It is imperative that appropriate care of hospitalizd adolescents be included in the planning of health care services at local, regional, and national levels. The Society for Adolescent Medicine advocates the continuation and establishment of adolescent medicine inpatient units in both pediatric and general hospitals as an optimal approach to the delivery of developmentally appropriate health c...

John R, Reynolds, the President and CEO of the Hospital for Special Surgery (HSS), a 142 bed orthopedic specialty hospital in Manhattan, was facing a curious dilemma regarding both the future direction of his institution and the evolving nature of his role as Chief Executive of the Corporation. HSS had just completed, under Reynolds’ direction, a major consultative project with the British Nati...

Storage and secondary use of bloodspots collected for newborn screening raises controversies because of the particularly sensitive nature of the information that can be derived from them and the lack of national standards and consistent provincial policies that can serve to guide storage facilities. This report, derived through a review of Canadian and provincial policy statements, a survey of ...

Evidence provided by Weir and Smith, particularly the findings from the National Health and Nutrition Examination Survey (NHANES), leads us to conclude that an increase in arthritis prevalence during the 1990s in the United States is probable, but the trend is likely overstated in the Health and Retirement Study (HRS). We show that a mistake in our earlier method does not change substantively o...

The Virtual Slide (VS) is an interactive microscope emulator that presents a complete digitized tissue section via the Internet. A successful implementation of VS has been observed for educational, research venues and quality control. VS acquisition for consultative pathology is not so common. The purpose of this study was to explore the efficacy and usability of VS in the consultative pulmonar...

QUALITY PROBLEM OR ISSUE When the Ministry of Public Health (MoPH) of the Islamic Republic of Afghanistan began reconstructing the health system in 2003, it faced serious challenges. Decades of war had severely damaged the health infrastructure and the country's ability to deliver health services. INITIAL ASSESSMENT A national health resources assessment in 2002 revealed huge structural and r...

Comprehensive rehabilitation services postacute stroke have been shown efficacious in European trials; however, their effectiveness in everyday practices in the United States is unknown. We compared outcomes of veteran patients provided with comprehensive rehabilitation with those provided with consultative rehabilitation services postacute stroke using propensity scores. Outcomes included chan...