BACKGROUND System analyses of incidents that occur in the process of health care delivery are rare. A case study of a series of incidents that one of the authors experienced after routine urologic surgery is presented. We interpret the sequence of events as a case of cascading incidents that resulted in outcomes that were suboptimal, although fortunately not fatal. METHODS A system dynamics a...

The construct validity of the affect misattribution procedure (AMP) has been challenged by theories proposing that the task does not actually measure affect misattribution. The current study tested the validity of the AMP as a measure of affect misattribution by examining three components of the ERP known to be associated with the allocation of motivated attention. Results revealed that ERP amp...

In the meantime it may be concluded that: (1) The proteins edestin, excelsin and hemoglobin crystallize with water of crystallization, which is very readily lost. The hand pattern previously described as common to these and other proteins is produced by apparently amorphous materials resulting from the efflorescence of the crystalline compounds. (2) If care is taken to prevent the decomposition...

13 male homosexuals who approached us for treatment were studied. They came from unusual family back-grounds, had early homosexual experiences which were repeated and later became pleasurable. They showed a variety of homoerotic activity. Belonging to a marriageable age group, the social disadvantages of their homosexual behaviour prompted them to seek treatment. It was observed that early chil...

Genital surgery is one of the most controversial and contested practices, yet it is frequently described and referred to with little or no attention to cultural and social context. This article examines the practice, performed on both men and women, and the extent to which it clashes with issues of consent and capacity, as well as multicultural concepts of toleration for minority group practice...

During 1954 the high incidence of Proteus infections in a ward devoted to male urological surgery gave cause for concern. In an attempt to bring the infection under control a detailed study was made of the organisms concerned and the results were correlated with the characters of Proteus organisms isolated elsewhere in the hospital. The work reported here is an account of some aspects of this s...

BACKGROUND Ambulatory surgical centers (ASCs) provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. METHODS From the 2005 State Ambulatory Surgery Database for Florida, a cohort of discharges for urologic, ophthalmolo...

BACKGROUND Following male circumcision for HIV prevention, a high proportion of men fail to return for their scheduled seven-day post-operative visit. We evaluated the effect of short message service (SMS) text messages on attendance at this important visit. METHODOLOGY We enrolled 1200 participants >18 years old in a two-arm, parallel, randomized controlled trial at 12 sites in Nyanza provin...

Male circumcision is done very frequently in all Pediatric surgery set up. Though several open and device based techniques of circumcision have been described in literature but no single procedure is taken as gold standard in terms of prevention of complications. In our country most of the centers prefer open technique in comparison to device technique simply due to non availabity of device. Th...