scholarly journals Deaths by tuberculosis in a priority city for disease control in the Brazilian Northeast: sociodemographic-operational characteristics and vulnerable territories.

10.3823/2393 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Marcelino Santos Neto ◽  
Francisca Bárbara Gomes Da Silva ◽  
Mariana Borges Sodré ◽  
Mellina Yamamura ◽  
Floriacy Stabnow Santos ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Medical Care ◽  
Care Delivery ◽  
Descriptive Analysis ◽  
Public Health Research ◽  
Operational Characteristics ◽  
Point Density ◽  
Assistant Physician ◽  
Keywords Tuberculosis ◽  
Brazilian Northeast

Introduction: Incorporating spatial approaches into epidemiological research is a challenge in public health research. The goal in this study was to analyze the spatial distribution of cases of deaths by tuberculosis in Imperatriz – MA (Brazil) and to characterize these events according to sociodemographic and operational characteristics. Methods: In this ecological study, all deaths from tuberculosis as the primary cause registered in the Mortality Information System from 2005 to 2014 were considered. The research variables were subject to descriptive analysis, point density analysis (Kernel Intensity Estimation) and area analysis. Results: Fifty cases of deaths by TB were identified, particularly the pulmonary clinical form. Male patients were predominant, with a median age of 59 years, mulatto race/color, single, who had finished secondary education. Most deaths happened at the hospital, with medical care before death and without autopsy. Most events happened at the hospital, with medical care delivery by an assistant physician and without autopsy. The point density revealed heterogeneity in the spatial distribution of the deaths, with rates of up to 2.33 deaths/km2. The area analysis by census sector presented age standardized mortality rates of 0.00 to 4.00 deaths/100,000 inhabitants-year. Conclusion: The results contributed to the knowledge on the spatial distribution of cases of deaths by Tuberculosis and their characteristics in the research scenario. The importance of space is highlighted as a methodological alternative to support the planning, monitoring and assessment of health actions, targeting interventions to the control of the disease in vulnerable territories. Keywords: Tuberculosis; Health Information Systems; Mortality; Spatial analysis.

Emerging and Future Challenges for Hospital-based Internet Medical Care Delivery amidst COVID-19 Pandemic in China: Descriptive analysis (Preprint)

2020 ◽  
Author(s):  
Le Yang ◽  
Yi Yang ◽  
Jun Yin ◽  
Siying Wu ◽  
Yeying Wen ◽  
...  
Keyword(s):  
Medical Care ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Descriptive Analysis ◽  
Health Insurance Coverage ◽  
Information Platform ◽  
Online Consultation ◽  
Challenges And Opportunities ◽  
Future Challenges ◽  
The Government

BACKGROUND The hospital-based Internet medical care is an online approach mode to provide health services directly from hospitals to patients, which develops rapidly in China. However, this mode is confronting new challenges and opportunities due to the prevalence of coronavirus disease 2019 (COVID-19). OBJECTIVE This study aimed to try to reflect the changing tendency of hospital-based Internet medical care in China by focusing on a large regional hospital. METHODS We employed The First Affiliated Hospital of Soochow University as the subject of this study, which ranked the 50th in the top 100 medical centers in China. Data on hospital-based Internet medical care from November 2019 to April 2020 were collected, including the volume of online appointments, online consultations, and offline consultations. And we collected the data of COVID-19 confirmed cases and deaths from January 2020 to June 2020 to correspond to the data of hospital services for research. RESULTS 632225 online appointments and 1207235 offline consultations were analyzed in hospital from November 19 to April 20. We calculated the online appointment rate, which changed in each department significantly with an upward tendency in March and April after the peak of the COVID-19 pandemic. Up to April, the department with the largest increase in online appointment rate was Nursing, and with the least increase was Rheumatology. Since the end of February, a total of 12 departments started free online consultation. Online consultations mainly focused on Otolaryngology, Endocrinology, Obstetrics, and Gynecology. CONCLUSIONS During the epidemic, though we still face various issues such as doctor scarcity and unavailability of health insurance coverage, hospital-based Internet medical care is expanding in China. The government and hospitals are creating a practical, shared medical and health information platform to combat the crisis. China’s hospital-based Internet medical care is meeting the new situation and much remains to be done.

