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The WHO World Mental Health Surveys International College Student Project: Pr…
Increasingly, colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 colleges across eight countries were carried …
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How mental health care should change as a consequence of the COVID-19 pandemic
The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adverse mental health effects in previously healthy people and especially in people with pre-exist…
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Collaborative care for child and youth mental health problems in a middle-inc…
Child and youth mental health problems are leading causes of disability and particular problems in low- and middle-income countries where populations are young and child mental health services are in short supply. Collaborative care models that support primary care providers’ efforts to detect and treat child mental health problems offer one way to address this need. However, collaborative ca…
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The start of life: a history of obstetrics
Obstetric intervention originally consisted of extraction of the baby, usually by the breech, to save the mother’s life in obstructed labour. Forceps, introduced in the 17th century, were later refined by men-midwives like William Smellie. In Victorian times, Simpson championed chloroform anaesthesia, Lister pioneered antisepsis, and caesarean section was introduced. In 1935, however, Britai…
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Reporting and Analysis of Trial-Based Cost-Effectiveness Evaluations in Obste…
The aim was to systematically review whether the reporting and analysis of trial-based cost-effectiveness evaluations in the field of obstetrics and gynaecology comply with guidelines and recommendations, and whether this has improved over time
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Quality of Care and Disparities in Obstetrics
Growing attention is being paid to obstetrical quality of care as patients are pressing the healthcare system to measure and improve quality. There is also an increasing recognition of persistent racial and ethnic disparities prevalent in obstetrical outcomes. Yet few studies have linked obstetrical quality of care with racial and ethnic disparities. This article reviews definitions of quality …
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Hospital Operative Volume Is an Essential Quality Indicator for General Surge…
Within the growing geriatric population, there is an increasing need for emergency operations. Optimizing outcomes may require a structured system of surgical care based on key quality indicators. To investigate this, the present study sought to answer two questions. First, to what degree does hospital emergency operative volume impact mortality for geriatric patients undergoing emergency gener…
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Expanding the Scope of Quality Measurement in Surgery to Include Non-Operativ…
Patients managed non-operatively have been excluded from risk-adjusted benchmarking programs, including the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP). Consequently, optimal performance evaluation is not possible for specialties like emergency general surgery (EGS) where non-operative management is common. We developed a multi-institutional EGS clin…
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General surgery in Canada: current scope of practice and future needs
The scope of practice of general surgeons in Canada is highly variable. The objective of this study was to examine the demographic characteristics of general surgeons in Canada and compare surgical procedures performed across community sizes and specialties.
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Impact of Comorbidities and Frailty on Early Shunt Failure in Geriatric Patie…
Older patients are considered to bear a higher perioperative risk. Since idiopathic normal pressure hydrocephalus (NPH) predominantly concerns older patients, identifying risk factors for early shunt failure for preoperative risk/benefit assessment is indispensable for indication and/or consultation of patients for ventriculoperitoneal shunting (VPS)
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