district hospitals

Summary

Summary: Government-controlled hospitals which represent the major health facility for a designated geographic area.

Top Publications

  1. ncbi Assessment of inpatient paediatric care in first referral level hospitals in 13 districts in Kenya
    Mike English
    KEMRI Centre for Geographic Medicine Research, PO Box 230, Kilifi, Kenya
    Lancet 363:1948-53. 2004
  2. ncbi The challenge of hospitals in health sector reform: the case of Zambia
    E Blas
    UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR, World Health Organization, Geneva, Switzerland
    Health Policy Plan 16:29-43. 2001
  3. pmc The decline in paediatric malaria admissions on the coast of Kenya
    Emelda A Okiro
    Malaria Public Health and Epidemiology Group, Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute Wellcome Trust Research Programme, P, O, Box 43640, 00100 GPO, Nairobi, Kenya
    Malar J 6:151. 2007
  4. pmc Prevention of nosocomial transmission of extensively drug-resistant tuberculosis in rural South African district hospitals: an epidemiological modelling study
    Sanjay Basu
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT 06520, USA
    Lancet 370:1500-7. 2007
  5. ncbi Unaffordable or cost-effective?: introducing an emergency referral system in rural Niger
    Paul Bossyns
    Belgian Technical Cooperation Agency BTC, Brussels, Belgium
    Trop Med Int Health 10:879-87. 2005
  6. pmc Evaluation and costs of different haemoglobin methods for use in district hospitals in Malawi
    A Medina Lara
    Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK
    J Clin Pathol 58:56-60. 2005
  7. ncbi WHO clinical criteria-based initiation of antiretroviral therapy: lessons from rural district hospitals in Cameroon with regard to 2009 revised WHO recommendations
    Charles Kouanfack
    Central Hospital, Yaounde, Cameroon
    Trop Med Int Health 15:580-3. 2010
  8. pmc Quality of paediatric blood transfusions in two district hospitals in Tanzania: a cross-sectional hospital based study
    Dominic Mosha
    Kilimanjaro Christian Medical Centre, PO Box 3010, Moshi, Tanzania
    BMC Pediatr 9:51. 2009
  9. ncbi Task shifting for emergency obstetric surgery in district hospitals in Senegal
    Vincent De Brouwere
    Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
    Reprod Health Matters 17:32-44. 2009
  10. ncbi Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery
    C Pereira
    Division of International Health IHCAR, Karolinska Institutet, Stockholm, Sweden
    BJOG 114:1530-3. 2007

Detail Information

Publications242 found, 100 shown here

  1. ncbi Assessment of inpatient paediatric care in first referral level hospitals in 13 districts in Kenya
    Mike English
    KEMRI Centre for Geographic Medicine Research, PO Box 230, Kilifi, Kenya
    Lancet 363:1948-53. 2004
    ..The district hospital is considered essential for delivering basic, cost-effective health care to children in resource poor countries. We aimed to investigate the performance of these facilities in Kenya...
  2. ncbi The challenge of hospitals in health sector reform: the case of Zambia
    E Blas
    UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR, World Health Organization, Geneva, Switzerland
    Health Policy Plan 16:29-43. 2001
    ..If the problems are to be dealt with, the Zambian planners must, together with the politicians, work to create a broad national consensus for understanding the situation, its urgency, and the limited options for forward action...
  3. pmc The decline in paediatric malaria admissions on the coast of Kenya
    Emelda A Okiro
    Malaria Public Health and Epidemiology Group, Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute Wellcome Trust Research Programme, P, O, Box 43640, 00100 GPO, Nairobi, Kenya
    Malar J 6:151. 2007
    ..There is only limited information on the health impact of expanded coverage of malaria control and preventative strategies in Africa...
  4. pmc Prevention of nosocomial transmission of extensively drug-resistant tuberculosis in rural South African district hospitals: an epidemiological modelling study
    Sanjay Basu
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT 06520, USA
    Lancet 370:1500-7. 2007
    ..We modelled the plausible effect of rapidly available infection control strategies on the overall course of the XDR tuberculosis epidemic in a rural area of South Africa...
  5. ncbi Unaffordable or cost-effective?: introducing an emergency referral system in rural Niger
    Paul Bossyns
    Belgian Technical Cooperation Agency BTC, Brussels, Belgium
    Trop Med Int Health 10:879-87. 2005
    ..An important investment was made in two health districts in Niger to organize an emergency referral system. This study estimates its impact and cost-effectiveness in relation with external determinants...
  6. pmc Evaluation and costs of different haemoglobin methods for use in district hospitals in Malawi
    A Medina Lara
    Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK
    J Clin Pathol 58:56-60. 2005
    To evaluate the characteristics of manual haemoglobin methods in use in Malawi and provide evidence for the Ministry of Health in Malawi to enable them to choose a suitable method for district hospitals.
  7. ncbi WHO clinical criteria-based initiation of antiretroviral therapy: lessons from rural district hospitals in Cameroon with regard to 2009 revised WHO recommendations
    Charles Kouanfack
    Central Hospital, Yaounde, Cameroon
    Trop Med Int Health 15:580-3. 2010
    ..infected with HIV with a CD4 count above 350 cells/mm(3) among those classified at WHO clinical stage 3 or 4 who initiated antiretroviral therapy in rural district hospitals in Cameroon to assess the 2009 revised WHO recommendations.
  8. pmc Quality of paediatric blood transfusions in two district hospitals in Tanzania: a cross-sectional hospital based study
    Dominic Mosha
    Kilimanjaro Christian Medical Centre, PO Box 3010, Moshi, Tanzania
    BMC Pediatr 9:51. 2009
    ..The current study describes the quality of paediatric BT delivered in two district hospitals in north-east Tanzania in order to identify areas for quality assurance and improvement in the ..
