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2.
Sci Total Environ ; 700: 134527, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-31629262

RESUMO

This study presents an overview of the air pollution levels in the Maltese Islands including trends in particulate matter (PM), ozone (O3) and nitrogen dioxide (NO2) at four monitoring stations in Malta and one in Gozo between 2008 and 2017. In addition, the health impacts associated with long-term exposure to annual mean PM2.5 and NO2 are estimated at each site. Irrespective of the site, PM10 and PM2.5 concentrations show statistically significant decreasing trends while statistically significant increasing trends are noted for the coarse fraction, PM2.5-10 and O3. Trends for the different pollutants vary for each site and differ from the overall trend both in magnitude and sign especially for NO2 concentrations. The attributable fraction (AF) associated with long-term exposure to PM2.5 and NO2 ranges from 0.67% (CI: 0.27%,1.07%) in Gharb to 11.79% (CI: 7.77,15.45) in Msida (2011). The corresponding attributable mortality is estimated to reach a maximum of 119 (CI: 78,156) attributable deaths associated with long-term exposure to PM2.5 in Msida in 2011. This paper thus highlights the importance of continuous air quality monitoring in distinctively different conurbations especially for pollutants showing increasing trends and is the first to outline the potential long-term health effects of air pollutant concentrations in the Maltese Islands.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar/estatística & dados numéricos , Exposição Ambiental/estatística & dados numéricos , Humanos , Ilhas , Estudos Longitudinais , Malta , Dióxido de Nitrogênio/análise , Ozônio/análise , Material Particulado/análise
3.
Zootaxa ; 4571(3): zootaxa.4571.3.9, 2019 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-31715809

RESUMO

Faronus rica sp. nov. endemic to Malta is described and illustrated, and placed in the Faronus hispanus species group. Faronus rica sp. nov. is closely related to F. siculus Fiori, 1913, an endemic species to Sicily, and they can be distinguished based on morphological features highlighted in the present work.


Assuntos
Besouros , Animais , Malta , Sicília
4.
Zootaxa ; 4567(1): zootaxa.4567.1.3, 2019 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-31716438

RESUMO

Fourteen species of Ichneumonidae are here recorded from the Maltese Islands. Of these, all were reared from Lepidoptera hosts with the exception of Netelia (Paropheltes) inedita (Kokujev) which was collected from a malaise trap. Of these, the following species (or genera) are here reported for the first time from the Maltese Islands: Chirotica meridionalis Horstmann, Gelis carbonarius (de Stefani), G. exareolatus (FÓ§rster), G. seyrigi Ceballos, Glypta sp., Meloboris sp., Netelia (Paropheltes) inedita (Kokujev), Ophion obscuratus Fabricius and Orthizema sp. Twenty-five species of Braconidae are also here reported from Lepidoptera hosts with the exception of Homolobus (Phylacter) meridionalis van Achterberg which was collected from a malaise trap. Of these, the following species (or genera) represent new records for the Maltese Islands: Apanteles metacarpalis (Thomson), Ascogaster sp., Clinocentrus excubitor (Haliday) [previously misidentified as C. exsertor (Nees) by Papp (2015)], Cotesia vestalis (Haliday) [previously misidentified as C. ruficrus (Haliday) by Papp (2015)], Dolichogenidea britannica (Wilkinson), Homolobus (Phylacter) meridionalis van Achterberg, Iconella ? meruloides (Nixon), Lysitermus tritoma (Boucek), Lysitermus suecius (Hedqvist), Microgaster messoria Haliday, Meteorus pulchricornis (Wesmael), Pholetesor circumscriptus (Nees) [previously misidentified as P. bicolor (Nees) by Papp (2015)] and Spathius pedestris Wesmael. Thus previous records of Clinocentrus exsertor and Pholetesor bicolor from Malta were found to be based on misidentifications and are here excluded from the braconid fauna of Malta. Maltese records of Cotesia abjecta (Marshall) and Cotesia jucunda (Marshall) by Papp (2015) were found to be misidentifications and should both refer to C. glomerata (Linnaeus). Thus, both Cotesia abjecta and Cotesia jucunda are also here removed from the braconid fauna of Malta. The record of Cotesia tibialis (Curtis) by Papp (2015) was also based on a misidentification and should be attributed to C. ruficrus (Haliday). Thus, C. tibialis is also removed from the braconid fauna of Malta.


