The Development of Women Health Professionals (DWHP) Programme: managing a CIDA-funded bilateral project in Pakistan.
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Canada↗
Biomedical subjects
A Fisher
Publications and source records attributed to A Fisher.
Diabetes in Kentucky.
A state diabetes commission and university diabetes program in Kentucky jointly studied the social and economic impact of diabetes mellitus and its complications on the Commonwealth. This investigation revealed that diabetes was a more serious public health problem than previously supposed. Active, diagnosed diabetes afflicts 4.4% Kentucky's population. Less severe clinical and "borderline" forms of diabetes affect an additional 2.4%. Diabetes is especially prevalent in Appalachian regions and in rural, Western Kentucky. In contrast, its prevalence in Lexington, the second-largest city, is 2.7%, similar to the current, estimated national prevalence. Diabetes is the leading cause of hospitalization by disease, and costs approximately $98,800,000 to $135,000,000. Previous estimates of these social and economic losses were lower, partly because they failed to account for the impact of diabetic complications. An average of 5.23% of all hospitalized Kentuckians have diabetes. Specific services for diabetes care, including organized patient education programs, social or psychological counseling, and preventive foot care, were offered by less than 8% of accredited Kentucky hospitals. This study demonstrates the disparity between need and available services, particularly preventive services, for diabetes care in the health care system.
Adolescent↗
Cysticercosis of the fourth ventricle. A classic presentation of an old scourge.
The clinical, neuroradiological, and pathological features of cysticercosis of the fourth ventricle, which occurred in a Cambodian immigrant, are reported. Comparisons between this case and Bruns' original description of cysticercosis of the fourth ventricle are made.
Adult↗
Strategies for managing health problems among homeless women: three case studies.
The purpose of this article is to illustrate through case examples how homeless women experience coexisting health problems, and how they may conceal these stigmatizing health problems from others, including health professionals and shelter staff. The article will also address how nurse case managers can interact with these women so that together they can develop strategies about how to manage these complex health problems.
Adult↗
The construction of an ambulance.
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Ambulances↗
Auckland's spinal unit now occupied.
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Hospital Units↗
Bone marrow hypoplasia associated with acute viral hepatitis in four children.
Four cases of children, aged 2 to 11 years, with acute viral hepatitis and bone marrow hypoplasia are reported. Three patients presented only jaundice and hepatomegaly; one also had liver failure. All the four patients underwent bone marrow aspiration which showed bone marrow aplasia. In two of the four patients a liver biopsy revealed patchy necrosis with inflammatory mononuclear cell infiltrate. Half of the patients received a bone marrow transplantation; the remaining patients were treated by intravenous infusion of immunoglobulins, growth factors and steroids. The main epidemiological and etiological features of such association are also reported.
Biopsy↗
Measuring the prevalence of immunization.
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Child Welfare↗
Bioprosthetic endocarditis due to Cryptococcus neoformans.
Fungal prosthetic endocarditis continues to be a lethal complication of cardiac valve replacement. We describe a patient with culture-proved Cryptococcal endocarditis and myocarditis whose non-regurgitant xenograft aortic prosthesis was successfully replaced urgently upon the occurrence of new 1st degree A-V block in the third postoperative week. Operative intervention, including vigorous debridement of the aortic root, is effective in postoperative prosthetic fungal infections involving the myocardium. The patient described herein is now infection-free, with a non-regurgitant valve, one and one-half years following operation.
Adult↗
Guidelines for health education in maternal and child health.
Guidelines are presented for specifying objectives, identifying resources, selecting methods and evaluating the health education component for maternal and child health programmes. Examples of the application of the principles are integrated with the Guidelines. Diagnostic, planning, organizational, administrative and evaluative procedures are presented around a model of health education which emphasizes: a) the careful delineation of the health problem; b) the specification of behaviours influencing the health problem; c) setting priorities among target behaviours on the basis of their relative epidemiological importance and their changeability; and d) the identification of factors that predispose, enable and reinforce the behaviour.
Child↗
Using situation analysis data to assess the functioning of family planning clinics in Nigeria, Tanzania, and Zimbabwe.
Situation analyses conducted in Nigeria. Tanzania, and Zimbabwe have revealed problems in the functioning of many of the subsystems of family planning service delivery, namely in supplies of commodities; in facilities and equipment; in staffing and training; in information, education, and communication; and in record keeping. Although a clear pattern of clinic use exists, in that only a few service-delivery points provide contraceptive services to the majority of new family planning acceptors in the three countries, an attempt to explain how clinics with more clients differ from those that are visited less frequently revealed only a weak association between subsystem functioning and use.
Bias↗
Implementation of unit-based continuous quality improvement approach to quality management: applying concepts to practice.
This article describes the implementation of unit-based continuous quality improvement approach to quality management and the resultant fostering of autonomy and decision-making among clinical nurses. Restructuring, education and evaluation activities during implementation are described. Nurses in the post-implementation evaluation survey stated that quality of care was improved by unit-based continuous quality improvement. Unit-based continuous quality improvement promotes a high level of clinical nurse involvement as evidenced by quality improvement initiatives and projects completed. Accompanying this involvement, is a system of continuous quality improvement which facilitates patient care improvement.
Decision Making, Organizational↗
[The effect of aphidicolin on trochoblast differentiation in the early ontogeny of polychaetes].
The differentiation of trochoblasts in Nereis virens and Platynereis dumerlii embryos was investigated during different periods of time after fertilization by means of the DNA replication block. It was shown that the quantal cycle of ciliogenesis is not connected directly with the time of primary trochoblast founder cell formation. Development of the cilia on trochoblasts in P. dumerlii needed normal DNA replication at the fifth cycle. Ciliogenesis in N. virens completely stopped after the inhibition of replication of the fourth cycle and only partly when the fifth and sixth rounds of DNA replication were affected. The data obtained are discussed from the standpoint of Newport and Kirschner's depletion hypothesis.
Animals↗