Medical Care for Children with Cancer in the Donetsk People’s Republic: Results of an Ecological Study in 2014–2017

2018 ◽  
Vol 5 (3) ◽  
pp. 145-154
Author(s):  
M. Yu. Rykov ◽  
I. N. Inozemtsev ◽  
S. A. Kolomenskaya
Keyword(s):  
Medical Care ◽  
Pediatric Patient ◽  
Ecological Study ◽  
Medical Service ◽  
Care Delivery ◽  
Benign Tumors ◽  
High Tech ◽  
Malignant Neoplasms ◽  
Children With Cancer ◽  
Patient Capacity

Background.Analysis of medical care delivery for children with cancer in armed conflict is highly important because the high-tech treatment in this context is extraordinary difficult and challenging task. Objective. Our aim was to analyze the morbidity and mortality rates in children with malignant tumors, to assess the pediatric patient capacity and medical service density in the Donetsk People’s Republic.Methods.The ecological study was conducted where the units of analysis were represented by the aggregated data of the Republican Cancer Registry on the number of primary and secondary patients with malignant and benign tumors, the deceased patients in the DNR in 2014–2017, pediatric patient capacity, and medical service density.Results.The number of pediatric patient capacity for children with cancer was 10 (0.27 per 10,000 children aged 0–17), pediatric patient capacity for children with hematological disorders — 40 (1.37 per 10,000 children aged 0–17). The treatment of children with cancer was performed by 5 healthcare providers: 1 pediatric oncologist (0.02 per 10,000 children aged 0–17), 3 hematologists (0.08 per 10,000 pediatric population aged 0–17), and 1 practitioner who did not have a specialist certificate in oncology. Morbidity rate for malignant neoplasms from 2014 to 2017 decreased by 25% (in 2014 — 9.6 per 10,000 children aged 0–17; in 2017 — 7.2). In the morbidity structure, the incidence proportion of hemoblastoses was 68.4%, brain tumors — 2.6%, other solid tumors — 29%. The death rate due to malignant neoplasms decreased by 37% (in 2014 — 2.7; in 2017 — 1.7).Conclusion.Low levels of the incidence rate and pattern of morbidity indicate defects in the identification and recording of patients. This explains the performance of the bed: low average bed occupancy per year and low turnover. For a reliable analysis of mortality statistical data is not available: in 2014–2015 only the number of in-hospital deceased patients is presented. Limited data is due to the lack of reliable patient catamnesis which is explained by the high rate of population migration. 

Challenges of Medical Care Delivery in Professional Sports

2018 ◽  
Vol 26 (24) ◽  
pp. 872-880 ◽  
Author(s):  
Xavier Duralde ◽  
Troy Jones ◽  
Timothy Griffith
Keyword(s):  
Medical Care ◽  
Care Delivery ◽  
Professional Sports

scholarly journals Spatial analysis of deaths from pulmonary tuberculosis in the city of São Luís, Brazil

2014 ◽  
Vol 40 (5) ◽  
pp. 543-551 ◽  
Author(s):  
Marcelino Santos-Neto ◽  
Mellina Yamamura ◽  
Maria Concebida da Cunha Garcia ◽  
Marcela Paschoal Popolin ◽  
Tatiane Ramos dos Santos Silveira ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Pulmonary Tuberculosis ◽  
Secondary Data ◽  
Positive Association ◽  
Significant Positive Association ◽  
Public Health Policies ◽  
Operational Characteristics ◽  
Operational Variables ◽  
The City ◽  
Selection Of

OBJECTIVE: To characterize deaths from pulmonary tuberculosis, according to sociodemographic and operational variables, in the city of São Luís, Brazil, and to describe their spatial distribution. METHODS: This was an exploratory ecological study based on secondary data from death certificates, obtained from the Brazilian Mortality Database, related to deaths from pulmonary tuberculosis. We included all deaths attributed to pulmonary tuberculosis that occurred in the urban area of São Luís between 2008 and 2012. We performed univariate and bivariate analyses of the sociodemographic and operational variables of the deaths investigated, as well as evaluating the spatial distribution of the events by kernel density estimation. RESULTS: During the study period, there were 193 deaths from pulmonary tuberculosis in São Luís. The median age of the affected individuals was 52 years. Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school. There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001). A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2. CONCLUSIONS: The sociodemographic and operational characteristics of the deaths from pulmonary tuberculosis evaluated in this study, as well as the identification of priority areas for control and surveillance of the disease, could promote public health policies aimed at reducing health inequities, allowing the optimization of resources, as well as informing decisions regarding the selection of strategies and specific interventions targeting the most vulnerable populations.