  9. ncbi Task shifting for emergency obstetric surgery in district hospitals in Senegal
    Vincent De Brouwere
    Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
    Reprod Health Matters 17:32-44. 2009
    ..Central decision-makers considered the policy more viable than training gynaecologists for district hospitals, but resistance from senior academic clinicians, a perceived lack of career progression among the doctors ..
  10. ncbi Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery
    C Pereira
    Division of International Health IHCAR, Karolinska Institutet, Stockholm, Sweden
    BJOG 114:1530-3. 2007
    ..The purpose of this study was to make an inventory of all government hospitals so as to document obstetric surgery performed by 'técnicos de cirurgia' (TCs) and to elucidate their retention at district level...
  11. ncbi Management of district hospitals--exploring success
    Ian D Couper
    Department of Family Medicine, University of the Witwatersrand, Parktown, South Africa
    Rural Remote Health 5:433. 2005
    ..The aim of the study was to explore and document what assists a rural district hospital to function well. The lessons learned may be applicable to similar hospitals all over the world...
  12. ncbi Diagnosis of acute bacterial meningitis in children at a district hospital in sub-Saharan Africa
    J A Berkley
    Centre for Geographic Medicine Research Coast, PO Box 230, Kilifi, Kenya
    Lancet 357:1753-7. 2001
    ..We have assessed the value of non-laboratory tests and incomplete laboratory data in diagnosing childhood acute bacterial meningitis in this setting...
  13. ncbi Quality of clinical supervision as perceived by specialist registrars in a university and district teaching hospital
    M Bruijn
    Emma Children s Hospital AMC, Amsterdam, The Netherlands
    Med Educ 40:1002-8. 2006
    ..Our objective was to investigate and compare the perceived quality of supervision (PQS) in a university teaching hospital (UTH) and a district teaching hospital (DTH) and to identify aspects of supervision that could be improved...
  14. pmc Causes and outcome of young infant admissions to a Kenyan district hospital
    M English
    Centre for Geographic Medicine Research Coast, KEMRI Wellcome Trust Research Laboratories, PO Box 230, Kilifi, Kenya
    Arch Dis Child 88:438-43. 2003
    ..These data, currently lacking, are important given present efforts to standardise their care through the integrated management of childhood illness (IMCI) and for prioritising both health care provision and disease prevention strategies...
  15. pmc Surgery in Malawi - a national survey of activity in rural and urban hospitals
    Chris Lavy
    Beit Cure Orthopaedic Hospital, Blantyre, Malawi
    Ann R Coll Surg Engl 89:722-4. 2007
    Malawi is a poor country with few doctors. It has 21 district hospitals all of which have operating theatres but none of which has a permanent surgeon. It also has 4 central hospitals, each with one or more surgeons...
  16. ncbi Major and minor surgery output at district level in Kenya: review and issues in need of further research
    Erik Nordberg
    Kenya Medical Research Institute, Nairobi, Kenya
    Afr J Health Sci 9:17-25. 2002
    ....
  17. pmc Caesarean section in Malawi: prospective study of early maternal and perinatal mortality
    Paul M Fenton
    Department of Anaesthesia, College of Medicine, Malawi
    BMJ 327:587. 2003
    ..To examine potentially modifiable factors that may influence the high maternal and perinatal mortality associated with caesarean section in Malawi...
  18. ncbi Unit costs of inpatient days in district hospitals in South Africa
    A Olukoga
    School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, The United Kingdom
    Singapore Med J 48:143-7. 2007
    This study aims to estimate the unit costs of inpatient days in five district hospitals in South Africa.
  19. ncbi Colonoscopies in Portuguese district hospitals: a multicentric transverse study
    M I Cremers
    Servico de Gastrenterologia, Hospital de São Bernardo, Rua Camilo Castelo Branco, 2910 446 Setúbal, Portugal
    Dig Liver Dis 38:912-7. 2006
    To characterise the colonoscopies performed in the Portuguese District Hospitals.
  20. ncbi Epidemiology of measles in the Central Region of Ghana: a five-year case review in three district hospitals
    W K Bosu
    Regional Public Health Services, P O Box 63, Cape Coast, Ghana
    East Afr Med J 80:312-7. 2003
    ..As part of a national accelerated campaign to eliminate measles, we conducted a study, to define the epidemiology of measles in the Central Region...
  21. pmc Introducing criteria based audit into Ugandan maternity units
    Andrew D Weeks
    Department of Obstetrics and Gynaecology, Makerere University, Kampala, Uganda
    BMJ 327:1329-31. 2003
    ..It is especially difficult to improve standards in rural areas, where there is little money for improvements. Furthermore, staff may be isolated, poorly paid, disempowered, lacking in morale, and have few skills to bring about change...
  22. ncbi Causes, magnitude and management of burns in under-fives in district hospitals in Dar es Salaam, Tanzania
    M Justin-Temu
    Dept of Pharmaceutics, School of Pharmacy, MUHAS
    East Afr J Public Health 5:38-42. 2008
    To determine the causes, magnitude and management of burns in children under five years of age who were admitted in the district hospitals of Dar es Salaam City, Tanzania.
  23. pmc Human resource and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional survey
    Margaret E Kruk
    Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, United States of America
    PLoS Med 7:e1000242. 2010
    ..This study described the range of providers of surgical care and anesthesia and estimated the resources dedicated to surgery at district hospitals in three African countries.
