1,721,002 research outputs found
Use of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management.
No full textUse of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management
No full textThe Section of Epidemiology and Public Health of the University “G. d’Annunzio” of Chieti, in
collaboration with the Centre for Research in Medical Education and Health Care of Jefferson Medical
College, Philadelphia, PA, USA, has analysed 350,000 hospital admissions for the year 2001 in the Abruzzo region. Four diseases were chosen for an in-depth analysis. These were: diabetes mellitus;
cholecystitis/cholelithiasis; cancer of the female breast and bacterial pneumonia.The total admissions for
these conditions were 11,000.
Using the Disease Staging methodology to control for severity, a number of variables were analysed:
length of hospital stay, hospital mortality, complications and repeated admissions. In addition, the timeliness
of hospitalisation was analysed by grouping admissions into three categories: premature or medically
unnecessary, timely, and late.An example of the first type is a patient with an elevated blood sugar but no
other complications (Stage 1 Diabetes Mellitus).Appendicitis without rupture is an example of a timely
admission (Stage 1 Appendicitis), while empyema in a patient with bacterial pneumonia is an example of
a late admission (Stage 2.3).[1] Finally, a number of factors were analysed to determine whether they had
an impact on early and late hospitalisations.The variables included in the multivariate analysis were age,
gender, area of residence and type of hospitalisation.
The data demonstrated that in the Abruzzo region there are problems with inappropriate hospital
admission, both early as well as late. For example, the rate of medically unnecessary admissions for diabetes mellitus was 72% throughout the region, and the percentage of late hospitalisations for
cholelithiasis/cholecystitis was 43%
Use of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management
No full textUse of Disease Staging and analysis of untimely admissions in the Abruzzo Region, Italy: implications for clinical management.
No full textThe Section of Epidemiology and Public Health of the University “G. d’Annunzio” of Chieti, in
collaboration with the Centre for Research in Medical Education and Health Care of Jefferson Medical
College, Philadelphia, PA, USA, has analysed 350,000 hospital admissions for the year 2001 in the Abruzzo region. Four diseases were chosen for an in-depth analysis. These were: diabetes mellitus;
cholecystitis/cholelithiasis; cancer of the female breast and bacterial pneumonia.The total admissions for
these conditions were 11,000.
Using the Disease Staging methodology to control for severity, a number of variables were analysed:
length of hospital stay, hospital mortality, complications and repeated admissions. In addition, the timeliness
of hospitalisation was analysed by grouping admissions into three categories: premature or medically
unnecessary, timely, and late.An example of the first type is a patient with an elevated blood sugar but no
other complications (Stage 1 Diabetes Mellitus).Appendicitis without rupture is an example of a timely
admission (Stage 1 Appendicitis), while empyema in a patient with bacterial pneumonia is an example of
a late admission (Stage 2.3).[1] Finally, a number of factors were analysed to determine whether they had
an impact on early and late hospitalisations.The variables included in the multivariate analysis were age,
gender, area of residence and type of hospitalisation.
The data demonstrated that in the Abruzzo region there are problems with inappropriate hospital
admission, both early as well as late. For example, the rate of medically unnecessary admissions for diabetes mellitus was 72% throughout the region, and the percentage of late hospitalisations for
cholelithiasis/cholecystitis was 43%
On the use of disease staging for clinical management: analysis of ultimely admission in the Abruzzo region, Italy.
No full textOn the use of Disease Staging for clinical management: analysis of untimely admissions in the Abruzzo Region, Italy
No full textOn the use of disease staging for clinical management: analysis of ultimely admission in the Abruzzo region, Italy
No full textBackground and aims. The process of decentralization which recently occurred within the Italian National
Health Service has transferred substantial responsibility and authority for health care administration to the
individual regions. The project is aimed at developing regional benchmarks that can be used as a part of an
ongoing system for analysis of resource use and quality of care in the Abruzzo Region of Italy.
Methods. All 286 924 hospital admissions for the year 2001 in the region were analysed. Three diseases were
chosen for in-depth review: diabetes mellitus; cholecystitis/cholelithiasis; and bacterial pneumonia. There
were a total of 9391 admissions for these diagnoses. Severity, length of hospital stay and hospital mortality
were analysed using Disease Staging methodology. In addition, the timeliness of hospitalisation was assessed
by grouping admissions in three categories: premature or medically unnecessary, timely and late.
Results. The rate of medically unnecessary admissions for diabetes mellitus was 72% throughout the
region, and the percentage of late hospitalisations for cholelithiasis/cholecystitis was 43%. For both
diseases, there were significant variations across Local Health Units in the proportion of late and early
admissions. The rate of timely hospitalisations for bacterial pneumonia was higher than 86%.
Conclusion. The analysis of discharge abstract data using Disease Staging revealed that in the Abruzzo
region there are problems of inappropriate hospital admission, both early and late, for all diseases
examined excepted bacterial pneumonia. Data confirmed the validity of Disease Staging to compare the
performance of diverse hospitals in terms of length of stay and in-hospital mortality
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
- …