Assuntos
Besouros , Himenópteros , Lepidópteros , Vespas , Animais , Ilhas , Malta
5.
Zootaxa ; 4565(3): zootaxa.4565.3.13, 2019 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-31716473

RESUMO

Colaphellus palaestinus Achard, an alien invasive species is here reported for the first time for Europe. It was found for the first time in Malta in November 2017, and the year after thousands of individuals were observed in Malta with many photographs posted in social media and local news. Global distribution of this species and information on closely related species is also provided here. Colaphellus zarudnyi Medvedev is probably a synonym of C. palaestinus.


Assuntos
Besouros , Animais , Europa (Continente) , Espécies Introduzidas , Malta
6.
Zootaxa ; 4560(2): zootaxa.4560.2.9, 2019 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-31716586

RESUMO

Thirty-three species of Chalcidoidea (Hymenoptera) are newly recorded from the Maltese Islands, of which, 19 include host data. An updated checklist for the 181 chalcidoid species recorded from Malta is also included, which belong to 17 families as follows: Agaonidae (3), Aphelinidae (21, 1 as new record), Azotidae (1), Chalcididae (8 species, 5 as new records), Encyrtidae (24, 1 as new record), Eulophidae (51, 16 are new records), Eupelmidae (9, 2 as new records), Eurytomidae (6, 1 as new record), Leucospidae (4), Megastigmidae (1), Mymaridae (2), Ormyridae (1), Perilampidae (1 new record), Pteromalidae (39, 5 as new records), Signiphoridae (2), Tetracampidae (1) and Torymidae (7, 1 as new record).


Assuntos
Himenópteros , Animais , Ilhas , Malta
8.
Diving Hyperb Med ; 49(3): 161-166, 2019 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-31523790

RESUMO

INTRODUCTION: Scuba diving is a big part of the tourism sector in Malta, and all the cases of decompression illness (DCI)are treated within the single hyperbaric referral centre in the country. METHODS: This retrospective analysis reviews all the medical records of divers with DCI in Malta within the 30-year period between 1987 to 2017 who required recompression therapy with hyperbaric oxygen. RESULTS: There were 437 discrete cases of DCI managed with recompression therapy. Amongst DCI subtypes, the prevalence of musculo-skeletal DCI is decreasing, whereas that of vestibulo-cochlear DCI is increasing. CONCLUSION: The increasing prevalence of vestibulo-cochlear DCI may be due to a change in diving practices in Malta.


Assuntos
Doença da Descompressão , Mergulho , Oxigenação Hiperbárica , Doença da Descompressão/epidemiologia , Doença da Descompressão/terapia , Mergulho/fisiologia , Humanos , Oxigenação Hiperbárica/métodos , Malta , Prevalência , Estudos Retrospectivos
9.
Nurse Educ Pract ; 39: 96-104, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31446220

RESUMO

This is the second of two papers reporting the development of a spiritual care competency framework for pre-registration nurses and midwives as part of a PhD study using an embedded sequential mixed methods eclectic research design. The first paper outlines how 116 competency items were generated from an in-depth review of international literature, and offers a theoretical model to underpin development of the Framework. AIM: This paper reports how the Framework was developed. METHOD/RESULTS: Five focus groups were held with stakeholders in Malta (chaplains/spiritual leaders, undergraduate nursing/midwifery educators, qualified nurses/midwives, parents/carers, patients/clients) to ensure that aspects of spirituality/spiritual care important to them, but not identified in the literature review, were included in the Framework. The resulting 55 competencies in seven domains formed the Delphi Questionnaire which was validated using a two round modified Delphi method involving experts from Malta. The final seven domain 54 item Framework demonstrated good to strong internal consistency, stability and a good fit with a six factor model. CONCLUSION: The Framework's greatest immediate contribution is in its ability to inform undergraduate nursing/midwifery spiritual care curriculum design and delivery. Further development of the Framework could assist in student selection ensuring that the 'art' of nursing/midwifery has parity with the 'science'.


