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Time to delivery: Transfers for threatened preterm labour and prelabour rupture of membranes in Western Australia
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Jade Hollingworth MBBS BSc Rachel Pietsch MBBS BSc Mathias Epee‐Bekima MD MRCOG FRANZCOG Elizabeth Nathan M.Biostat 《The Australian journal of rural health》2018,26(1):42-47
Objective
To describe the outcomes of patients transferred to King Edward Memorial Hospital (KEMH) with signs of labour at preterm gestations.Design
A retrospective observational study of the 69 cases transferred to KEMH during 2015.Setting
Patient transfers from all locations across Western Australia (WA) to the sole tertiary perinatal centre in Perth.Participants
Pregnant women within WA with threatened or actual preterm labour (PTL) or preterm prelabour rupture of membranes (PPROM) between 23 and 32 weeks gestation.Main outcome measures
The occurrence of delivery during the admission and time‐to‐delivery as well as length of admission and association between clinical factors and time‐to‐delivery.Results
The percentage of the study population delivered during the admission following transfer was 72.5%. Eighty‐six per cent of those who delivered did so within 72 hours of transfer. The median time from transfer to delivery was 1 day. Sixty‐three per cent of those who did not deliver during the admission progressed to 36 weeks gestation. Patients transferred with PPROM were less likely to deliver during the admission compared to those with uterine activity (50% versus 19.6%, P = 0.007) and nulliparas were more likely to deliver (93.5% versus 55.3%, P < 0.001).Conclusion
The majority of women transferred with signs of PTL progress to delivery during the same admission with the highest risk of delivery being the first 72 hours following transfer. If the pregnancy is ongoing at 72 hours, there is a reasonable chance of progression to late preterm gestation supporting the return of woman to their place of origin for antenatal care following discharge. 相似文献3.
The use of haematopoietic stem cell transplantation in Fanconi anaemia patients: a survey of decision making among families in the US and Canada
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Sadie P. Hutson PhD RN WHNP BC Paul K. J. Han MD MA MPH Jada G. Hamilton PhD MPH Sean C. Rife MA Mohamad M. Al‐Rahawan MD MPH Richard P. Moser PhD Seth P. Duty RN BSN Sheeba Anand MPH Blanche P. Alter MD MPH 《Health expectations》2015,18(5):929-941
Background
Fanconi anaemia (FA) is a rare genetic disorder associated with bone marrow failure (BMF), congenital anomalies and cancer susceptibility. Stem cell transplantation (SCT) offers a potential cure for BMF or leukaemia, but incurs substantial risks. Little is known about factors influencing SCT decision making.Objective
The study objective was to explore factors influencing patients' with FA and family members' decision making about SCT.Design
Using a mixed‐methods exploratory design, we surveyed US and Canadian patients with FA and family members who were offered SCT.Main variables studied
Closed‐ended survey items measured respondents' beliefs about the necessity, risks and concerns regarding SCT; multivariable logistic regression was used to examine the association between these factors and the decision to undergo SCT. Open‐ended survey items measured respondents' perceptions of factors important to the SCT decision; qualitative analysis was used to identify emergent themes.Results
The decision to undergo SCT was significantly associated with greater perceived necessity (OR = 2.81, P = 0.004) and lower concern about harms of SCT (OR = 0.31, P = 0.03). Qualitative analysis revealed a perceived lack of choice among respondents regarding the use of SCT, which was related to physician influence and respondent concerns about patients' quality of life.Conclusions
Overall, study results emphasize the importance of the delicate interplay between provider recommendation of a medical procedure and patient/parental perceptions and decision making. Findings can help providers understand the need to acknowledge family members' perceptions of SCT decision making and offer a comprehensive discussion of the necessity, risks, benefits and potential outcomes. 相似文献4.
Giuseppe La Torre Ed Van Beeck Gianluigi Quaranta Alice Mannocci Walter Ricciardi 《International journal of health geographics》2007,6(1):49
Objective
To identify determinants of regional differences in traffic accident mortality in Italy. 相似文献5.