  24. ncbi A paediatric telecardiology service for district hospitals in south-east England: an observational study
    R Dowie
    Health Economics Research Group, Brunel University, Uxbridge, Middlesex, UK
    Arch Dis Child 94:273-7. 2009
    ..To compare caseloads of new patients assessed by paediatric cardiologists face-to-face or during teleconferences, and assess NHS costs for the alternative referral arrangements...
  25. pmc Child survival: district hospitals and paediatricians
    M English
    Department of Paediatrics, University of Oxford and Oxford Radcliffe Hospitals Trust, UK
    Arch Dis Child 90:974-8. 2005
    ..Progress is further complicated by the diverse conditions and obstacles that may be encountered worldwide...
  26. ncbi Impact of insecurity, the AIDS epidemic, and poverty on population health: disease patterns and trends in Northern Uganda
    S Accorsi
    Laboratory of Epidemiology and Biostatistics, , Rome, Italy
    Am J Trop Med Hyg 64:214-21. 2001
    ..In conclusion, preventable and/or treatable communicable diseases, mainly those related to poverty and poor hygiene, represent the leading causes of admission and death, reflecting the socioeconomic disruption in Northern Uganda...
  27. ncbi Holding up a mirror: changing obstetric practice through criterion-based clinical audit in developing countries
    P T Wagaarachchi
    Dugald Baird Center for Research on Women s Health, Department of Obstetrics and Gynecology, University of Aberdeen, Aberdeen Maternity Hospital, Aberdeen, UK
    Int J Gynaecol Obstet 74:119-30; discussion 131. 2001
    ..Criterion-based clinical audit in four typical district hospitals in Ghana and Jamaica is a feasible and acceptable method for quality assurance and appears to have improved ..
  28. pmc The Department of Health's "two week standard" for bowel cancer: is it working?
    K Flashman
    Colorectal Unit, Surgical Department, Queen Alexandra Hospital, Cosham, Portsmouth, UK
    Gut 53:387-91. 2004
    ..To determine the effectiveness and efficiency of the Department of Health's new general practitioner referral guidelines for bowel cancer...
  29. ncbi Ethnomethodological insights into insider-outsider relationships in nursing ethnographies of healthcare settings
    Davina Allen
    Nursing, Health and Social Care Research Centre, School of Nursing and Midwifery Studies, University of Wales College of Medicine, Eastgate House, 35 43 Newport Road, Cardiff CF24 0AB, Wales, UK
    Nurs Inq 11:14-24. 2004
    ..The article is offered as a contribution to an emerging body of scholarship that is directed at promoting a more rigorous and theoretically informed understanding of the conduct and reportage of ethnographic fieldwork...
  30. pmc Patient self discharge from the emergency department: who is at risk?
    V L Henson
    Gloucestershire Royal Hospital, Intensive Care, Gloucestershire, UK
    Emerg Med J 22:499-501. 2005
    ..To identify the number of patients who take their own discharge, to review how their competence to make the decision to refuse treatment was being assessed and managed, and to quantify the medical risk to these patients...
  31. pmc NICE head injury guidelines: cost implication for a district general hospital ("six scans to six figures")
    J B Lee
    Emerg Med J 21:125-6. 2004
  32. ncbi The sound of silence--nurses' non-verbal interaction within the ward round
    Karen Hill
    General Intensive Care Unit, Southampton General Hospital, Southampton, Hampshire
    Nurs Crit Care 8:231-9. 2003
    ..Drawing from the data, educational and training strategies are suggested to enhance collaborative practice in the clinical setting of intensive care...
  33. ncbi Non-invasive ventilation in surgical patients in a district general hospital
    R Badiger
    Specialist Registrar in Chest Medicine, Queen Mary s Hospital, Sidcup, Kent, UK
    Anaesthesia 59:967-70. 2004
    ..Use of NIV on the intensive care unit may obviate the need for tracheal intubation in some patients. In very ill surgical patients with a poor prognosis, NIV was frequently used as the ceiling of respiratory support...
  34. ncbi Assessment of contraceptive services in a maternity unit of a district general hospital in the UK
    N Rawal
    Department of Obstetrics and Gynaecology, Arrowe Park Hospital, Wirral, UK
    J Obstet Gynaecol 25:179-81. 2005
    ..There should be provision for comprehensive discussion regarding contraceptive options during both antenatal and postpartum periods. Midwives require regular training in family planning...
  35. ncbi Nurses resisting information technology
    Stephen Timmons
    School of Nursing, Postgraduate Division, University of Nottingham, Queen s Medical Centre, Nottingham NG7 2UH, UK
    Nurs Inq 10:257-69. 2003
    ..Resistance was as much about the ideas and ways of working that the systems embodied as it was about the actual technology being used. The patterns of resistance can best be summed up by the phrase "resistive compliance"...
  36. pmc Evidence for a link between mortality in acute COPD and hospital type and resources
    C M Roberts
    Clinical Effectiveness Evaluation Unit, Royal College of Physicians, London, UK
    Thorax 58:947-9. 2003
    ..This pilot study examined the hypothesis as a factor to be included in a future national audit programme...
  37. pmc Mortality after Staphylococcus aureus bacteraemia in two hospitals in Oxfordshire, 1997-2003: cohort study
    David H Wyllie
    Nuffield Department of Clinical Laboratory Sciences, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU
    BMJ 333:281. 2006
    ..To determine the incidence of methicillin resistant and methicillin sensitive Staphylococcus aureus (MRSA and MSSA) bacteraemia in inpatients and associated mortality within 30 days after diagnosis...
