This document lists several advantages and disadvantages of advances in public health. Among the advantages listed are: advances in medical technology and effective programs/services; more access to testing and research; and skilled public health workers and educated communities. Prevention advances, diagnosis/treatment advances are also mentioned as positives. Potential disadvantages include higher taxes, rising medical costs like co-pays and deductibles, and increased costs to the economy and employers through cutbacks to benefits.
Appropriateness of Admissions in a Ward of Internal Medicine on a Second-Care...Javier Rodriguez-Vera
My 4th Congress, during the first year of trainee of INternal Medicine, with a 2-4 posters and 2 oral communications presebted. Then, I am sent to Portugal, famous for it Excellent Physicians and paradigm of a well designed Health System (from Spain, namely Southern Andalusia).
I tried my best to demonstrate our neighbours, we were not a bunch of redneck. And I thing I suceed. Not being aware of that, I had give my first step towards working&living in Portugal
This document provides information about Quest Analytics and the services and solutions they provide. It introduces their Quest Analytics Suite, which fully integrates various network analysis tools into one easy-to-use platform. It also lists many health plans and PBM partners that Quest Analytics works with. The document emphasizes how Quest Analytics can help clients address challenging network analysis needs outside of traditional capabilities through custom solutions.
Lessons-from-Social-Epidemiology-in-Health-Care_Norman-Ponce-Gonzalez-WestKristen West
The documents discuss the importance of addressing social determinants of health and equity in order to improve health outcomes. Charity focuses only on immediate needs while social justice aims to end the underlying causes of inequity. Equality means giving everyone the same things while equity means ensuring fair access to opportunities. Health is determined more by social and environmental factors than healthcare, yet less funding is allocated to social services. True health reform requires a focus on population health and social determinants alongside clinical care. Health equity requires understanding how policies and environments influence health behaviors and outcomes. The documents provide examples of how policies can address social determinants to improve health conditions like diabetes among vulnerable populations like migrants.
Epidemiology and the evaluation of primary health care.Rafa Cofiño
Diapositivas de la presentación de Andreu Segura Benedicto en el XVIII Congreso Mundial de Epideiologia en Brasil.
\\\"Epidemiology and the evaluation of Primary Health Care. Proposal for a strategic Alliance between Public Health and Primary Health Care in Spain\\\"
The document discusses the seven standards of textual acceptability according to de Beaugrande & Dressler's Introduction to Text Linguistics. It defines acceptability as the receiver's attitude towards a language configuration as a cohesive and coherent text. Acceptability considers whether a text is actually accepted in communication, rather than just being grammatically stipulated. Determining acceptability involves considering factors like context, intentionality, shared knowledge between participants, and how individual texts relate to each other within a discourse.
This document lists several advantages and disadvantages of advances in public health. Among the advantages listed are: advances in medical technology and effective programs/services; more access to testing and research; and skilled public health workers and educated communities. Prevention advances, diagnosis/treatment advances are also mentioned as positives. Potential disadvantages include higher taxes, rising medical costs like co-pays and deductibles, and increased costs to the economy and employers through cutbacks to benefits.
Appropriateness of Admissions in a Ward of Internal Medicine on a Second-Care...Javier Rodriguez-Vera
My 4th Congress, during the first year of trainee of INternal Medicine, with a 2-4 posters and 2 oral communications presebted. Then, I am sent to Portugal, famous for it Excellent Physicians and paradigm of a well designed Health System (from Spain, namely Southern Andalusia).
I tried my best to demonstrate our neighbours, we were not a bunch of redneck. And I thing I suceed. Not being aware of that, I had give my first step towards working&living in Portugal
This document provides information about Quest Analytics and the services and solutions they provide. It introduces their Quest Analytics Suite, which fully integrates various network analysis tools into one easy-to-use platform. It also lists many health plans and PBM partners that Quest Analytics works with. The document emphasizes how Quest Analytics can help clients address challenging network analysis needs outside of traditional capabilities through custom solutions.
