BACKGROUND Obstetric fistulas in developed countries are infrequent and have been associated with instrumental vaginal delivery, manual removal of placenta and surgical complications during caesarean section. We present the diagnosis and treatment of an obstetric fistula of patient without clear risk factors in a developed country. CASE REPORT The case presented is of a 37 weeks pregnant with...

The provision of high quality healthcare information about pregnancy is important to women and to healthcare professionals and it is 1 driven, in part, by a desire to improve clinical outcomes,. The objective of this study was to examine the use of digital media by women' to access pregnancy information. A questionnaire was distributed to women attending a large maternity hospital. Of the 522 r...

BACKGROUND With an aging population and an increasing number of elderly patients with cancer, it is essential for us to understand how cancer physicians approach the management and treatment of elderly cancer patients as well as their methods of cancer diagnosis disclosure to older versus younger patients in Singapore, where routine geriatric oncology service is not available. METHODS 57 canc...

AIMS To prospectively estimate the incidence of bronchiectasis among New Zealand (NZ) children, to consider aetiology and severity, and to evaluate regional and ethnic variation. METHODOLOGY NZ paediatricians were surveyed monthly for new cases of bronchiectasis during 2001 and 2002 via the NZ paediatric surveillance unit (with coverage of >94% of NZ paediatricians). Notified cases had their ...

In global open market, the trends forcing the companies and countries to change their production strategies are evident. The receiving developing countries have their challenges in adapting to a new situation. In addition, the companies and countries in industrialized countries are trying to find feasible strategies to adapt to the new trends. Value of products, rarity of production factors, in...

While there are identified factors that inhibit information communication technology (ICT) adoption in the public sector of LDCs such as lack of knowledge, attitude and mindset, leadership, socio-economic condition, infrastructure and so on, another implicit and relatively unexplored factor, the „vested interest‟ of some stakeholder groups, often becomes the overriding factor for ICT and inform...