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Biomedical subjects

R Hurley

Publications and source records attributed to R Hurley.

At least 127 records · Page 7Linked to original sources

Competition and survival of health service organizations: a population ecology approach.

The survival of health care organizations is viewed, in this article, from a population ecology perspective. This perspective provides insight into how organizational forms are differentiated on the basis of resource availability under different environmental conditions. Selected hypotheses and a rationale are presented to illustrate the applicability of the perspective to health services.

Delivery of Health Care↗

Measurement of fetal plasma levels of glutathione S-transferase B1 as an indicator of damage to the liver caused by hypoxia in utero.

Glutathione S-transferase B1 (GST B1) concentration in blood and amniotic fluid from fetuses investigated for a variety of conditions including rhesus (Rh) allo-immunisation was assessed for its usefulness as a measure of liver damage caused by hypoxia in utero. The concentration in blood from the intrahepatic vein (IHV) was 10-fold higher than that from the placental cord insertion suggesting that parenchymal liver cells are damaged during blood sampling from the IHV. As a measure of hepatocellular impairment caused by intra-uterine hypoxia, levels were higher in frankly acidotic fetuses than in normally managed Rh fetuses. The degree of hypoxia required to trigger the release of GST B1 into the plasma remains unclear.

Amniocentesis↗