  38. ncbi Health professionals' views of the feasibility and acceptability of an oral care diary by patients during chemotherapy
    Morven Miller
    Cancer Care Research Centre, Department of Nursing and Midwifery, University of Stirling, Stirling FK9 4LA, UK
    Eur J Oncol Nurs 11:82-4. 2007
  39. pmc Trauma calls: role of the general surgeon and CT scanning
    R G Dattani
    Department of General Surgery, Royal Berkshire Hospital, Reading, UK
    Emerg Med J 22:339-41. 2005
    ..This study evaluated the role of general surgeons at trauma calls and assessed use of CT in cases of suspected abdominal trauma...
  40. ncbi Recent trends in tracheal intubation: a retrospective analysis of 97904 cases
    S Yarrow
    Department of Anaesthesia and Intensive Care, Northampton General Hospital, Billing Road, Cliftonville, Northampton, UK
    Anaesthesia 58:1019-22. 2003
    ..There was considerable variation across surgical specialities, with the greatest decline in tracheal intubation in head and neck surgery. These changes in practice have implications for the teaching of airway management skills...
  41. ncbi Developing a paediatric asthma review pro forma
    Harrop Michele
    Whiston Hospital, Merseyside
    Nurs Stand 19:33-40. 2005
    ..The completed pro formas contained information on general progress, symptom severity and management of the child since the last medical review...
  42. ncbi Reflective consideration of postoperative endophthalmitis as a quality marker
    S P Kelly
    Bolton Eye Unit, Bolton Hospitals NHS Trust, Minerva Road, Farnworth, Bolton BL4 OJR, England, UK
    Eye (Lond) 21:1419-26. 2007
    ..Consideration of such departmental healthcare-associated infection frequency rates as part of reflective and comparative quality practice in the light of local concerns...
  43. pmc Social deprivation and admission for neonatal care
    D Manning
    Neonatal Unit, Wirral Hospital, Arrowe Park, Wirral, Merseyside CH49 5PE, UK
    Arch Dis Child Fetal Neonatal Ed 90:F337-8. 2005
    ..To determine whether social deprivation is associated with neonatal unit admission...
  44. pmc Head injuries: a study evaluating the impact of the NICE head injury guidelines
    Z Hassan
    Emergency Medicine, Hope Hospital Salford, Urmston, Manchester
    Emerg Med J 22:845-9. 2005
    ..We wished to determine the impact of NICE on SXR, CT scan, and admission on all patients with head injury presenting to the ED setting and estimate the cost effectiveness of these guidelines, which has not been quantified to date...
  45. ncbi Completion rate to caecum as a quality measure of colonoscopy in a district general hospital
    D A Gorard
    Wycombe Hospital, High Wycombe, UK
    Colorectal Dis 6:243-9. 2004
    ..We audited colonoscopy completion rates in our unit and aimed to investigate reasons for failure...
  46. pmc NICE guideline for the management of head injury: an audit demonstrating its impact on a district general hospital, with a cost analysis for England and Wales
    B P Shravat
    Department of Accident and Emergency, Barnet Hospital, Barnet, EN5 3DJ, UK
    Emerg Med J 23:109-13. 2006
    ..Increased computed tomography (CT) was of particular concern (cost, radiation risk, and delivery constraints)...
  47. pmc The effect of total hip replacement on the employment status of patients under the age of 60 years
    R Mobasheri
    Department of Orthopaedic Surgery, Royal Surrey County Hospital, Guildford, Surrey, UK
    Ann R Coll Surg Engl 88:131-3. 2006
    ..A retrospective study was undertaken of a consecutive cohort of 86 patients (101 hips) under the age of 60 years operated on by a single orthopaedic team between 1993 and 2003 at a district general hospital...
  48. pmc Validation of physiological scoring systems in the accident and emergency department
    C P Subbe
    Department of Medicine, Wrexham Maelor Hospital, Wrexham, UK
    Emerg Med J 23:841-5. 2006
    ..Scoring systems that weigh the degree of abnormality of bedside observations might be able to identify patients at risk of catastrophic deterioration...
  49. pmc Identifying high-risk patients undergoing urgent and emergency surgery
    W D Neary
    Gloucestershire Vascular Group, Gloucestershire Royal Hospital, Gloucester, UK
    Ann R Coll Surg Engl 88:151-6. 2006
    ..The aim was to identify high-risk patients undergoing non-elective orthopaedic and general surgery...
  50. ncbi Outcome of term breech births: 10-year experience at a district general hospital
    Poonam Pradhan
    Heartlands and Solihull NHS Trust, Princess of Wales Maternity Unit, Birmingham B9 5SS, UK
    BJOG 112:218-22. 2005
    ..To review the short and long term outcomes among singleton infants with breech presentation at term delivered in a geographically defined population over a 10-year period...
  51. pmc Audit of head injury management in Accident and Emergency at two hospitals: implications for NICE CT guidelines
    Lucy Miller
    The Medical School, The University of Leeds Worsley Building, Clarendon Way, Leeds UK LS2 9JT
    BMC Health Serv Res 4:7. 2004
    ..This study audits the process of the management of patients with head injury presenting at Accident and Emergency (A&E) departments and examines the impact upon resources of introducing NICE guidelines for eligibility of a CT scan...
  52. ncbi Development of a cardiac technician led paediatric echocardiographic service--experience from a district general hospital in the United Kingdom
    Jane Allen
    York District Hospital, York, United Kingdom
    Cardiol Young 15:299-301. 2005
    ..To report our experience in providing cardiac technician led paediatric echocardiography services in a district general hospital in the United Kingdom...
  53. ncbi Six month outcomes after emergency admission of elderly patients to a community or a district general hospital
    Alison Round
    East Devon PCT, North and East Devon Health Authority, UK
    Fam Pract 21:173-9. 2004
    ..However, the proposed expansion presumes that CH care is as effective as acute hospital care. No direct comparison of outcomes between CHs and district general hospitals (DGHs) has been undertaken...
