The author analysis and talks about the discussion of the process of Brazilian Psychiatric Reform and Paulo Delgado's legislation, which proposes new technologies in mental health care that substitutes the psychiatric hospital. To the author, the concept of de-institutionalization in opposition to desospitalization, defines better the ethics aspects in mental health care.

BACKGROUND The United Kingdom incidence of anaphylaxis has increased very sharply over the last decade, with the highest rates of hospital admissions occurring in school-aged children. This raises concerns about the extent to which schools are aware of approaches to the prevention and treatment of anaphylaxis. METHODS AND FINDINGS We undertook a national postal survey of 250 Scottish schools ...

he health care industry is enduring tumultuous upheaval as hospitals, insurers, physician practices and other industry participants reconfigure themselves to thrive in the 21st century. At the same time, health care systems face pressing near-term challenges: deteriorating payer mix, hospital admission declines, reimbursement pressures and the need for massively expensive technology investments...

BACKGROUND Limited accessibility to health care may be a barrier to obtaining good care. Few studies have investigated the association between access-to-care factors and COPD hospitalizations. The objective of this study is to estimate the association between access-to-care factors and health care utilization including hospital/emergency department (ED) visits and primary care physician (PCP) o...

"OBJECTIVE--To compare the efficacy of home based care with standard hospital care in treating serious mental illness. DESIGN--Randomised controlled trial. SETTING--South Southwark, London. PATIENTS--189 patients aged 18-64 living in catchment area. 92 were randomised to home based care (daily living programme) and 97 to standard hospital care. At three months' follow up 68 home care and 60 hos...

objective: to describe a home care service developed in roozbeh hospital for patients with bipolar disorder and schizophrenia and report baseline and 6-month follow-up data. method: roozbeh home care program consists of home visits by multidisciplinary home care teams, including general practitioners, nurses, and social workers who are supervised by psychiatrists. home visits are scheduled as b...

We investigated the incidence of cases of nosocomial pathogens and risk factors in an intensive treatment unit ward to determine if the number of cases is dependent on location of patients and the colonization/infection history of the ward. A clustering approach method was developed to investigate the patterns of spread of cases through time for five microorganisms [methicillin-resistant Staphy...

This study assessed the provision of education and support to parents of children on home enteral nutrition (HEN), current dietetic support available and perceived challenges facing parents and carers. From the 39 responses (13%), 29 (83%, n = 35) parents suggested services for HEN need improvement. 29 (74%, n = 39) parents wanted more structured follow up and 22 (56%) would like one person to ...

Acinetobacter. baumannii has emerged as an important, opportunistic pathogen and is involved in various nosocomial infections,especially in intensive care units (ICUs). Its clinical significance is due to the ability to easily acquire resistance genes from the environment, making it one of the organisms threatening the currently available therapeutic panel of antimicrobials [1]. Patients with A...