INTRODUCTION The purpose of this study was to note potential gynaecological risk factors leading to intensive care and to estimate the frequency, costs and outcome of management. MATERIALS AND METHODS In a cross-sectional study of intensive care admissions in Kuopio from March 1993 to December 2000, 23 consecutive gynaecological patients admitted to a mixed medical-surgical intensive care uni...

Recent literature on Enterprise System (ES) implementation projects highlights the importance of Knowledge Integration (KI) for implementation success. The fundamental characteristics of ES—integration of modules, business process view, and aspects of information transparency—necessitate that all frequent end-users share a reasonable amount of common knowledge and integrate their knowledge to y...

Osteoporotic fractures are associated with significant disease burden, health care cost, morbidity, and mortality [1]. In 2016, leading osteoporosis organizations issued a “Call to Action to Address the Crisis in the Treatment of Osteoporosis” [2]. Among experts, there was a strong concern in regards to the decrease rates of testing, and treatment of osteoporosis, and therefore a call to action...

I N this issue, Reynolds et al. 1 add to the legacy of anesthesiologist Virginia Apgar. Following her 1953 publication in an anesthesia journal of “A proposal for a new method of evaluation of the newborn infant,” clinicians around the world rapidly adopted the simple, 10-point score she’d proposed. Until that time, assessment of neonatal condition had been purely subjective and highly variable...

Americans presume trauma center expertise exists for patients with major injuries. Although concentrated expertise exists for cancer and cardiovascular diseases, such expertise for trauma exists only in a disappointingly small portion of the country. The deficiency of trauma systems persists despite more than 2 decades of published data demonstrating effectiveness with a reduced rate of death a...