  54. pmc Audit on the efficient use of cross-matched blood in elective total hip and total knee replacement
    B A Rogers
    Department of Trauma and Orthopaedics, Stoke Mandeville Hospital, Buckinghamshire, UK
    Ann R Coll Surg Engl 88:199-201. 2006
    ..This prospective audit studies the use of cross-matched blood in 301 patients over a 1-year period undergoing total knee (TKR) and total hip replacement (THR) surgery in an orthopaedic unit...
  55. pmc Treating the clock and not the patient: ambulance response times and risk
    L Price
    Research and Development Support Unit, Peninsula Medical School, Plymouth, Devon, PL6 8BX, UK
    Qual Saf Health Care 15:127-30. 2006
    ..A study was undertaken to examine paramedics' accounts of the effects on patient care and on their own health and safety of attempts to meet the 8 minute target...
  56. ncbi Sub-specialization in general surgery: the problem of providing a safe emergency general surgical service
    J P Garner
    Department of Surgery, Queen Alexandra Hospital, Portsmouth, UK
    Colorectal Dis 8:273-7. 2006
    ..To evaluate the size of the problem this study determined how often complex emergency surgical cases are treated by general surgeons working outside their own elective subspecialty...
  57. ncbi The effect of introducing radiographer reporting on the availability of reports for Accident and Emergency and General Practitioner examinations: a time-series analysis
    S D Brealey
    York Trials Unit, Department of Health Sciences, University of York, York YO10 5DD, UK
    Br J Radiol 78:538-42. 2005
    ..In conclusion, selectively trained radiographers reporting on A&E X-ray examinations significantly improved the availability of reports for A&E and GP examinations...
  58. pmc Improving the effectiveness of the emergency management of renal colic in a district general hospital: a completed audit cycle
    C Kastner
    Department of Urology, East Surrey Hospital, Redhill
    Emerg Med J 20:449-50. 2003
    ..To assess the current practice of emergency management of renal colic in a district hospital, review literature, implement new guidelines, and assess them...
  59. pmc Requests for electroencephalography in a district general hospital: retrospective and prospective audit
    D Smith
    Department of Neurology, Walton Centre for Neurology and Neurosurgery, Fazakerley, Liverpool L9 7LJ, UK
    BMJ 322:954-7. 2001
    ..Systematic replication of this project, possibly on a regional basis, could result in financial savings, which would allow development of accessible local neurophysiology services...
  60. ncbi Making patients better: a qualitative descriptive study of registered nurses' reasons for working in surgical areas
    Carolyn Mackintosh
    Division of Nursing, University of Bradford, Unity Building, Trinity Road, Bradford, UK
    J Clin Nurs 16:1134-40. 2007
    ..To explore the reasons and motivation identified by qualified nurses for working within the surgical area...
  61. ncbi Insider ethnography: tinker, tailor, researcher or spy?
    Maxine Simmons
    Chesterfield Royal Hospital NHS Foundation Trust, UK
    Nurse Res 14:7-17. 2007
    ..Maxine Simmons reflects on her experiences as an 'insider' ethnographer - a senior manager undertaking research with nurse consultants within her own employing organisation - and the issues that arose as a result...
  62. pmc Retrospective audit of different antenatal screening policies for Down's syndrome in eight district general hospitals in one health region
    Diana Wellesley
    Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton SO16 5YA
    BMJ 325:15. 2002
    ..To compare the effectiveness of different screening policies for the antenatal detection of Down's syndrome...
  63. ncbi An audit of electroencephalography requests: use and misuse
    K M Pearce
    St George s, University of London, Cranmer Terrace, London SW17 ORE, UK
    Seizure 15:184-9. 2006
    ..To investigate whether electroencephalogram (EEG) requests at St George's Hospital (SGH) are being made according to clinical guideline recommendations...
  64. ncbi Chronic wound audit: evaluation of a tissue viability service
    Christine Tait
    Conquest Hospital, East Sussex NHS Trust
    Br J Nurs 16:S14, S16, S18 passim. 2007
    ..The mean bed stay for both medical and surgical patients was 28.5 bed days but with surgical patients alone median bed stay was a staggering 45.5 days...
  65. pmc Can a district general hospital serving a population of 480,000 offer subspecialty training? --A prospective audit
    K V Menon
    Department of Surgery, Royal Berkshire Hospital, Reading, UK
    Ann R Coll Surg Engl 84:57-61. 2002
    ..Subspecialty training has been mostly restricted to teaching hospitals. We aimed to assess whether higher surgical trainees can be offered subspecialty training in a district general hospital serving a large population...
  66. pmc The CUSUM chart method as a tool for continuous monitoring of clinical outcomes using routinely collected data
    Thabani Sibanda
    Epsom and St Helier Univesity Hospitals NHS Trust, St Helier Hospital, Wrythe Lane, Carshalton, Surrey, SM5 1AA, UK
    BMC Med Res Methodol 7:46. 2007
    ..The low Apgar score (5 minute Apgar score < 7) was used as an example outcome...
  67. pmc A 5-year audit of rhinology procedures carried out in a district general hospital
    H Mehrzad
    Wexham Park Hospital, Slough, UK
    Ann R Coll Surg Engl 89:804-7. 2007
    ..Although there has been many studies quoting ENT and rhinology complications, there have been none looking at the complication rates of one department with a single specialist rhinologist over a 5-year period...
  68. ncbi Parotid neoplasms in children: experience of diagnosis and management in a district general hospital
    M Ethunandan
    Department of Oral and Maxillofacial Surgery, St Richards Hospital, Chichester, West Sussex, PO19 4SE, UK
    Int J Oral Maxillofac Surg 32:373-7. 2003
    ..All patients were alive and well at the time of last follow up. Transient facial nerve palsy and hypertrophic scars were the most common complications...