Lessons-from-Social-Epidemiology-in-Health-Care_Norman-Ponce-Gonzalez-WestKristen West
The documents discuss the importance of addressing social determinants of health and equity in order to improve health outcomes. Charity focuses only on immediate needs while social justice aims to end the underlying causes of inequity. Equality means giving everyone the same things while equity means ensuring fair access to opportunities. Health is determined more by social and environmental factors than healthcare, yet less funding is allocated to social services. True health reform requires a focus on population health and social determinants alongside clinical care. Health equity requires understanding how policies and environments influence health behaviors and outcomes. The documents provide examples of how policies can address social determinants to improve health conditions like diabetes among vulnerable populations like migrants.
Epidemiology and the evaluation of primary health care.Rafa Cofiño
Diapositivas de la presentación de Andreu Segura Benedicto en el XVIII Congreso Mundial de Epideiologia en Brasil.
\\\"Epidemiology and the evaluation of Primary Health Care. Proposal for a strategic Alliance between Public Health and Primary Health Care in Spain\\\"
The document discusses the seven standards of textual acceptability according to de Beaugrande & Dressler's Introduction to Text Linguistics. It defines acceptability as the receiver's attitude towards a language configuration as a cohesive and coherent text. Acceptability considers whether a text is actually accepted in communication, rather than just being grammatically stipulated. Determining acceptability involves considering factors like context, intentionality, shared knowledge between participants, and how individual texts relate to each other within a discourse.
The document defines key concepts related to health promotion including different levels of prevention, distinguishing health education from health promotion, and differentiating primary care from primary health care. It also discusses the historical development of health promotion and describes the spectrum of prevention, which includes influencing policy, organizational practices, community networks, education, and strengthening individual knowledge.
This publication provides a concise compilation of selected rules in the Eurocode 8, together with relevant Cyprus National Annex, that relate to the design of common forms of concrete building structure in the South Europe. It id offers a detail view of the design of steel framed buildings to the structural Eurocodes and includes a set of worked examples showing the design of structural elements with using software (CSI ETABS). It is intended to be of particular to the people who want to become acquainted with design to the Eurocodes. Rules from EN 1998-1-1 for global analysis, type of analysis and verification checks are presented. Detail design rules for steel composite beam, steel column, steel bracing and composite slab with steel sheeting from EN 1998-1-1, EN1993-1-1 and EN1994-1-1 are presented. This guide covers the design of orthodox members in steel frames. It does not cover design rules for regularities. Certain practical limitations are given to the scope.
Classification of health care organizationsmanuhirani
The document discusses different types of health care organizations and classifies them in three ways: by length of stay, type of services provided, and ownership type. It provides details on various organization types such as hospitals, which are defined as institutions that provide medical care and services to both inpatients and outpatients. The functions of hospitals include prevention, cure, training, and research.
Management information system in health careNewNurseMaria
A health management information system is a computerized system for collecting and storing patient health data to help manage healthcare programs and facilities. It allows healthcare providers to securely access and update patient records electronically. Effective health information systems require integrating data from various departments like medical records, billing, laboratories, and nursing to provide complete patient information and improve care delivery.
Health promotion is defined as enabling people to increase control over their health and improve it. It involves combinations of initiatives across many sectors including health, education, economics and politics that are designed to bring about positive changes to populations' attitudes, behaviors, social conditions and environments to improve health. Key principles of health promotion according to the WHO include involving communities as a whole in everyday life contexts rather than just focusing on disease prevention, acting on determinants of health through multisectoral cooperation, and using diverse and complementary methods.
Historical developments of community health nursing in the worldNursing Path
The document discusses the historical development of community health nursing around the world and in specific regions. It describes how ancient civilizations had systems of public health and sanitation. It then outlines the development of modern public health and community health nursing in Britain and the United States in the 19th century, driven by industrialization and epidemics. This led to establishing nursing as a profession. The document also discusses the development of community health nursing in India under British rule and post-independence. It raises issues around assessment, diagnosis and goals in community health nursing practice.
