BACKGROUND In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functio...

Objective: To study how ear and rectal body temperatures relate to each other over time in febrile patients. Methods: Descriptive cohort study with repeated measurements. The setting was a Unit for Infectious Diseases at a county hospital in Sweden. Patients, ≥ 18 years, admitted for suspected infection and with a rectal or ear temperature of ≥ 37.5◦C were invited. 16 females and 24 men, 19 to ...

BACKGROUND Previous research suggests that the World Health Organization Surgical Safety Checklist time-out reduces communication failures and medical complications and supports development of better safety attitudes. Previous research also indicates that different values can affect the implementation of interventions. OBJECTIVE To investigate the actual usage of the checklist in practice and...

PURPOSE Epilepsy is a chronic condition that is best treated in the outpatient clinic setting. However, many epilepsy patients use the hospital emergency room (ER) as a primary resource for seizure management. We studied characteristics of these patients in comparison with patients attending an epilepsy clinic. METHODS We reviewed ER data of patients seen in 2002 and 2003 for seizures, in Van...

OBJECTIVE The economic benefits of reducing emergency department (ED) crowding are potentially substantial as they may decrease hospital length of stay. Hospital administrators and public officials may therefore be motivated to implement crowding protocols. We sought to identify a potential cost of ED crowding by evaluating the contribution of excess ED length of stay (LOS) to overall hospital ...

Citizen-science databases have been used to develop species distribution models (SDMs), although many taxa may be only georeferenced to county. It is tacitly assumed that SDMs built from county-scale data should be less precise than those built with more accurate localities, but the extent of the bias is currently unknown. Our aims in this study were to illustrate the effects of using county-sc...

background & aim: bushehrwith an area of about 177.1km² is situated in center of bushehr province, southern iran. existence beach line with persian gulf and helle river cause of settlement diversity in this zone. with attention in this settlement diversity in this zone transaction of this work is necessary. experimental: many specimens were collected during the vegetative seasons in 2011to ...

• The Clark County Domestic Violence Court has improved the County's ability to deal with domestic violence perpetrators and victims. • Given the apparent increase in domestic violence cases in Clark County there may be a need to allocate additional resources to the court. • There is a need to conduct an outcome evaluation of the Clark County Domestic Violence Court, with a specific focus on th...

leishmaniasis is one of the most important parasitic diseases in terms of human injury and economic consequences which has a wide range of clinical protests of skin damage to fatal visceral discomfort covers. kala-azar is a mediterranean-type in and its main reservoirs are dogs and canine family. currently the most common disease centers are in parts of provinces such as ardebil, fars, east of ...

Since the passage of the North American Free Trade Agreement in 1993, there has been an increasing need to monitor environmental health trends that may be related to the rapid industrialization of the United States/Mexico border. We studied two counties on the California/Baja California border to obtain baseline data on trends in childhood asthma hospitalizations and two pollutants that aggrava...