Has the reproductive performance in your herd improved, remained the same or declined over time? If your herd is typical for the Southeast, reproductive performance has declined over time. A study that evaluated reproductive performance from 1976 to 2002, in Florida and Georgia dairy herds, showed that days to first service, days to conception, and calving interval increased significantly over ...

A 24-year-old pregnant woman (at 25 weeks gestation) was referred to our department because of a painless swelling in the left groin which she was feeling for one week. The swelling was more apparent in the upright position and when coughing. The swelling was reducible. Ultrasound demonstrated an anechoic structure with intralesional septa at the left inguinal area (Fig. A, longitudinal ultraso...

BACKGROUND Much of the current evidence regarding timely access to healthcare services focuses on the duration of the waiting time as the principal determinant of wait time acceptability. We conducted the first national-level analysis of wait time acceptability in Canada to identify the determinants of unacceptable waits for specialized healthcare services, including selected demographic and so...

BACKGROUND There are many patients awaiting liver transplantation with only few donors providing the organ. The Child-Turcotte-Pugh score (CTP) and the Model for End stage Liver Disease (MELD) are the most common scores for prioritizing patients on waiting lists. In this study, we compared the ability of these scores to predict mortality or removal from the waiting list due to poor medical cond...

Background Different strategies for addressing the challenge of prioritizing elective patients efficiently and fairly have been introduced in Norway. In the time period studied, there were three possible outcomes for elective patients that had been through the process of priority setting: (i) high priority with assigned individual maximum waiting time; (ii) low priority without a maximum waitin...

OBJECTIVE To analyse the selection and outcome in patients placed on the waiting list for lung transplantation in Groningen. DESIGN Retrospective and descriptive. SETTING University Hospital Groningen. PATIENTS Clinical lung transplantations have been performed at Groningen University Hospital since November 1990. Until the beginning of August 1993 over 200 patients were presented. Patien...

OBJECTIVE The main objectives of the study were to determine the average waiting times of patients at each of the treatment stations in a large paediatric out-patient department, and to determine the average length of time for a patient visit with paediatricians and interns. DESIGN Data were collected over the period of 1 month, from 1 to 31 October 1994, on patient waiting times and length o...