What's in a Summary? Laying the Groundwork for Advances in Hospital-Course Summarization

Summarization of clinical narratives is a long-standing research problem. Here, we introduce the task of hospital-course summarization. Given the documentation authored throughout a patient's hospitalization, generate a paragraph that tells the story of the patient admission. We construct an English, text-to-text dataset of 109,000 hospitalizations (2M source notes) and their corresponding summary proxy: the clinician-authored Brief Hospital Course'' paragraph written as part of a discharge note. Exploratory analyses reveal that the BHC paragraphs are highly abstractive with some long extracted fragments; are concise yet comprehensive; differ in style and content organization from the source notes; exhibit minimal lexical cohesion; and represent silver-standard references. Our analysis identifies multiple implications for modeling this complex, multi-document summarization task.

The role of intravenous magnesium sulfate in reduce of hospitalization in asthmatic children with moderate severity exacerbation

Objective: Many children experience acute asthma exacerbations ,Many children also require hospitalization despite treatment in an emergency department with current standard therapy (corticosteroids ,and inhaled salbutamol). These hospitalizations may be avoided if effective adjunctive therapies can be developed to adequately treat severe exacerbations.

Investigation of Congenital Hypothyroidism in Newborns and Children at University Children's Hospital in Damascus

The aim of this study is to collect more information about Congenital hypothyroidism (CH) in Syria due to it being one of the most common causes of preventable mental retardation if detected at early stage and treatment is preventable, and to the absence of any published statistics regarding it in our country, and to emphasize on the necessity of applying a mandatory newborn screening program for early diagnosis of congenital hypothyroidism to improvement of child’s life, by investigating the adequacy of the clinical determination the physician's experience to get an early diagnosis.

THE ROLE OF EMPOWERING EMPLOYEE IN INCREASING JOB SATISFACTION "A SURVEY STUDY ON GOVERNMENTAL HOSPITALS IN THE SYRIAN COAST"

The researcher addresses the role of enabling employees to increase job satisfaction in public hospitals of the Syria coast. The research aimed to study the role played by the dimensions of selected empowerment and to identify the extent of their impact on job satisfaction in the provinces of Tartous and Lattakia and then provide a set of proposals for the managers of these hospital,to increase the degree of job satisfaction among workers in the those hospitals.

The effect of early oral postoperative carbohydrates feeding on postoperative outcome

Introduction: Ileus commonly occurs after abdominal surgery, and is associated with complications and increased length of hospital stay. Post-operative ileus (POI) is an important reason for remaining patients not permit oral (NPO) in post-operative period. The tradition was that when patients passed flatus, they were ready to consume a liquid diet, and then a solid food diet was gradually introduced. This approach was taken to avoid aspiration, gastric and intestinal distension, and anastomotic dehiscence. Although studies demonstrated that the conventional strict feeding regimens were not necessary, many surgeons still hesitated to allow early oral feeding. There has been concern that early oral intake would result in vomiting and severe paralytic ileus with subsequent aspiration pneumonia, wound dehiscence and anastomotic leakage. This belief has become surgical dogma, unsupported by scientific evidence. Aim: to investigates the effect of early oral postoperative carbohydrates feeding on postoperative outcome. Material and methods: forty abdominal surgery patients were randomly assigned to early oral postoperative feeding group (20) or traditional feeding group (20). In the early feeding group (study group), patients were initially started on clear fluid only 16 h after surgery and progressed to liquids (after 24 h) and then soft and regular diet in next day (after 48 h). In the post-operative period, the patients were visited each 12 h and clinical signs and symptoms such as, time of passed flatus and moved their bowels, nausea and vomiting, and the length hospital stay were assessed. Conclusions: This study showed that early oral postoperative carbohydrates feeding group passed flatus and moved their bowels much sooner than the control group thus reducing the duration of POI and hospital stay, but there is no increase in occurrence of of nausea and vomiting between tow groups.

