OBJECTIVES A network approach to transfer ST-segment elevation myocardial infarction (STEMI) patients can achieve durable first door-to-balloon times (1st D2B) for percutaneous coronary intervention (PCI) within 90 min. BACKGROUND Nationally, a minority of STEMI patients from referral centers obtain 1st D2B in <2 h and even fewer in <90 min. METHODS Included were transfer STEMI patients fro...

BACKGROUND: Referral is a critical part of appropriate primary care and of the Integrated Management of Childhood Illness (IMCI) strategy. We set out to study referrals from the aspect both of primary level facilities and the referral hospital in Kilombero District, southern Tanzania. Through record review and a separate prospective study we estimate referral rates, report on delays in reaching...

conclusions considering the high prevalence of cardiovascular diseases and fractures in iranian pilgrims, the necessity of self-care education to diminish such rates is substantial. results a total of 177 referral cases from iranian clinics to iraqi hospitals were recorded in 5 months. most of these referrals were due to cardiovascular diseases with 38.6%, then comes trauma with 26.55%, and fin...

Waste generated by hospital is categorized as waste containing hazardous materials (B3) which can pose a hazard to the environtment, public health and other living things if disposed of directly into environtment. The purpose this study was describe management B3 solid medical at Regional General Hospital West Sulawesi Province Covid-19 Patient Referral Hospital. This research descriptive with ...

Introduction: Otolaryngology is a field with a high referral rate; however, there is a dearth of research on the quality of referral letters written in this field. This study was carried out to explicitly assess the quality of referral letters, more specifically in the field of otology.   Materials and Methods: Two otologists assessed referral letters written by general ...

Use of telecommunication technologies for remote, continuous monitoring of patients can enhance e‚ectiveness of emergency ambulance care during transport from rural areas to a regional center hospital. However, the communication along the various routes in rural areas may have wide bandwidth ranges from 2G to 4G; some regions may have only lower satellite bandwidth available. Bandwidth ƒuctuati...

Introduction: Severely sick-children presenting at primary healthcare facilities need referral to higher level for better care. Adherence referrals and quality of care received by those referred could serve as critical steps towards their survival.Objective: To describe experiences with severely sick children higher-level health reasons non-adherence referral; explore provider’s perspectives re...

BACKGROUND Afghanistan has one of the highest rates of maternal mortality in the world. We assess the health outcomes and cost-effectiveness of strategies to improve the safety of pregnancy and childbirth in Afghanistan. METHODS Using national and sub-national data, we adapted a previously validated model that simulates the natural history of pregnancy and pregnancy-related complications. We ...

BACKGROUND Regional ST-segment-elevation myocardial infarction systems are being developed to improve timely access to primary percutaneous coronary intervention (PCI). System delays may diminish the mortality benefit achieved with primary PCI in ST-segment-elevation myocardial infarction patients, but the specific reasons for and clinical impact of delays in patients transferred for PCI are un...