OBJECTIVES Public hospitals in Nepal account for a major share of the total health budget. Therefore, questions are often asked about the performance of these hospitals. Existing measures of performance are limited to historical ratio analyses without any benchmarks. The objective of this study is to explore the trends in inputs, outputs and productivity changes in Nepalese public hospitals fro...

This paper describes the methodology used and the experience gained from the application of a new secure database design approach and database security policy in a real life hospital environment. The applicability of the proposed database security policy in a major Greek general hospital is demonstrated. Moreover, the security and quality assurance of the developed prototype secure database is ...

The findings of a survey on the use of immunohistochemistry in district general hospitals in England and Wales are reported. Immunohistochemistry is used in most district hospitals, contributes to the accuracy and objectivity of some histopathological diagnoses, and is considered to be generally useful though not without drawbacks. Its expansion is being hindered by lack of funds for reagents a...

BACKGROUND Previous research addressed the development of a classification scheme for quality improvement systems in European hospitals. In this study we explore associations between the 'maturity' of the hospitals' quality improvement system and clinical outcomes. METHODS The maturity classification scheme was developed based on survey results from 389 hospitals in eight European countries. ...

Grounded in self-determination theory (Deci & Ryan, 1985) and the transtheoretical model (Prochaska & DiClemente, 1983), the aim of this study was to examine the relationship between exercise regulations varying in self-determination with stage of readiness to change for exercise and physical activity patterns in university students. A cross-sectional survey design was used. The sample consiste...

Discontinuous and continuous processes of lactose hydrolysis and concomitant galacto-oligosaccharide (GalOS) formation were studied. To this end a wide experimental range of the main variables was evaluated, including the initial lactose concentration, the degree of lactose conversion, the pH value and the temperature for discontinuous transformations, while the initial lactose concentration an...

Problem statement: Children infected with HIV have a higher prevalence of caries in both dentitions. With that in mind, it is important the introduction of programmes for the control of caries disease in this population. Thus, this study was aimed to assess the efficacy of an oral healthpromoting program in controlling caries in HIV-infected children after 7 years of follow-up. Approach: Data o...

Health coaching is an emerging behavioral intervention to improve outcomes in chronic disease management and prevention; however, no studies have investigated its utility in postpartum women who have gained excess weight during pregnancy. A 32-year-old primigravida woman who was overweight at conception and gained 23 lbs more than Institute of Medicine recommendations for her pre-pregnancy body...