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At least 127 records · Page 7Linked to original sources
PubMed1983

A hazards-model analysis of the covariates of infant and child mortality in Sri Lanka.

The purpose of this paper is twofold: (a) to provide a complete self-contained exposition of estimating life tables with covariates through the use of hazards models, and (b) to illustrate this technique with a substantive analysis of child mortality in Sri Lanka, thereby demonstrating that World Fertility Survey data are a valuable source for the study of child mortality. We show that life tables with covariates can be easily estimated with standard computer packages designed for analysis of contingency tables. The substantive analysis confirms and supplements an earlier study of infant and child mortality in Sri Lanka by Meegama. Those factors found to be strongly associated with mortality are mother's and father's education, time period of birth, urban/rural/estate residence, ethnicity, sex, birth order, age of the mother at the birth, and type of toilet facility.

Actuarial Analysis↗
PubMed1993

Evaluation and management of urinary incontinence in older patients.

The training of health care providers in the diagnosis and management of urinary incontinence is inadequate, and evaluation and management skills are less than optimal. Urinary incontinence volume measurement is difficult to perform accurately in elderly long-term-care inpatients. After incontinence has been noted, the physician needs to select the appropriate studies to determine the cause and choose the correct treatment. Otherwise, treatable causes such as outlet obstruction or fecal impaction may be missed. Subsequent management includes scheduled visits to the toilet, treatment of impaired mobility, use of easily identified and accessible toilet facilities, reevaluation of the need for restraints and side rails, and, if appropriate, the use of drugs to treat the incontinence. Many elderly incontinent patients who are treated in the outpatient setting can be cured or substantially improved.

Aged↗
PubMed1993

[Discharge planning and continuity of care of the patient with stroke].

The discharge and continuity of care of the patient suffering circulatory disorders in brains are discussed in this article. In nursing care it is essential to draw attention to the following issues: active nursing care from the beginning of care emphasizing discharge, to inform the patient of the nursing care plan and implementation participation of the patient's family in the nursing care plan as early a stage as possible to settle the matters at home carefully (stairs, lift, thresholds, doors, floor material, toilet facilities, communication facilities etc.) good cooperation and information between the ward and the personnel in charge of the continuity of care in primary care services, social services and family equal, emphatic, individual and trustworthy attitude towards the patient and the family.

Aged↗
PubMed1995

Remote home monitoring of health status of the elderly.

The hypothesis that functional health status amongst the elderly can be accurately determined remotely by continuously monitoring relatively simple parameters that measure the interaction between the participant and his or her environment was examined. Changes in such simple measures as mobility, sleep patterns, utilization of cooking, washing, and toilet facilities can identify changes in functional health status and prompt appropriate, timely, and cost-effective intervention of medical and community-based services to help reduce morbidity and maintain an independent, high quality of life. We discuss the design and implementation of a multidisciplinary research project and an associated field trial to unobtrusively monitor and correlate interaction with the home environment and functional health status.

Activities of Daily Living↗
PubMed1997

Delayed primary wound closure in upper extremity soft tissue infections.

Health care costs for inpatient care have been escalating. Homeless and indigent patients may be unable to have access to clean toilet facilities to perform adequate wound care. Evaluation of delayed primary closure of upper extremity soft tissue infections after incision and drainage in 34 patients was done. Patients were discharged at an average of 8.3 days (range, 5-21 days). This is 11 days less than the reported average granulation time for wounds to heal. No patient required readmission for surgery, wound care, or intravenous antibiotics. The authors' institution charges a rate of $2800 per patient day. A potential savings of $1,047,200 was realized.

Adolescent↗