Archive for the ‘Health’ Category

Case 3 A 32-year-old HIV-positive homosexual man was admitted to the hospital in September 1986 for tonic-clonic seizure activity, weight loss, diarrhea and low-grade fever. His past medical history was significant for chronic hepatitis. Head CT scan and lumbar puncture were normal. An EEC showed abnormal slowing without lateralizing signs and he was treated with […]

Unfortunately, because many variables can affect the relation between SAP and LV volume, it is still difficult to infer cardiovascular status from changes in SAP. The multiple determinants of SAP variation operating in all patients could explain the variability of findings in both the literature and in our data on this relation. Scharf et al, […]

Pituitary adenylate cyclase-activating polypeptide (PA-CAP) is a neuropeptide recently isolated from the ovine hypothalamus . It occurs in two forms, PACAP-38 and PACAP-27, sharing the same N-terminal 27 amino acids. The high degree of sequence homology of these peptides with VIP, peptide histidine isoleucine, secretin, and glucagon (30-68%) suggests its membership in this family of […]

Health care restructuring in 1995 radically transformed our hospital, with a resultant impact on nosocomial blood stream infections. While there was a decrease in bed number, admissions and patient days at the hospital, patient popula­tions shifted from groups at lower nosocomial infection risk (eg, ophthalmology, psychiatry, internal medicine and paedi­atrics) to groups at higher risk […]

Hospital patient volume and acuity: Although between 1993/94, and 1996/97, there was a 10% decline in patient beds (645 to 586), the number of ICU beds was unchanged and slightly increased as a proportion all beds, from 13.2% to 14.7%. Annual hospital admissions fell from 29,085 to 23,597 (19%). Overall, there was a 17% decline […]

Hospital volume and acuity: To assess trends in hospital pa­tient care volume, the number of hospital inpatient beds, an­nual admissions and patient days were obtained comparing 1993 and 1994 (1993/94) 1996 and 1997 (1996/97). To assess changes in the hospital population, the proportion of inpatient beds designated as intensive care unit (ICU) beds and the […]

The impact of health care restructuring on nosocomially acquired blood stream infections Health care delivery has always undergone evolutionary change as disease patterns evolve and their treatments are modified. In the past decade, Canadians have witnessed much more rapid and revolutionary change in health care de­livery than has been previously experienced. Some of the changes […]