RESUMO
Background: Identifying the magnitude of this improper use and applying interventions to eliminate unnecessary hospitalization will reduce health-care expenditure, improve the quality of care for patients, and increase the accessibility to care for actual patients in need on waiting lists. Aim of Work: To measures the rate of inappropriate admissions at the Ain Shams University Hospital. Methods: This research is the preintervention phase of a study conducted to improve the appropriateness of patient admission at this hospital. The appropriateness evaluation protocol (AEP) was used to review the appropriateness of 576 hospital admissions over 100 days. The patients’ medical records were stratified according to the admission route into two groups, namely emergency and outpatient admission. Next, the systematic random samples were taken from each stratum based on the admission list of the previous day. Results: The results showed that 20.5% of the sampled cases were inappropriately admitted. Furthermore, a statistically significant difference was observed between appropriately and inappropriately admitted cases regarding gender and shifts during which admission occurred in addition to body systems affected; inappropriate admissions were more among females, and admissions occurred most frequently during the morning shifts (8:00 am–2:00 pm). The remaining other factors that were studied also proved insignificant. Conclusion: It can be concluded that a considerable proportion of hospital admissions is inappropriate, especially in the elective surgery department, and these admissions vary according to patient’s gender, shifts during which admission occurred, and the affected body systems. Recommendations: Adopting hospital admission policies based on the AEP criteria in addition to training of physicians on these criteria would help prevent inappropriate admission and ensure optimization during use of hospital facilities.
RESUMO
Cardiovascular disease is the most important adult health problem in the world. Epidemiological studies and laboratory experiments have shown that fruit and vegetable consumption has protective effects against cardiovascular disease. So that, the aim of this study is to investigate, the hypocholesterolaemic effects of Dill [Anethum graveolens L.] and Coriander [Coriandrum sativum L.] in two levels 5 and 10% for 6 weeks in hypercholesterolemic rats and their effects on liver and kidney functions. Thirty six rats were divided into six groups, [each of 6 rats] as follow, first group [control negative] fed on basal diet only, second group [control positive] fed on hypercholesterolemic diet [basal diet, 1% cholesterol, 0.25% bile salt and 15% beef tallow], third groups fed on hypercholesterolemic diet supplemented with 5% coriander, fourth groups fed on hypercholesterolemic diet supplemented with 10% coriander, fifth group fed on hypercholesterolemic diet supplemented with 5% dill, and the sixth group fed on hypercholesterolemic diet supplemented with 10% dill. At the end of the experimental period [6 weeks] blood was collected then lipid profile and liver and kidney functions were determined in the serum. The results indicated that, consumption of dill or coriander with 5% or 10% significantly [P<0.05] decreased the mean value of serum total cholesterol, triglycerides, LDL-C and VLDL-C and significantly increased serum HDL-C as compared to control positive group. Also both dill and coriander significantly [P<0.05] improved liver and kidney functions. It was observed that no significant differences between the two tested levels and also between dill or coriander, It is concluded that dill and coriander have a significant lipid lowering effects and are promising hypocholesterolemic agents. Further scientific efforts are certainly required to establish the exact mechanism of action using the purified active components of them