BACKGROUND Salmonellosis and shigellosis are mandatorily notifiable diseases in Greece. Underreporting of both diseases has been postulated but there has not been any national study to quantify it. The objective of this study was to: a) estimate underreporting of hospitalised cases at public Greek hospitals in 2011 with a capture-recapture (C-RC) study, b) evaluate the accuracy of this estimati...

BACKGROUND To explore changes in utilization patterns for general practice (GP) and hospital care of people living in deprived neighbourhoods when primary care providers work in a more coherent and coordinated manner by applying an integrated approach. METHODS We compared expected (based on consumption patterns of a health insurers' total population) and actual utilization patterns in a depri...

The epidemic broke out in the interior of the Seoni District about the middle of 1919 and gradually spread to the own in January, 1920. The first admission to the hospital was in the beginning of February From February to April 34 cases were admitted into the hospital, and more than 200 cases were treated in the out-door dispensary. Almost the whole district was infected, and the mortality was ...

comparisons be possible. The real differences in surgical mortality that do exist between surgeons and centres may teach important lessons. One study compared mortality between a teaching hospital and its adjacent district hospital and led to a proper intensive care unit being provided in the district hospital. 14 The confidential inquiry into perioperative deaths emphasised the value of regula...

Plans to centralise paediatric surgery in Ireland have potentially significant implications for service provision and surgical training. study assesses the workload of paediatric surgery in a district hospital over a five-year period. Paediatric surgical admissions and procedures at Mayo General Hospital from January 2006 - December 2010 were reviewed. Data was obtained from the Hospital inpati...

BACKGROUND Bungoma District Hospital Laboratory (BDHL), which supports a 200-bed referral facility, began its Strengthening Laboratory Management Toward Accreditation (SLMTA) journey in 2011 together with eight other laboratories in the second round of SLMTA rollout in Kenya. OBJECTIVES To describe how the SLMTA programme and enhanced quality interventions changed the culture and management s...

BACKGROUND The impact of surgical conditions on global health, particularly on vulnerable populations, is gaining recognition. However, only 3.5% of the 234.2 million cases per year of major surgery are performed in countries where the world's poorest third reside, such as the Democratic Republic of the Congo (DRC). METHODS Data on the availability of anesthesia and surgical services were gat...

104 consecutive patients with upper gastrointestinal bleeding admitted to a district general hospital over a period of 20 months were considered for laser photocoagulation. 58 patients were found to have peptic ulcers, of which 42 had stigmata of recent haemorrhage accessible to laser photocoagulation. 17 were treated with a Nd-YAG laser and 25 were managed conservatively. There was no signific...

Departments of 1Clinical Cardiology and 2Rheumatology, University Hospital, Padova, Italy; 3Department of Angiology and Blood Coagulation Marino Golinelli, University Hospital, Bologna, Italy; 4District Hospital, Cremona, Italy; 5Internal and Vascular Medicine, University Hospital, Perugia, Italy; 6Internal Medicine, University Hospital, Cagliari, Italy; 7Transfusion Medicine, District Hospital...

OBJECTIVE To assess the demands made on a regional trauma centre by a district trauma unit. DESIGN Two part study. (1) Prospective analysis of one month's workload. (2) Retrospective analysis of one year's workload by using a computer based records system. Comparison of two sets of results. SETTING Accident unit in Gwynedd Hospital, Bangor. PATIENTS (1) All patients who attended the accid...