  69. ncbi Management of lymphoma patients in a cancer unit: an audit of 15 years' experience in a district general hospital
    J D Chester
    Bradford Royal Infirmary, UK
    Clin Oncol (R Coll Radiol) 13:243-50. 2001
    ..Survival figures comparable with those obtained nationally and across Europe are attainable in a cancer unit. Multiple pathways of referral of lymphoma patients operate in our region...
  70. ncbi Abdominal tuberculosis in a district general hospital: a retrospective review of 86 cases
    J Ramesh
    Chest Clinic, Royal Blackburn Hospital, Blackburn, Lancashire BB2 3HH, UK
    QJM 101:189-95. 2008
    ..Abdominal tuberculosis (ATB) is a great mimic and an important cause of morbidity. Its incidence is more common in certain groups...
  71. ncbi Safety, effectiveness and cost efficacy of diagnostic electrophysiology and radiofrequency ablation in a district general hospital
    A R Mitchell
    Department of Cardiology, Eastbourne General Hospital, East Sussex, UK
    Int J Clin Pract 55:305-8. 2001
    ..6%, a total complication rate of 3.9% and no associated mortality. We have shown that RF ablation can be performed safely, effectively and economically in a DGH setting with a high rate of success and a low complication rate...
  72. ncbi Clinical audit documenting insertion date of peripheral intravenous cannulae
    Juyaly Biswas
    General Medicine, Dewsbury and District General Hospital
    Br J Nurs 16:281-3. 2007
    ....
  73. ncbi An assessment of open access referral for percutaneous endoscopic gastrostomy in a district general hospital
    Mark R Fox
    Kent and Sussex Hospital, Tunbridge Wells TN4 8AT, UK
    Eur J Gastroenterol Hepatol 14:1245-9. 2002
    ..To determine the indications, technical success and outcomes of open access percutaneous endoscopic gastrostomy (PEG) insertion in the district general hospital setting...
  74. ncbi "It's good to talk"--an audit of the communication of post-operative thromboembolic complications
    M D Brinsden
    Department of Trauma and Orthopaedics, Derriford Hospital, Plymouth, Devon, PL6 8DH
    J R Nav Med Serv 88:65-7. 2002
    ..The inter-specialty communication of post-operative complications is important to maintain a high standard of patient care and allow surgeons to make informed decisions about clinical practice...
  75. ncbi Perceptions of critical care outreach within a network
    Catherine Plowright
    Medway NHS Trust
    Nurs Times 102:36-40. 2006
    ..The purpose of this study was to establish healthcare professionals' perceptions of critical care outreach...
  76. pmc Developing a neonatal workforce: role evolution and retention of advanced neonatal nurse practitioners
    S L Smith
    Division of Child Health, School of Nursing and Midwifery, University of Southampton, Southampton, UK
    Arch Dis Child Fetal Neonatal Ed 88:F426-9. 2003
    ..Over the past decade more than 120 advanced neonatal nurse practitioners (ANNPs) have graduated from the Southampton based ANNP programme...
  77. pmc Training opportunities in the management of paediatric fractures: a district general hospital perspective
    W Y Kim
    Department of Orthopaedics, Tameside General Hospital, Ashton upon Lyne, UK
    Ann R Coll Surg Engl 88:450-3. 2006
    ..The aim of this study was to determine the range and number of procedures performed for paediatric orthopaedic fractures, degree of supervision and possible implications for training...
  78. ncbi Open access echocardiography: a prospective audit of referral patterns from primary care
    S G Williams
    Department of Cardiology, Arrowe Park Hospital, Upton, Wirral, UK
    Int J Clin Pract 57:136-9. 2003
    ..ECG interpretation in primary care is unreliable. In view of limited resources, hospitals should vigorously screen referrals for open access echocardiography...
  79. pmc The use of skull X-rays in the accident and emergency department
    S D Simon
    Department of Orthopaedics, Royal Berkshire Hospital, Reading, UK
    Ann R Coll Surg Engl 85:120-2. 2003
    ....
  80. ncbi The highs and lows of learning to be a children's nurse
    Alan Glasper
    University of Southampton
    Paediatr Nurs 18:22-6. 2006
    ..This study investigates student nurses' perceptions of the process of undergoing a programme of education leading to registration as a children's nurse...
  81. ncbi Impact of protocol-based guidelines on the management and outcome of acute upper gastrointestinal hemorrhage in a district general hospital
    R M Anwar
    Frimley Park Hospital, Camberley, Surrey, United Kingdom
    Can J Gastroenterol 17:97-100. 2003
    ..Patients were better monitored and mortality was reduced to 7.5%. Reduction of mortality from upper GI hemorrhage followed the introduction of an agreed protocol based on risk scoring...
  82. pmc Appraisal, assessment and career development for doctors in training: the Mersey Deanery personal development portfolio
    J S Sprigge
    Wirral Hospitals NHS Trust, Merseyside, UK
    J R Soc Med 99:521-6. 2006
    ..To develop a robust valid and exportable appraisal and assessment process for doctors in training which is portfolio based and works at all hospitals within the deanery. It is called the personal development portfolio...
  83. ncbi Comparison of restorative dentistry referrals to a district general hospital and to a teaching hospital using a pilot Index of Restorative Dental Treatment Need
    Paul H R Wilson
    Guy s and St Thomas s Hospital Trust, London SE1 9RT, UK
    Eur J Prosthodont Restor Dent 11:57-63. 2003
    ..The results support the expansion of specialist restorative dentistry services in district general hospitals...
