OBJECTIVE to analyse the impact of in-hospital care on severe maternal morbidity using WHO's near-miss approach in the low-resource, high mortality setting of Zanzibar's referral hospital. SETTING Mnazi Mmoja Hospital, a tertiary care facility, in Zanzibar, Tanzania. METHODS We identified all cases of morbidity and mortality in women admitted within 42 days after the end of pregnancy at Mna...

OBJECTIVE To determine the frequency of near-miss cases, nature of near-miss events and mortality among obstetric patients. STUDY DESIGN Cross-sectional, observational study. PLACE AND DURATION OF STUDY The study was conducted in the Obstetric Unit of Fatima Hospital, Baqai Medical University, from January 2006 to December 2006. METHODOLOGY Near-miss case definition was based on validated...

PURPOSE Minimizing the polyp miss rate during colonoscopy is important for patients at high risk for colorectal polyps. We investigated the polyp miss rate and the factors associated with it in high-risk patients. METHODS The medical records of 163 patients who underwent follow-up colonoscopy between January 2001 and April 2010, which was within 9 months after a polypectomy, because the index...

In this paper we propose an automatic algorithm able to classify legume leaf images considering only the leaf venation patterns (leaf shape, color and texture are excluded). This method processes leaf images captured with a standard scanner and segments the veins using the Unconstrained Hit-or-Miss Transform (UHMT) and adaptive thresholding. We measure several morphological features on the vein...

BACKGROUND MMR has always been recognized as an important indicator of quality of health services. The MMR in India has so far not reached up to the required MDG 2015. If we look into this matter with the eagle's eye view, then there are certain gray areas which need attention. For this, it is not the maternal mortality but the maternal near miss which has to be focused. OBJECTIVES To audit t...

Gambling is a common recreational activity that becomes dysfunctional in a subset of individuals, with DSM "pathological gambling" regarded as the most severe form. During gambling, players experience a range of cognitive distortions that promote an overestimation of the chances of winning. Near-miss outcomes are thought to fuel these distortions. We observed previously that near misses recruit...

This paper provides a reflection on the written works of Miss Virginia Avenel Henderson. Miss Henderson is a nurse, a scientist, an artist and a quintessential human being--all traits which informed her written output. Nursing practice, research and education were all subjects of her extensive chronicle. The four-volume Nursing Studies Index is her contribution to nursing research. The Index wa...