BACKGROUND Assessment of centre variation in renal transplantation outcome provides an opportunity to examine differences in quality of care between centres. However, differences in outcome may represent differences in patient factors between centres and be biased by sampling variability and inadequate data ascertainment. METHODS Differences in 12-month graft survival in 1986 primary renal tr...

UNLABELLED We conducted randomized double-blind trial for single-dose of Rifampicin, Ofloxacin and Minocycline (ROM) compared to WHO-PB-MDT among paucibacillary (PB) leprosy patients with 2-5 skin lesions. We enrolled 1526 patients from five centres (ROM=762; WHO-PB-MDT=764) and followed them for 36 months posttreatment during 1998-2003. We generated information on clearance of skin lesions and...

OBJECTIVE To identify the most appropriate format for results dissemination to maximise understanding of trial results. DESIGN Qualitative. SETTING Of the original 58 4-T trial centres, 34 agreed to take part in this ancillary research. PARTICIPANTS All participants from these centres were eligible. All 343 participants were sent questionnaires. PRIMARY AND SECONDARY OUTCOME MEASURES Th...

© www.sarawickham.com This article first published 2003 Practising Midwife 6(11):23. Republished with permission for personal use only. Page numbers do not correspond to the original. Please do not reproduce/reprint without prior permission, thank you. When I first became involved with birth centres in the USA, they were seen as something of a compromise by many of those involved in setting the...

Executive Summary1 The Collaboration Engineering approach enables organizations to design and deploy processes using professional collaboration techniques and technology for recurring high-value collaborative tasks. The full article describes pilot Collaboration Engineering projects in two organizations. Based on these cases, recommendations are given for applying Collaboration Engineering. Col...

This study aimed to measure the performance of primary health care centres in Eastern province, Saudi Arabia, using the WHO/International Network of Rational Use of Drugs patient care and facility-specific drug use indicators. In a cross-sectional study, 10 health centres were selected using systematic random sampling. A total of 300 patients were interviewed while visiting the centre from Janu...

BACKGROUND There has been a noticeable annual increase in the number of children coming to Italy for medical treatment, just like it has happened in the rest of the European Union. In Italy, the assistance to children suffering from cancer is assured by the current network of 54 centres members of the Italian Association of Paediatric Haematology and Oncology (AIEOP), which has kept records of ...

The study examines the management and outcomes of women with early invasive breast cancer treated in rural and metropolitan centres over a nine-year observation period. A prospective audit of the treatment and outcomes of 2081 women with early breast cancer who underwent potentially curative surgery between 1997 and 2006 in metropolitan Canberra or in the surrounding rural region was completed....

BACKGROUND International guidelines do not provide uniform recommendations regarding the use of antiplatelet treatment in the perioperative period in patients undergoing coronary artery bypass grafting (CABG). METHODS A questionnaire was sent to all 16 cardiothoracic centres in the Netherlands to determine which antiplatelet treatment is used in the perioperative setting. Furthermore, a singl...

In Indonesia responsibility for immunizations is placed on local government health centres and on the nurses who provide the immunizations at each centre. An on-the-job peer training programme for these nurses, which was designed to improve the immunization performance of poorly performing health centres in terms of coverage and practice in Maluku province, was evaluated. Experienced immunizati...