Journal of epidemiology and community health
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J Epidemiol Community Health · Jun 1986
Community hospitals in Oxfordshire: their effect on the use of specialist inpatient services.
About one-third of the general practices in the Oxfordshire Health District have access to beds in community hospitals as well as district general hospitals. Hospital Activity Analysis data were used to calculate the average number of hospital beds occupied daily by patients registered with each general practice in the district. ⋯ The rate of use of general medical and geriatric beds in district general hospitals by practice populations with access to community hospitals was about half that of populations without such access. Utilisation rates overall, combining the use of beds in both district general hospitals and community hospitals, were a little higher in populations with access to both community hospitals and district general hospitals than in those with access to district general hospitals only.
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J Epidemiol Community Health · Sep 1984
Pulmonary tuberculosis among contacts of patients with tuberculosis in an urban Indian population.
The study was conducted among 1810 contacts of 50 index "cases"/"suspects" of pulmonary tuberculosis including 312 household and 1498 neighbourhood contacts in the Jhansi city of Uttar Pradesh. The overall prevalence of radiologically active and bacteriologically confirmed tuberculosis was 2.9% and 1.1%. ⋯ Although higher prevalence rates were found in contacts of sputum positive source than in contacts of sputum negative source in both the contact groups, the statistical difference was observed to be insignificant. Case yield among contact symptomatics was 80.0% (30.8% cases and 49.2% suspects).
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J Epidemiol Community Health · Mar 1984
Suicide, unemployment, and domestic gas detoxification in Britain.
Between 1962 and 1971 the United Kingdom suicide rate fell while the unemployment rate rose, contrary both to earlier British experience and recent trends in other developed countries. It is hypothesised that the "British anomaly" is due to the coincident detoxification of domestic gas after 1963. ⋯ These findings are discussed with respect to the role of availability of method in the epidemiology of suicide. It is also suggested that the relation between unemployment and suicide is complex and probably largely indirect.