This document is a CME tracker for Javier Rodriguez Vera listing the CME activities he has completed from January 2012 through December 2012. It shows that he earned a total of 52.25 credits. The activities covered topics such as glucose-lowering therapy in chronic kidney disease, assessing treatment response in PAH, biomarker-guided heart failure therapy, management of joint bleeding in hemophilia, incorporating new approaches to hyponatremia management, and more. Each activity is listed with its title, provider, date participated, and credits earned.
This study analyzed the legibility of epicrisis reports for 108 deceased patients in the department of internal medicine at a hospital in Portugal in 2002. The reports were written by 13 different doctors, with only 6 being typewritten and fully legible. 30 reports (27.77%) had some degree of illegibility, though only 1 was fully unclear. No reports were completely illegible. Legibility defects were slightly higher for patients with shorter average stays of 5 days or less before death. The study concludes that introducing electronic epicrisis reports could help address legibility issues, and that staffing levels on weekends did not influence mortality or report quality.
This study aimed to understand the magnitude and characteristics of infectious diseases among patients admitted to the internal medicine ward of a Portuguese hospital over one month. A total of 25 out of 73 patients admitted during the study period had infectious diseases, representing 41 infectious episodes. The most common infections were urinary tract infections (44%) and pneumonia (29%). The majority (83%) of cultures grew pathogens, most commonly E. coli (21%), Pseudomonas aeruginosa (11%), and fungi (11%). Infections increased patient mortality by 10% and length of stay by 3.5 days compared to other patients. Pressure ulcers accounted for 12% of infections and were all hospital-acquired. Empiric antibiotic therapy was ineffective in
1) The study assessed the appropriateness of 174 patient admissions to an internal medicine ward in Portugal using the prospective Appropriateness Evaluation Protocol (AEP).
2) They found that 17.7% of admissions were inappropriate, similar to other studies in the Iberian Peninsula. The most common reason for appropriateness was intravenous therapy.
3) Patients admitted on weekends had significantly longer hospital stays than those admitted on weekdays, possibly due to lack of elective care on weekends.
This study analyzed 30 patients admitted to a hospital in southern Portugal between 1998-2003 with spotted fever. Spotted fever is endemic to the Mediterranean region and transmitted by ticks. The average age was 43 years and 70% were male. Most cases occurred between June-August. Rural environments and contact with dogs were identified as risk factors. The most common symptoms were fever (100%) and rash (90%). Half of patients developed hepatitis and 40% thrombocytopenia. Doxycycline treatment was started early in 93% of patients and all patients recovered well with an average hospital stay of 5.9 days. The study concludes that spotted fever is common in the region likely due to rural areas, treatment with doxycy
Este estudo avaliou a adequação de 72 admissões hospitalares num serviço de medicina interna em Portugal utilizando o Protocolo de Avaliação da Apropriação (AEP). 20,8% das admissões foram consideradas inadequadas, principalmente para exames ou tratamentos que poderiam ter sido realizados em ambulatório. O AEP é uma ferramenta útil para avaliar a utilização de recursos e melhorar a eficiência dos hospitais.
Adequaçao do Internamento num Serviço de Medicina INterna Utilizando o AEP. A...Javier Rodriguez-Vera
Este artigo avalia a adequação das admissões e estadias hospitalares de pacientes internados em uma enfermaria de medicina interna utilizando a versão concorrente do Appropriateness Evaluation Protocol (AEP). Os resultados mostraram que todas as admissões foram consideradas adequadas, com a necessidade de terapia endovenosa sendo o critério mais comum. No entanto, 27,3% das estadias foram consideradas inadequadas de acordo com o AEP.
El estudio evaluó la adecuación de ingresos y estancias en un servicio de medicina interna utilizando la versión concurrente del AEP. Se encontró que un 15.3% de los ingresos y un 33% de las estancias fueron inadecuados, siendo las causas más frecuentes agilizar estudios ambulatorios e esperar resultados de pruebas, respectivamente. El estudio proporciona información sobre el uso de recursos que puede ayudar a mejorar la eficiencia.
