC Neurol. 2008;8:3618823543
Cites: Pharmacoeconomics. 2008;26(10):847-6018793032
Cites: Can J Neurol Sci. 2007 May;34(2):167-7417598593
Cites: J Neurol. 2008 Sep;255(9):1354-6018677639
Cites: Mult Scler. 2009 Jan;15(1):88-9518701570
Cites: Brain. 2009 May;132(Pt 5):1175-8919339255
Cites: J Manag Care Pharm. 2010 Nov-Dec;16(9):703-1221067256
Cites: J Neurol Sci. 2013 Sep 15;332(1-2):121-723896259
Cites: BMC Health Serv Res. 2013;13:36524074396
Cites: J Neurol Sci. 2013 Dec 15;335(1-2):42-724183855
Cites: J Med Philos. 2008 Jun;33(3):241-6118567905
Cites: Mult Scler. 2008 Aug;14(7):962-7118573818
PubMed ID
26499940 View in PubMed
Less detail

A 12-month fever surveillance study in a veterans' long-stay institution.

https://arctichealth.org/en/permalink/ahliterature238375
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Publication Type
Article
Date
Sep-1985
Author
T P Finnegan
T W Austin
R D Cape
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Date
Sep-1985
Language
English
Publication Type
Article
Keywords
Aged
Bacterial Infections - complications
Cross Infection - epidemiology
Epidemiologic Methods
Female
Fever - epidemiology - etiology - mortality
Hospital Bed Capacity, 100 to 299
Hospitals, Veterans
Humans
Length of Stay
Male
Ontario
Abstract
This report describes a 12-month fever surveillance survey in a 258-bed veterans long-term care institution. There were 128 episodes of fever (one episode per 24 patient-months); 114 were studied. Lower respiratory tract infections were most frequent, 36 (32%), with 26 (23%) urinary tract infections. Streptococcus pneumoniae was the most common pathogen in the chest infections and Proteus mirabilis the most common of the urinary tract infections. In 40 (35%) there was no evidence of a lower respiratory tract, urinary tract, or other bacterial infection. Most recovered rapidly, many with no specific treatment. There was a 16% mortality associated with the febrile episodes.
PubMed ID
4031336 View in PubMed
Less detail

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
Less detail

[50-60 Hz electromagnetic fields and cancer risk].

https://arctichealth.org/en/permalink/ahliterature209111
Source
Rev Epidemiol Sante Publique. 1997 Mar;45(1):93-5
Publication Type
Article
Date
Mar-1997
Author
P. Guénel
Author Affiliation
INSERM U88, Saint-Maurice.
Source
Rev Epidemiol Sante Publique. 1997 Mar;45(1):93-5
Date
Mar-1997
Language
French
Publication Type
Article
Keywords
Cohort Studies
Electromagnetic fields - adverse effects
Epidemiologic Methods
Finland
Humans
Neoplasms, Radiation-Induced - etiology
PubMed ID
9173465 View in PubMed
Less detail

Abacavir and risk of myocardial infarction in HIV-infected patients on highly active antiretroviral therapy: a population-based nationwide cohort study.

