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Anterior and intermediate uveitis cases referred to a tertiary centre in Alberta.

https://arctichealth.org/en/permalink/ahliterature87535
Source
Can J Ophthalmol. 2007 Dec;42(6):860-4
Publication Type
Article
Date
Dec-2007
Author
Chan Stanley M
Hudson Matthew
Weis Ezekiel
Author Affiliation
Department of Ophthalmology, Royal Alexandra Hospital, Vancouver, BC. stanley.chan@ualberta.ca
Source
Can J Ophthalmol. 2007 Dec;42(6):860-4
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Alberta - epidemiology
Child
Child, Preschool
Female
Herpesviridae Infections - complications
Hospitals, Special - statistics & numerical data
Hospitals, State
Humans
Incidence
Male
Middle Aged
Ophthalmology
Referral and Consultation - statistics & numerical data
Retrospective Studies
Risk factors
Sarcoidosis, Pulmonary - complications
Spondylitis, Ankylosing - complications
Uveitis, Anterior - classification - epidemiology - etiology
Uveitis, Intermediate - classification - epidemiology - etiology
Abstract
BACKGROUND: We investigated the characteristics and causes of various uveitis subtypes in patients presenting to the Regional Eye Centre at the Royal Alexandra Hospital, University of Alberta, Edmonton, Alta., and estimated the incidence of anterior uveitis in northern Alberta. METHODS: A retrospective study was conducted of all patients presenting with uveitis to a single, full-time ophthalmologist at the Regional Eye Centre from September 2004 to June 2005. Uveitis was classified according to onset, severity, anatomical subtype, etiology, recurrence rate, and response to treatment. Statistical analysis was used to compare patients referred by ophthalmologists with those referred by non-ophthalmologists. RESULTS: Two hundred and nine eyes of 171 patients were included in the study. Ophthalmologist referrals consisted of 67.4% anterior, 14.0% intermediate, and 18.6% panuveitis, and non-ophthalmological referrals were 92.8% anterior, 5.4% intermediate, and 1.8% panuveitis. Referrals from ophthalmologists were significantly more likely to be chronic, recurrent, and (or) less responsive to treatment than referrals from other sources. INTERPRETATION: Referral bias strongly affects the proportions of uveitis subtypes seen. Human leukocyte antigen-B27-associated diseases (especially ankylosing spondylitis), sarcoidosis, and herpes infections should be considered among the most likely causes of uveitis to be diagnosed in this patient population.
PubMed ID
18033328 View in PubMed
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Currarino syndrome at Rikshospitalet 1961-2012.

https://arctichealth.org/en/permalink/ahliterature105917
Source
Tidsskr Nor Laegeforen. 2013 Nov 26;133(22):2364-8
Publication Type
Article
Date
Nov-26-2013
Author
Tom Monclair
Tryggve Lundar
Bjarne Smevik
Ingunn Holm
Karen Helene Ørstavik
Source
Tidsskr Nor Laegeforen. 2013 Nov 26;133(22):2364-8
Date
Nov-26-2013
Language
English
Norwegian
Publication Type
Article
Keywords
Anal Canal - abnormalities - surgery
Constipation - etiology - surgery
Digestive System Abnormalities - diagnosis - genetics - surgery
Homeodomain Proteins - genetics
Hospitals, State - statistics & numerical data
Humans
Magnetic Resonance Imaging
Mutation
Norway
Rectum - abnormalities - surgery
Sacrum - abnormalities - surgery
Syringomyelia - diagnosis - genetics - surgery
Tomography, X-Ray Computed
Transcription Factors - genetics
Abstract
Currarino syndrome is a rare hereditary condition with constipation as the main symptom. The typical patient has a combination of sacral, anorectal, intraspinal and presacral anomalies. Familial cases most often have a mutation in the MNX1 gene. The majority of Norwegian Currarino patients are treated at Rikshospitalet. This article gives an account of 50 years of experience with the condition.
The study is based on the medical records of patients with Currarino syndrome, as well as some first-degree relatives, from the period 1961-2012. We recorded the results of mutation analysis, X-ray of the sacrum, and ultrasound, MRI and/or CT scans, as well as the treatments administered.
We treated 29 patients over the period in question, and in addition identified seven healthy relatives with a mutation in MNX1 and one relative with a pathognomonic sacral anomaly. There were 15 familial and 14 sporadic cases. Fourteen familial cases and one of the sporadic cases were shown to have a mutation in the MNX1 gene. Phenotypic variation was pronounced, and we saw no obvious correlation between genotype and phenotype. Twenty-six of the patients had constipation and 15 underwent a colostomy. Fourteen patients required neurosurgical and seven urogenital interventions. No patients had malignant disease.
Patients with Currarino syndrome have a highly variable clinical presentation with constipation as the main problem. In patients with a familial syndrome, a mutation in the MNX1 gene can be expected.
PubMed ID
24287836 View in PubMed
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[Differences in information on biochemical indices among different population groups under conditions of a comprehensive polyclinic examination].