Reingreso hospitalario como indicador de la calidad asistencialJavier Rodriguez-Vera
RODRIGUEZ-VERA, F. J.; ALCOUCER DIAZ, M. R.; MARIN FERNANDEZ, Y. y PUJOL DE LA LLAVE, E. An. Med. Interna (Madrid). 2002, vol.19, n.5, pp. 66-67. ISSN 0212-7199.
Inadecuación de ingresos y estancias hospitalarias en una seción de digestivoJavier Rodriguez-Vera
Este estudio evaluó la inadecuación de ingresos y estancias en la sección de digestivo de un hospital durante enero y febrero de 2000 utilizando el protocolo de evaluación de adecuación. El 15.7% de los pacientes no cumplían criterios de ingreso y la causa más común fue la necesidad de realizar estudios de forma rápida. La estancia media fue de 6.11 días y el 28.57% de las estancias inadecuadas se debió a procedimientos que podrían haberse realizado de forma externa. El estudio conclu
Lo que nunca se ve: resúmenes de estudios enviados para presentación en Congr...Javier Rodriguez-Vera
Not all the studies sent for presentation to a Congress are accepted. Although less selective than a journal, an abstract has to comply with criteria of quality and scientific interest. As higher the number of abstracts sent, more rigurous the selection becomes.
Este documento estudia la relación entre la comorbilidad crónica de los pacientes y la duración de sus estancias hospitalarias. Analizó los registros médicos de 117 pacientes y calculó su índice de comorbilidad de Charlson. Encontró que los pacientes con mayor comorbilidad tuvieron estancias más largas, especialmente debido a más días de estancia adecuados, probablemente para estabilizar sus condiciones. Además, detectó que el 11% de las estancias fueron inadecuadas, una tasa menor que otros estudios simil
SADEMI 2001 (Abstract of non accepted study): Factores estructurales que dete...Javier Rodriguez-Vera
This is the case: I found interesting to analyze if there were another factors not related with the requirements of acute care causing innappropriateness. Results showed facts, from my perspective, not appropriate to be changed.
The document defines key concepts related to health promotion including different levels of prevention, distinguishing health education from health promotion, and differentiating primary care from primary health care. It also discusses the historical development of health promotion and describes the spectrum of prevention, which includes influencing policy, organizational practices, community networks, education, and strengthening individual knowledge.
This publication provides a concise compilation of selected rules in the Eurocode 8, together with relevant Cyprus National Annex, that relate to the design of common forms of concrete building structure in the South Europe. It id offers a detail view of the design of steel framed buildings to the structural Eurocodes and includes a set of worked examples showing the design of structural elements with using software (CSI ETABS). It is intended to be of particular to the people who want to become acquainted with design to the Eurocodes. Rules from EN 1998-1-1 for global analysis, type of analysis and verification checks are presented. Detail design rules for steel composite beam, steel column, steel bracing and composite slab with steel sheeting from EN 1998-1-1, EN1993-1-1 and EN1994-1-1 are presented. This guide covers the design of orthodox members in steel frames. It does not cover design rules for regularities. Certain practical limitations are given to the scope.
Classification of health care organizationsmanuhirani
The document discusses different types of health care organizations and classifies them in three ways: by length of stay, type of services provided, and ownership type. It provides details on various organization types such as hospitals, which are defined as institutions that provide medical care and services to both inpatients and outpatients. The functions of hospitals include prevention, cure, training, and research.
Management information system in health careNewNurseMaria
A health management information system is a computerized system for collecting and storing patient health data to help manage healthcare programs and facilities. It allows healthcare providers to securely access and update patient records electronically. Effective health information systems require integrating data from various departments like medical records, billing, laboratories, and nursing to provide complete patient information and improve care delivery.
Health promotion is defined as enabling people to increase control over their health and improve it. It involves combinations of initiatives across many sectors including health, education, economics and politics that are designed to bring about positive changes to populations' attitudes, behaviors, social conditions and environments to improve health. Key principles of health promotion according to the WHO include involving communities as a whole in everyday life contexts rather than just focusing on disease prevention, acting on determinants of health through multisectoral cooperation, and using diverse and complementary methods.