Assuntos
Competência Clínica , Técnica Delfos , Tocologia/educação , Espiritualidade , Estudantes de Enfermagem , Currículo , Bacharelado em Enfermagem , Grupos Focais , Humanos , Malta
10.
Biologicals ; 60: 24-27, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31227304

RESUMO

Treatment satisfaction is of utmost importance for ensuring adherence. Omalizumab is administered long-term if effective and well-tolerated in a hospital setting. The aim was to evaluate treatment satisfaction with omalizumab in Malta and to identify factors that may influence patients' satisfaction. A questionnaire was distributed to all asthmatic adult patients receiving omalizumab for at least one year. The questionnaire included demographic data, dosing regimen, asthma control test and the 14-item English version of the Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4. The TSQM 1.4 domain scores range from 0 to 100. Higher scores represent higher satisfaction. Our cohort included 33 patients (52% males), mean age 53.7 ±â€¯11 years, mean baseline IgE level 510.6IU/ml, mean duration of treatment 3.8 ±â€¯1.98 years and mean number of injections per month 4.6 ±â€¯2.6. Median TSQM scores were as follows: graded effectiveness 78%, graded side effects 100%, graded convenience 74.2% and overall satisfaction 76%. Regression analysis showed that convenience score, effectiveness score and ACT score were significantly associated with global satisfaction. Global satisfaction scored high among the Maltese cohort of patients despite the inconvenience and side effects associated with receiving omalizumab. This is an add-on beneficial effect to the efficacy and effectiveness already been achieved with this medication.


Assuntos
Asma/tratamento farmacológico , Omalizumab/administração & dosagem , Satisfação do Paciente , Autorrelato , Inquéritos e Questionários , Adulto , Idoso , Feminino , Humanos , Masculino , Malta , Pessoa de Meia-Idade
11.
Environ Pollut ; 250: 475-481, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31026694

RESUMO

We have previously reported on the ubiquitous presence of perchlorate in the deposited and airborne fine dusts of Malta and shown that the source of the chemical in the dusts of this small central Mediterranean island is fireworks. There are no local geologic or anthropogenic sources of perchlorate other than firework manufacture and display. The hypothesis was tested that ground-deposited perchlorate will be mobilized in runoff and would partly migrate to the water table and eventually also affect tap water, one third of which being derived from groundwater. Forty four percent of 36 groundwater samples contained perchlorate above detection limit with mean and median values of 1.09 and 1.1 µg L-1. Sixty-two percent of 16 runoff samples collected during storms contained perchlorate above detection limit with mean and maximum concentrations, respectively, of 50.8 and 129 µg L-1, values which are far too high to be explained by atmospheric inputs given that rainwater perchlorate levels are typically <3 µg L-1. Between 42 and 89% of the tap waters analyzed in three sampling campaigns contained perchlorate above detection limit and had mean concentrations ranging from 0.4 to 1.6 µg L-1 suggesting contamination levels similar to those reported from China but lower than levels reported from the USA. The phenomenon of contamination of the water resources of Malta by perchlorate is probably unique in that it results not from geologic or industrial inputs but from an intense and prolonged pyrotechnic activity that is deeply rooted in the popular culture of the islanders.


Assuntos
Monitoramento Ambiental , Água Subterrânea/química , Percloratos/análise , Poluentes Químicos da Água/análise , Abastecimento de Água/estatística & dados numéricos , China , Poeira/análise , Ilhas , Malta , Recursos Hídricos
12.
Int J Clin Pharm ; 41(3): 741-750, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31006832

RESUMO

Background Medicine use review by pharmacists has the potential to improve anticoagulation therapy management in patients on warfarin. Objective To develop, implement and evaluate a pharmacist-led medication use review service for patients on warfarin. Setting Six community pharmacies in Malta. Method Patients (N = 100) aged 18 or older and on warfarin were recruited through pre-selected community-pharmacies. These patients were then invited to attend two sessions: a review session (t1) and a follow-up session after 2 months (t2). During the medication use review session, medication reconciliation was performed (a) to detect drug-related problems using the DOCUMENT classification system, (b) to develop an individualised care plan for each patient and (c) to recommend an action for each identified problem for physician, pharmacist or patient consideration. At t2, the degree of acceptance of the recommendations was determined by assessing the number of drug-related problems for which action was taken to address the problem. International normalisation ration (INR) control was evaluated by calculating the percentage Time in Therapeutic Range (TTR) at t1 and t2 using the Rosendaal linear interpolation method. Main outcome measures Frequency and type of drug-related problems detected; percentage of accepted recommendations; and INR control. Results A total of 481 drug-related problems were identified; 40% (n = 190) were related to warfarin treatment. Need for monitoring (30%; n = 145), lack of compliance (20%; n = 97) and need for patient education (19%; n = 90) were the top three problems identified. There was a significant correlation between frequency of the problems and number of chronic medications (Spearman Correlation 0.583, p < 0.001), number of comorbidities (Spearman Correlation 0.327, p = 0.001) and older age (Spearman Correlation 0.285, p = 0.04). A total of 475 recommendations were followed-up; 49% (n = 234) were referred for consideration by the physician. The percentage of recommendations accepted (84%; n = 397) was significantly higher than the percentage of recommendations not accepted (16%; n = 78) (p < 0.001). The time in therapeutic range improved significantly from 68.7% at t1 to 79.8% at t2 (p = 0.01). Conclusions The high percentage of accepted recommendations and the improvement in INR control indicate that a pharmacist-led medication use review service in community pharmacy contributes to improving anticoagulation therapy management in patients on warfarin.