https://arctichealth.org/en/permalink/ahliterature186643
Source
Klin Lab Diagn. 2002 Dec;(12):20-2
Publication Type
Article
Date
Dec-2002

[Epidemiology and prophylaxis of hospital infections in obstetric and pediatric hospitals].

https://arctichealth.org/en/permalink/ahliterature185698
Source
Zh Mikrobiol Epidemiol Immunobiol. 2000 Jul-Aug;(4 Suppl):110-3
Publication Type
Article
Author
L A Genchikov
N V Torchinskii
G P Busuek
N I Volodina
Author Affiliation
Gamaleya Research Institute of Epidemiology and Microbiology, Moscow, Russia.
Source
Zh Mikrobiol Epidemiol Immunobiol. 2000 Jul-Aug;(4 Suppl):110-3
Language
Russian
Publication Type
Article
Keywords
Adult
Birth Rate - trends
Child, Preschool
Cross Infection - epidemiology - prevention & control
Female
Hospitals, Maternity
Hospitals, Pediatric
Hospitals, State
Humans
Infant
Infant, Newborn
Infection Control - statistics & numerical data - trends
Moscow - epidemiology
Pregnancy
Puerperal Infection - epidemiology - prevention & control
Quality of Life
Retrospective Studies
Risk factors
Abstract
The analysis of reports of the obstetric and pediatric hospitals of Moscow for 1991-1998 revealed that, simultaneously with the deterioration of the quality of life of the population, not only a decrease in the birth rate, but also a rise in different forms of pathology in pregnant women and puerperae could be observed. The deterioration of the health characteristics of mothers was accompanied by the growth of high risk groups among newborns as well. Thus, the number of children, born sick or falling sick while staying in the obstetric clinics of Moscow, rose from 208 to 299 o/oo. Simultaneously with the growth of somatic pathology, a significant rise in infectious morbidity rate among newborns from 15 to 43 o/oo and a rise in death rate among newborns due to infectious pathology were noted. A complex of prophylactic measures is proposed. Their introduction will make it possible to decrease the probability of the appearance of severe forms of pathology in pregnant women and newborns, to ensure the effectiveness of epidemiological surveillance of hospital infections and to prevent their further growth among puerperae and newborns.
PubMed ID
12712531 View in PubMed
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[Evaluation of a leadership education at the Rigshospitalet. How an evaluation design can support organizational learning].

https://arctichealth.org/en/permalink/ahliterature192198
Source
Ugeskr Laeger. 2001 Nov 19;163(47):6580-5
Publication Type
Article
Date
Nov-19-2001
Author
A. Møllmann
B. Witziers
Author Affiliation
H:S Rigshospitalet, uddannelses- og udviklingsafdelingen, afsnit 7221. mollmann@rh.dk
Source
Ugeskr Laeger. 2001 Nov 19;163(47):6580-5
Date
Nov-19-2001
Language
Danish
Publication Type
Article
Keywords
Decision Making
Delphi Technique
Denmark
Education, Medical, Continuing - methods
Hospital Administration - education
Hospitals, State - organization & administration
Humans
Leadership
Program Evaluation - methods
Questionnaires
Staff Development
Abstract
The aim of the present study was to evaluate a Management & Leadership Education and Training Programme at the hospital before, during, and after implementation, allowing stakeholders to qualify alteration of the Programme as a process by using for instance formative evaluation.
The Delphi method is used for pre-evaluation of the concept of the Programme. Pre- and post-questionnaires were employed to measure the participants' adaptation of the hospital's "Management Fundamentals" before and after the Programme.
The Expert panel stated that the Programme concept was pertinent and applicable. One hundred per cent recommended the Programme to be interdisciplinary. Eighty-two per cent stated that it would probably be difficult to acquire organisational learning. The results of the pre- and post-questionnaires showed that the participants and their superiors found that they adapted the hospital's "Management Fundamentals" better after having followed the Programme.
With the use of the Delphi method (formative evaluation), the Programme concept could be altered already before implementation. The experts stated that they were not sure that the Programme would support organisational learning. Having this knowledge, it has been possible to work with activities supporting organisational learning already during implementation. In future, the experience with pre- and post-measurements will be used in a concrete way to support the learning environment in the organisation.
PubMed ID
11760539 View in PubMed
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Evaluation of mycobacteria growth indicator tube for direct and indirect drug susceptibility testing of Mycobacterium tuberculosis from respiratory specimens in a Siberian prison hospital.