scholarly journals Distribusi Keruangan Penanaman Modal di Kabupaten Bantul

2020 ◽  
Vol 34 (1) ◽  
pp. 25
Author(s):  
Aprilia Prasmudika Sighita ◽  
Bambang Sriyanto Eko Prakoso
Keyword(s):  
Economic Growth ◽  
Spatial Distribution ◽  
Descriptive Analysis ◽  
Analytical Techniques ◽  
Nearest Neighbour ◽  
Investment Climate ◽  
R Value ◽  
Investment Firm ◽  
Neighbour Analysis ◽  
Selection Of

Kabupaten Bantul meraih prestasi tingkat nasional di tahun 2008 yakni memperoleh penghargaan dalam KPPOD Award. Penghargaan yang diperoleh menjadi awal yang baik bagi Kabupaten Bantul dalam memperbaiki iklim penanaman modal. Tujuan dari penelitian ini untuk mengidentifikasi dan menganalisis distribusi keruangan penanaman modal dan pengaruh karakteristik wilayah terhadap pemilihan lokasi penanaman modal. Teknik analisis yang digunakan adalah analisis deskriptif, analisis tetangga terdekat, dan analisis regresi berganda. Berdasarkan hasil kajian dapat disimpulkan bahwa distribusi keruangan penanaman modal di Kabupaten Bantul terdistribusi di 10 kecamatan, sedangkan 7 kecamatan lainnya belum menjadi destinasi penanaman modal. Untuk lokasi perusahaan penanaman modal membentuk pola dispersed atau merata dengan nilai R sebesar 5,920887 (R>1). Sebagian dari lokasi penanaman modal berada di tepi jalan raya. Pemilihan lokasi penanaman modal di Kabupaten Bantul dipengaruhi oleh faktor daya tarik karakteristik wilayah seperti pertumbuhan ekonomi dan jumlah objek wisata. Bantul Regency won the national award of KPPOD in 2008. That award was a good commencement to improve Bantul Regency’s investment climate. The aims of this research were to identify and analyse the spatial distribution of investment and the effect of regional characteristics on the selection of investment site. The analytical techniques used in the research are descriptive analysis, nearest neighbour analysis, and multiple regression analysis. Based on the analysis, it can be concluded that distribution of investment in Bantul Regency distributed in 10 sub-districts, while 7 others are not yet be destination of investment. For the location of investment firms forms a dispersed pattern with R value 5,920887 (R>1). Some investment firm are located on the edge of highway. The selection of investment sites in Bantul regency is affected by the attraction factors of the region characteristics such as economic growth and number of tourism objects.   

scholarly journals Analysis of Spatial Distribution of PM2.5 and Human Behavior on Air Pollution in Jakarta

2021 ◽  
Vol 940 (1) ◽  
pp. 012018
Author(s):  
K I Solihah ◽  
D N Martono ◽  
B Haryanto
Keyword(s):  
Air Pollution ◽  
Spatial Distribution ◽  
Human Behavior ◽  
Urban Areas ◽  
Descriptive Analysis ◽  
Air Pollution Control ◽  
Linear Regression Models ◽  
Raising Awareness ◽  
Knowledge And Attitude ◽  
The Government

Abstract Particulate matter is one of the threatening pollutants harmful to health. Currently, many researchers focus on the problem of PM2.5 concentrations in urban areas. This study aims to estimate the spatial distribution of PM2.5, and identify human behavior on air pollution in Jakarta. The method used were Spline with Tension to build the PM2.5 models, and multiple linear regression models to analyze human behavior on air pollution. The results showed that the annual average of PM2.5 in the last two years tends to be high in western, southern, and eastern parts of Jakarta. In addition, there was a decrease of PM2.5 concentration in 2020 compared to 2019 assumed as a result of Covid-19 Pandemic restrictions. Besides, analysis results showed a significant association between knowledge and attitude aspects on the action aspect. Based on descriptive analysis, people have good knowledge of air pollution and also concern to reduce air pollution. However, the actions for air pollution control are still not maximized which may cause high PM2.5 concentrations in Jakarta. We conclude that to reduce air pollution, the government should focus on the border areas of Jakarta and it can be done by increasing public knowledge and raising awareness for air pollution.

scholarly journals PROBLEMS OF MEDICAL CARE DELIVERY WITHIN CLINICAL TESTING

2016 ◽  
pp. 26-30
Author(s):  
V. I. STARODUBOV ◽  
V. I. PERHOV ◽  
F. N. KADYROV ◽  
D. S. YANKEVICH
Keyword(s):  
Medical Care ◽  
Care Delivery ◽  
Clinical Testing

