At general hospital.

Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

In low and middle-income countries (LMICs), severe pneumonia with hypoxemia is the leading cause of child deaths, even with the provision of WHO-recommended antibiotic therapy, oxygen therapy and other supportive care. Previous studies found positive outcomes from the use of bubble continuous positive airway pressure (bCPAP) for treating these children compared to the standard oxygen therapy. Due to lack of data on the perceptions and experiences of hospital health care workers and caregivers of children on the feasibility and acceptability of bCPAP in treating children with severe pneumonia and hypoxemia in real-life settings, we examined these issues in tertiary and general hospitals in Ethiopia. As part of a three-stages clinical trial, this qualitative study was conducted in two tertiary (stage I) and two general (stage II) hospitals from September 2019 to July 2020. During stages I and II, we have consecutively enrolled children with severe pneumonia and hypoxemia and put them on bCPAP to examine its feasibility and acceptability by clinicians and parents. A total of 89 children were enrolled (49 from two tertiary and 40 from two general hospitals). Then qualitative data were collected through 75 repeated in-depth interviews by social-science experts with purposively selected 30 hospital health workers and 15 parents of 12 children who received bCPAP oxygen therapy in the hospitals. Interview data were supplemented by 6 observations in the hospitals. Data were analyzed using a thematic approach. Identified structural and functional challenges for the introduction of bCPAP in treating childhood severe pneumonia and hypoxemia in the study hospitals include: inadequate number of pulse oximeters; unavailability of nasal prongs with age-specific size; inadequate and non-functioning oxygen flow meters, concentrator, and cylinders; disruption in power-supply; and inadequate number of staff. The opportunities in introducing bCPAP oxygen therapy included the availability of a dedicated corner for the study patients situated in front of nurse's station, required medicines and satisfactory level of clinicians' knowledge and skills for treating severe pneumonia patients. Additionally, the identified operational challenges were occasional lack of bubbling in the water-filled plastic bottle, lack of stand for holding the water-filled plastic bottle, and delayed shifting of oxygen source from an oxygen concentrator to a cylinder, particularly during electricity disruption. Participants (clinicians and parents) expressed their satisfaction as bCPAP oxygen therapy was found to be simple to handle, children had ease of breathing and recovered fast without major ill effects. Our study identified some important structural, functional, and operational challenges that need to be addressed before implementation of bCPAP oxygen therapy especially in frontline general hospitals with limited resources. In spite of these observed challenges, the clinicians and caregivers were highly satisfied with the overall performance of bCPAP oxygen therapy.

Acta Medica ScandinavicaVolume 158, Issue 3-4 p. 181-192 Observations on Primary Aldosteronism BENGT SKANSE, BENGT SKANSE Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorFOLKE MÖLLER, FOLKE MÖLLER Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorKARL GYDELL, KARL GYDELL Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorSTIG JOHANSSON, STIG JOHANSSON Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorHELGE B. WULFF, HELGE B. WULFF Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this author BENGT SKANSE, BENGT SKANSE Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorFOLKE MÖLLER, FOLKE MÖLLER Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorKARL GYDELL, KARL GYDELL Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorSTIG JOHANSSON, STIG JOHANSSON Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this authorHELGE B. WULFF, HELGE B. WULFF Department of Medicine (Head: Jan Waldenström, M. D.) and the Department of Surgery (Head: Helge B. Wulff, M. D.), University of Lund, Malmö General Hospital, Malmö, Sweden and the Army Hospital, Sollefteå, Sweden (Head: Folke Möller, M. D.).Search for more papers by this author First published: January/December 1957 https://doi.org/10.1111/j.0954-6820.1957.tb15481.xCitations: 16AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume158, Issue3-4January/December 1957Pages 181-192 RelatedInformation

This study is based on data collected from a total of 1196 patients (725 males and 471 females) with histologically confirmed cancer seen in King Khalid University Hospital over a 5-year period between September 1985 to August 1990. Four hundred forty-five patients were non-Saudi (37.20%). The relative frequency and rank of order are determined for various cancers in Saudi patients and total group and compared with the results of the other published studies on cancer epidemiology in Saudi Arabia. The most common cancers among Saudi males were liver, non-Hodgkin's lymphomas, stomach, lung, central nervous system, prostate, lymphoid, leukemias, myeloid leukemias, urinary bladder and Hodgkin's lymphomas, central nervous cancers among Saudi females were breast, thyroid, non-Hodgkin's lymphomas, central nervous system, stomach, myeloid leukemias, esophagus, lymphoid leukemias, liver and ovary. Rank order and relative frequency for liver cancer in both sexes is the highest among any study previously published on the epidemiology of cancer in Saudi Arabia.

Acute hospital service utilization by inpatients in psychiatric hospitals.

