Temporal trends in pulmonary embolism prevalence in Greece during 2013–2017

Background Pulmonary embolism (PE) epidemiological data about the disease prevalence in the general population are unclear. The present study aims to investigate the prevalence of PE in Greece and the associated temporal trends for the years 2013–2017. Methods Data on medical prescriptions for PE in the years 2013–2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results The total number of medical prescriptions for PE for the study period was 101,426. Of the total prescriptions, 51% were issued by the Public Sector and 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100,000 citizens and increased constantly until 2017 with 23.79 cases per 100,000 population. Prevalence was higher in all years studied in the age group of 70–80 years. For the year 2017, we observed 69.35 cases per 100,000 population for subjects 70–80 years, followed by the ages 80–90 (60.58/100,000) and 60–70 years (56.47 /100,000). Females displayed higher PE prevalence than males and higher increasing trend. Conclusion PE prevalence has an increasing trend throughout the years 2013–2017 while prevalence in females is higher than males and displays a higher increasing trend. Our results may be used to appropriately organize nationwide health care campaigns aiming at the diagnosis, treatment and prevention of PE.

Big data analysis of Pulmonary Embolism in Greece

Background: Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods: Data on medical prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results: The total number of medical prescriptions for PE for the study period was 101,426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100,000 citizens and increased constantly until 2017 with 23.79 cases per 100,000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100,000 population for the year 2017 followed by the ages 80-90 (60.58/100,000) and 60-70 (56.47/100,000) for the same year. Females display higher PE prevalence than males and higher increasing trend.Conclusion: PE prevalence displays an increasing trend throughout the years while prevalence in females is higher than males and displays a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.

The COVID-19 Pandemic and Italian Public Mental Health Services: Experience and Future Directions

The COVID-19 pandemic has crosses every health care area (from primary care to specialist ones), leading to a review of all public health policies. The use of smart working allows important technological innovations, but it must be accompanied by a review of hospital and residential programs and locations. Since many institution are talking about economic investments for mental health (a crucial area for a full recovery of the society), specific funds are needed in mental health professionals (eg, psychologists), skills, and innovation of locations and technology, such as the conversion of psychiatric wards to community services that carefully must consider the patient experience and clinician’s point of view. Some considerations on the COVID-19 experience in Italy are reported, and suggestions on future directions for public mental health service organization are hypothesized.

Budaya Organisasi, Motivasi Kerja Terhadap Kinerja Karyawan Dengan Kepuasan Kerja Sebagai Variabel Intervening Pada Rumah Sakit Semen Gresik

Background - Hospitals as a health service organization in order to "survive" must have a good service management system so that the impact on employee performance can meet the demands of the community's needs. Objectives - This study aims to determine the extent of job satisfaction and employee performance at Semen Gresik Hospital which is influenced by organizational culture and work motivation.Design / Methodology / Approach - The object of this study is Semen Gresik Hospital. Sample in this study used a purposive sampling method with the provisions of respondents who worked more than 5 years while through the formula Slovin determined the number of research samples of 219 respondents. Statistical tests use path analysis.Results and Discussion - Based on the results of the analysis prove that organizational culture and motivation directly and indirectly influence employee performance and job satisfaction, the findings of organizational culture have a smaller coefficient on employee performance and job satisfaction compared to work motivation and based on analysis testing The path of organizational culture has a total value smaller than work motivation. So the results of the study concluded that organizational culture and motivation can increase job satisfaction and employee performance.Conclusion - All hypotheses this study are proven and can be accepted. Organizational Culture, work motivation has direct and indirect effects on employee performance and job satisfaction.Research Implications - It is hoped that the results of this study can contribute to knowledge and hospital management to pay attention to organizational culture and work motivation to improve employee performance and employee satisfaction at work.

How Large Was the Mortality Increase Directly and Indirectly Caused by the COVID-19 Epidemic? An Analysis on All-Causes Mortality Data in Italy

Objective: Overall mortality is a relevant indicator of the population burden during an epidemic. It informs on both undiagnosed cases and on the effects of health system disruption. Methods: We aimed at evaluating the extent of the total death excess during the COVID-19 epidemic in Italy. Data from 4433 municipalities providing mortality reports until April 15th, 2020 were included for a total of 34.5 million residents from all Italian regions. Data were analyzed by region, sex and age, and compared to expected from 2015–2019. Results: In both genders, overall mortality was stable until February 2020 and abruptly increased from March 1st onwards. Within the municipalities studied, 77,339 deaths were observed in the period between March 1st to April 15th, 2020, in contrast to the 50,822.6 expected. The rate ratio was 1.11 before age 60 and 1.55 afterwards. Both sexes were affected. The excess was greater in the regions most affected by COVID-19 but always exceeded the deaths attributed to COVID-19. The extrapolation to the total Italian population suggests an excess of 45,033 deaths in the study period, while the number of COVID–19 deaths was 21,046. Conclusion: Our paper shows a large death excess during the COVID-19 epidemic in Italy; greater than the number attributed to it. Possible causes included both the undetected cases and the disruption of the Health Service organization. Timely monitoring of overall mortality based on unbiased nationwide data is an essential tool for epidemic control.

