74 research outputs found
The English Mother's Catechism
No full textA page from "The English mother's catechism for her children : containing those things most necessary to be known at an early age..." with questions and answers about the uses of silk and other materials. An illustration on the second side shows a balloon next to a description of the building and functioning of silk balloons.For more information about this item, visit https://archivesspace.mit.edu/repositories/2/digital_objects/61
Clinical audit to improve the management of infertile couples in Scotland
No full textAims were (1) to review the literature on clinical audit; its history, methodology and role in the current National Health Service (NHS) Clinical Effectiveness initiative; and (2) to describe and discuss one national clinical audit exercise, the Gynaecology Audit Project in Scotland (GAPS) audit of the investigation and initial management of infertility.Care by general practitioners: The review of referral letters revealed that less than half of couples have basic tests of confirmation of ovulation and semen analysis performed in primary care. Conversely, up to a fifth of women with regular menses undergo unnecessary and expensive endocrine investigations. Between the two audit periods, significant, but modest, improvements occurred in the proportion of couples where the male partner was examined and had semen analysis performed and where the women's rubella status was checked.Care by gynaecologists: Between the two audit periods, significant changes in line with nine of the agreed audit criteria were demonstrated. two significant changes contrary to the agreed criteria also occurred.Patient satisfaction and experience: The patient survey indicated that 87% of women were satisfied with their care. However, over a third (39%) had never been asked to bring their partner to the clinic; 86% felt they had not been given enough help with emotional aspects of infertility; only a third had been given any written information and 78% expressed a wish for more written information.Conclusions: Clinical audit remains a cornerstone of national strategies to promote more uniform standards of high quality, evidence-based care. The GAPS Infertility Audit demonstrated the feasibility of conducting a national audit exercise encompassing patient management in both primary and secondary care settings. Modest changes in the process of care and in patients' experience were demonstrable. The modest extent of change confirms the view that audit and feedback may not be the most effective means of promoting improvements in practice. Further research is needed to determine obstacles to change and the most effective ways of overcoming them
Defending Marshall's 'masterpiece': Ralph Souter's critique of Robbins' Essay
No full textWe examine Ralph W. Souter's defence, in the 1930s, of Marshall's Principles against Robbins' attempt to recast economics as a 'purely formal science of implications'. Souter elaborated on Marshall's invocations progressively to increase the realism of economic science and contrasted this perspective on Marshall with Robbins' atomistic bias, neglect of historical time and irreversibilities, arbitrary restrictions on the scope of economic science and emphasis on logical and mathematical form over content. Souter demonstrates that Robbins takes a Walrasian-inspired perspective on Marshall's equilibrium concept whereas the 'authentically Marshallian' equilibrium notion generally incorporates potential for endogenous change. On this and other matters Souter has doctrinal priority in drawing attention to Marshall's incipient 'evolutionary economics'. Copyright The Author 2009. Published by Oxford University Press on behalf of the Cambridge Political Economy Society. All rights reserved., Oxford University Press.
917: Mode of delivery before and after publication of guidelines to reduce primary cesarean deliveries.
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Reasons for Regarding Hilarius (Ambrosiaster) as the Author of the Mercatiturner Anecdoton
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Arts Generations: Arts students 1920s to 2010s speak of their experiences
No full textSpeakers
Mrs Michelle Blanchard, Deputy Director of the Koori Centre
Miss Dorothy Gilder and Mrs Glen Fogarty (née Boland)(1920s), teachers
Professor Donald Horne (1930s), writer and academic
Gavin Souter (1940s), journalist, historian and author
Edmund Campion (1950s), priest, author and academic
Andrew Riemer (1950s), academic, translator, editor and critic
Susan Wyndam (1970s), journalist
Marion Potts (1980s), theatre director
Jack Manning Bancroft, current student and holder of the inaugural Australia and New Zealand indigenous scholarship
Angus Martin, President of the Sydney University Arts Association
How Much Is Too Much? Intrapartum Interventions in a Term Singleton US Birth Cohort [19N]
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