PEDIATRIC SCREENING EXAMINATIONS IN PRIVATE PRACTICE

PEDIATRICS ◽  
1968 ◽  
Vol 41 (1) ◽  
pp. 115-119
Author(s):  
Glenn Austin ◽  
William Foster ◽  
John C. Richards
Keyword(s):  
Medical Care ◽  
Patient Care ◽  
Private Practice ◽  
Pediatric Practice ◽  
Paramedical Personnel ◽  
Assistant Physician ◽  
Special Value ◽  
System Review ◽  
Pediatric Screening

A pediatric assistant performs health screening examinations in a private pediatric practice without the presence of the doctor. Only patients between the ages of 6 to 12 years who have no apparent significant problems and who have had a complete physical and history by a pediatrician the year previously are accepted for the screening, which includes a system review, height, weight, visual and hearing testing, hemoglobin, urinalysis, and immunizations. The pediatric assistant, chosen for her ability to communicate with mothers, is of special value in listening to minor complaints. The chart is reviewed by the child's pediatrician and problems are discussed with the assistant. Physician follow-up is accomplished if deemed helpful. This is accepted by patients, allows continuity of personal comprehensive medical care in the pediatric office at a reduced cost, and allows the physician more time for patient care while increasing efficient use of paramedical personnel. Possible misuse of screening examinations, with resulting impersonal and fragmented medical care, is discussed.

Digital Divide and E-Health Implications for E-Collaboration Research

2011 ◽  
pp. 1574-1580
Author(s):  
Michele Masucci
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Information And Communication Technologies ◽  
Access To Health Care ◽  
Care Delivery ◽  
Communication Technologies ◽  
Collaborative Tools ◽  
Specialized Care ◽  
Health Care Delivery Systems ◽  
Health Applications

E-health has rapidly gained attention as a framework for understanding the relationship between using information and communication technologies (ICTs) to promote individual and community health, and using ICTs for improving the management of health care delivery systems. The use of e-collaborative tools is implicit to the delivery and access of e-health. Development of the capacity to transmit and receive digital diagnostic images, use video telecommunications for supporting the remote delivery of specialized care and surgical procedures, and the use of e-communication technologies to support logistical elements of medical care (such as scheduling appointments, filling prescriptions, and responding to patient questions) are just a few ways in which e-communications are transforming how medical care is embedded within institutional, organizational, family, and community settings. The emerging field of e-collaboration focuses attention on the need for society to critically examine how electronic communication technologies facilitate, shape, and transform the ways in which organizations, groups, and communities interact. There are many works that explain how to (a) develop e-health systems, (b) assess the use of such systems, and (c) analyze the health outcomes that can be achieved with effective e-health applications (Brodie et al., 2000; Eder, 2000; Spil & Schuring, 2006). Less attention has been paid to how advances in e-collaboration research might inform e-health applications development and scholarly discourse. Because of this gap in the literature, few discussions pertain to understanding patient perspectives about the advantages and disadvantages that may result from rapidly emerging interconnections among access to health care, health information, health support systems, and ICTs (Berland et al., 2001; Hesse et al., 2005; Gibbons, 2005; Gilbert & Masucci, 2006).

Digital Divide and E-Health Implications for E-Collaboration Research

2011 ◽  
pp. 153-158 ◽  
Author(s):  
Michele Masucci
Keyword(s):  
Medical Care ◽  
Information And Communication Technologies ◽  
Care Delivery ◽  
Communication Technologies ◽  
Community Settings ◽  
Collaborative Tools ◽  
Specialized Care ◽  
Information And Communication ◽  
Health Care Delivery Systems ◽  
The Relationship

E-health has rapidly gained attention as a framework for understanding the relationship between using information and communication technologies (ICTs) to promote individual and community health, and using ICTs for improving the management of health care delivery systems. The use of e-collaborative tools is implicit to the delivery and access of e-health. Development of the capacity to transmit and receive digital diagnostic images, use video telecommunications for supporting the remote delivery of specialized care and surgical procedures, and the use of e-communication technologies to support logistical elements of medical care (such as scheduling appointments, filling prescriptions, and responding to patient questions) are just a few ways in which e-communications are transforming how medical care is embedded within institutional, organizational, family, and community settings.

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