BENJAMIN GOOCH, a Norfolk surgeon of the eighteenth century,1 earned a place for his name in surgical history as the innovator of Gooch's splint2 but this was not his only claim to distinction. He was the leading East Anglian surgeon of his day and an outstanding provincial surgeon of the eighteenth century. In 1758 he published the first of three editions of a textbook of surgery and he played...

1267 small homes with people with other handicaps and that elderly epileptics whose condition does not warrant hospital care should be placed in local authority homes for the elderly. A geriatric patient with severe epilepsy would not be best served in a geriatric ward or a district general hospital, where it is doubtful that his special needs would be met. I am quite certain that epileptics re...

In this project standards for nursing records in general hospitals were formulated and then validated by a group of nurses. An instrument was then designed to evaluate to what extent the standards are reached in a particular hospital. The instrument was then tested in a sample of nine hospitals. The reliability and validity of the instrument is discussed.

The economic impact of accidents and violence in Brazil can be measured directly by means of hospital spending on internments and general hospital stays. In 1997, these accounted for approximately 8% of the total cost of hospital admissions for all causes. Although these values are underestimates as they only refer to admissions via SUS (the Brazilian National Health System), and do not could p...

In the past decade, the rapid growth of specialty hospitals focused on profitable service lines, including cardiac and orthopedic care, has prompted concerns about general hospitals' ability to compete. Critics contend specialty hospitals actively draw less-complicated, more-profitable patients with Medicare and private insurance away from general hospitals, threatening general hospitals' abili...

PURPOSE Studies undertaken in England and Scotland have identified a decrease in the number of circumcision operations being performed during childhood. The aims of this study were two-fold. Firstly, to determine the trend in circumcision operations performed in boys in Northern Ireland over a ten year period. Secondly, to compare the number of operations performed by paediatric surgeons with t...

in order to achieve success in today's competitive world, organizations should adapt to environmental changes. on the other hand, managers should have a set of values and ethical guidelines for their administrative and organizational functions. this study aimed to investigate the association between work ethics and attitudes towards organizational changes among the administrative, financial and...

Compared with hospitals, general practice has many handicaps in developing medical audit. This is especially true with regard to defining objectives and outcomes of care. Many methods have been proposed to overcome these problems, and several audit studies that have been published are presented here. Further work should concentrate on evaluating the effectiveness of audit in bringing about chan...

Objective: Pregnancy is an important psychological and biological phenomenon in women’s life. Pregnancy has many complications jeopardizing the well-being of the mother and the child. Methods: In this retrospective study, the data including demographic information, chief complaint, the initial diagnosis, referral decision, final diagnosis, hospitalization...

OBJECTIVE To assess surgical team members' differences in perception of non-technical skills. DESIGN Questionnaire design. SETTING Operating theatres (OTs) at one university hospital, three teaching hospitals and one general hospital in the Netherlands. PARTICIPANTS Sixty-six surgeons, 97 OT nurses, 18 anaesthetists and 40 nurse anaesthetists. METHODS All surgical team members, of five ...