  84. ncbi The Thai Anesthesia Incidents Study (THAI study) of ambulatory anesthesia: II. Anesthetic profiles and adverse events
    Yodying Punjasawadwong
    Department of Anesthesiology, Chiang Mai University, Chiang Mai 50200, Thailand
    J Med Assoc Thai 91:188-95. 2008
    ..There is a continuing trend to have more elective surgery performed on an outpatient basis...
  85. pmc Public-sector maternal health programmes and services for rural Bangladesh
    Malay Kanti Mridha
    Public Health Sciences Division, ICDDR, B, G P O Box 128, Dhaka 1000, Bangladesh
    J Health Popul Nutr 27:124-38. 2009
    ..The Health Services wing of the MoHFW has ensured that all district-level public-health facilities, e.g., district hospitals and medical colleges, can provide comprehensive essential obstetric care (EOC) and have targeted to upgrade ..
  86. ncbi Neonatal screening for congenital toxoplasmosis in the Poznań region of Poland by analysis of Toxoplasma gondii-specific IgM antibodies eluted from filter paper blood spots
    M Paul
    Department of Medical Microbiology, Institute of Microbiology and Infectious Diseases, Karol Marcinkowski University of Medical Sciences, Poznan, Poland
    Pediatr Infect Dis J 19:30-6. 2000
    ....
  87. ncbi The Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes: II. Anesthetic profiles and adverse events
    Somrat Charuluxananan
    Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
    J Med Assoc Thai 88:S14-29. 2005
    ..The purposes of the Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes were to survey patients, surgical, anesthetic profiles and determine factors related to adverse events...
  88. ncbi Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodology
    Steffen Flessa
    Department of Tropical Hygiene and Public Health, University of Heidelberg, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany
    Int J Health Plann Manage 19:63-77. 2004
    ..However, the majority of inhabitants strongly depends on governmental hospital services. These services are currently going through a financial crisis. This demands the quest for efficiency and the wise allocation of public funds...
  89. pmc Symphysiotomy in Zimbabwe; postoperative outcome, width of the symphysis joint, and knowledge, attitudes and practice among doctors and midwives
    Hege Langli Ersdal
    Division of International Health IHCAR, Karolinska Institutet, Stockholm, Sweden
    PLoS ONE 3:e3317. 2008
    ....
  90. ncbi Visual loss associated with pediatric uveitis in english primary and referral centers
    Clive Edelsten
    Medical Ophthalmology Department, Great Ormond Street Hospital, London, United Kingdom
    Am J Ophthalmol 135:676-80. 2003
    ..Only one study has been population-based, so the effect of referral bias is not known. We examined the pattern of disease in primary and referral centers to establish the unique characteristics of uveitis in children...
  91. ncbi Need and strategy for sentinel surveillance for drug resistance in leprosy in India
    P L Joshi
    Directorate General of Health Services, Central Leprosy Division, Ministry of Health and Family Welfare, Government of India, 342 A, Nirman Bhawan, New Delhi 110 011, India
    Indian J Lepr 81:113-8. 2009
    ..Certain district hospitals and tertiary institutions can be identified as sentinel sites in endemic states where tissue samples can be ..
  92. ncbi Differences between local and review urinary cytology in diagnosis of bladder cancer. An interobserver multicenter analysis
    Mika P Raitanen
    Department of Urology, Clinic of Surgery, Seinajoki Central Hospital, Hanneksenrinne 7, 60220 Seinajoki, Finland
    Eur Urol 41:284-9. 2002
    ..In addition, the effect of the type of institution on agreement was determined...
  93. ncbi Association of an HLA-DQ allele with clinical tuberculosis
    A E Goldfeld
    Division of Adult Oncology, Dana Farber Cancer Institute, Boston, MA 02115, USA
    JAMA 279:226-8. 1998
    ..Although tuberculosis (TB) is the leading worldwide cause of death due to an infectious disease, the extent to which progressive clinical disease is associated with genetic host factors remains undefined...
  94. ncbi Rupture uterus in primigravida: morbidity and mortality
    S M Padhye
    Department of Obstetrics and Gynaecology, Kathmandu Medical College, Sinamangal, Nepal
    Kathmandu Univ Med J (KUMJ) 5:492-6. 2007
    ..This paper is aimed to present "Rupture of the uterus (RU) in primigravida "- unscarred cases which are supposed to be extremely rare...
  95. ncbi Decentralization in Zambia: resource allocation and district performance
    Thomas Bossert
    Harvard School of Public Health, Boston, MA 02115, USA
    Health Policy Plan 18:357-69. 2003
    ..tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations...
  96. ncbi The epidemiology of bite and scratch injuries by vertebrate animals in Switzerland
    H C Matter
    Swiss Federal Office of Public Health, Division of Epidemiology and Infectious Diseases, Bern
    Eur J Epidemiol 14:483-90. 1998
    ..Hospitalization was reported in 0.3 % of patients. Data from the emergency department of two district hospitals showed that head and neck injuries were more frequent in out-patients and a higher proportion of persons ..
  97. ncbi Refresher training and continuing education for para-medical ophthalmic assistants
    B R Shamanna
    International Centre for Advancement of Rural Eye Care, L V Prasad Eye Institute, Hyderabad BRS, India
    Indian J Ophthalmol 47:49-52. 1999
    ..The course participants included 60 PMOAs working either in district hospitals, primary health centres or mobile units from the districts in Maharashtra...
  98. ncbi Forensic medicine in Bangladesh
    Muhammad Nurul Islam
    Department of Forensic Medicine, Dhaka Medical College, Dhaka, Bangladesh
    Leg Med (Tokyo) 5:S357-9. 2003
    ..Sometimes, residential medical officers in the district hospitals perform the medico-legal work...
