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Tytuł:
Analysis of factors that determine hospitalization of emergency department patients
Autorzy:
Szwamel, Katarzyna
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/551518.pdf
Data publikacji:
2016
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
emergency department
hospitalization
prevention.
Źródło:
Family Medicine & Primary Care Review; 2016, 3; 352-358
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Diabulimia – a diagnostic and therapeutic challenge in the emergency department
Autorzy:
Atriham, Adan R.
Kleszczyński, Jacek
Sierakowska, Alicja
Springer, Janusz
Powiązania:
https://bibliotekanauki.pl/articles/33778957.pdf
Data publikacji:
2024-03-22
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
diabetes
eating disorders
emergency department
diabulimia
Opis:
Diabulimia is the intentional omission or reduction of insulin administration in a patient with insulin-dependent diabetes mellitus (IDDM) and coexisting eating disorder in the attempt to reduce or avoid weight gain. Although the true incidence of diabulimia is unknown, it is estimated that between 20-30% of girls and up to 40% young women with IDDM have experienced diabulimia since their diagnosis of IDDM was made. Patients with diabulimia frequently present to the emergency department, therefore early recognition of the eating disorder and prompt psychiatric consultation are essential. The aim of this review article is to summarize the existing literature about diabulimia and to raise awareness amongst emergency physicians about how to identify and treat these patients.
Źródło:
European Journal of Translational and Clinical Medicine; 2024, 7, 1; 57-62
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Novaluron and indoxacarb induced methemoglobinemia – unveiling a rare poisoning
Autorzy:
Shaji, Ijas Muhammed
Mohanty, Chitta Ranjan
Radhakrishnan, Rakesh Vadakkethil
Siddique, Ruby Nahan
Powiązania:
https://bibliotekanauki.pl/articles/40614538.pdf
Data publikacji:
2024-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
emergency department
indoxacarb
methemoglobinemia
novaluron
poisoning
Opis:
Introduction and aim. In India, the utilization of agricultural pesticides for intentional self-poisoning is a prevalent method, and it is associated with substantially higher fatality rates compared to other self-poisoning approaches. Plethora, an agricultural insecticide containing novaluron (5.25%) and indoxacarb (4.5%), has recently been introduced and widely used in India and various other regions for its broad-spectrum lepidopteran control. While there have been documented cases of isolated self-poisoning involving indoxacarb, there is currently no literature reporting incidents of human poisoning specifically related to novaluron. Description of the case. An 83-Year-old male was presented to the emergency department (ED) with a history of consumption of 50 mL of an insecticide suspension concentrate called ‘PLETHORA’ to commit suicide. He had one episode of vomiting and dizziness after the ingestion. There was associated cyanosis, and the patient was put on high-flow oxygen at 10 L/min through a face mask. The patient was diagnosed to have methemoglobinemia and was successfully treated with methylene blue and ascorbic acid. One hour post methylene blue injection showed a methemoglobin level of 1%, and the patient gradually improved. Patients presenting with novaluron and indoxacarb poisoning require supportive treatment as there is no specific antidote. There should be a high index of suspicion for methemoglobinemia in such patients, and timely management is necessary to prevent further complications. The patient was successfully managed and discharged after the 3rd day of admission. Conclusion. The management of patients with novaluron and indoxacarb poisoning primarily involves supportive care, as there is currently no specific antidote available for these substances. Maintaining a high suspicion index for the development of methemoglobinemia and timely management of other complications is crucial for the best possible patient outcomes.
Źródło:
European Journal of Clinical and Experimental Medicine; 2024, 22, 2; 448-451
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Abdominal aortic thrombosis in the Emergency Department. A case report
Autorzy:
MELIS, Giada
DIAL, Upinder Kaur Mattar
SINI, Laura
Costante OPPES, Mario
MELE, Maria Immacolata
TUSCONI, Massimo
Powiązania:
https://bibliotekanauki.pl/articles/1033828.pdf
Data publikacji:
2015
Wydawca:
Zakład Opieki Zdrowotnej Ośrodek Umea Shinoda-Kuracejo
Tematy:
acute thrombosis
abdominal aorta
treatment
emergency department
Opis:
The complete obstruction of a large artery, including the aorta, is a serious event which, as a general rule, has devastating effects. Sometimes symptoms may be ambiguous and the diagnosis may not be immediate. Prompt recognition of this condition provides the only hope of survival from this rare and catastrophic disease. A 52-year-old man was well until an episode of sudden low back pain and paresis of the legs resulted in admission to the Emergency Department (ED). The entire process of management, from admission to ED until the end of surgical operation, took about 4 hours. After 4 days the patient was discharged, in good clinical conditions. This case report highlights the importance of rapid management of this rare clinical condition for optimal outcome. Early diagnosis is essential for effective treatment.
