scholarly journals Experience with hysteroscopy in a private specialist hospital in Nigeria

2020 ◽  
Vol 61 (3) ◽  
pp. 140
Author(s):  
MichaelE. Aziken ◽  
JamesA. Osaikhuwuomwan ◽  
Israel Ikekwuibe
Keyword(s):  
Private Specialist

scholarly journals Greatly increased Victorian outpatient private psychiatric care during the COVID-19 pandemic: new MBS-telehealth-item and face-to-face psychiatrist office-based services from April–September 2020

2021 ◽  
pp. 103985622110061
Author(s):  
Jeffrey C L Looi ◽  
Stephen Allison ◽  
Stephen R Kisely ◽  
William Pring ◽  
Rebecca E Reay ◽  
...  
Keyword(s):  
Patient Care ◽  
Federal Government ◽  
Psychiatric Care ◽  
The State ◽  
Specialist Care ◽  
Total Patient ◽  
Face To Face ◽  
Video Telephone ◽  
Patient Assessments ◽  
Private Specialist

Objective: The Australian Federal government introduced new COVID-19-Psychiatrist-Medicare-Benefits-Schedule (MBS) telehealth-items to assist with providing private specialist care. We investigate private psychiatrists’ uptake of telehealth, and face-to-face consultations for April–September 2020 for the state of Victoria, which experienced two consecutive waves of COVID-19. We compare these to the same 6 months in 2019. Method: MBS-item-consultation data were extracted for video, telephone and face-to-face consultations with a psychiatrist for April–September 2020 and compared to face-to-face consultations in the same period of 2019 Victoria-wide, and for all of Australia. Results: Total Victorian psychiatry consultations (telehealth and face-to-face) rose by 19% in April–September 2020 compared to 2019, with telehealth comprising 73% of this total. Victoria’s increase in total psychiatry consultations was 5% higher than the all-Australian increase. Face-to-face consultations in April–September 2020 were only 46% of the comparative 2019 consultations. Consultations of less than 15 min duration (87% telephone and 13% video) tripled in April–September 2020, compared to the same period last year. Video consultations comprised 41% of total telehealth provision: these were used mainly for new patient assessments and longer consultations. Conclusions: During the pandemic, Victorian private psychiatrists used COVID-19-MBS-telehealth-items to substantially increase the number of total patient care consultations for 2020 compared to 2019.

scholarly journals Delayed presentation of giant uterine fibroids in a Nigerian private specialist health facility

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110631
Author(s):  
Joseph Ifeanyichukwu Ikechebelu ◽  
Boniface Chukwuneme Okpala ◽  
George Uchenna Eleje ◽  
Cyril Emeka Nwachukwu ◽  
Louis Anayo Nwajiaku ◽  
...  
Keyword(s):  
Low Income ◽  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Low Income Countries ◽  
Delayed Presentation ◽  
Abdominal Drain ◽  
Abdominal Myomectomy ◽  
Major Operation ◽  
Private Specialist

Giant uterine fibroids (leiomyoma or myomas) which are fibroid masses greater than 11.4 kg are very rare. Although benign in nature, it may present with symptoms that impact negatively on the quality of life and health of the patient and impose greater management challenges. We present two cases of giant uterine fibroids that were successfully managed in a private specialist hospital without complications. Case 1 was a 38-year-old nulliparous Nigerian woman who presented with giant uterine fibroids (11.6 kg) who initially had delay of surgery due to fear that after surgery she may lose her “womb” or not be able to conceive after the operation. Later, she had successful open abdominal myomectomy, with the use of Foley catheters as improvise equipment for tourniquet and abdominal drain. Anti-adhesion agent was not used. Case 2 was a 47-year-old nulliparous Nigerian teacher with giant fibroids (13.2 kg) who also initially had delayed surgery due to fear that fibroid surgery is a major operation that it may get complicated and she may die. Also, she was afraid that she may not have her womb in her next world if she gets reincarnated. She had total abdominal hysterectomy and bilateral salpingo-oophorectomy without complications. For both cases, pre-surgery leiomyosarcoma assessment with computed tomography scan or magnetic resonance imaging and anti-adhesion agent were not used due to very unaffordable high costs. These reports of giant uterine fibroids (leiomyoma or myomas) are very rare gynecological entity, and management can be successful despite overwhelming challenges in low-income countries. Cheaper, affordable and available alternatives (improvises) can be resorted to for tackling its challenges in low-income settings.

scholarly journals Granulomatosis with polyangiitis - An oral medicine case book

2020 ◽  
Vol 75 (9) ◽  
pp. 488-492
Author(s):  
Inus Snyman ◽  
Liam Robinson ◽  
André W Van Zyl ◽  
Willie FP Van Heerden
Keyword(s):  
Female Patient ◽  
Oral Hygiene ◽  
Granulomatosis With Polyangiitis ◽  
Mouth Rinse ◽  
Oral Medicine ◽  
Main Complaint ◽  
Specialist Practice ◽  
Oral Hygiene Instructions ◽  
Private Specialist

A 33-year-old female patient presented at a private specialist practice (Periodontics and Oral Medicine) with a main complaint of sore and bleeding gums, fever, headaches and sinus pain. The gingiva became irritated, red and swollen five weeks prior to the first consultation in July 2018. She was referred by her dentist one month after prescribing two consecutive courses of antibiotics and providing oral hygiene instructions to the patient, with no significant improvement. The first prescription was for Augmentin 375mg t.d.s. for 5 days and the second prescription two weeks later was for Amoxycillin 250 mg t.d.s. and Metronidazole 200mg t.d.s. for 5 days. The patient was also using a chlorhexidine mouth rinse.

scholarly journals Sociodemographic Factors and its Impact on Health Related Quality of Life (HRQoL) among Adult Asthma Patients in a Private Specialist Hospital in Malaysia

2019 ◽  
Vol 11 (4) ◽  
pp. 404-409
Author(s):  
Hanish Singh Jayasingh Chellammal ◽  
Dhivyatharishini Arumugam ◽  
Bama VV Menon ◽  
Shashidharan Menon Muralidharan Menon ◽  
Shafeeq Bin Mohd Faizal
Keyword(s):  
Quality Of Life ◽  
Sociodemographic Factors ◽  
Health Related Quality ◽  
Adult Asthma ◽  
Asthma Patients ◽  
Related Quality ◽  
Health Related ◽  
Private Specialist

scholarly journals Competitiveness of private specialist medical entities in the opinion of service recipients

2019 ◽  
Vol 129 (3) ◽  
pp. 78-81
Author(s):  
Wiktoria Dyjas
Keyword(s):  
Waiting Time ◽  
Quality Of Services ◽  
Study Group ◽  
High Quality ◽  
Factors Influencing ◽  
Medical Institutions ◽  
Competitive Prices ◽  
Main Determinants ◽  
Private Specialist

Abstract Introduction. The phenomenon of competitiveness and pressure of competitors that influence private medical institutions lead to the quest for new solutions on managing and defining determinants, which will provide advance of the institution over competing entities Aim. The purpose of the study was to determine factors influencing competitiveness of a medical institution according to the beneficiaries. Material and methods. The study group comprised 127 patients who used the services of private specialised medical institutions. Results and conclusions. The phenomenon of competitiveness in chosen types of medical services was noticed by 69% (88) of beneficiaries. High quality of services 79% (100), short waiting time for appointments 70% (89) and competitive prices 55% (70) are the main determinants of the competitiveness of those institutions.

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