https://arctichealth.org/en/permalink/ahliterature69420
Source
J Clin Microbiol. 2001 Apr;39(4):1501-5
Publication Type
Article
Date
Apr-2001
Author
V. Goloubeva
M. Lecocq
P. Lassowsky
F. Matthys
F. Portaels
I. Bastian
Author Affiliation
Bacteriology Laboratory, Colony 33, Mariinsk, Siberia.
Source
J Clin Microbiol. 2001 Apr;39(4):1501-5
Date
Apr-2001
Language
English
Publication Type
Article
Keywords
Antitubercular Agents - pharmacology
Drug Resistance, Microbial
Drug Resistance, Multiple
Hospitals, State
Humans
Isoniazid - pharmacology
Microbial Sensitivity Tests - methods
Mycobacterium tuberculosis - drug effects - growth & development
Prisons
Research Support, Non-U.S. Gov't
Rifampin - pharmacology
Sensitivity and specificity
Siberia
Sputum - microbiology
Tuberculosis, Pulmonary - microbiology
Abstract
The manual Mycobacteria Growth Indicator Tube (MGIT) method was evaluated for performing direct and indirect drug susceptibility testing (DST) of Mycobacterium tuberculosis for isoniazid and rifampin on 101 strongly smear-positive sputum specimens in a Siberian prison hospital. Using the indirect method of proportion (MOP) as the "gold standard," the accuracies of isoniazid and rifampin susceptibility testing by the direct MGIT system were 97.0 and 94.1%, respectively. The accuracy of the indirect MGIT system was 98.0% for both drugs. The turnaround times from specimen processing to reporting of the DST results ranged between 4 and 23 (mean, 9.2) days by the direct MGIT method, 9 and 30 (mean, 15.3) days by the indirect MGIT method, and 26 and 101 (mean, 59.6) days by the indirect MOP. MGIT appears to be a reliable, rapid, and convenient method for performing direct and indirect DSTs in low-resource settings, but further studies are required to refine the direct DST protocol. Cost is the only factor prohibiting widespread implementation of MGIT.
PubMed ID
11283077 View in PubMed
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From hospital to community. Six-month and two-year outcomes for 505 patients.

https://arctichealth.org/en/permalink/ahliterature239964
Source
J Nerv Ment Dis. 1984 Nov;172(11):667-73
Publication Type
Article
Date
Nov-1984
Author
P. Goering
D. Wasylenki
W. Lancee
S J Freeman
Source
J Nerv Ment Dis. 1984 Nov;172(11):667-73
Date
Nov-1984
Language
English
Publication Type
Article
Keywords
Academies and Institutes
Adult
Aftercare - standards
Attitude to Health
Canada
Delivery of Health Care - standards
Employment
Female
Follow-Up Studies
Hospitals, General
Hospitals, State
Humans
Male
Mental Disorders - psychology - rehabilitation - therapy
Middle Aged
Outcome and Process Assessment (Health Care)
Patient Discharge - standards
Patient Readmission
Psychiatric Status Rating Scales
Residence Characteristics
Social Adjustment
Abstract
The authors have completed a large descriptive study of the system of psychiatric aftercare in Metropolitan Toronto. This article describes the relevant 6-month and 2-year postdischarge outcome in each of five aftercare components for 505 subjects in a traditional system of service delivery. Provincial hospital, research institute, and general hospital subgroups are compared. For the total group, recidivism and employment rates are similar to those found in previous studies. Symptoms and distress levels are high. Considerable numbers of subjects live in inadequate and unsatisfactory housing. Social isolation, inadequate income, and difficulties with instrumental role functioning are persistent problems with little improvement between 6 months and 2 years postdischarge. Differences among the subgroups vary according to type of outcome and, for the most part, can be explained by differences in the characteristics of the patients served by the three types of inpatient treatment settings. These findings provide additional information about serious deficiencies in discharge planning and aftercare service delivery that is focused primarily upon the treatment of illness. The authors conclude that a more balanced system of aftercare requires a shift in resources to rehabilitation programs in the community.
PubMed ID
6092532 View in PubMed
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28 records – page 1 of 3.