Assuntos
Serviços Comunitários de Farmácia/normas , Revisão de Uso de Medicamentos/normas , Reconciliação de Medicamentos/normas , Farmacêuticos/normas , Papel Profissional , Varfarina/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticoagulantes/administração & dosagem , Anticoagulantes/efeitos adversos , Revisão de Uso de Medicamentos/métodos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Feminino , Seguimentos , Humanos , Coeficiente Internacional Normatizado/métodos , Coeficiente Internacional Normatizado/normas , Masculino , Malta/epidemiologia , Reconciliação de Medicamentos/métodos , Pessoa de Meia-Idade , Estudos Retrospectivos , Varfarina/administração & dosagem
13.
Folia Phoniatr Logop ; 71(4): 137-145, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30947228

RESUMO

Forced migration has spread and grown across continents in recent decades. This has had an impact at various levels such as societal communication, health and education priorities, as well as political agendas and economic stability. As a result of the combined forces of migration, globalisation, advances in communication technology and education, there is an exceptional research interest in individuals seeking refugee status or asylum. The literature is sporadic on forced migrants' communication and social adaptation. The perception of residents and professionals who encounter the challenges faced by these individuals on a regular basis needs to be evaluated, as well as the perception of the migrants themselves. This paper presents the current state of affairs and reviews the relevant literature with the intention of providing a more coordinated overview of forced migrants' and relevant stakeholders' views. A case scenario is presented that discusses the communication challenges faced by forced migrants. Strategic recommendations are also discussed.


Assuntos
Barreiras de Comunicação , Refugiados/psicologia , Ajustamento Social , Migrantes/psicologia , Adulto , Idoso , Atitude do Pessoal de Saúde , Assistência à Saúde Culturalmente Competente , Escolaridade , Feminino , Empregados do Governo/psicologia , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Internacionalidade , Linguagem , Masculino , Malta , Pessoa de Meia-Idade , Política Pública , Serviço Social , Adulto Jovem
14.
Atheroscler Suppl ; 36: 24-27, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30876529

RESUMO

BACKGROUND AND AIMS: Familial hypercholesterolemia (FH) is an autosomal dominant condition raising the risk of premature cardiovascular disease up to twentyfold.[1] [2] It is under-diagnosed and undertreated, in spite of availability of effective treatment. Registers are recommended to assist in the recognition and improvement of the condition since treatment reduces morbidity and mortality. Disease registers enable longitudinal review and the application of continuous quality improvement methodology. The aims of this paper are to describe the process of setting up a new FH register in Malta based on phenotype, the preliminary results achieved, the barriers encountered, how these were overcome, and future plans for development. METHODS: The registry was established as an observational clinical study designed for a small healthcare system with limited resources. Effective process design requires attention to standards, capacity, outcome measurement and feedback, which have been incorporated. RESULTS: 43 individuals have been registered applying Dutch Lipid Clinic Network standards, including 9 Definite, 16 Probable and 18 Possible FH. Cascade testing has identified three younger, and one older FH individuals; amenable risk factors and target outcomes are available for feedback and action. Barriers included insufficient infrastructure, limited stakeholder involvement, time limitations impacting clinical care and data collection, poor recognition, awareness and referral, and limited cascade testing. Overcoming these required persistence, reorganizing clinical work, with some assistance from clinic nurses, forward planning to involve patients and raising FH awareness through presentations to various audiences. CONCLUSIONS: During this year the register was established and is functional: awareness is being raised. Future steps will target process improvement for effectiveness and sustainability.


