Care ethics as initiated by Gilligan, Held, Tronto and others (in the nineteen eighties and nineties) has from its onset been critical towards ethical concepts established in modernity, like 'autonomy', alternatively proposing to think from within relationships and to pay attention to power. In this article the question is raised whether renewal in this same critical vein is necessary and possi...

The impact of teleradiology technology used in the management of neurosurgical emergencies between district general hospitals and tertiary neurosurgical centres is reviewed. Its effect on clinical management such as diagnostic accuracy and the prevention of secondary insults has been shown to be favourable. Problems and possible future developments are also discussed.

The structure of the Medicaid program varies widely among the States. Examined in this article is the relationship between certain characteristics of the State Medicaid programs and the length of stay of patients who are discharged from psychiatric units in general hospitals. It has been found that setting limits on the number of reimbursable days leads to shorter lengths of stay and that, afte...

A retrospective study was done to determine the epidemiology of infection and/or colonization due to Pseudomonas aeruginosa in a Brazilian general hospital. In 1966, 1968, and 1969, there were only two instances where probable cross-contamination was shown; the remaining isolates were unrelated. In late 1971 the hospital experienced a marked increase in P. aeruginosa isolation. Contaminated dex...

Aims and method To describe the liaison psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development. Results We identified wide variations in service provision across London. Fifteen...

The cases tested.?The accompanying table gives the WR positive rate of a certain section, syphilitic suspects, of the civil population of Calcutta. It is by no means the positive rate for the mixed unselected population. The bloods for examination were received from general wards in hospitals and venereal clinics. The general wards predominated before the anti-venereal drive, towards the end of...

BACKGROUND Nursing has a high risk of job burnout, but only a few studies have explored its influencing factors from an organizational perspective. OBJECTIVE The present study explores the impact of psychological capital on job burnout by investigating the mediating effect of organizational commitment on this relationship. METHODS A total of 473 female nurses from four large general hospita...

Many patients present to general hospitals with alcohol-related problems, but most of them are not identified as such. This article summarises the evidence base for screening and brief interventions delivered by nurses in general hospital medical/surgical wards and A&E departments. It also suggests how screening and brief interventions can operate in these environments.

CONTEXT Little is known about the information sources of Chinese patients with cancer and their family caregivers, yet this knowledge is critical for providing patient-centred care. OBJECTIVE To assess and compare the information sources used by Chinese patients with cancer and their family caregivers. DESIGN The validated Health Information Wants Questionnaire (HIWQ) was translated and adm...

Anjo City has two general hospitals. Kosei Hospital, a central medical center for advanced care, and our Yachiyo Hospital for regional care. Recently, Kosei Hospital faced over-capacity problem because of overflow in emergency visits and congested wards due to shortage of post-acute beds. We planned a project to ease the congestion of the central hospital and manage post-acute patients.