Źródło:
Medicina Internacia Revuo; 2015, 26, 104; 159-163
0465-5435
Pojawia się w:
Medicina Internacia Revuo
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Predictors of hospitalization in patients presenting to emergency department with an acute exacerbation of COPD – a single-center study in Turkey
Autorzy:
Sanalp Menekşe, Tuğba
Taha Sert, Ekrem
Powiązania:
https://bibliotekanauki.pl/articles/29519429.pdf
Data publikacji:
2023-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
chronic obstructive pulmonary disease
emergency department
hospitalization
Opis:
Introduction and aim. In this study, we evaluated parameters that might be associated with hospitalization in patients admitted to the emergency department (ED) with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Material and methods. Patients with COPD who presented to ED due to AECOPD between January 1, 2020 and December 31, 2021 were included in the study. Patient data were obtained from the hospital database. Univariable and multivariable logistic regression methods were used to identify the relationship between hospitalization and clinical parameters. Results. The study included 237 patients divided into two groups: inpatients (n=124) and outpatients (n=113). We found significant differences between the two groups in terms of temperature, oxygen saturation, respiratory rate, C-reactive protein, white blood cell count, procalcitonin, albumin, arterial blood pH, pCO2, and non-invasive mechanical ventilation (NIMV) requirement. Multivariable logistic regression analysis showed that body temperature [odds ratio (OR):1.62;95% confidence interval (CI):1.21–4.91; p<0.001], oxygen saturation (OR:0.73, 95% CI:0.39-0.94, p<0.001), respiratory rate (OR:1.96; 95% CI: 1.07–6.14; p<0.001), albumin (OR:0.71; 95% CI:0.41–0.93; p=0.042), procalcitonin (OR:2.93; 95% CI:1.22–4.84; p<0.001), arterial blood pH (OR:0.78; 95% CI:0.29-0.91; p=0.038), pCO2 (OR:2.45; 95% CI:1.24–4.65; p<0.001), and NIMV requirement (OR:2.31; 95% CI:1.41–5.13; p<0.001) were the independent predictors of hospitalization. Conclusion. Our findings may help identify patients who will require hospitalization at an early stage.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 3; 561-566
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
CT negative subarachnoid hemorrhage in emergency department
Autorzy:
Szypenbejl, Jacek
Siemiński, Mariusz
Szurowska, Edyta
Szmuda, Tomasz
Basiński, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/895725.pdf
Data publikacji:
2020-05-29
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
emergency department
computed tomography
cerebral aneurysm
subarachnoid hemorrhage
Opis:
Background: Subarachnoid hemorrhage (SAH) is rare but potentially life-threatening cause of acute headache. First diagnostic test performed in the Emergency Department (ED) for acute “thunderclap” headache is computed tomography of the head (CT) without contrast enhancement. Negative non-contrast head CT may be erroneously interpreted as an exclusion of SAH and lead to ED discharge. The consequences of overlooking SAH are of special interest to the Emergency Physician. The aim of this study was to assess prevalence and clinical picture of CT-negative cases of SAH admitted to the ED. Material and methods: Retrospective analysis of charts of patients admitted to the ED and diagnosed with SAH during 18 consecutive months. Results: Our data gives information about clinical picture of patients with CT-negative SAH and their further clinical course. Out of 126 patients diagnosed with SAH, 5 (4.0%) were diagnosed with SAH despite negative non-contrast head CT scan. All cases were diagnosed by means of lumbar puncture and analysis of cerebrospinal fluid. In all patients with CT-negative SAH computed tomographic angiography (CTA) was performed and no vascular abnormalities were found. In one case digital subtraction angiography was performed due to equivocal CTA picture and it demonstrated small unruptured aneurysm of the medial cerebral artery. All patients with CT-negative SAH were admitted to a neurological ward and later discharged from the hospital without neurological deficit. There were no episodes of clinical deterioration and none of the patients required an urgent neurosurgical intervention. Conclusions: Although lumbar puncture remains a gold standard in exclusion of SAH, head CT scan without contrast enhancement appears to be a satisfying diagnostic tool in ED.
