RESUMO
OBJECTIVE: To assess the efficiency of a short stay observation ward attached to the accident and emergency (A&E) department of a main teaching hospital. METHODS: The study was done on 107 patients admitted to the A&E observation ward and 107 similar patients admitted to general wards after closure of the observation ward. Patients of 13 years and over who required short term admission to hospital for observation or investigation were included. RESULTS: Patients admitted to the A&E observation ward were seen sooner by a senior doctor, had fewer investigations, and had a shorter stay in hospital than similar patients admitted to the general wards. CONCLUSIONS: The A&E observation ward was more efficient than the general acute wards at dealing with short stay patients.
Assuntos
Serviço Hospitalar de Emergência , Admissão do Paciente , Planejamento de Assistência ao Paciente , Serviço Hospitalar de Emergência/tendências , Departamentos Hospitalares , Humanos , Tempo de Internação , Monitorização Fisiológica , Estudos RetrospectivosAssuntos
Administração Hospitalar , Feminino , Humanos , Masculino , Satisfação do Paciente , Quartos de PacientesRESUMO
Solvent abuse in adolescents and young adults has been reported to cause a metabolic acidosis with a normal or increased anion gap (Streicher et al., 1981; Voights & Kaufman, 1983, Anonymous, 1988). We report a particularly severe clinical problem produced by the combination of toluene intoxication and diabetic ketoacidosis.
Assuntos
Diabetes Mellitus Tipo 1/complicações , Cetoacidose Diabética/induzido quimicamente , Solventes/intoxicação , Transtornos Relacionados ao Uso de Substâncias , Tolueno/intoxicação , Acetona/sangue , Equilíbrio Ácido-Base/efeitos dos fármacos , Adulto , Cetoacidose Diabética/complicações , Cetoacidose Diabética/metabolismo , Feminino , Humanos , Tolueno/sangueAssuntos
Intoxicação/epidemiologia , Acidentes , Adolescente , Adulto , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Irlanda do Norte , SuicídioAssuntos
Rubéola (Sarampo Alemão)/diagnóstico , Adolescente , Adulto , Fatores Etários , Anticorpos/análise , Antígenos Virais/análise , Criança , Pré-Escolar , Imunofluorescência , Humanos , Lactente , Métodos , Faringe/microbiologia , Rubéola (Sarampo Alemão)/imunologia , Vírus da Rubéola/isolamento & purificação , Testes Sorológicos , Fatores de TempoAssuntos
Imunoglobulinas/análise , Rubéola (Sarampo Alemão)/diagnóstico , Adolescente , Adulto , Anticorpos/análise , Antígenos Virais/análise , Células Cultivadas/imunologia , Imunofluorescência , Testes de Inibição da Hemaglutinação , Humanos , Imunoglobulina G/análise , Métodos , Faringe/imunologia , Faringe/microbiologia , Rubéola (Sarampo Alemão)/imunologia , Vírus da Rubéola/isolamento & purificação , Fatores de TempoRESUMO
Sera from 43 patients with multiple sclerosis were tested by immunofluorescence. Sera from patients with active multiple sclerosis included four with measles virus-specific immunoglobulin M (measles IgM) and two with mumps virus-specific IgM (mumps IgM). In one case each mumps IgM and measles IgM seem to have persisted for two and a half years and three years respectively. In a comparable group of 43 patients with other nervous diseases measles IgM was found in only one serum, and among 43 normal patients no measles or mumps IgM was found.Herpes simplex virus-specific IgM (herpes simplex IgM) was distributed among all three groups. Anticellular IgM was also found, predominantly in active multiple sclerosis, and persisted in two sera for two and a half years.
Assuntos
Imunoglobulina M/análise , Vírus do Sarampo/imunologia , Esclerose Múltipla/imunologia , Vírus da Caxumba/imunologia , Autoanticorpos/análise , Feminino , Imunofluorescência , Humanos , Imunoglobulinas/análise , Masculino , Doenças do Sistema Nervoso/imunologia , Simplexvirus/imunologiaRESUMO
Normal responses of measles specific immunoglobulins M and G (IgM and IgG) were defined in 10 children with measles. Abnormal responses of measles IgM and IgG were found in both sera and cerebrospinal fluids from three cases of subacute sclerosing panencephalitis. In two patients the serum titres of measles IgM and IgG were abnormally high. The measles IgM was present during prolonged illnesses in serum and cerebrospinal fluid, which suggested a correlation with the known persistence of measles virus antigen in the brain of the three patients. It was concluded that both measles IgM and IgG may be produced within the central nervous system in subacute sclerosing panencephalitis.
Assuntos
Sarampo/imunologia , Panencefalite Esclerosante Subaguda/imunologia , gama-Globulinas/análise , Antígenos/análise , Encéfalo/imunologia , Criança , Pré-Escolar , Humanos , Imunoglobulina G/análise , Imunoglobulina G/líquido cefalorraquidiano , Imunoglobulina M/análise , Imunoglobulina M/líquido cefalorraquidiano , Imunoglobulinas/análise , Imunoglobulinas/líquido cefalorraquidiano , Vírus do Sarampo , Panencefalite Esclerosante Subaguda/diagnósticoRESUMO
Normal responses of rubella-specific IgG and IgM antibody were assessed in eight patient by immunofluorescence. A prolonged rubella-specific IgM response was shown in three patients with complications of rubella infection. Two patients had thrombocytopenic purpura and one had carpal-tunnel compression.
