measures aimed at bringing the hospital medical staffing structure into balance over the next 10 earss' This initiative has been endorsed by the Central Committee for Hospital Medical Services and the Hospital Junior StaffCommittee. If the proposals are agreed implementation will start on 1 January 1987 and will result in major changes to the junior hospital doctors' career structure. This stud...

OBJECTIVE To determine current practices regarding use of antimicrobials in equine patients undergoing surgery because of colic at veterinary teaching hospitals. DESIGN Survey. SAMPLE POPULATION Diplomates of the American College of Veterinary Surgeons performing equine surgery at veterinary teaching hospitals in the United States. PROCEDURE A Web-based questionnaire was developed, and 85...

BACKGROUND AND OBJECTIVES With the recent attention on quality of care and residency training, teaching hospitals are coming under greater scrutiny. Despite several studies, there is still no consensus on whether teaching hospitals deliver higher quality of care than nonteaching hospitals. METHODS This was a retrospective cross-sectional study, using national hospital data. The sample consist...

BACKGROUND Recent evidence suggests that less than one-quarter of patients with symptomatic nosocomial Clostridium difficile infections (CDI) are linked to other in-patients. However, this evidence was limited to one geographic area. We aimed to investigate the level of symptomatic CDI transmission in hospitals located across England from 2008 to 2012. METHODS A generalized additive mixed-eff...

The Australian Group for Antimicrobial Resistance (AGAR) has played a unique role in surveillance of antimicrobial resistance in Australia. It has a broad laboratory membership representing the major teaching hospitals in all Australian capitals and more recently major private pathology laboratories in most states. The use of an active surveillance strategy with standard methodology for collect...

BACKGROUND The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 gave states the option to withdraw Medicaid coverage of nonemergency care from most legal immigrants. Our goal was to assess the effect of PRWORA on hospital uncompensated care in the United States. METHODS We collected the following state-level data for the period from 1994 through 1999: foreign-b...

Our group is approximately 18 strong, including 2 secretaries and 5 PhD students. Some of the LERTIM members (6 in all) have two sets of responsibilities, because of the way French medical schools and teaching hospitals are organized: they have teaching and research activities both in the Faculty of Medicine and the teaching hospital. Their faculty activities deal with research on medical infor...

OBJECTIVE The abuse of antimicrobials is a serious concern in China. Several measures have been taken to improve the rational use of antimicrobials, including the establishment of a national surveillance network for antimicrobial use. This study describes the dynamic changes in antimicrobial use in China between 2001 and 2010, with the scope of identifying targets to improve the prescription of...

OBJECTIVES To investigate whether the regular use of alcohol hand gel was having a detrimental effect on hands of healthcare professionals and, if so, to what extent. The study also aimed to establish a link between individuals who felt their hands were suffering from persistent exposure to the gel and those who actively avoided using the gel. DESIGN A short descriptive questionnaire was dist...