Źródło:
European Journal of Translational and Clinical Medicine; 2020, 3, 1; 43-48
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Interactionist Self and Grounded Research: Reflexivity in a Study of Emergency Department Clinicians
Autorzy:
Nugus, Peter
Powiązania:
https://bibliotekanauki.pl/articles/2138430.pdf
Data publikacji:
2008-04-30
Wydawca:
Uniwersytet Łódzki. Wydawnictwo Uniwersytetu Łódzkiego
Tematy:
Symbolic interactionism
Reflexivity
Self
Emergency Department
Grounded theory
Opis:
This paper shows how the theory of symbolic interactionism shaped a grounded investigation of the organizational labor of Australian Emergency Department (ED) clinicians. Further, it shows how symbolic interactionism supports reflexive criteria for validating grounded research. Using ethnographic methods across two metropolitan EDs, interactionism’s emphasis on roles applied equally to the relationship between researcher and participants as to the relationships among participants. Specifically, the researcher generated data by positioning interactionism as the mediator of the emergent relationship between researcher and participants. The results of this positioning were: a traceable path from understanding to interpretation and the search for consequentiality rather than truth. Interactionism facilitated the co-production by the researcher and participants of limits on the generalizability of the data. The paper is an argument for symbolic interactionism as a means not merely to generate sociological findings, but to conceptualize the impact of the researcher on the grounded research process.
Źródło:
Qualitative Sociology Review; 2008, 4, 1; 189-204
1733-8077
Pojawia się w:
Qualitative Sociology Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Fall risk and frailty level in older adults admitted to the emergency department with a complaint of falling
Autorzy:
Çelik, Sevim
Uğur, Neşe
Karahan, Elif
Dolu, İlknur
Powiązania:
https://bibliotekanauki.pl/articles/29520468.pdf
Data publikacji:
2023-12-31
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
emergency department
fracture
frailty
older adults
risk of falling
Opis:
Introduction and aim. Falls are the second leading cause of unintentional death in the world. The study was conducted to examine the risk of falls and levels of frailty in older adult patients admitted to the emergency department due to fractures, as well as to identify the factors that influence fall risk and frailty levels. Material and methods. This cross-sectional and correlational study conducted with 155 older patients. Data collected by the patient information form, Itaki Fall Risk Scale and Edmonton Frail Scale. Results. Patients diagnosed with fracture in the emergency department had a high risk of falling with a mean score of 9.55±3.84.70.3% of the patients were frail. The one-third (30.3%) had severe frailty. There was a moderate positive correlation between the risk of falling and the mean frailty score of the older adult patients (p<0.001). Conclusion. The study showed that older adults admitted to the emergency department due to falls are at high risk of falling and the majority of them are frail. Early determination of fall risk and frailty levels in the older adults with a history of falling, prevention of falls and fractures due to falls will be beneficial in increasing the quality of life of the older adults
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 4; 793-801
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
To determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to emergency department in a tertiary care hospital
Autorzy:
Krishna, Penagaluru Pranay
Velavarthipati, Ravi Sankar
Srikanth, Midde
Krishna, B Skanda Gopala
Sriramula, Nayan
Goud, Dabbi Praveen Kumar
Powiązania:
https://bibliotekanauki.pl/articles/29432050.pdf
Data publikacji:
2023-03
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Acute coronary syndrome
emergency department
chest pain
score
HEART
Opis:
