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1.
West Indian med. j ; 49(1): 34-7, Mar. 2000. gra
Artigo em Inglês | MedCarib | ID: med-1133

RESUMO

A prospective study on adequacy of dialysis was conducted at the haemodialysis units of Kingston Pubic Hospital (KPH) and the University Hospital of the West Indies (UHWI). Dialysis adequacy was better at KPH and morbidity, as measured by patient admission days, was increased at UHWI. Diabetics had a lower mean serum albumin and urea reduction ratio (URR) than non-diabetics. Multiple regression analyses revealed that age of patient (F = 5.30; p = 0.241) and hospital (F = 7.85; p = 0.007) were the variables significantly associated with serum albumin level when the effect of other variables was controlled (F = 2.12; p = 0.34). Similar analyses showed that the hospital at which dialysis was done was the only factor which accounted for significantly higher URR, with KPH having higher rates (F =13; p = 0.006). The differences between hospitals necessitate further investigations, explanations and further intervention strategies. The study provides opportunities for improving patient care and for dialysis health care professionals to assess clinical performance measures and reduce variation between dialysis centres.(Au)


Assuntos
Adulto , Criança , Pessoa de Meia-Idade , Idoso , Feminino , Humanos , Masculino , Adolescente , Diálise Renal/estatística & dados numéricos , Insuficiência Renal/terapia , Jamaica , Estudos Prospectivos , Estudo Comparativo , Diabetes Mellitus/complicações , Diálise Renal/análise , Diálise Renal/normas , Departamentos Hospitalares/normas , Departamentos Hospitalares/estatística & dados numéricos , Hospitais Públicos , Hospitais Universitários , Insuficiência Renal/sangue , Insuficiência Renal/mortalidade , Análise de Regressão
2.
Infect Control Hosp Epidemiol ; 19(2): 136-40, Feb., 1998.
Artigo em Inglês | MedCarib | ID: med-1646

RESUMO

OBJECTIVE: To assess the prevalence of nosocomial infections at a rural government hospital from 1992 to 1995. DESIGN: Retrospective review of data from 1992 to 1995 regarding rates of nosocomial infection, cost to government, and infection control practices. SETTINGS: 653 bed rural hospital providing primary and tertiary care. PATIENTS: Patients admitted to the hospital between 1992 and 1995 who were found with hospital acquired infections during their stay. INTERVENTIONS: None. RESULTS: Over the 4 year period, 7,158 nosocomial infections were identified from 72,532 patients (10.0/100 admissions). High nosocomial infection rates were found on the intensive-care unit (67/100 admissions), urology (30/100 admissions), neurosurgery (29.5/100 admissions), and newborn nursery (28.4/100 admissions). Urinary tract infections (4.1/100 admissions) accounted for most nosocomial infections (42 percent), followed by postoperative wound infections (26.8 percent) with a rate of 2.6/100 admissions. Nosocomial pneumonias and bloodstream infections also were common with 13.2 percent and 8.0 percent respectively. The highest rates occurred on the intensive care unit for both pneumonia (26.4/100 admissions) and bloodstream infection (7.0/100 admissions). The cost to the government for nosocomial infections was estimated at US $697,00 annually (US $1 = $6 Trinidad and Tobago). Poor infection control practices, inadequate handwashing facilities, lack of supplies, and nonexistent garbage cans on most wards were quite evident. CONCLUSIONS: Strict adherence to proper infection control practices, such as handwashing techniques, and improvement of facilities are crucial steps in preventing cross infections in the hospital environment. Implementing these measures may substantially reduce the massive drain on the hospital budget in treating nosocomial infections. The saved revenue could go toward improvement of ward facilities and reduction of overcrowding, thus further reducing cross-infection.(AU)


Assuntos
Humanos , Infecção Hospitalar/etiologia , Infecção Hospitalar/prevenção & controle , Países em Desenvolvimento , Hospitais Públicos , Hospitais Rurais , Controle de Infecções/métodos , Infecção Hospitalar/economia , Custos Hospitalares , Departamentos Hospitalares , Incidência , Prevalência , Estudos Retrospectivos , Trinidad e Tobago
3.
St. George's; Government; Dec. 1989. 66 p. tab.
Monografia em Inglês | MedCarib | ID: med-15052
4.
West Indian med. j ; 35(4): 293-4, Dec. 1986.
Artigo em Inglês | MedCarib | ID: med-11567

RESUMO

A study of 7 commonly performed elective general surgical procedures shows that blood is only rarely used in most operations that traditionally require group and cross-matching of two units for surgery. This is expensive, takes much time and could contribute to shortage of already limited blood stores. It is recommended that a transfusion committee be established to set up guidelines for blood utilisation (AU)


Assuntos
Humanos , Bancos de Sangue/normas , Transfusão de Sangue/estatística & dados numéricos , Departamentos Hospitalares/normas , Hospitais Gerais/normas , Centro Cirúrgico Hospitalar/normas , Tipagem e Reações Cruzadas Sanguíneas , Trinidad e Tobago
6.
West Indian med. j ; 26(2): 51-8, June 1977.
Artigo em Inglês | MedCarib | ID: med-11216

RESUMO

The results of social work intervention with the families of 100 paediatric patients are reviewed. Fifty children were clinically malnourished and 17 mentally retarded. The major social problems identified were employment, poverty and poor housing. A comparison between the malnourished and the non-malnourished groups revealed that the families of the malnourished children had a significantly lower income. Fifty-nine families were considered to have benefited satisfactorily from social work intervention. The main services provided by the department were the provision of grants, poor relief and material aid, re-training or re-employment counselling and nutrition advice, and the placement of unwanted children. One-third of the families continued to be supported by the Social Work Department twelve months or more (AU)


Assuntos
Pré-Escolar , Feminino , Humanos , Lactente , Serviço Social , Departamentos Hospitalares , Hospitais Universitários , Jamaica
7.
West Indian med. j ; 23(4): 245-9, Dec. 1974.
Artigo em Inglês | MedCarib | ID: med-11061

RESUMO

A system of progressive care for surgical patients is examined. The points about the system are summarized below: (a) The care of the very ill patient in a special ward is improved once a stable core of trained nursing staff becomes available. (b) Achieving a stable core of trained nursing staff requires a good administrative head - this depends on the personality, interest and training in administrative work of the nurse in charge. (c) The system allows greater flexibility in the use of beds and has avoided the use of extra beds in spite of a bed occupancy rate averaging at 90 percent. (d) The flexibility requires the consistent movement of patients as determined by their nursing needs. (e) The responsibility for the movement of patients when left to the nursing staff has led to some problems, and it is suggested that it should be the responsiblity of the medical staff. (f) The supervision of the system by a single senior medical staff member is thought to be advantageous. (g) There can be recurring confusion over the type of case eligible for entry to an intermediate care ward. It is hoped that as well as frequent meetings to discuss problems, a large illustrative diagram of the system displayed on all wards involved in the system of progressive care, will solve this problem (AU)


Assuntos
Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Departamentos Hospitalares , Assistência Progressiva ao Paciente , Hospitais de Ensino , Jamaica
11.
Physiotherapy ; 55(2): 60-3, Feb. 1969.
Artigo em Inglês | MedCarib | ID: med-12419

RESUMO

Some problems relative to physiotherapy in Jamaica have been mentioned. Special reference has been made to the physiotherapy service in the hospitals. The writer has attempted to show some relationships between community and physiotherapy problems, with the hope that they may interest physiotherapists elsewhere. (AU)


Assuntos
Modalidades de Fisioterapia , Departamentos Hospitalares , Jamaica , Centros de Reabilitação
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