Patient and public perspectives of community pharmacies in the United Kingdom: A systematic review
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Ali M. K. Hindi BPharm MSc Ellen I. Schafheutle PhD MRes MSc FFRPS Sally Jacobs BSc PhD 《Health expectations》2018,21(2):409-428
Background
The United Kingdom has been at the forefront of enhancing pharmacist roles and community pharmacy services, particularly over the past decade. However, patient and public awareness of community pharmacy services has been limited.Objective
To identify and synthesize the research literature pertaining to patient and public perspectives on: existing community pharmacy services, extended pharmacist roles and strategies to raise awareness of community pharmacy services.Search strategy
Systematic search of 8 electronic databases; hand searching of relevant journals, reference lists and conference proceedings.Inclusion criteria
UK studies investigating patient or public views on community pharmacy services or pharmacist roles from 2005 to 2016.Data extraction and synthesis
Data were extracted into a grid and subjected to narrative synthesis following thematic analysis.Main results
From the 3260 unique papers identified, 30 studies were included. Manual searching identified 4 additional studies. Designs using questionnaires (n = 14, 41%), semi‐structured interviews (n = 8, 24%) and focus groups (n = 6, 18%) made up the greatest proportion of studies. Most of the studies (n = 28, 82%) were published from 2010 onwards and covered perceptions of specific community pharmacy services (n = 31). Using a critical appraisal checklist, the overall quality of studies was deemed acceptable. Findings were grouped into 2 main themes “public cognizance” and “attitudes towards services” each with 4 subthemes.Discussion and conclusions
Patients and the public appeared to view services as beneficial. Successful integration of extended pharmacy services requires pharmacists’ clinical skills to be recognized by patients and physicians. Future research should explore different approaches to increase awareness. 相似文献6.
Objectives
We aimed to examine the relationship between tea consumption and cognitive function in older adults. 相似文献7.
Fadoua Allali Latifa Tahiri Adil Senjari Redouane Abouqal Najia Hajjaj-Hassouni 《BMC public health》2007,7(1):260
Background
To determine radiological features of arthropathy in systemic sclerosis patients with polyarthritis. 相似文献8.
Objectives:
To examine associations of television viewing with overall food consumption 相似文献9.
Ljiljana Markovic-Denic Snezana Zivkovic Sandra Sipetic Hristina Vlajinac Nikola Kocev Jelena Marinkovic 《Sozial- und Pr?ventivmedizin》2006,14(4):117-122
Objective
To examine cancer mortality trends in Central Serbia (1985–2002). 相似文献10.
Sayoki G Mfinanga Beatrice K Mutayoba Amos Kahwa Godfather Kimaro Rugola Mtandu Esther Ngadaya Said Egwaga Andrew Y Kitua 《BMC health services research》2008,8(1):158
Objective
To assess the magnitude and factors responsible for delay in TB management. 相似文献11.
Maria-Jose Santana David Feeny Sunita Ghosh Ronald G Nador Justin Weinkauf Kathleen Jackson Marianne Schafenacker Dalyce Zuk Grace Hubert Dale Lien 《Health and quality of life outcomes》2010,8(1):110
Purpose
To assess the cross-sectional construct validity of the Health Utilities Index Mark 3 (HUI3) in lung transplantation. 相似文献12.
Purpose
To validate the FACT-G scale for measuring quality of life of patients with cancer in Colombia. 相似文献13.
Gunilla Wieslander Dan Norbäck 《International archives of occupational and environmental health》2010,83(5):585-591
Aim
To study health effects in hospital cleaners (N = 21) at floor polish removal and application. 相似文献14.
Cleon Tsimbos 《International journal of public health》2010,55(1):5-15
Objective
This study explores socio-economic inequalities in health among Mediterranean people aged 50 or higher. 相似文献15.
Hong-Mei Wang Donald L. Patrick Todd C. Edwards Anne M. Skalicky Hai-Yan Zeng Wen-Wen Gu 《Quality of life research》2012,21(1):155-160
Purpose
To evaluate the reliability and validity of the EQ-5D in a general population sample in urban China. 相似文献16.
Kim Moesgaard Iburg Niels Kristian Rasmussen Kirsten Avlund 《Population health metrics》2006,4(1):3-10
Objective
To estimate and rank the relative severity of self-reported diseases and symptoms in Denmark. 相似文献17.
Boaventura BC Di Pietro PF de Assis MA Ambrosi C Nesello LA Da Silva FO Vasconcelos FA Moreira JC Fausto MA 《The journal of nutrition, health & aging》2012,16(1):21-25
Objective
To investigate the relationship between antioxidant biomarkers and food intake in elderly women. 相似文献18.
Chakib Nejjari Mohamed Chakib Benjelloun Mohamed Berraho Karima El Rhazi Nabil Tachfouti Samira Elfakir Zineb Serhier Karen Slama 《International journal of public health》2009,54(6):447-451
Objectives
To study the prevalence and determinants of cigarette smoking in Morocco. 相似文献19.
Background
To investigate obstetric prognosis in sisters of preeclamptic women. 相似文献20.