Public health
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Comparative Study
Factors associated with hospital mortality in traumatic injuries: incentive for trauma care integration.
The main aim of this study was to contrast the variation in mortality between trauma centres (TCs) and non-trauma hospitals (NTHs) in Texas, and among TCs by sociodemographic and economic factors of trauma cases. ⋯ In the absence of validated data about severity of cases and type of injury, and details about the treatment provided to trauma cases in this study, more investigation is needed into the case-mix of trauma patients admitted to TCs and NTHs. Further exploration is necessary for better co-ordination of the emergency care response to integrate NTHs within the trauma system and alleviate the stress placed on Level I TCs. Revisiting the transfer algorithms could improve clinical outcomes, particularly when TCs are closed due to diversion protocols.
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The paper tracks the history of the School Medical Service over 150 years. The service has changed markedly during this period, with some cyclical recurrence of practice and policy. By 2006, the health of schoolchildren is of major concern, particularly the rise in nutrition-related problems including obesity: the demise of the School Health Service may well be a matter for serious regret to future generations.
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To provide an assessment of the mortality burden in Serbia (excluding Kosovo and Metohia). ⋯ The national health priority areas, relevant to the mortality burden, should include cardiovascular diseases, cancers, diabetes mellitus, self-inflicted injuries and road traffic accidents.