https://arctichealth.org/en/permalink/ahliterature99479
Source
HIV Med. 2010 Feb;11(2):130-6
Publication Type
Article
Date
Feb-2010
Author
Niels Obel
D K Farkas
G. Kronborg
C S Larsen
G. Pedersen
A. Riis
C. Pedersen
J. Gerstoft
H T Sørensen
Author Affiliation
Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Denmark. niels.obel@rh.regionh.dk
Source
HIV Med. 2010 Feb;11(2):130-6
Date
Feb-2010
Language
English
Publication Type
Article
Keywords
Adult
Anti-HIV Agents - adverse effects
Antiretroviral Therapy, Highly Active
Comorbidity
Denmark - epidemiology
Dideoxynucleosides - adverse effects
Epidemiologic Methods
Female
HIV Infections - drug therapy
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Myocardial Infarction - chemically induced - epidemiology
Myocardial Ischemia - epidemiology
Proportional Hazards Models
Time Factors
Abstract
OBJECTIVE: The aim of the study was to examine whether exposure to abacavir increases the risk for myocardial infarction (MI). DESIGN, SETTING AND SUBJECTS: This was a prospective nationwide cohort study which included all Danish HIV-infected patients on highly active antiretroviral therapy (HAART) from 1995 to 2005 (N = 2952). Data on hospitalization for MI and comorbidity were obtained from Danish medical databases. Hospitalization rates for MI after HAART initiation were calculated for patients who used abacavir and those who did not. We used Cox's regression to compute incidence rate ratios (IRR) as a measure of relative risk for MI, while controlling for potential confounders (as separate variables and via propensity score) including comorbidity. MAIN OUTCOME: Relative risk of hospitalization with MI in abacavir users compared with abacavir nonusers. RESULTS: Hospitalization rates for MI were 2.4/1000 person-years (PYR) [95% confidence interval (CI) 1.7-3.4] for abacavir nonusers and 5.7/1000 PYR (95% CI 4.1-7.9) for abacavir users. The risk of MI increased after initiation of abacavir [unadjusted IRR = 2.22 (95% CI 1.31-3.76); IRR adjusted for confounders = 2.00 (95% CI 1.10-3.64); IRR adjusted for propensity score = 2.00 (95% CI 1.07-3.76)]. This effect was also observed among patients initiating abacavir within 2 years after the start of HAART and among patients who started abacavir as part of a triple nucleoside reverse transcriptase inhibitor (NRTI) regimen. CONCLUSIONS: We confirmed the association between abacavir use and increased risk of MI. Further studies are needed to control for potential confounding not measured in research to date.
PubMed ID
19682101 View in PubMed
Less detail

[Abilities and social conditions in an elderly Danish population. From the 80-year-old subjects Glostrup study]

https://arctichealth.org/en/permalink/ahliterature74438
Source
Ugeskr Laeger. 1980 Jun 16;142(25):1639-42
Publication Type
Article
Date
Jun-16-1980

Absenteeism and respiratory disease among children and adults in Helsinki in relation to low-level air pollution and temperature.

https://arctichealth.org/en/permalink/ahliterature228944
Source
Environ Res. 1990 Jun;52(1):34-46
Publication Type
Article
Date
Jun-1990
Author
A. Pönkä
Author Affiliation
Helsinki City Health Department, Finland.
Source
Environ Res. 1990 Jun;52(1):34-46
Date
Jun-1990
Language
English
Publication Type
Article
Keywords
Absenteeism
Adult
Air Pollutants - adverse effects - analysis
Child
Child, Preschool
Cold Temperature
Epidemiologic Methods
Finland
Humans
Infant
Nitrogen Dioxide - adverse effects - analysis
Respiratory Tract Diseases - epidemiology - etiology
Sulfur Dioxide - adverse effects - analysis
Urban health
Abstract
The weekly changes in ambient sulfur dioxide, nitrogen dioxide, and temperature were compared with the figures for respiratory infection in children and adults and for absenteeism from day-care centers (DCC), schools, and workplaces during a 1-year period in Helsinki. The annual average level of sulfur dioxide was 21 micrograms/m3 and of nitrogen dioxide 47 micrograms/m3; the average temperature was +3.1 degrees C. The levels of these pollutants and the temperature were significantly correlated with the number of upper respiratory infections reported from health centers. Low temperature also correlated with increased frequency of acute tonsillitis, of lower respiratory tract infection among DCC children, and of absenteeism from day-care centers, schools and workplaces. Furthermore, a significant association was found between levels of sulfur dioxide and absenteeism. After statistical standardization for temperature, no other correlations were observed apart from that between high levels of sulfur dioxide and numbers of upper respiratory tract infections diagnosed at health centers (P = 0.04). When the concentrations of sulfur dioxide were above the mean, the frequency of the upper respiratory tract infections was 15% higher than that during the periods of low concentration. The relative importance of the effects of low-level air pollution and low temperature on health is difficult to assess.
PubMed ID
2351127 View in PubMed
Less detail

[Absenteeism as a predictor of severe morbidity. A double case-control study (myocardial infarction and industrial accident) in a large company of the Quebec Province].