Assuntos
LDL-Colesterol/sangue , Hiperlipoproteinemia Tipo II , Sistema de Registros , Projetos de Pesquisa , Adulto , Idoso , Anticolesterolemiantes/uso terapêutico , Biomarcadores/sangue , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/epidemiologia , Feminino , Predisposição Genética para Doença , Humanos , Hiperlipoproteinemia Tipo II/sangue , Hiperlipoproteinemia Tipo II/tratamento farmacológico , Hiperlipoproteinemia Tipo II/epidemiologia , Hiperlipoproteinemia Tipo II/genética , Masculino , Malta/epidemiologia , Pessoa de Meia-Idade , Fenótipo , Dados Preliminares , Prognóstico , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Fatores de Risco , Adulto Jovem
15.
Mar Pollut Bull ; 140: 579-587, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30803679

RESUMO

Comparisons of six selected Mediterranean MPAs were conducted to find similarities and site-specific differences in coastline fluxes and sources of plastic marine litter. Output from the recently developed 2D Lagrangian model for the Mediterranean was post-processed to study (1) the National Park of ses Salines d'Eivissa i Formentera, (2) Nature Reserve of Bouches de Bonifacio, (3) North-East Malta MPA, (4) Specially Protected Area of Porto Cesareo, (5) Community Importance Site of Torre Guaceto, and (6) Ethniko Thalassio Parko Alonnisou Voreion Sporadon. Model coastline fluxes of plastic ranged from 0.4 to3.6 kg (km day)-1, which is relatively low compared to the average flux of 6.2 ± 0.8 kg (km day)-1 calculated over the Mediterranean 2013-2017. Shipping was identified as a major source of plastic litter in all MPAs studied, contributing 55%-88% of total plastic. Site-specific rankings of the top 5 land-based plastic sources revealed that sea surface kinematics control plastic drift.


Assuntos
Monitoramento Ambiental/métodos , Poluição Ambiental/análise , Plásticos/análise , Resíduos Sólidos/análise , Poluição Ambiental/prevenção & controle , Malta , Mar Mediterrâneo , Parques Recreativos
16.
BMC Public Health ; 19(1): 189, 2019 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-30760275

RESUMO

BACKGROUND: A range of barriers influence women's uptake to a first breast screening invitation. Few studies however, have examined factors associated with second screening uptake. This study follows Maltese women to explore predictors and behaviours to re-attendance, and to determine if uptake of first invitation to the Maltese Breast Screening Programme (MBSP) is a significant predictor of second screening uptake. METHODS: A prospective study was conducted to determine factors associated with re-attendance for 100 women invited to the second MBSP round. Records of women's second attendance to the MBSP were extracted in January 2016 from the MBSP database. Data were analyzed using chi-square tests, Independent Samples t-test, Mann Whitney test, Shapiro Wilk test and logistic regression. RESULTS: There were no significant associations for sociodemographic or health status variables with second screening uptake (p > 0.05), except breast condition (Fisher's exact test, p = 0.046). Non-attendees at second screening were most unsure of screening frequency recommendations (χ2 = 9.580, p = 0.048). Attendees were more likely to perceive their susceptibility to breast cancer (p = 0.041), believed breast cancer to be life changing (p = 0.011) and considered cues to action to aid attendance (p = 0.028). Non-attendees were in stronger agreement on mammography pain (p = 0.008) and were less likely to consider cues to action (15.4% non-attendees vs 1.4% attendees) (p = 0.017 respectively). 'Perceived barriers', 'breast cancer identity', 'causes' and 'consequences' were found to be significant predictors of second screening uptake, with 'perceived barriers' being the strongest. The inclusion of illness perception items improved the regression model's accuracy in predicting non-attendance to the second screening round (84.6% vs 30.8%). First screening uptake was found to be a significant predictor of subsequent uptake (OR = 0.102; 95% CI = 0.037, 0.283; p = 0.000). CONCLUSIONS: Interventions to increase uptake should target first invitees since attending for the first time is a strong predictor of uptake to the second cycle. Further research is required given the small sample. Particular attention should be paid to women who did not respond to their first invite or are unsure or reluctant participants initially.


Assuntos
Atitude Frente a Saúde , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/psicologia , Detecção Precoce de Câncer/tendências , Mamografia/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Idoso , Neoplasias da Mama/prevenção & controle , Bases de Dados Factuais , Feminino , Previsões , Humanos , Modelos Logísticos , Malta , Mamografia/tendências , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Estudos Prospectivos
17.
Int J Pharm Pract ; 27(3): 256-263, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30761641

