Summary: Government-controlled hospitals which represent the major health facility for a designated geographic area.
Publications242 found, 100 shown here
- Assessment of inpatient paediatric care in first referral level hospitals in 13 districts in KenyaMike 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...
- The challenge of hospitals in health sector reform: the case of ZambiaE 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...
- The decline in paediatric malaria admissions on the coast of KenyaEmelda 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...
- Prevention of nosocomial transmission of extensively drug-resistant tuberculosis in rural South African district hospitals: an epidemiological modelling studySanjay 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...
- Unaffordable or cost-effective?: introducing an emergency referral system in rural NigerPaul 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...
- Evaluation and costs of different haemoglobin methods for use in district hospitals in MalawiA Medina Lara
Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK
J Clin Pathol 58:56-60. 2005To 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.
- WHO clinical criteria-based initiation of antiretroviral therapy: lessons from rural district hospitals in Cameroon with regard to 2009 revised WHO recommendationsCharles 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.
- Quality of paediatric blood transfusions in two district hospitals in Tanzania: a cross-sectional hospital based studyDominic 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 ..
- Task shifting for emergency obstetric surgery in district hospitals in SenegalVincent 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 ..
- Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgeryC 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...
- Management of district hospitals--exploring successIan 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...
- Diagnosis of acute bacterial meningitis in children at a district hospital in sub-Saharan AfricaJ 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...
- Quality of clinical supervision as perceived by specialist registrars in a university and district teaching hospitalM 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...
- Causes and outcome of young infant admissions to a Kenyan district hospitalM 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...
- Surgery in Malawi - a national survey of activity in rural and urban hospitalsChris Lavy
Beit Cure Orthopaedic Hospital, Blantyre, Malawi
Ann R Coll Surg Engl 89:722-4. 2007Malawi 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...
- Major and minor surgery output at district level in Kenya: review and issues in need of further researchErik Nordberg
Kenya Medical Research Institute, Nairobi, Kenya
Afr J Health Sci 9:17-25. 2002....
- Caesarean section in Malawi: prospective study of early maternal and perinatal mortalityPaul 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...
- Unit costs of inpatient days in district hospitals in South AfricaA Olukoga
School of Medicine, Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, The United Kingdom
Singapore Med J 48:143-7. 2007This study aims to estimate the unit costs of inpatient days in five district hospitals in South Africa.
- Colonoscopies in Portuguese district hospitals: a multicentric transverse studyM I Cremers
Servico de Gastrenterologia, Hospital de São Bernardo, Rua Camilo Castelo Branco, 2910 446 Setúbal, Portugal
Dig Liver Dis 38:912-7. 2006To characterise the colonoscopies performed in the Portuguese District Hospitals.
- Epidemiology of measles in the Central Region of Ghana: a five-year case review in three district hospitalsW 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...
- Introducing criteria based audit into Ugandan maternity unitsAndrew 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...
- Causes, magnitude and management of burns in under-fives in district hospitals in Dar es Salaam, TanzaniaM Justin-Temu
Dept of Pharmaceutics, School of Pharmacy, MUHAS
East Afr J Public Health 5:38-42. 2008To 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.
- Human resource and funding constraints for essential surgery in district hospitals in Africa: a retrospective cross-sectional surveyMargaret 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.
- A paediatric telecardiology service for district hospitals in south-east England: an observational studyR 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...
- Child survival: district hospitals and paediatriciansM 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...
- Impact of insecurity, the AIDS epidemic, and poverty on population health: disease patterns and trends in Northern UgandaS 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...
- Holding up a mirror: changing obstetric practice through criterion-based clinical audit in developing countriesP 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 ..
- 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...
- Ethnomethodological insights into insider-outsider relationships in nursing ethnographies of healthcare settingsDavina 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...
- 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...
- 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
- The sound of silence--nurses' non-verbal interaction within the ward roundKaren 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...
- Non-invasive ventilation in surgical patients in a district general hospitalR 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...
- Assessment of contraceptive services in a maternity unit of a district general hospital in the UKN 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...