Historical developments of community health nursing in the worldNursing Path
The document discusses the historical development of community health nursing around the world and in specific regions. It describes how ancient civilizations had systems of public health and sanitation. It then outlines the development of modern public health and community health nursing in Britain and the United States in the 19th century, driven by industrialization and epidemics. This led to establishing nursing as a profession. The document also discusses the development of community health nursing in India under British rule and post-independence. It raises issues around assessment, diagnosis and goals in community health nursing practice.
This document is a CME tracker for Javier Rodriguez Vera listing the CME activities he has completed from January 2012 through December 2012. It shows that he earned a total of 52.25 credits. The activities covered topics such as glucose-lowering therapy in chronic kidney disease, assessing treatment response in PAH, biomarker-guided heart failure therapy, management of joint bleeding in hemophilia, incorporating new approaches to hyponatremia management, and more. Each activity is listed with its title, provider, date participated, and credits earned.
This study analyzed the legibility of epicrisis reports for 108 deceased patients in the department of internal medicine at a hospital in Portugal in 2002. The reports were written by 13 different doctors, with only 6 being typewritten and fully legible. 30 reports (27.77%) had some degree of illegibility, though only 1 was fully unclear. No reports were completely illegible. Legibility defects were slightly higher for patients with shorter average stays of 5 days or less before death. The study concludes that introducing electronic epicrisis reports could help address legibility issues, and that staffing levels on weekends did not influence mortality or report quality.
This study aimed to understand the magnitude and characteristics of infectious diseases among patients admitted to the internal medicine ward of a Portuguese hospital over one month. A total of 25 out of 73 patients admitted during the study period had infectious diseases, representing 41 infectious episodes. The most common infections were urinary tract infections (44%) and pneumonia (29%). The majority (83%) of cultures grew pathogens, most commonly E. coli (21%), Pseudomonas aeruginosa (11%), and fungi (11%). Infections increased patient mortality by 10% and length of stay by 3.5 days compared to other patients. Pressure ulcers accounted for 12% of infections and were all hospital-acquired. Empiric antibiotic therapy was ineffective in
1) The study assessed the appropriateness of 174 patient admissions to an internal medicine ward in Portugal using the prospective Appropriateness Evaluation Protocol (AEP).
2) They found that 17.7% of admissions were inappropriate, similar to other studies in the Iberian Peninsula. The most common reason for appropriateness was intravenous therapy.
3) Patients admitted on weekends had significantly longer hospital stays than those admitted on weekdays, possibly due to lack of elective care on weekends.
This study analyzed 30 patients admitted to a hospital in southern Portugal between 1998-2003 with spotted fever. Spotted fever is endemic to the Mediterranean region and transmitted by ticks. The average age was 43 years and 70% were male. Most cases occurred between June-August. Rural environments and contact with dogs were identified as risk factors. The most common symptoms were fever (100%) and rash (90%). Half of patients developed hepatitis and 40% thrombocytopenia. Doxycycline treatment was started early in 93% of patients and all patients recovered well with an average hospital stay of 5.9 days. The study concludes that spotted fever is common in the region likely due to rural areas, treatment with doxycy
Este estudo avaliou a adequação de 72 admissões hospitalares num serviço de medicina interna em Portugal utilizando o Protocolo de Avaliação da Apropriação (AEP). 20,8% das admissões foram consideradas inadequadas, principalmente para exames ou tratamentos que poderiam ter sido realizados em ambulatório. O AEP é uma ferramenta útil para avaliar a utilização de recursos e melhorar a eficiência dos hospitais.
Adequaçao do Internamento num Serviço de Medicina INterna Utilizando o AEP. A...Javier Rodriguez-Vera
Este artigo avalia a adequação das admissões e estadias hospitalares de pacientes internados em uma enfermaria de medicina interna utilizando a versão concorrente do Appropriateness Evaluation Protocol (AEP). Os resultados mostraram que todas as admissões foram consideradas adequadas, com a necessidade de terapia endovenosa sendo o critério mais comum. No entanto, 27,3% das estadias foram consideradas inadequadas de acordo com o AEP.
