OBJECTIVES To compare the contributions of patients, emergency physicians, and surgeons in the delay of diagnosis and treatment of appendicitis, and the effects of delay on disease stage and complication rate. DESIGN Retrospective study. SETTING Accident and emergency department of a district public hospital, Hong Kong. PATIENTS All patients undergoing emergency appendectomy between Augus...

OBJECTIVE To investigate whether admission time was associated with the delay of reperfusion therapy and in-hospital death in patients with ST-elevation myocardial infarction (STEMI). METHODS All patients with STEMI who were admitted to the emergency department and underwent primary percutaneous coronary intervention at Peking University People's Hospital between April 2012 and March 2015 wer...

While evidence indicates that early stage disease has better prognosis, the effect of delay in presentation and treatment of patients with non-small cell lung cancer (NSCLC) on survival is debatable. A retrospective study of 122 Malaysian patients with NSCLC was performed to examine the presentation and treatment delay, and its relation with patient survival. Median (25-75% IQR) interval betwee...

BACKGROUND Cancer is a complex disease requiring multidisciplinary approach in establishing prompt diagnosis and treatment. Treatment timely manner crucial for the outcomes. Hence, this study aimed to provide information on treatment delay including patient provider delays its associated factors.
 METHODS patients were recruited conveniently outpatient clinic of Department Radiation Oncolo...

Last three decades have witnessed revolutionary changes in the management of patients with ST-elevation acute myocardial infarction (AMI). Despite the advances in pharmacological and interventional treatment, the magnitude of morbidity and mortality from AMI remains quite substantial. It is widely acknowledged that the key factor in the successful treatment of AMI by thrombolytic therapy is the...

INTRODUCTION Delay in diagnosis and treatment has a great influence on morbidity and mortality of ST-segment elevation myocardial infarction (STEMI) patients. Every 30 min of delay in reperfusion is associated with an 8% increase in mortality. ECG teletransmission was proved to effectively shorten time delays in STEMI treatment. In 2012 an ECG teletransmission program was introduced in the Lowe...

Several studies have shown sex differences regarding help-seeking behaviour in stroke and transient ischemic attack [TIA] patients. Women are less likely to perceive their symptoms as requiring immediate hospital care. They also more inclined involve friends family decision-making help-seeking. Delaying transport the is partly due behavioural socio-demographic factors of female These impact pro...

Objective. We examined the cause of transfer delay in patients with an acute ST-segment myocardial infarction (STEMI) from non percutaneous coronary intervention (PCI) capable to PCI capable hospitals. We then implemented a novel, simple, and reliable initiative to improve the transfer process. Background. Guidelines established by the ACC/AHA call for door-to-balloon times of ≤90 minutes for p...

BACKGROUND Control of tuberculosis (TB) depends on early diagnosis and treatment at the primary health care level. However, many patients are still diagnosed late with TB at hospitals. The present study aimed to investigate the delay in diagnosis of TB patients at the emergency department. METHODS This was a prospective study in a general, tertiary care, university-affiliated hospital of a ci...

this article proposes a direct method for solving three types of integral equations with time delay. by using operational matrix of integration, integral equations can be reduced to a linear lower triangular system which can be directly solved by forward substitution. numerical examples shows that the proposed scheme have a suitable degree of accuracy.