RESUMO

OBJECTIVES: To investigate the perception of Maltese pharmacists to prescribe a selected number of antibiotics. METHODS: A self-administered questionnaire entitled 'Antibiotic Prescribing by Pharmacists' was developed to study pharmacist perception to prescribing a selected number of antibacterial agents. The questionnaire was validated by a two-round Delphi technique and disseminated to all practising pharmacists (N = 930) during a 3-month period. KEY FINDINGS: Two hundred and nine pharmacists answered the questionnaire. The majority of pharmacists (77%) were in agreement with pharmacists prescribing a selected number of antibacterials. Reasons given are that pharmacist prescribing would increase recognition of the participation of pharmacists within patient care and as members of the healthcare team. Protocol-based prescribing was the preferred model for prescribing by 60% of pharmacists. Half of the respondents (50%) feel competent to prescribe, 34% have no opinion and 16% do not feel competent at all. Co-amoxiclav for an uncomplicated upper respiratory tract infection was the antibacterial that most pharmacists (51%) feel confident prescribing. When pharmacists were asked whether they feel comfortable prescribing other medications rather than antibacterials, 93% answered positively, with 83% feeling mostly comfortable prescribing lactulose solution. CONCLUSION: Pharmacists in Malta are in agreement with prescribing selected antibiotics for minor ailments. A collaborative approach between medical practitioners and pharmacists should be evaluated as a possible national structure towards achieving better antibiotic prescribing whilst giving patient access to the use of antibacterials as necessary.


Assuntos
Antibacterianos , Serviços Comunitários de Farmácia/organização & administração , Prescrições de Medicamentos , Farmacêuticos/psicologia , Papel Profissional , Atitude do Pessoal de Saúde , Estudos Transversais , Técnica Delfos , Humanos , Malta , Equipe de Assistência ao Paciente , Percepção , Médicos , Inquéritos e Questionários/estatística & dados numéricos
19.
Early Hum Dev ; 129: 103-105, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30545723

RESUMO

INTRODUCTION: The requirement for medical services fluctuates. This study was carried out in order to attempt to extrapolate the service requirements for various cardiology services at Mater Dei Hospital, Malta over the coming five years, based on service demands from previous years. METHODS: Past annual data was obtained from hospital records for various services (to 2017). Linear regression was carried out using a bespoke Excel™ spreadsheet in order to extrapolate possible services requirements up to 2022. RESULTS: All services are expected to increase, with forecasts ranging between 41 and 354%, depending on services being considered. DISCUSSION: It is easy to "get on with it" and perform the work required at the workplace but this study has shown that it is equally important to anticipate demands lest lack of planning leads to long and important waiting lists for critical diagnostics and treatments. Health care provision requirements are increasing worldwide. Even using conservative estimates and in the absence of the creation of new services, the demands for extant services are likely to continue to grow. Unless medium term plans are made for hardware, software, physical space and staffing, and the funding thereof, waiting lists for investigations in this speciality are bound to rise. This may be mitigated by novel treatments but since these cannot be predicted, it would be safer and wiser to plan ahead lest we are overwhelmed. This paper has also shown how WASP (Write a Scientific Paper) precepts can be applied to elegantly study a problem and write up a paper.


Assuntos
Serviço Hospitalar de Cardiologia/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Escrita Médica/normas , Bioestatística/métodos , Serviço Hospitalar de Cardiologia/normas , Serviço Hospitalar de Cardiologia/tendências , Conjuntos de Dados como Assunto , Registros Hospitalares/estatística & dados numéricos , Malta
20.
Sci Total Environ ; 650(Pt 1): 734-740, 2019 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-30212704

RESUMO

Maltese agriculture faces great challenges due to the severe scarcity of water. Sufficient water resources, in quantity and quality, are necessary to cover the demand in the production of wine grape, one of the most important crops in Maltese agriculture. But also, economic efficiency is essential in the grape cultivation. A Cost-Benefit Analysis (CBA) is defined for Maltese vineyards in the Siggiewi region, considering two irrigation scenarios, irrigation with groundwater or "do-nothing", compared with the "use non-conventional waters" from mixing water from a small desalination plant and groundwater. For the alternative 'mixing desalinated water with groundwater' it is possible to improve water availability and quality for vine crops, while increasing economic benefits for farmer. The results indicate a profitable project from a minimum area of 1 ha, but final benefit is highly dependent on the irrigated surface extension according to water price. Desalination, compared with other type of non-conventional water is considered the best option in this assessment with a small reverse osmosis (RO) desalination plant (120 m3/day) for covering the irrigation needs.


Assuntos
Irrigação Agrícola/economia , Irrigação Agrícola/métodos , Conservação dos Recursos Hídricos/métodos , Análise Custo-Benefício , Água Subterrânea , Vitis/crescimento & desenvolvimento , Produtos Agrícolas/economia , Produtos Agrícolas/crescimento & desenvolvimento , Malta , Águas Salinas/química
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