The mortality and morbidity in 600 patients undergoing prostatectomy at a district general hospital are reviewed. Below the age of 70 years the operative mortality was 1% compared with an overall mortality of 2.3%. Cardiorespiratory disease accounted for the majority of deaths. The increase of postoperative stay due to complications may be reduced by lowering the complication rate and, in the l...

The way in which hospital-acquired infection has been brought under control over a three-year period in a district general hospital is described. The main success has been achieved in reducing sepsis caused by Staph. aureus, especially methicillin-resistant strains, and Pseudomonas aeruginosa. These reductions were achieved in spite of inadequate ward isolation and operating theatre facilities,...

ago. By contributing Id. weekly (for young persons earning less than ?1 per week), 2d. weekly (for an individual man or woman), 4d. weekly (for a man, his wife, and any children under wage-earning age) membership of the League is enjoyed, and should it be necessary for a member to become a patient of Salisbury Infirmary, or any other hospital in the ?country, the League pays such hospital 10s. ...

Experience at Southmead Hospital confirms the importance of magnetic resonance imaging as a non-invasive method of studying the central nervous system. Its usefulness in the investigation of other systems, notably the genito-urinary tract and bones, joints and soft tissues is, however, stressed. It is a continually developing modality and the probability is that its applications will become eve...

The carotid surgical experience of Cheltenham General Hospital over a 13 year period (1968-81) is presented. This includes 42 operations for stenosis, and 12 further operations for carotid body tumour, carotid aneurysm, subclavian steal syndrome and trauma to the internal carotid artery. The operative techniques and complications are briefly discussed and reasons advanced for a more agressive a...

A review of all patients who had been admitted to hospital with acute ulcerative colitis in one health district between 1975 and 1984 showed that 96 had required 114 admissions with acute colitis: 42% (40) were admitted during their first attack, and 20% (19) required urgent surgery. A further nine patients underwent surgery after responding initially to intensive medical treatment that did not...

SUMMARY The paper discusses the results of 24 cases of Millin's prostatectomy in a District Hospital carried out between April and December 1983. The results show that the blood loss in the operation is usually not more than 600ml and therefore would not pose a strain on the blood bank. Postoperative bleeding is very minimal and again does not tax the nursing staff of an overcrowded, large ward...

INTRODUCTION The shortage and maldistribution of health care workers in sub-Saharan Africa is a major concern for rural health facilities. Rural areas have 63% of sub-Saharan Africa population but only 37% of its doctors. Although attrition of health care workers is implicated in the human resources for health crisis in the rural settings, few studies report attrition rates and risk factors for...

INTRODUCTION As part of maternal mortality reducing strategies, coverage of delivery care among sub-Saharan African rural poor will improve, with a range of facilities providing services. Whether high coverage will benefit all socio-economic groups is unknown. Iringa rural District, Southern Tanzania, with high facility delivery coverage, offers a paradigm to address this question. Delivery ser...