El estudio evaluó la adecuación de ingresos y estancias en un servicio de medicina interna utilizando la versión concurrente del AEP. Se encontró que un 15.3% de los ingresos y un 33% de las estancias fueron inadecuados, siendo las causas más frecuentes agilizar estudios ambulatorios e esperar resultados de pruebas, respectivamente. El estudio proporciona información sobre el uso de recursos que puede ayudar a mejorar la eficiencia.
Reingreso hospitalario como indicador de la calidad asistencialJavier Rodriguez-Vera
RODRIGUEZ-VERA, F. J.; ALCOUCER DIAZ, M. R.; MARIN FERNANDEZ, Y. y PUJOL DE LA LLAVE, E. An. Med. Interna (Madrid). 2002, vol.19, n.5, pp. 66-67. ISSN 0212-7199.
Inadecuación de ingresos y estancias hospitalarias en una seción de digestivoJavier Rodriguez-Vera
Este estudio evaluó la inadecuación de ingresos y estancias en la sección de digestivo de un hospital durante enero y febrero de 2000 utilizando el protocolo de evaluación de adecuación. El 15.7% de los pacientes no cumplían criterios de ingreso y la causa más común fue la necesidad de realizar estudios de forma rápida. La estancia media fue de 6.11 días y el 28.57% de las estancias inadecuadas se debió a procedimientos que podrían haberse realizado de forma externa. El estudio conclu
Lo que nunca se ve: resúmenes de estudios enviados para presentación en Congr...Javier Rodriguez-Vera
Not all the studies sent for presentation to a Congress are accepted. Although less selective than a journal, an abstract has to comply with criteria of quality and scientific interest. As higher the number of abstracts sent, more rigurous the selection becomes.
Este documento estudia la relación entre la comorbilidad crónica de los pacientes y la duración de sus estancias hospitalarias. Analizó los registros médicos de 117 pacientes y calculó su índice de comorbilidad de Charlson. Encontró que los pacientes con mayor comorbilidad tuvieron estancias más largas, especialmente debido a más días de estancia adecuados, probablemente para estabilizar sus condiciones. Además, detectó que el 11% de las estancias fueron inadecuadas, una tasa menor que otros estudios simil
SADEMI 2001 (Abstract of non accepted study): Factores estructurales que dete...Javier Rodriguez-Vera
This is the case: I found interesting to analyze if there were another factors not related with the requirements of acute care causing innappropriateness. Results showed facts, from my perspective, not appropriate to be changed.
This abstract was accepted, the Director Medicine making despective comments about importance, pertinence and Interest of the study. During the Congress, it was a study calling the attention of many assistens. My boss (Director of Medicine and friend), mantained his position: it´s a "cute" study to be presented on a regional meeting, but that´s all. the study was published as an original article on the Journal of the Royal Society of Medicine, presenting a high individual impact factor. Chiefs can also be wrong.
Este documento contiene información personal de Francisco Javier Rodríguez-Vera, incluyendo su nombre, lugar de trabajo en el Hospital Juan Ramón Jiménez de Huelva como médico interno, dirección, códigos postales y correo electrónico.
Este documento evalúa el uso de la versión concurrente del Protocolo de Evaluación de la Adecuación (AEP) en un servicio de medicina interna para evaluar la adecuación de ingresos y estancias. El estudio encontró que el 15.3% de los ingresos y el 25.97% de las estancias fueron inadecuados, principalmente debido a la espera de resultados de pruebas e interconsultas. La conclusión es que el AEP puede identificar la sobreutilización de recursos y que agilizar pruebas y colaboración entre especial
Este documento evalúa el uso de la versión concurrente del Protocolo de Evaluación de la Adecuación (AEP) en un servicio de medicina interna para evaluar la adecuación de ingresos y estancias. El estudio encontró que el 15.3% de los ingresos y el 25.97% de las estancias fueron inadecuados, principalmente debido a la espera de resultados de pruebas e interconsultas. La conclusión es que el AEP puede identificar la sobreutilización de recursos y que agilizar pruebas y colaboración entre especial