- Nurses resisting information technologyStephen 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"...
- Evidence for a link between mortality in acute COPD and hospital type and resourcesC 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...
- Mortality after Staphylococcus aureus bacteraemia in two hospitals in Oxfordshire, 1997-2003: cohort studyDavid 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...
- Health professionals' views of the feasibility and acceptability of an oral care diary by patients during chemotherapyMorven 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
- Trauma calls: role of the general surgeon and CT scanningR 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...
- Recent trends in tracheal intubation: a retrospective analysis of 97904 casesS 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...
- Developing a paediatric asthma review pro formaHarrop 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...
- Reflective consideration of postoperative endophthalmitis as a quality markerS 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...
- Social deprivation and admission for neonatal careD 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...
- Head injuries: a study evaluating the impact of the NICE head injury guidelinesZ 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...
- Completion rate to caecum as a quality measure of colonoscopy in a district general hospitalD 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...
- 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 WalesB 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)...
- The effect of total hip replacement on the employment status of patients under the age of 60 yearsR 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...
- Validation of physiological scoring systems in the accident and emergency departmentC 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...
- Identifying high-risk patients undergoing urgent and emergency surgeryW 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...
- Outcome of term breech births: 10-year experience at a district general hospitalPoonam 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...
- Audit of head injury management in Accident and Emergency at two hospitals: implications for NICE CT guidelinesLucy 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...
- Development of a cardiac technician led paediatric echocardiographic service--experience from a district general hospital in the United KingdomJane 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...
- Six month outcomes after emergency admission of elderly patients to a community or a district general hospitalAlison 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...
- Audit on the efficient use of cross-matched blood in elective total hip and total knee replacementB 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...
- Treating the clock and not the patient: ambulance response times and riskL 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...
- Sub-specialization in general surgery: the problem of providing a safe emergency general surgical serviceJ 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...
- The effect of introducing radiographer reporting on the availability of reports for Accident and Emergency and General Practitioner examinations: a time-series analysisS 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...
- Improving the effectiveness of the emergency management of renal colic in a district general hospital: a completed audit cycleC 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...
- Requests for electroencephalography in a district general hospital: retrospective and prospective auditD 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...
- Making patients better: a qualitative descriptive study of registered nurses' reasons for working in surgical areasCarolyn 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...
- 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...
- Retrospective audit of different antenatal screening policies for Down's syndrome in eight district general hospitals in one health regionDiana 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...
- An audit of electroencephalography requests: use and misuseK 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...
- Chronic wound audit: evaluation of a tissue viability serviceChristine 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...
- Can a district general hospital serving a population of 480,000 offer subspecialty training? --A prospective auditK 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...
- The CUSUM chart method as a tool for continuous monitoring of clinical outcomes using routinely collected dataThabani 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...
- A 5-year audit of rhinology procedures carried out in a district general hospitalH 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...
- Parotid neoplasms in children: experience of diagnosis and management in a district general hospitalM 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...
- Management of lymphoma patients in a cancer unit: an audit of 15 years' experience in a district general hospitalJ 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...
- Abdominal tuberculosis in a district general hospital: a retrospective review of 86 casesJ 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...
- Safety, effectiveness and cost efficacy of diagnostic electrophysiology and radiofrequency ablation in a district general hospitalA 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...
- Clinical audit documenting insertion date of peripheral intravenous cannulaeJuyaly Biswas
General Medicine, Dewsbury and District General Hospital
Br J Nurs 16:281-3. 2007....
- An assessment of open access referral for percutaneous endoscopic gastrostomy in a district general hospitalMark 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...
- "It's good to talk"--an audit of the communication of post-operative thromboembolic complicationsM 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...
- Perceptions of critical care outreach within a networkCatherine 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...
- Developing a neonatal workforce: role evolution and retention of advanced neonatal nurse practitionersS 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...
- Training opportunities in the management of paediatric fractures: a district general hospital perspectiveW 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...
- Open access echocardiography: a prospective audit of referral patterns from primary careS 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...
