A study of the impact of coin8urance on phye& ciun 2li8it8, physician expense, ancillary 8e?YJiCe8, and ancillary services eopense. When a SQ-percent coinsurance rate was introduced to the Palo Alto Group Health Plan, the members’ demand for me&al care wa8 significantly reduced, other thing8 remaining the 8ame. Th,i8 study differ8 from the preceding article in that it hold8 all other oariableo ...

Knowledge of the composition of the bird community in Alto Balsas (southwestern Puebla, Central Mexico) is needed for management programs aiming at protection and conservation of bird species and their habitats I studied sites with tropical deciduous forest. Data were obtained during 1666 hours of field work in 238 days from March 1998 to September 2000. Six permanent transect (3.5 km long and ...

Parents respond to the death of a child in very different ways. Some parents may be violent or angry, some sad and tearful, some quiet and withdrawn, and some frankly delusional. We present a case in which a father's reaction to his daughter's death is a desire to protect his wife from the stressful information. The wife is in the second trimester of a high-risk pregnancy and so is particularly...

BACKGROUND Triplet pregnancies are associated with a high risk of miscarriage and early preterm birth. It is uncertain if the outcome is improved by embryo reduction (ER). METHODS We examined trichorionic triplet pregnancies with three live fetuses at 10-14 weeks of gestation that were managed expectantly or by ER. The two groups were compared for the rates of miscarriage, defined as pregnanc...

OBJECTIVE To describe the rates of antenatal hospital admission during twin or higher order multifetal pregnancies, and the admission outcomes as discharge undelivered, transfer to higher care, or spontaneous or elective delivery. METHODS Cohort study using linked birth and hospital data. The cohort comprised women who gave birth to twins or higher order multiple infants of≥24 weeks gestation...

BACKGROUND Globally, about 11% of all annual births involve adolescents aged 15-19 years. Uganda has one of the highest teenage pregnancy rates in Sub-Saharan Africa. This study assessed stakeholders' views concerning factors affecting availability, accessibility and utilization of teenager friendly antenatal services in Mbarara Municipality, southwestern Uganda. METHOD This was a cross-secti...