  99. ncbi A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong Kong
    Y Yip
    Department of Nursing and Health Sciences, Faculty of Health and Social Studies, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China
    J Adv Nurs 36:794-804. 2001
    ..Low back pain (LBP) remains a common and costly problem among the nursing profession. Several studies have indicated that LBP is attributed to mentally straining or demanding work, fatigue or exhaustion or general work satisfaction...
  100. ncbi Cardiac arrest after spinal anesthesia in Thailand: a prospective multicenter registry of 40,271 anesthetics
    Somrat Charuluxananan
    Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Rama IV Rd, Pathumwan, Bangkok 10330, Thailand
    Anesth Analg 107:1735-41. 2008
    ..As part of the Thai Anesthesia Incidents Study of anesthetic adverse outcomes, we evaluated the incidence and factors related to cardiac arrest during spinal anesthesia...
  101. pmc Health workforce attrition in the public sector in Kenya: a look at the reasons
    Slavea Chankova
    International Health Division, Abt Associates Inc, Bethesda, Maryland, USA
    Hum Resour Health 7:58. 2009
    ..type of health facility: provincial hospitals lost on average 4% of their health workers, compared to 3% for district hospitals and 5% for health centres. However, there are differences in the patterns of attrition rates by cadre...

Research Grants15

  1. Hospital - Based Surveillance of Acute Febrile Illness in Western Ghat Region of
    ARUNKUMAR GOVINDAKARNAVAR; Fiscal Year: 2013
    ..aims to characterize the infectious causes of Acute Febrile Illness (AFI) among patients in India, in Sub-District Hospitals in Western Ghat region of India covering Karnataka, Kerala and Tamil Nadu...
  2. Impact of Distinct Eco-epidemiology on Malaria Drug Resistance in Ghana
    Anita Ghansah; Fiscal Year: 2013
    ..A total of 200 children/year (800 over four years) with uncomplicated malaria in District hospitals of the two study sites who meet the study inclusion criteria will be enrolled during the peak of the malaria ..
  3. Influenza and Other Emerging Infectious Diseases in Vietnam (U01)
    HIEN TRAN NGUYEN; Fiscal Year: 2013
    ..and disease;4) Burden of influenza-related acute lower respiratory tract infection (ALRTI) in 3 selected district hospitals, Vietnam;5) Development of improved methods for the diagnosis of influenza in humans in Vietnam, especially ..
  4. Improving Quality of Care for the Treatment of Childhood Pneumonia
    Patricia L Hibberd; Fiscal Year: 2012
    ..Investment in pulse oximetry to detect hypoxemia in rural and district hospitals worldwide has not occurred, partly because no clinical trial has been conducted to determine whether access ..
  5. Programatic-Strengthening Medical Education for Improved Health Outcomes in Kenya
    JAMES NJOGU KIARIE; Fiscal Year: 2013
    ..This will be done by training and accrediting local medical doctors and specialists at 12 district hospitals outside Nairobi which will become rotation sites for medical students, interns, and postgraduates...
  6. Linked - Mental Health Research Training for Improved Health Outcomes in Kenya
    Deepa Rao; Fiscal Year: 2013
    ..institutions outside Nairobi in years 2 and 3, basing implementation science projects at these rural district hospitals and promoting access to resources among those not centrally based...
  7. Optimizing Clinical Outcomes in HIV-infected Adults &Children using Xpert MTB/RI
    NZALI GENEVIEVE KANCHEYA; Fiscal Year: 2013
    ..before-after" study design in pediatric and adult HIV-infected populations in two similar peri-urban district hospitals in Zambia...
  8. Family-Focused HIV Disclosure Intervention in Thailand
    Sung Jae Lee; Fiscal Year: 2013
    ..intervention will be designed to be integrated within the existing health care infrastructure of the district hospitals in Northeastern Thailand selected for the proposed study. The training goals of the proposed study are: 1...
  9. Redefining Cerebral Malaria
    Terrie Taylor; Fiscal Year: 2009
    ..apos;brain smears'(prepared and stained as thin blood films are, and thus within the scope of most district hospitals in Africa) can identify 'true'cerebral malaria as reliably as brain histology...
  10. Philippine Child Health and Policy Experiment
    John Peabody; Fiscal Year: 2007
    ..abstract_text> ..
  11. HIV Related Stigma among Service Providers in China
    Li Li; Fiscal Year: 2005
    ..These data will prepare the team to conduct a randomized controlled trial across different levels of health care providers in China. ..
  12. TEA for Families & Children: Preparation for a Randomized Trial
    Li Li; Fiscal Year: 2010
    ..The goal of this study is to develop and pilot an intervention for PLH and their family members in order to improve the long term health, mental health and behavioral adjustment of the children in poor, rural areas in China. ..
  13. Family-to-Family: Psychoeducation to Improve Children's Outcomes in HIV+ Families
    Li Li; Fiscal Year: 2009
    ..In Phase 2, families with HIV+ parents (400 HIV+ parents, 600 family caregivers) from 4 district hospitals in Chang Rai &Nakhon Ratchasima Provinces will be recruited to an intervention to benefit their 960 ..
  14. Mathematically modeling the transmission and control of extensively drug resistan
    Sanjay Basu; Fiscal Year: 2008
    ..The goal of this project is to determine how to reduce XDR tuberculosis incidence, using mathematical models of its transmission. [unreadable] [unreadable] [unreadable]..
  15. Burden of Malaria in Pregnancy in India
    Davidson Hamer; Fiscal Year: 2007
    ..The information generated by the study will also be instrumental in the development of new programs for preventing and mitigating the impact of MIP in India. [unreadable] [unreadable] [unreadable]..