INTRODUCTION: One of the main causes of sudden cardiac death in the emergency department is myocardial infarction. Although there are several scores that helped predict an identified acute coronary incident, there was no quantitative tool available to risk stratifying patients with chest pain to support more decisions. The study is aimed to determine the prognostic accuracy of the HEART score as a predictor for major adverse cardiac events in patients presenting with chest pain to the emergency medicine department (ED). MATERIAL AND METHODS: Study included 83 adult patients presenting with Acute Myocardial Infarction who had chest pain attending to the ED were studied their HEART score to predict major adverse cardiac events. RESULTS: 60.24% of males and 39.76% of females with mean age of 57.83 ± 12.85 years were presented to ED. 44.56% had hypertension, 46.99% of diabetes mellitus, 21.69% of smoking, 16.87% of alcoholism, 4.82% of obesity, and 3.61% of patients with family history of cardiac diseases. 28.92% had non-specific repolarization, and 33.73% of patients had significant ST-Depression. According to Heart score, 26.51% of patients had low risk, 39.76% of patients had moderate risk, and 33.73% of patients had high risk. More percentage of male patient’s (67.9%) were in the high risk group of heart score than females (32.1%). ST-Depression cases were more in the high risk group (85.7%), and statistical significant association seen between ECG and the heart score (P<0.0001). among risk factors, Hypertension and Diabetes mellitus patients was more in the high risk groups with 48.6%, and 53.8% (P=0.001). 100% of high risk cases had ≥3 x normal limit of troponin, and there was a statistically association seen between troponin and heart score (P<0.0001). Diagnosis of HEART score of the low risk group showed that the risk factor had significantly higher AUC value (AUC = 0.801) than the age group (AUC = 0.778), history (AUC = 0.747), Troponin (AUC = 0.738), and ECG (AUC = 0.722). Out of 22 cases of the low risk group, 6 of Unstable angina (UA), 16 of NSTEMI, 4 of Percutaneous coronary intervention (PCI), 2 CABG, and 1 cardiovascular (CV) death. For moderate risk group (n=33), 13 of UA, 17 of NSTEMI, 3 of STEMI, 20 of PCI, 14 of CABG, and 12 of CV deaths. For high risk group (n=28), 10 UA, 14 of NSTEMI, 3 of STEMI, 9 of PCI, 6 of CABG, and 4 number of CV death. CONCLUSIONS: It was concluded that the HEART score should be used as the primary clinical decision tool for the risk stratification and a good predictor of major adverse cardiac events in patients presenting with chest pain to the emergency department to promote their safe and efficient nature in a community hospital setting.
Źródło:
Critical Care Innovations; 2023, 6, 1; 1-16
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The relationship of biochemical parameters and radiological parameters in the evaluation of the clinical severity of acute pancreatitis in the emergency department – a retrospective analysis
Autorzy:
Tortum, Fatma
Tekin, Erdal
Aydın, Fahri
Özdal, Emine
Tatlısu, Kübra
Powiązania:
https://bibliotekanauki.pl/articles/25102374.pdf
Data publikacji:
2023-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
acute pancreatitis
amylase
computed tomography severity index
emergency department
lipase
Opis:
Introduction and aim. Computed tomography severity index (CTSI) and Balthazar score are among the most frequently used scorings in the determination of severe acute pancreatitis. The primary purpose of this study is evaluation of the effects of biochemical parameters, Balthazar score and CTSI on mortality in acute pancreatitis. At the same time, correlations with biochemical parameters, CTSI and Balthazar score were evaluated in patients with AP. Material and methods. In this study, the amylase, lipase, CRP, and procalcitonin values of patients diagnosed with acute pancreatitis were retrospectively recorded. Contrast-enhanced computed tomography (CECT) images obtained at the time of presentation to the emergency department or within seven days of admission were re-evaluated by two radiologists. The CTSI scores and Balthazar scores of the patients were calculated. Results. The study included 240 patients. The amylase level of the patients was positively correlated with the Balthazar score at a statistically significant level (R=0.189, p=0.003). In addition, the relationship between pancreatic scoring systems and mortality, the AUC value for CTSI was 0.9 (95% CI: 0.826-0.973) and was higher than other scoring systems. Conclusion. CTSI had better performance in the prediction of mortality in patients with acute pancreatitis.