https://arctichealth.org/en/permalink/ahliterature237596
Source
Rev Epidemiol Sante Publique. 1986;34(4-5):252-60
Publication Type
Article
Date
1986
Author
W. Dab
J. Rochon
L. Bernard
Source
Rev Epidemiol Sante Publique. 1986;34(4-5):252-60
Date
1986
Language
French
Publication Type
Article
Keywords
Absenteeism
Accidents, Occupational
Adult
Epidemiologic Methods
Female
Humans
Male
Middle Aged
Myocardial Infarction - epidemiology
Occupational Diseases - epidemiology
Quebec
Risk
Abstract
Are absenteeism indicators usefull as predictor of serious morbidity in a working population? To seek an answer was the objective of a double case-control study carried out in a large company (17000 workers) of Quebec Province. In the first study, 64 cases of myocardial infarction (incidence density = 1.66% +/- 0.35) were compared with 64 controls matched for sex, age and type of work. In the second one, 142 cases of labor accident were compared with 142 controls sampled in a similar way. Absenteeism frequency and length were analysed during the period of 6 to 12 years prior to the onset of the health problem. Ratios were calculated on an individual basis for all causes of absence and for sick leave; they were adjusted for length of service. A four classes interval scale was used for the comparison. An excess of absence length exists in the two studies. The excess is not significant for the myocardial infarction cases (+ 33%, with a statistical power = 51%). It is significant for the labor accident cases (+ 52%, p less than 0.01). The corresponding odds ratio calculated in reference to the lowest absence group were 2.4 (0.9-6.6) and 2.7 (1.5-4.9). The cumulative absence length can be considered as a predictor of serious disease. A conceptual framework of the relationship between absence and natural disease history is presented. The epidemiological approach to the phenomenon of absence is certainly usefull in spite of the controversy underlined by the social sciences.
PubMed ID
3823517 View in PubMed
Less detail

[Accidents in children in Umeå. Epidemiological survey, consequences and preventive strategy]

https://arctichealth.org/en/permalink/ahliterature39000
Source
Vard Nord Utveckl Forsk. 1987;6(1-2):389-98
Publication Type
Article
Date
1987

Accidents in schoolchildren: epidemiologic, aetiologic and prognostic considerations.

https://arctichealth.org/en/permalink/ahliterature242451
Source
Acta Paediatr Hung. 1983;24(2):119-30
Publication Type
Article
Date
1983
Author
M. Sillanpää
P. Terho
H. Westerén
H. Pisirici
Source
Acta Paediatr Hung. 1983;24(2):119-30
Date
1983
Language
English
Publication Type
Article
Keywords
Accidents
Adolescent
Child
Epidemiologic Methods
Finland
Humans
Prognosis
Schools
Wounds and Injuries - classification - physiopathology - therapy
Abstract
A prospective follow-up study of school accidents occurring to 21 712 city pupils and to 1584 rural pupils aged 7-18 years during the school year 1977-78 was carried out. The facilities of the pupils to be referred to the school policlinics were practically as good to all pupils. The incidence of accidents was in Turku 363 per 1000 pupils aged 7-12 years and 233 per 1000 pupils aged 13-18 years. Minor injuries were in 84.2% of cases located in the extremities. In the great majority, they were slight sprains and strains (46.9%) or cutaneous lacerations and bruises (40.0%). More severe injuries were found in 4.9% among the Turku pupils and in 2.1% of those in Lieto. The accidents met by boys was almost double that found for girls. Individual exercise and sports turned out to involve approximately the same degree of risk as team sports. The site of injury was most commonly either the upper extremity (38%), lower extremity (28%), the head (22%) or the eyes (4%), the remaining 8% of injuries having been to the trunk. More than two thirds of the cases could be treated in two or three visits to nurse or doctor, the treatment period being two to seven days in the majority of cases. No delayed effects such as postconcussive headache or other psychosomatic symptoms occurred during the follow-up period of three years.
PubMed ID
6639786 View in PubMed
Less detail

1895 records – page 1 of 190.