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1 – 10 of 737Stephen Thomas Ward, Sean Strong, Rachael Louise Goodchild and Ahsan Zafar Zaidi
Patients undergoing emergency appendicectomy incur various delays from the time of symptom onset to the time of discharge from hospital. The centralisation of hospital services…
Abstract
Purpose
Patients undergoing emergency appendicectomy incur various delays from the time of symptom onset to the time of discharge from hospital. The centralisation of hospital services over recent years has resulted in some patients who attend hospital as an emergency requiring transfer to a different site. An additional delay by way of transfer is thus incurred. The aim of this study was to test for association between various characterised delays with disease and patient outcomes.
Design/methodology/approach
Hospital Episode Statistics (HES) data were used to identify all patients admitted over a one‐year period undergoing appendicectomy. Demographic and time data were extracted from hospital databases and case notes.
Findings
A total of 247 patients were identified from HES data; 25 per cent of patients presented to hospital E necessitating transfer to hospital H. There was no evidence of an association between patient delays, surgeon delays or theatre delays with advanced pathology and complicated appendicitis was not associated with a longer post‐operative hospital stay. The delay to be seen by the surgeons was significantly longer if transferred from one hospital to another, but this did not contribute to a significant difference between the overall delay from admission to operation, overall length of stay or advanced pathology.
Originality/value
The individual delays along the clinical pathway in a patient presenting to hospital with acute appendicitis have been characterised. Patients with acute appendicitis can be safely assessed at one hospital‐site and transferred to another with emergency surgery provision without affecting the delay to operation.
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Thomas Scharf, Chris Phillipson, Allison Smith and Paul Kingston
Neighbourhoods contribute significantly to shaping their residents' identities. The neighbourhood may be even more important for older than younger people and has been associated…
Abstract
Neighbourhoods contribute significantly to shaping their residents' identities. The neighbourhood may be even more important for older than younger people and has been associated with intensification of feelings about locality and space. In the context of a study that examines the concerns of older people living in areas of England characterised by intense social deprivation, this article explores older people's perceptions of the local environment. Early findings are reported from a survey of older people (n=600) conducted in nine socially deprived neighbourhoods of three cities. The article addresses older people's views in relation to positive and negative aspects of their local environment and the degree to which people regard their neighbourhood as a good place in which to grow old. Three key themes are highlighted: older people's attachment to their neighbourhood, variation between areas, and the impact of place on the quality of older people's daily life.
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Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some…
Abstract
Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some legal aspects concerning MNEs, cyberspace and e‐commerce as the means of expression of the digital economy. The whole effort of the author is focused on the examination of various aspects of MNEs and their impact upon globalisation and vice versa and how and if we are moving towards a global digital economy.
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Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management…
Abstract
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.
Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are…
Abstract
Communications regarding this column should be addressed to Mrs. Cheney, Peabody Library School, Nashville, Term. 37203. Mrs. Cheney does not sell the books listed here. They are available through normal trade sources. Mrs. Cheney, being a member of the editorial board of Pierian Press, will not review Pierian Press reference books in this column. Descriptions of Pierian Press reference books will be included elsewhere in this publication.
Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way…
Abstract
Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way of using the law in specific circumstances, and shows the variations therein. Sums up that arbitration is much the better way to gok as it avoids delays and expenses, plus the vexation/frustration of normal litigation. Concludes that the US and Greek constitutions and common law tradition in England appear to allow involved parties to choose their own judge, who can thus be an arbitrator. Discusses e‐commerce and speculates on this for the future.
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Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management…
Abstract
Index by subjects, compiled by K.G.B. Bakewell covering the following journals: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management Volumes 8‐17; Structural Survey Volumes 8‐17.
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐17; Journal of Property Investment & Finance Volumes 8‐17; Property Management Volumes 8‐17; Structural Survey Volumes 8‐17.
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18;…
Abstract
Compiled by K.G.B. Bakewell covering the following journals published by MCB University Press: Facilities Volumes 8‐18; Journal of Property Investment & Finance Volumes 8‐18; Property Management Volumes 8‐18; Structural Survey Volumes 8‐18.