Źródło:
European Journal of Clinical and Experimental Medicine; 2023, 2; 277-282
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Air pollution and emergency department visits for conjunctivitis: A case-crossover study
Autorzy:
Szyszkowicz, Mieczysław
Kousha, Termeh
Castner, Jessica
Powiązania:
https://bibliotekanauki.pl/articles/2177432.pdf
Data publikacji:
2016-02-02
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
air pollution
case-crossover
emergency department visit
exposure
conjunctivitis
multi-city study
Opis:
Objectives The purpose of this study was to examine the associations between emergency department (ED) visits for conjunctivitis and ambient air pollution levels in urban regions across the province of Ontario, Canada. Material and Methods Information from the National Ambulatory Care Reporting System was used to create time-series records, for the period of April 2004 to December 2011, on emergency department visits of patients suffering from conjunctivitis. A total of 77 439 emergency department visits for conjunctivitis were analyzed. A time-stratified case-crossover design was applied, completed with meta-analysis in order to pool inter-city results. Odds ratio (OR) for an emergency department visit was calculated in different population strata per one-unit increase (one interquartile range – IQR increase in a pollutant’s daily level) while controlling for the impacts of temperature and relative humidity. Results Statistically significant positive results were observed in the female population sample, for nitrogen dioxide (NO₂) exposure lagged 5–8 days, with the highest result for the 7-day lag (OR = 1.035, 95% CI: 1.018–1.052) and for fine particulate matter with a median aerodynamic diameter of less than 2.5 μm ($\text{PM}_\text{2.5}$), for lags 6 and 7 days, with the highest result for lag 7 (OR = 1.017, 95% CI: 1.003–1.031). In the male population sample, statistically significant positive results were observed for NO₂ at lag 5 days (OR = 1.024, 95% CI: 1.004–1.045) and for ozone (O₃), at lags 0–3 and 7 days, with the highest result for lag 0 (OR = 1.038, 95% CI: 1.012–1.056). Also for males, statistically significant results were observed in the case of $\text{PM}_\text{2.5}$ exposure lagged by 5 days (OR = 1.003, 95% CI: 1.000–1.038) and sulfur dioxide (SO₂) exposure lagged by 1 and 2 days (OR = 1.016, 95% CI: 1.000–1.031 and OR = 1.018, 95% CI: 1.002–1.033). Conclusions The findings of this study suggest that there are associations between levels of air pollution and ED visits for conjunctivitis, with different temporal trends and strength of association by age, sex, and season.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2016, 29, 3; 381-393
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Case-crossover design: Air pollution and health outcomes
Autorzy:
Szyszkowicz, Mieczysław
Tremblay, Neil
Powiązania:
https://bibliotekanauki.pl/articles/2185393.pdf
Data publikacji:
2011-09-01
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
air pollution
city
depression
emergency department
humidity
temperature
nitrogen dioxide
sulphur dioxide
Opis:
Objectives: The objective of this study was to investigate variants of case-crossover design for assessing correlations between counts of health events over time and exposure to ambient air pollution. For illustrative purposes, daily emergency department (ED) visits for depression among females were considered. Materials and Method: Ambient nitrogen dioxide (NO₂) was used as a principal ambient air pollutant. In addition, sulphur dioxide (SO₂) and carbon monoxide (CO) were considered. Different configurations of the control periods (every 1, 2, …, 10 days) and different forms (linear, natural splines) of meteorological factors in the applied conditional logistic regression models were used. The sequence of overlapping age intervals was defined ([0, 19], [1, 20], and so on) and each age group was analyzed separately. The results for the defined age sequences allow identifying age ranges in which the effects are strongest. Results: Consequently, for example, different age ranges for patients for which ED visits for depression were correlated with NO₂ and SO₂ were identified. This age-interval difference explains the very often observed phenomenon whereby two air pollutants used in one model may not show correlations with health outcomes. In this situation they affect separate age groups. The results also show dependency on number-defined control periods for the applied case-crossover technique. The opposite statistical conclusions may be generated by using different control schemas. Conclusions: The results support the hypothesis that ED visits for depressive disorder may be correlated with exposure to ambient air pollution.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2011, 24, 3; 249-255
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An approach to represent a combined exposure to air pollution
Autorzy:
Szyszkowicz, Mieczyslaw
Powiązania:
https://bibliotekanauki.pl/articles/2177164.pdf
Data publikacji:
2015-07-17
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
ambient air pollution
case-crossover
odds ratio
index
emergency department visit
air pollution
Opis:
Objectives The objective of this study was to present a technique for estimating the effect of ambient air pollution mix on health outcomes. Material and Methods We created a technique of indexing air pollution mix as a cause of the increased odds of health problems. As an illustrative example, we analyzed the impact of pollution on the frequency of emergency department (ED) visits due to colitis among young patients (age < 15 years, N = 11 110). Our technique involves 2 steps. First, we considered 6 ambient air pollutants (carbon monoxide, nitrogen dioxide, sulphur dioxide, ozone, and 2 measures of particulate matter) treating each pollutant as a single exposure. Odds ratios (ORs) for ED visits associated with a standard increase (interquartile range – IQR) in the pollutants levels were calculated using the case-crossover technique. The ORs and their 95% confidence intervals (95% CIs) were also found for lagged exposures (for lags 1–9 days). Second, we defined a Health Air Study Index (HASI) to represent the combined impact of the 6 air pollutants. Results We obtained positive and statistically significant results for individual air pollutants and among them the following estimations: OR = 1.06 (95% CI: 1.02–1.1, NO₂ lag 3, IQR = 12.8 ppb), OR = 1.04 (95% CI: 1.01–1.07, SO₂ lag 4, IQR = 2.3 ppb), OR = 1.04 (95% CI: 1–1.06, PM lag 3, IQR = 6.2 μg/m³). Among the re-calculated ORs with the HASI values as an exposure, the highest estimated value was OR = 1.37 (95% CI: 1.12–1.68, for 1 unit of the HASI, lag 3). Conclusions The proposed index (HASI) allows to confirm the pattern of associations for lags obtained for individual air pollutants. In the presented example the used index (HASI) indicates the strongest relation with the exposure lagged by 3 days.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2015, 28, 5; 823-830
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Profile of homeless people in emergency departments
Autorzy:
Burak, Anna M.
