Objective: to unveil the existential movement of a couple when performing vertical HIV transmission prophylaxis. Method: qualitative research, using Martin Heidegger’s phenomenological approach. A phenomenological interview was conducted with 14 participants between December/2011 and February/2012 in the outpatient facilities of an university hospital, Brazil. A comprehensive and interpretative...

The objective of this study was to describe factors associated with the increase in cesarean rates in a university hospital in 2002 and 2004, exploring medical and non-medical factors. A cross-sectional study investigated 2,905 deliveries: 1,441 in 2002 and 1,464 in 2004. Differences in adjusted prevalence rates using Poisson regression and attributable risk percent were estimated for the assoc...

I was pleased to have been accepted to visit the Endourology and Stone Service at Barts by the director of the service, Mr. Noor Buchholz. This 1-month visit from June to July 2011 turned out to be one of my most valued professional experiences. St. Bartholomew’s Hospital is part of the Barts and The London NHS Trust, a tertiary university hospital trust caring for an often underprivileged popu...

One-half of the world's population lives in cities and towns; this is expected to increase to 70% by 2050. One in three urban dwellers lives in slums. As the urban population grows, so does the number of urban poor. Out of a billion children living in urban areas, approximately 300 million are suffering from exclusion or are at risk of exclusion. Urban poor children are devoid of basic rights o...

An anonymous, online survey of medical students, interns, and faculty at a university hospital was conducted in 2013 to examine self-reported adherence to hand hygiene opportunities. Variation in self-reported adherence ranged from frequencies of 60%-100%. Such variation suggests the need to direct education toward hand hygiene opportunities with lower reported rates of adherence, especially to...

.............................................................................................................................. 2

Observations are reported on the variation in evaluation and management of 216 episodes of fever in 690 patients on four services of a university hospital. Twenty-two percent of febrile episodes were not commented upon in the medical record. Thirty percent of all fevers and 14% of antibiotic-treated fevers were not evaluated with microbiologic cultures. The extent of evaluation varied with serv...

Patient classification systems generate information for staff allocation based on a patient's care needs. This study aims to test further the instrument for assessing nursing intensity (NI) in perioperative settings. Nine operating departments from five university hospitals were involved. The perioperative nurses gathered data from patients (N = 876) representing different fields of surgery. Re...

Within the unique and complex settings of university hospitals, it is difficult to implement policy initiatives aimed at developing careers in and improving the quality of academic medical teaching because of the competing domains of medical research and patient care. Factors that influence faculty in making use of teaching policy incentives have remained underexplored. Knowledge of these facto...

Very little of WHO's work is done by the Organization alone. Much of it takes the form of coordination and collaboration in which WHO acts in partnership with governments, institutions-both governmental and nongovernmental-and individual scientists and other workers in the field of health. As the following article shows, collaboration with a university hospital department enriches both partners...