7 research outputs found
Deprivation and its impact on non-urgent paediatric emergency department use: Are nurse practitioners the answer?
Aims: This article reports on the quantitative findings from a large mixed method study that determined the extent to which the provision of alternatives to an Emergency Department and Index of Relative Social Disadvantage score influenced non-urgent paediatric Emergency Department use. Background: In Australia, there is an increasing use of Emergency Departments for the provision of non-urgent care that may be better serviced in the community. Further, despite the plethora of literature describing the characteristics of non-urgent users of Emergency Departments the link to social and community characteristics remains under explored. Design: This 2010 retrospective analysis of the Hospital Admission Status data from the paediatric Emergency Department provided the information on attendance types and numbers along with postcode details. The postcodes in conjunction with Australia Bureau of Statistics data provided the levels of deprivation from the Index of Relative Social Deprivation scores. Method: A logistic regression analysis determined the levels of influence of deprivation and General Practitioner or Nurse Practitioner provision on the use of Emergency Departments for non-urgent care. Findings: Rates of use for non-urgent care is higher for populations who come from areas of deprivation and have limited primary care services, such as low levels of General Practitioners. Children from areas of high deprivation and limited access to primary care were up to six times more likely to use Emergency Department for non-urgent care. Conclusions: Deprivation impacts on the use of paediatric Emergency Departments for non-urgent care even in countries like Australia where there is government subsidized health care
Additional file 3: of Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial
Intervention record—community nurse and GP version. (DOCX 30 kb
Additional file 2: of Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial
Intervention diary—patient version. (DOCX 27 kb
Additional file 1: of Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial
SPIRIT checklist. (PDF 806 kb
Additional file 4: of Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial
Two-way referral letter. (DOCX 21 kb
Additional file 5: of Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial
Usual care table. (DOCX 19 kb
Perfluorinated Alkyl Acids in Blood Serum from Primiparous Women in Sweden: Serial Sampling during Pregnancy and Nursing, And Temporal Trends 1996–2010
We investigated temporal trends of blood serum levels
of 13 perfluorinated
alkyl acids (PFAAs) and perfluorooctane sulfonamide (FOSA) in primiparous
women (<i>N</i> = 413) from Uppsala County, Sweden, sampled
3 weeks after delivery 1996–2010. Levels of the short-chain
perfluorobutane sulfonate (PFBS) and perfluorohexane sulfonate (PFHxS)
increased 11%/y and 8.3%/y, respectively, and levels of the long-chain
perfluorononanoate (PFNA) and perfluorodecanoate (PFDA) increased
4.3%/y and 3.8%/y, respectively. Concomitantly, levels of FOSA (22%/y),
perfluorooctane sulfonate (PFOS, 8.4%/y), perfluorodecane sulfonate
(PFDS, 10%/y), and perfluorooctanoate (PFOA, 3.1%/y) decreased. Thus,
one or several sources of exposure to the latter compounds have been
reduced or eliminated, whereas exposure to the former compounds has
recently increased. We explored if maternal levels of PFOS, PFOA,
and PFNA during the early nursing period are representative for the
fetal development period, using serial maternal serum samples, including
cord blood (<i>N</i> = 19). PFAA levels in maternal serum
sampled during pregnancy and the nursing period as well as in cord
blood were strongly correlated. Strongest correlations between cord
blood levels and maternal levels were observed for maternal serum
sampled shortly before or after the delivery (<i>r</i> =
0.70–0.89 for PFOS and PFOA). A similar pattern was observed
for PFNA, although the correlations were less strong due to levels
close to the method detection limit in cord blood