The Court Report' was a prescription for more competence in child health care, more emphasis on prevention, and the integration of therapeutic and preventive child health services. These represented the underlying philosophy and spirit of Court that was accepted and commended,2 and recently re-affirmed3 as a starting point for alternative patterns of health services for children, after the reje...

The timing of ICU admission is associated with mortality outcome for critically ill patient, and delayed has been related to increased death patient who requires close monitoring intensive treatment. Early or delay in initiation treatment stroke head injury may have an impact on the health status patient. So, study was conducted assess duration by care professionals admitting emergency ICU. obj...

During the course of this paper I explore the Jaynesian notion of bicameral consciousness (1976, 1990) in relation to notions of relational ordering and the re‐constitution of persons within post‐individual technological practices of s(elf). The paper considers notions of bi‐cameralism as expressed through the interpretation of ancient artefacts and texts an...

The American Medical Association (AMA) has set out a plan to dismantle structural racism, starting within the organisation, and work towards future of health equity.1 The AMA, which among its members 240 000 doctors more than 190 state specialty medical societies, said that race is social, not biological. “Race socially constructed way grouping people, based on skin colour other apparent physi...

OBJECTIVE To assess whether transferring knowledge from specialists at centres of excellence to referring doctors through online consultations can improve the management of patients requiring specialised care. DESIGN Retrospective case review of the first year of internet based patient initiated consultations between referring doctors and consulting specialists. SETTING US teaching hospital...

We present a beacon-based clustering algorithm aimed at prolonging the cluster lifetime in VANETs. We use a new aggregate local mobility criterion to decide upon cluster re-organisation. The scheme incorporates a contention method to avoid triggering frequent re-organisations when two clusterheads encounter each other for a short period of time. Simulation results show a significant improvement...

OBJECTIVES To identify doctors' perceptions of the need for palliative care for heart failure and barriers to change. DESIGN Qualitative study with focus groups. SETTING North west England. PARTICIPANTS General practitioners and consultants in cardiology, geriatrics, palliative care, and general medicine. RESULTS Doctors supported the development of palliative care for patients with hea...

Objective: To examine how junior doctors talk about experiences and perceptions of stress in order to better understand the socio-cultural influences of stress in medical education. Method: In depth semi-structured interviews were conducted with 10 doctors who were at the end of the first year of the UK Foundation Programme (FY1, equivalent to the intern year). A discourse analysis approach was...

BACKGROUND Pro re nata (PRN) prescription is a frequently used prescription method in hospitals. This study was conducted to investigate actual condition of PRN prescription and whether administration error occurred because of perception difference between doctors and nurses. METHODS From May to July 2012, a survey was conducted among 746 doctors and nurses (88 doctors and 658 nurses) working...