Eastern Mediterranean health journal = La revue de santé de la Méditerranée orientale = al-Majallah al-ṣiḥḥīyah li-sharq al-mutawassiṭ
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East. Mediterr. Health J. · Sep 2000
Predictive models for mortality and length of hospital stay in an Egyptian burns centre.
Our aim was to obtain a statistical profile of survivors and deaths among burn victims and to develop predictive models for mortality and length of hospital stay. All patients admitted to the Burns Unit of Alexandria Main University Hospital over a 1-year period were included. ⋯ Total surface area burnt, inhalation burns, age, sex, depth and degree of burn wounds were the significant independent predictors of mortality in multiple logistic regression analysis. The significant independent predictors of the length of hospital stay were clothing ignition, total surface area burnt, sex, degree and depth of burn and inhalation burns.
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This study aimed to clarify whether patients attending an emergency room generally had non-urgent problems. A study was made of 2841 patients attending the emergency room of Prince Zaid Ben Al-Hussein military hospital (south Jordan) over a 1-month period using data from the registration book. ⋯ The admission rate was 3.2% and non-urgent conditions accounted for 91% of cases. Much of the use of emergency services was found to be inappropriate, a situation which should be changed.
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The paper examines developments in the assessment and prevention of maternal mortality over the past 2 decades through review of the relevant literature. Problems of classifying and ranking causes, changing methodologies, discrepancies and illogical trends are demonstrated. ⋯ Process indicators are considered as important as outcome indicators for monitoring safe motherhood. International technical reappraisal of maternal mortality is needed.
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East. Mediterr. Health J. · Jul 2000
ReviewIntegration of health care delivery in the Eastern Mediterranean Region of the World Health Organization.
This paper reviews developments in the integration of health care delivery in the Eastern Mediterranean Region. It describes the integrated intersectoral support of socioeconomic community development (district health systems and basic development needs), the functional intrasectoral integration of health services and interventions, and health resources integration.
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In this article the impact of sanctions on the Iraqi people is reviewed. The health services and situation in Iraq before sanctions were imposed in 1990 are described indicating their adequacy. The adverse effect of the sanctions on the health services and on health indicators are outlined, as evidenced by, among others, the increased malnutrition among children, increased infant and under-5 mortality rates and the increase in foodborne and waterborne diseases. The situation in Iraq illustrates the devastating effects of sanctions on people, particularly children, adolescents, women and the elderly, and highlights the need for more balanced and comprehensive humanitarian programmes.