Sigrist, Emmalynn J. DO*; George, Nicole E. DO†; Koder, Adrienne M. DO*; Gwam, Chukwuweike U. MD‡; Etcheson, Jennifer I. MD, MS§; Herman, Martin J. MD∥ Author Information

The study aimed to identify the extent of patient satisfaction in the external services section of the General Eman Hospital, and the problem of the study is summarized in the following question, which is the extent of the patients ’satisfaction in the external services section of the general faith hospital from the viewpoint of auditors of the general faith hospital in Riyadh, and the study has significance as the study is a step to identify On the level of quality of medical services aimed at patient satisfaction in the External Services Department of Al-Iman General Hospital. Likewise, this study came to know the level of quality of services provided to patients in the external services department of Al-Iman General Hospital in order to put it and put officials in the picture of the matter, and the study identified hypotheses and there are no statistically significant differences at the level of significance (5 = 0.05) towards the level of patient satisfaction, and the quality Actual services in the External Services Department of Al-Iman General Hospital, depending on gender, age and educational qualification. The descriptive analytical approach was used to achieve the goals of the study, and the questionnaire was used as a tool to collect data, and the study community consisted of auditors of Al Iman General Hospital in Riyadh, and the study sample consisted of (110) male and female auditors from Al Iman Hospital, and a set of statistical methods were used to process the study data By using the SPSS program. In light of this, a number of results were reached, the most important of which are: Health care services, such as the dimensions of service quality, tangibility: (tangible physical aspects), response, safety, and sympathy for patients, to satisfy patients in the external services department of Iman Hospital, have a significant and positive impact on patient satisfaction. Likewise, the degree of satisfaction was satisfactory with regard to the dimensions of quality of service, tangibility: (tangible physical aspects), response, safety, and sympathy for patients, to satisfy patients in the external services department of Iman Hospital. In light of the results, the study recommends the following: - Doctors and nurses should pay attention to the auditors, pay attention to the problems and inquiries of patients, and urge to provide services on time without delay, to meet the requests of patients immediately. - The hospital administration should work on everything that improves the level of satisfaction of the auditors with the provision of modern devices that contribute to providing good medical services, attention to the problems and inquiries of patients, attention to the cleanliness of hospital facilities and the development of medical guidelines, and provide waiting places for auditors.

To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies.

Objective To explore the homogeneity of standardized resident training (SRT) in psychiatric department between general and psychiatric hospital in Jiangsu province. Methods Using questionnaire survey for research ability, health and psychology, and assessment of psychiatry and general medicine ability, clinical skills , humanistic quality, investigations about the homogeneity of psychiatric SRT results in Jiangsu province were made by investigating 106 SRT trainees in 7 psychiatric SRT bases (3 bases general hospital and 4 bases in psychiatric hospital) from November to December in 2016. Results The differences of trainees' clinical ability including psychiatry [(77.8±10.7) vs (72.6±11.0)], general medicine [(72.1±10.5) vs (62.2±11.5)], clinical skills [(79.2±5.1) vs (74.0±7.4)] and humanistic quality [(86.7±8.3) vs (90.2±5.2)] between general and psychiatric hospitals are significant (all P<0.05). Conclusions The SRT training effect on clinical skills for general hospitals are better than those for psychiatric hospitals, and the effect on humanistic quality is just the opposite. The homogeneity still needs to be further improved. Key words: Standardized resident training; General hospital; Specialized hospital; Homogeneity; Psychiatry

Nurses are at risk of occupational assaults. However, the incidence and effects have not been documented among nurses in Taiwan. We aimed to study the incidence of assaults and their effects, including quality of life and job-related stress among nurses. A cross-sectional study was conducted to understand the incidence of work-related assaults in nurses. Job content questionnaire was used to determine the job control, psychological demands at work, and workplace support in these nurses. Quality of life was assessed by short form-36 (SF-36). A total of 842 nurses satisfactorily completed the questionnaire, including 375 from general hospitals and 467 from psychiatric hospitals. A total of 237 (28.1%) reported to have experienced physical and/or verbal assaults in past 6 months. Experiences of sexual assault or verbal abuse were risk factors for feeling threatened by potential attacks. Nurses who felt threatened by potential attacked scored lower in general health, mental health, and vitality by SF-36, and had higher psychological demands at work, lower job control, and lower workplace support. We conclude that nurses in general and psychiatric hospitals had high risk of assaults. Worksite assaults caused nurses to feel threatened, and such an effect was likely to cause increased job stress and decreased quality of life.

Background Mental health services are commonly delivered through psychiatric outpatient clinics within mental and general hospitals in Iraq. Mental health services faced many challenges, such as wars, economic sanctions, internal conflicts, and shortages of working power, leading to deterioration of the provided care. Objectives: This study aims to examine the clinical and workload characteristics of two psychiatric outpatient clinics in general and mental hospitals, focusing on the differences in clinical and service-related characteristics. Methods: A cross-sectional study was conducted on a total of 650 patients attending the psychiatric outpatient clinics in Medical City Teaching Hospital and Ibn Rushd Mental Hospital located in Baghdad’s city center during 2024. The consenting participants were personally interviewed and completed the study questionnaires by the research team. The data collected were analyzed via descriptive statistical methods. Findings: The most prevalent mental disorders were depression, schizophrenia, and anxiety. Rushd Mental Hospital reported a higher prevalence of schizophrenia with high rates of chronicity than that of Medical City Teaching Hospital, while depression was more prevalent in the latter. Follow-up, workload, and patients’ satisfaction with the provided care were more prevalent in Ibn Rushd Mental Hospital than Medical City Teaching Hospital, reflecting the patient’s preferences for specialized psychiatric units, particularly for those with serious and chronic presentations. Both hospitals have no referral or appointment strategy. Conclusion: This study emphasizes the important mental health indicators that should be considered in planning to develop mental health services in Iraq by establishing more specialized psychiatric units and improving the existing services to face the growing numbers of patients. The implementation of community mental health care and mental health advocacy will help reduce social stigma and encourage more people in need of proper care. Further large-scale studies are needed to mend the data gap.

