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Results for “Mobile Health Units”

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At least 19 recordsLinked to original sources
PubMed1979

Intensive care for sick neonates, the earlier the better: improved survival rate of IRDS children, referred by means of a mobile neonatal intensive care unit.

A mobile intensive care unit has been used since september 1976 in the region referring sick neonates to the two University Hospital NICU's of Amsterdam. The present study compares two groups of neonates (suffering from the I.R.D.S.) i.e. a group that had been referred by non specialized transport teams (N S T-group) and a group admitted after institution of the neonatal-transport service (S. T.-group). Significant difference is found in the temperature on admission (S T group greater than N S T group). In the N S T-and the S T-group the need for ventilatory assistance was not significantly different but in the S T-group it was started significantly earlier. Survival after institution of ventilatory assistance and overall-survival are significantly better in the S T-group. These conclusions point to the fact that administering intensive care to sick neonates as early as possible and transportation of this group by means of special "neonatal"-transport services increases their survival rates.

Humans↗
PubMed2026

Acute respiratory viral diseases in Amazonas, Brazil: epidemiological patterns and implications for health surveillance.

BACKGROUND: Acute respiratory viral diseases are a major public health challenge in the Brazilian Amazon, where ecological, logistical, and social factors shape patterns of transmission and response. METHODS: This study aimed to analyze the epidemiological patterns and temporal-spatial distribution of Influenza-like illness (ILI) and severe acute respiratory syndrome (SARS) in the state of Amazonas, Brazil, between 2015 and 2025, distinguishing SARS-CoV-2 and non-SARS-CoV-2 etiologies using data from OpenDataSUS. RESULTS: Incidence peaks occurred in early 2021 and 2022, with pronounced regional disparities. The highest burdens were concentrated in specific municipalities, with Manaus exhibiting an intermediate incidence and playing a central role in case notifications and healthcare provision. DISCUSSION: We describe the integration of surveillance systems, laboratory networks, and healthcare infrastructure, which enabled improvements in diagnosis, monitoring, and care. The region's response model, centered in Manaus, includes primary-to-tertiary care coordination, molecular diagnostics, telemedicine, and mobile health units for Indigenous and remote areas. Research efforts during the COVID-19 pandemic provided critical insights into therapeutic strategies, immunopathology, and long-term sequelae, while also highlighting persistent inequities and diagnostic gaps. Our findings underscore the co-circulation of multiple respiratory pathogens and the need for continued genomic and syndromic surveillance. Future strategies must address regional disparities, support decentralized diagnostics, and expand clinical research. Strengthening integrated health systems in the Brazilian Amazon is essential for timely, equitable responses to emerging respiratory threats.

Brazil↗
PubMed1978

Planning and developing a prehospital mobile intensive care system in an urban setting.

A suggested model for the development of an urban based prehospital emergency care system is described. Factors considered in the planning and development include: 1) demand for services, projected and actual; 2) analysis of costs; 3) design and maintenance of the delivery system; and 4) establishment of the evaluation mechanisms. Over one year's experience and 1,144 mobile intensive care unit (MICU) calls in a densely populated urban setting with over 500,000 persons are reported. During the peak 8-hour period, predetermined dispatch categories were employed to activate one MICU operating in conjunction with three conventional ambulances. This partial conversion imparted MICU capability to the entire system at an 11 per cent increase in the ambulance budget. MICU calls averaged 4.5 per 8-hour peak shift and took 45 minutes each.

Ambulances↗
PubMed1977

Transport of the newborn.

Analysis of facilities used in the transfer of neonates with respiratory distress syndrome (RDS) to the Newborn Intensive Care Unit (N.I.C.U.) of the Free University Amsterdam during the period 1969-1976 revealed many deficiencies. Most of the sick newborn infants were accompanied by inadequately trained personnel. In a number of cases they were in incubators which could hardly guarantee the neutral thermal temperature for the infant concerned. In the most cases there were no facilities either for resuscitation or for ventilatory assistance during transport. It was found that infants born in the referring hospitals more often required artificial ventilation than infants born in the University Hospital. Since the former were--on an average--more severely ill than the latter, the duration of ventilatory assistance was usually longer and their survival rate was lower. Retrospectively, in many instances referred infants were on admission already in such a condition that artificial ventilation should have been started long before. General aspects of newborn transport, viz. way of transport, incubator with facilities for emergency care i.e. artificial ventilation and intravascular therapy, accompanying personnel, stabilization of the infant, role of education and evaluation of the transport are discussed.

Body Temperature↗
PubMedDate not supplied

Coronary care--1977.

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Coronary Care Units↗