Bulletin - Agricultural Experiment Station, University of Minnesota.

Mode of access: Internet.

Informe de pasantía internacional saint mary’s university of Minnesota – I- 2015

Bogotá (Colombia) : Universidad de La Salle. Facultad de Ciencias de La Educación. Licenciatura en Lengua Castellana, Inglés y Francés

Quarterly bulletin of Northwestern University Medical School.

Description based on: Vol. 5, no. 4 (1904)

The implementation of the Medical Regulation Office and Mobile Emergency Attendance System and its impact on the gravity profile of non-traumatic afflictions treated in a University Hospital: a research study

Abstract Background The public health system of Brazil is structured by a network of increasing complexity, but the low resolution of emergency care at pre-hospital units and the lack of organization of patient flow overloaded the hospitals, mainly the ones of higher complexity. The knowledge of this phenomenon induced Ribeirão Preto to implement the Medical Regulation Office and the Mobile Emergency Attendance System. The objective of this study was to analyze the impact of these services on the gravity profile of non-traumatic afflictions in a University Hospital. Methods The study conducted a retrospective analysis of the medical records of 906 patients older than 13 years of age who entered the Emergency Care Unit of the Hospital of the University of São Paulo School of Medicine at Ribeirão Preto. All presented acute non-traumatic afflictions and were admitted to the Internal Medicine, Surgery or Neurology Departments during two study periods: May 1996 (prior to) and May 2001 (after the implementation of the Medical Regulation Office and Mobile Emergency Attendance System). Demographics and mortality risk levels calculated by Acute Physiology and Chronic Health Evaluation II (APACHE II) were determined. Results From 1996 to 2001, the mean age increased from 49 ± 0.9 to 52 ± 0.9 (P = 0.021), as did the percentage of co-morbidities, from 66.6 to 77.0 (P = 0.0001), the number of in-hospital complications from 260 to 284 (P = 0.0001), the mean calculated APACHE II mortality risk increased from 12.0 ± 0.5 to 14.8 ± 0.6 (P = 0.0008) and mortality rate from 6.1 to 12.2 (P = 0.002). The differences were more significant for patients admitted to the Internal Medicine Department. Conclusion The implementation of the Medical Regulation and Mobile Emergency Attendance System contributed to directing patients with higher gravity scores to the Emergency Care Unit, demonstrating the potential of these services for hierarchical structuring of pre-hospital networks and referrals.

School of Nursing Class of 1983, Medical-Surgical

Top Row: Carol Serr, Peggy Quinlan, Laura Struble, Lynne Carpenter, Shirley Evans, Catherine Eichel, Irene Soble

Row 2: Mary Jo Grippen, Judy Howe

Row 3: Cindy Fenske, Mary Lynn Parker

Row 4: Tara Prescott, Maureen Sheehan, William Paddock, Linda Hein, Dai-Wei Chen, James Fischer, Susan Saydak, Linda Heller Burgess

School of Nursing Class of 1985, Medical-Surgical

Top Row: James M. Benard, Megan L. McCarthy, Maureen T. Cummings, Madeline M. Diedo, Karla M. Jacobus

Row 2: Lois E. Larson, Maris Y. Maquera

Row 3: Mary S. Smalldon, Colleen M. Corte

Row 4: Jan Brissette, Kathryn A. Kacynski, Nancy R. Payne, Katrina D. Roy

School of Nursing Class of 1986, Medical-Surgical

Top Row: Yvonne C. Cosgray, Sandra D. Felton, Wendie L. Bander, Jean M. Devendorf

Row 2: Brenda K. Smith, Janice B. London

Row 3: Ellen F. Rainier, Barbara A. Urbanski

Row 4: Deborah L. Wierzbinski, Ruth R. R. Lweis, Gayle A. Besinger, Sarah E. Newton

School of Nursing Class of 1989, Medical-Surgical

Top Row: Mei-Ling Lin, Karen S. Hagen, Mary Ann Rickelmann, Kathryn E. Echulte, Julianne M. Shea, Gloria J. George, Susan A. Wintermeyer

Row 2: Denise M. Yurik, Rebecca E. Jackson

Row 3: Mary J Barry, Ellen D. Nichols, Dorothy M. O'Connor, Anne F. Darga, Doris R. Grinspun, Suzanne M. Hurd, Christine M. Olree

The Pre-entry Program at UTMSH: Effect on Academic Performance of First-Year Medical Students

Introduction: The Pre-Entry Program at The University of Texas Medical School at Houston is presented to assist entering students who are judged to be at risk for academic difficulty. It requires a significant commitment of time on the part of faculty, staff and students. The effectiveness of this program needs to be evaluated. [See PDF for complete abstract]