Recurrence of inguinal hernia in general and hernia specialty hospitals in Ontario, Canada

Despite 56% of child deaths occurring in inpatient hospital settings, who these children are and how they die has not been fully described. The purpose of this study was to identify the characteristics of those infants and children who die in acute care settings, and describe the extent to which palliative care was used prior to their deaths. This study used a retrospective descriptive design. The 2000 Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) was analyzed to define the national population of infants and children who die in acute care settings. In addition, medical records of a random sample of deaths at a large academic children's hospital were reviewed to further characterize the events surrounding childhood deaths. The 2000 HCUP-KID included 13,643 deaths of children less than 18 years of age, representing an estimated 26,571 infant and child deaths, nationally. One hundred eleven infants and children who died at an academic children's hospital over four years were included in a detailed chart review. The majority of the deaths in both databases occurred in males, whites, and infants less than 12 months of age. Of the children who died in the academic children's hospital, most died in a critical care unit (86%). Fifty-four percent of the HCUP-KID deaths occurred in general hospitals and 46% occurred in children's hospitals. Children who died in children's hospitals had more complex chronic conditions (CCC) than in general hospitals. Regardless of hospital type, the most prevalent CCC categories were neuromuscular, cardiovascular, respiratory, congenital/genetic, and malignancies. The results of this study suggest that large numbers of children die in both general and children's hospitals with a wide variety of illnesses and at all ages, indicating that all acute care pediatric providers need a working knowledge of and access to end-of-life and palliative care services.

Emergency short-stay unit (SSU) alleviates emergency department (ED) overcrowding, but may affect in-hospital indicators. Cardiology patients comprise a substantial part of patients admitted at SSU. This study evaluated whether SSU opening differentially modified in-hospital indicators at a whole general hospital and at its cardiology division (CARD). We retrospectively analysed indicators based on 859 686 ED visits, and 171 547 hospital admissions, including 12 110 CARD admissions, from 2007 to 2018 at a general tertiary hospital, and compared global ED indicators and in-hospital indicators at the hospital and CARD before (2007-2011) and after (2011-2018) SSU opening. After SSU opening, monthly ED bed occupancy rate decreased (mean ± SD 200 ± 18% vs 187 ± 22%; P < .001) and in-hospital admissions from ED increased at the hospital (median [interquartile range] 460 [81] vs 524 [41], P < .001) and CARD (50 [12] vs 54 [12], P=.004). In parallel, monthly in-hospital elective admissions decreased at CARD (34 [18] vs 28 [17], P=.019), but not at the hospital (712 [73] vs 700 [104], P=.54). Average length of stay (LOS) increased at both hospital (8.5 ± 0.3 vs 8.7 ± 0.4 days, P < .001) and CARD (9.2 ± 1.5 vs 10.3 ± 2.3 days, P=.002) after SSU opening, but percent admissions at SSU showed a direct relationship with LOS solely at CARD. Furthermore, cardiology patients admitted at SSU had greater LOS, prevalence of coronary heart disease and age than those admitted at the conventional cardiology ward. SSU opening improved ED crowding, but was associated with changes in in-hospital indicators, particularly at CARD, and in the characteristics of hospitalized cardiology patients. These findings suggest that in-hospital cardiology services may need re-evaluation following SSU opening at a general hospital.

This study was conducted to analyze the status of medical food selection process in hospitals within Busan and Gyeongnam area. The survey was distributed to 396 hospitals (general, tertiary and long-term care hospitals) and finally 68 surveys were used for analysis. The questionnaire consisted of 9 general items and 10 items related to enteral nutrition (EN). From the survey we found out that general hospitals and tertiary hospitals normally hire clinical dietitian, while long-term care hospitals hire dietitians with no further qualifications (χ2 = 27.918, p < 0.001). A significant relationship was found between hospital size and the priority for choosing medical foods for patients (χ2 = 11.852, p < 0.05). In general and tertiary hospitals, medical foods were provided exactly according to the doctor's prescription, whereas in long-term care hospitals, only half followed the doctor’s direction and half of them provided the products that has been conventionally used. There was also a significant relationship between hospital size and the method for determination of nutrition requirements (χ2 = 20.496, p < 0.001). Finally, the priority of considerations when developing a ‘medical food guidelines’ was shown in the following order; 1) the type of medical food that can be selected according to the disease state, 2) the nutrient content and comparison table for commercial products, and 3) how to manage complications that may occur when supplying medical food for patients. Developing an EN practice guideline for making a sensible selection of medical foods will provide a valuable information for better patient care.