This is the first of two papers describing a retrospective study of maternity hospitals in an English health region using data for the years 1977-83. The research was designed to investigate the relationship between resources (such as staff and equipment) and the outcomes of births at maternity units. Considerable variation in medical and nursing staffing levels in the units in the study was ob...

A SYSTEMATIC REVIEW OF THE COST-EFFECTIVENESS OF NON-SURGICAL 1 OBESITY INTERVENTIONS IN MEN 2 3 Dwayne Boyers M Econ. Sc. 4 Alison Avenell MD FRCP 5 Fiona Stewart MSc 6 Clare Robertson MSc 7 Daryll Archibald PhD 8 Flora Douglas PhD RN 9 Pat Hoddinott PhD FRCGP 10 Edwin van Teijlingen PhD 11 12 1. Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, 13 ...

ways in which I think this most important and necessary branch could be made more attractive. The local Nursing Committees often show very little consideration to the nurse with regard to her domestic and physical comfort. She is given a cottage to live in, sometimes of the most primitive type, with neither water laid on nor proper sanitary arrangements, and certainly no bath. She has little co...

Harvard School of Public Health, Boston, MA, USA (Prof J Frenk MD); China Medical Board, Cambridge, MA, USA (L Chen MD); Aga Khan University, Karachi, Pakistan (Prof Z A Bhutta PhD); George Washington University Medical Center, Washington, DC, USA (Prof J Cohen MD); Independent member of House of Lords, London, UK (N Crisp KCB); James P Grant School of Public Health, Dhaka, Bangladesh (Prof T E...

PURPOSE OF THE STUDY Descriptions of culture change adoption are often complex and varied, creating a challenge for those seeking guidance about which of the many components of culture change to adopt and in what order and combination. DESIGN AND METHODS To begin to address this question, members of The Research Initiative Valuing Eldercare (THRIVE) developed and distributed an online survey ...

No problem of hospital care may become more burdensome than that of the individual suffering from repeated convulsive seizures. Nevertheless, the nursing and hospital care of these patients may go a long way toward converting the individual into a useful member of society. In addition, as has been pointed out elsewhere,8 correctly recorded observations made by the attending nurse or house-offic...

Conditional adjustment of cooperativeness to the expected pay-off might be a useful strategy to avoid being exploited in public good situations. Parental care provided towards all offspring in a communal nest (containing offspring of several females) resembles a public good. Females indiscriminately caring for all young share the costs equally, but the pay-off may vary depending on their contri...

The setting for this case study is the Dolph Briscoe, Jr. Library, University of Texas Health Science Center at San Antonio, a health sciences campus with medical, dental, nursing, health professions, and graduate schools. During 2008-2009, major renovations to the library building were completed including office space for a faculty development department, multipurpose classrooms, a 24/7 study ...

Editor’s note: The Joint Committee to Create a National Policy to Enhance Survivability from Intentional MassCasualty and Active Shooter Events developed the following call to action at its April 14 meeting in Hartford, CT. This committee meeting, chaired by American College of Surgeons (ACS) Regent Lenworth M. Jacobs, Jr., MD, MPH, FACS, focused on implementation of strategies for effective he...

This article describes the uses of sociological theory and knowledge in the design and operation of an in-hospital program for the care of physically ill and injured adolescents. The central tasks of adolescence — resolution of the conflict between autonomy and dependency, the development of intimacy and competence, the ability to take on adult roles, and the development of the self — may be ha...