The effects of oral preoperative carbohydrates administration on postoperative outcome

Introduction: Ileus commonly occurs after abdominal surgery, and is associated with complications and increased length of hospital stay (LOHS). Traditionally, preoperative practice has been to fast the patient for up to 12 h prior to surgery. The rationale for this is to reduce gastric acidity and volume with a consequent decrease in the risk of gastric content aspiration during surgery. However, A Cochrane review found no increased risk of aspiration in patients who were allowed fluids 2–3 h prior to surgery compared to patients having undergone a traditional fasting period .. A carbohydrate-rich beverage given before anaesthesia and surgery alters metabolism from the overnight fasted to the fed state. This reduces the catabolic response (insulin resistance) after operation, which may have implications for postoperative recovery. Aim : to investigates the effect of preoperative carbohydrate treatment on postoperative ileus in adult patients undergoing abdominal surgery. Material and methods: fifty abdominal surgery patients were randomly assigned to preparation with a 12.5% carbohydrate drink (CHO) (25), or overnight fasting group (25). The CHO group were given 600 mL to drink on the evening before and 400 mL on the morning of surgery. The patients' complains of nausea and vomiting was noted, the length hospital stay and the duration of postoperative ileus (POI), was measured in tow groups. Conclusions: This study showed that pre-operative carbohydrate drink may be used safely and also improves patient's comfort as decrease rate of nausea and vomiting and reduce the length of hospital stay in patients undergoing abdominal surgery.

Occupational Stress Among A Sample Of Nurses "A Field Study Done At Al-Assad University Hospital"

This study aimed to identify the professional psychological pressures on a sample of nurses who are working in Al-assad University Hospital according to the variables (gender, marital status).The sample consistes of (120) nurses of various departments in the hospital. The researcher has done a questionair of the pressure professional psychological, the study concluded to the following results: -About (64.59) of the nurses have shown high levels of psychological stress. What comes first to the surface is the financial issues, then comes the work environment dimension and the psychological dimension. -The study showed that there were statistical significant differencesin favor of femalescocerningthe psychological dimension, and towardmales inthe dimension of the relationship with doctors as we the financialdimension. -The study showed that there were statistical significant differencesconcerning professional psychological pressures. These differences were related to the psychological dimension and in favor of unmarried people only.

Self-assessment of the public hospitals using the European Excellence Model EFQM, and its role in improving the performance Case Study: Assad University Hospital in Lattakia

The importance of this research due to the importance of the health services sector, and the importance of performance evaluation of public hospitals to see the progress of its performance towards achieving the standards and goals set at the required level , as well as a reference to the self-assessment techniques, using one EFQM model that on the one hand to assess today's performance of hospital, and situation and identify area to improve for survive, and on the other hand the map and guide of act of organizations for pay attention to effective factors, finding strong points and improve areas, down to the financial and non-financial performance indicators , and to propose appropriate measures to overcome the weaknesses in order to raise the capacity and activate services in the hospital .and to improve their performance for multiple stakeholders.

The Applications, Hazardous and Mechanisms to Deal with Mercury in Hospitals: Statistical Questionnaire in some Hospitals in Damascus

It is evident that mercury and its use in healthcare institutions have attracted the attention of academics, research centers and governments. This paper conducts a preliminary induction analysis of the awareness level of healthcare providers at some hospitals in Damascus about some key issues related to mercury. It employed the statistical approach mainly the random sampling method to answer its questions and fulfill its aims. The data obtained from questionnaires were processed by Excel. The paper found differences in awareness and training levels among healthcare providers with regards to methods of exposure and mercury transition to human body. It further identified sever weakness in testing and measuring the exposure of healthcare providers to mercury. The study pointed that there is an urgent need to train medical doctors and dentists with regards to the storage procedures of mercury and disposal methods of material and tools containing mercury. Finally, the research found that education efforts both at individual (personal) and aggregate (institutional) levels in all issues related to mercury are unsatisfactory.

The Level of Lattakia Private Hospitals Adherence to Promotion mixture Elements "A Field Study"

Private hospitals play an important role in the health services sector for their excellent services, and they work along with public hospitals in treating all causes of disease and patients. So, there is an insistent need to create special department for promotion because it provides the hospital administration with the necessary information for developing and forecasting the future problems and seizing the opportunity and help it influence positively on the individual behavior. This research aims to recognize the level of lattakia private hospitals adherence to promotion mixture elements which help them to promote their services. The research ends up to the following results: the private hospitals don't depend on the elements of promotion mixture, from personal selling and advertising, public relationships, to sales promotion in promoting their health services. And there is no specific marketing and promotion strategy in hospitals under study, In addition, the absence of special department of marketing in hospitals under study that makes decision about the image that the hospital administration want to create in minds of peoples.