- The use of skull X-rays in the accident and emergency departmentS D Simon
Department of Orthopaedics, Royal Berkshire Hospital, Reading, UK
Ann R Coll Surg Engl 85:120-2. 2003....
- The highs and lows of learning to be a children's nurseAlan 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...
- Impact of protocol-based guidelines on the management and outcome of acute upper gastrointestinal hemorrhage in a district general hospitalR 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...
- Appraisal, assessment and career development for doctors in training: the Mersey Deanery personal development portfolioJ 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...
- Comparison of restorative dentistry referrals to a district general hospital and to a teaching hospital using a pilot Index of Restorative Dental Treatment NeedPaul 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...
- The Thai Anesthesia Incidents Study (THAI study) of ambulatory anesthesia: II. Anesthetic profiles and adverse eventsYodying 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...
- Public-sector maternal health programmes and services for rural BangladeshMalay 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 ..
- Neonatal screening for congenital toxoplasmosis in the Poznań region of Poland by analysis of Toxoplasma gondii-specific IgM antibodies eluted from filter paper blood spotsM 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....
- The Thai Anesthesia Incidents Study (THAI Study) of anesthetic outcomes: II. Anesthetic profiles and adverse eventsSomrat 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...
- Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodologySteffen 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...
- Symphysiotomy in Zimbabwe; postoperative outcome, width of the symphysis joint, and knowledge, attitudes and practice among doctors and midwivesHege Langli Ersdal
Division of International Health IHCAR, Karolinska Institutet, Stockholm, Sweden
PLoS ONE 3:e3317. 2008....
- Visual loss associated with pediatric uveitis in english primary and referral centersClive 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...
- Need and strategy for sentinel surveillance for drug resistance in leprosy in IndiaP 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 ..
- Differences between local and review urinary cytology in diagnosis of bladder cancer. An interobserver multicenter analysisMika 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...
- Association of an HLA-DQ allele with clinical tuberculosisA 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...
- Rupture uterus in primigravida: morbidity and mortalityS 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...
- Decentralization in Zambia: resource allocation and district performanceThomas 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...
- The epidemiology of bite and scratch injuries by vertebrate animals in SwitzerlandH 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 ..
- Refresher training and continuing education for para-medical ophthalmic assistantsB 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...
- Forensic medicine in BangladeshMuhammad 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...
- A study of work stress, patient handling activities and the risk of low back pain among nurses in Hong KongY 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...
- Cardiac arrest after spinal anesthesia in Thailand: a prospective multicenter registry of 40,271 anestheticsSomrat 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...
- Health workforce attrition in the public sector in Kenya: a look at the reasonsSlavea 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...
- Hospital - Based Surveillance of Acute Febrile Illness in Western Ghat Region ofARUNKUMAR 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...
- Impact of Distinct Eco-epidemiology on Malaria Drug Resistance in GhanaAnita 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 ..
- 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 ..
- Improving Quality of Care for the Treatment of Childhood PneumoniaPatricia 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 ..
- Programatic-Strengthening Medical Education for Improved Health Outcomes in KenyaJAMES 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...
- Linked - Mental Health Research Training for Improved Health Outcomes in KenyaDeepa 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...
- Optimizing Clinical Outcomes in HIV-infected Adults &Children using Xpert MTB/RINZALI 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...
- Family-Focused HIV Disclosure Intervention in ThailandSung 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...
- Redefining Cerebral MalariaTerrie 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...
- Philippine Child Health and Policy ExperimentJohn Peabody; Fiscal Year: 2007..abstract_text> ..
- HIV Related Stigma among Service Providers in ChinaLi 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. ..
- TEA for Families & Children: Preparation for a Randomized TrialLi 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. ..
- Family-to-Family: Psychoeducation to Improve Children's Outcomes in HIV+ FamiliesLi 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 ..
- Mathematically modeling the transmission and control of extensively drug resistanSanjay 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]..
- Burden of Malaria in Pregnancy in IndiaDavidson 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]..