Wyszkowska, Zofia
Liebert, Ariel
Kłopocka, Maria
Powiązania:
https://bibliotekanauki.pl/articles/2084868.pdf
Data publikacji:
2022-04-11
Wydawca:
Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
Tematy:
homelessness
medical care
hospital emergency department
homeless patients in EDs
disease diagnoses
repeated admissions
Opis:
ObjectivesFor homeless people, emergency departments (ED) are the place of medical care and satisfying physiological, safety and social needs. The treatment of the homeless in EDs is a common issue in many countries. The aim of study was to analyze selected parameters of health care to homeless people in EDs. The authors examined the frequency and the seasonality of admissions, their causes, stay duration, insurance status, and the type of radiological diagnostics performed.Material and MethodsA retrospective analysis of stays of homeless patients in 3 EDs in one of the largest cities in Poland in 2013–2015 was carried out. Patients were qualified to the population of homeless people based of their registering in ED. Data was obtained on the total number of homeless patients’ stays in all 3 EDs, which amounted to 3133.ResultsDuring the 3 years of analysis: 1042 homeless individuals were identified staying 3133 times in EDs; 46.3% of the stays concerned uninsured homeless people; 31% were under influence of alcohol. On average, men used ED services 3 times, while women only twice. No significant seasonality of admissions was observed. Homeless people were admitted mainly for mental disorders and head injuries. Radiological tests were performed 1577 times, including 83% being CT scans. On average, women and those >30 stayed in EDs for the shortest time. The hospital wards admitted 9.3% of the patients.ConclusionsAlmost half of homeless patients repeatedly use ED services, regardless of the season. A patient’s stay typically lasts 6 h. Half of them were uninsured. The main reasons for admission include mental and behavioral disorders, mostly due to alcohol use and head injuries. The primary radiological diagnostics used were CT scans.
Źródło:
International Journal of Occupational Medicine and Environmental Health; 2022, 35, 2; 157-167
1232-1087
1896-494X
Pojawia się w:
International Journal of Occupational Medicine and Environmental Health
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Under-Reporting of Accidents Involving Biological Material by Nursing Professionals at a Brazilian Emergency Hospital
Autorzy:
Facchin, L. T.
Gir, E.
Pazin-Filho, A.
Hayashida, M.
da Silva Canini, S. R. M.
Powiązania:
https://bibliotekanauki.pl/articles/90558.pdf
Data publikacji:
2013
Wydawca:
Centralny Instytut Ochrony Pracy
Tematy:
healthcare worker
infection control
emergency department
occupational exposure
pracownicy opieki zdrowotnej
oddział ratunkowy
narażenie zawodowe
Opis:
Background. Pathogens can be transmitted to health professionals after contact with biological material. The exact number of infections deriving from these events is still unknown, due to the lack of systematic surveillance data and under-reporting. Methods. A cross-sectional study was carried out, involving 451 nursing professionals from a Brazilian tertiary emergency hospital between April and July 2009. Through an active search, cases of under-reporting of occupational accidents with biological material by the nursing team were identified by means of individual interviews. The Institutional Review Board approved the research project. Results. Over half of the professionals (237) had been victims of one or more accidents (425 in total) involving biological material, and 23.76% of the accidents had not been officially reported using an occupational accident report. Among the underreported accidents, 53.47% were percutaneous and 67.33% were bloodborne. The main reason for nonreporting was that the accident had been considered low risk. Conclusions. The under-reporting rate (23.76%) was low in comparison with other studies, but most cases of exposure were high risk.
Źródło:
International Journal of Occupational Safety and Ergonomics; 2013, 19, 4; 623-629
1080-3548
Pojawia się w:
International Journal of Occupational Safety and Ergonomics
Dostawca treści:
Biblioteka Nauki
Artykuł
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