Big Data Analysis of Pulmonary Embolism in Greece

Background: Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods: Data on prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results: The total number of prescriptions for PE for the study period was 101.426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100.000 citizens and increased constantly until 2017 with 23.79 cases per 100.000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100.000 population for the year 2017 followed by the ages 80-90 (60.58/100.000) and 60-70 (56.47/100.000) for the same year. Females display higher PE prevalence than males and higher increasing trend.Conclusion: PE prevalence displays an increasing trend throughout the years while female prevalence is higher than males with a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.

Big data analysis of Pulmonary Embolism in Greece

Introduction Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods Data on prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results The total number of prescriptions for PE for the study period was 101.426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100.000 citizens and increased constantly until 2017 with 23.79 cases per 100.000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100.000 population for the year 2017 followed by the ages 80-90 (60.58/100.000) and 60-70 (56.47/100.000) for the same year. Females display higher PE prevalence than males and higher increasing trend. Conclusion PE prevalence displays an increasing trend throughout the years while female prevalence is higher than males with a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.

P41 Prenatal exposure to antibiotics and development of epilepsy in children

BackgroundStudies reported that prenatal exposure to antibiotics in general represents a risk factor for development of epilepsy and/or cerebral palsy in children. A pathophysiological relationship seemed improbable and required adjustment to possible confounders.MethodsIn a retrospective cohort investigation, we enrolled children aged 3 to 18 years born between 1998 and 2012 at the single regional hospital, and their mothers, members of ‘Clalit’ (the largest Health Service Organization in the region). Computerized medications database was linked with hospital records of mothers and their children. The exposed group included all children whose mothers purchased one or more antibiotic medications during their pregnancy. Epilepsy was defined by Epilepsy diagnosis and/or by chronic dispensing of antiepileptic drugs. After applying inclusion and exclusion criteria for mothers and children, 88,899 children and their 74,416 mothers were selected for the study.ResultsThe group exposed prenatally to antibiotics comprised 36,622 (or 41.2%) children. Of them, 326 (0.9%) developed epilepsy compared to 370 (0.7%) in the unexposed group (p=0.002); Number Needed to Harm 500. Exposure during the first, second and third trimester was characterized by incidence of epilepsy in 0.8% (p= 0.928), 0.9% (p= 0.270) and 0.9% (p=0.094) of exposed children, respectively, compared to unexposed group Based on Poisson regression analysis, epilepsy was associated with male sex, maternal smoking and delivery by cesarean section. The possibility of confounding by indication was refuted by sensitivity analysis.ConclusionWe found an association of intrauterine exposure to antibiotics (particularly in late pregnancy) and development of epilepsy in children. Possible pathophysiological mechanisms are discussed. The effect of some undetermined confounder(s) cannot be ruled out.Disclosure(s)Nothing to disclose

Level of satisfaction of patients attending out-patient department of radiotherapy department of a tertiary hospital in Raipur, Chhattisgarh, India

Background: Like any service organization, the main aim of the Health Service organization is creation of satisfaction among their service consumers. Patient satisfaction has been defined as the degree of congruency between a patient’s expectations of ideal case versus his perception of real care he or she receives. Mismatch between patient’s expectation of the service received is related to decreased satisfaction. Therefore, assessing patient perspective gives them a voice, which can make public health services more responsive to people’s needs and expectations.Methods: The study used IN-PATSAT32 questionnaire developed by the European Organization for Research and Treatment of Cancer (EORTC) with a few modifications to suit all the patients (in or out-patients). Sample size:200 patients.Results: Out of total patients assessed, 41.5% of patients were highly satisfied(excellent), 56% of patients were satisfied with the services provided by the radiotherapy department at Dr. B. R. A. M. hospital, Raipur and only 5% of patients rated the services as “poor” i.e. we’re not satisfied.Conclusions: The findings of the study will help us educate the prescribers about the various neglected areas of the consultation which will go a long way to develop a consistent relationship between the providers and the beneficiaries for the attainment of the “Health for all.