background & aim: during the postpartum period, women experience physiological changes, which can have negative impacts on their quality of life. women’s knowledge regarding postpartum complications and care can help them successfully pass this critical period. the aim of this study was to evaluate maternal knowledge on postpartum care in healthcare centers of mashhad, iran in 2013. methods:in ...

BACKGROUND The Health Disparities Collaboratives of the Health Resources and Services Administration (HRSA) were designed to improve care in community health centers, where many patients from ethnic and racial minority groups and uninsured patients receive treatment. METHODS We performed a controlled preintervention and postintervention study of community health centers participating in quali...

Enthusiasm for the patient-centered medical home model is growing, yet initial research is scant, showing that true transformation is challenging and that meaningful improvements in care delivery, efficiency, and health outcomes take time and sustained investment. This brief surveys safety-net health centers to determine their potential to become medical homes. Safety-net health centers that pr...

This study examined whether the quality of caregiver behavior in child care centers contributes to infant cognitive development at 9 months of age. Sixty-four infants (34 boys) were observed with their primary caregivers in child care centers at 3, 6, and 9 months of age. Caregiver behavior was rated for sensitivity and for stimulation of infant development during one-to-one caregiving interact...

BACKGROUND Little is known about the organization of clinical services for Huntington's disease (HD). OBJECTIVE To describe how health care services are organized and delivered in HD-clinics taking part in or eligible for the Enroll-HD study. METHODS In 2014, a 69-item survey was administered to sites taking part in or eligible for the Enroll-HD study. RESULTS Of 231 sites surveyed, 121 (...

Perspectives, pages 8–13), The Joint Commission will implement new memory care accreditation requirements for nursing care centers effective July 1, 2014. To build on these new requirements, which have been designed in response to the prevalence of dementia in nursing homes, The Joint Commission will also offer a new optional certification product for accredited nursing care centers. The option...

BACKGROUND The epidemiological investigation of acculturation has often been hampered by inconsistent definitions and measurement, and methodological short-comings. Adopting a bi-directional model, with good theoretical and psychometric properties, this study aimed to describe the temporal, ethnic and socio-demographic influences of acculturation for a group of Pacific mothers residing in New Z...

Underwater birthing has become a popular birth practice in some areas of the country. Although many of these deliveries occur in a home birth setting, the practice has also been implemented in hospitals and birthing centers. There is continued controversy about the risks and benefits of underwater birthing (as opposed to hydrotherapy during labor), and many risk managers are unaware of these po...

An efficient and general method for the synthesis of unsymmetrical tetrasubstituted ureas from carbamoylimidazole is described. The conversion is achieved by the concurrent quarternization of the imidazole nitrogen and activation of amines with AlMe(3).