Continuity and consultation

2020 ◽  
Vol 28 (9) ◽  
pp. 674-676
Author(s):  
June Pembroke Hajjaj

Providing continuity of carer is one way to work towards the NHS Better Births goal. June Pembroke Hajjaj discusses its development and implementation in London North West Healthcare

2019 ◽  
Vol 27 (9) ◽  
pp. 555-561
Author(s):  
Nicola Lang ◽  
Sophie Jose ◽  
Amanda Rogers ◽  
Helen Maric ◽  
Victoria Lyon ◽  
...  

Background Better Births recommends that women receive continuity of carer in order to improve outcomes. Aim To measure changes from implementing a continuity of carer approach, in terms complicated or uncomplicated births. Method In North-West London in 2017-2018, funding was allocated to establish an early adopters' programme across six maternity units. The implementation of this programme and the outcomes in terms of birth complications and women's feedback are described. Findings Although most changes were not statistically significant, positive maternal views, and some changes in the use of diet control or insulin for women with gestational diabetes, were found. Conclusions The evaluation was limited by missing data, and in future, maternity outcomes should be extracted routinely from women's records without requiring manual data entry by midwives.


Author(s):  
S. Shirahama ◽  
G. C. Engle ◽  
R. M. Dutcher

A transplantable carcinoma was established in North West Sprague Dawley (NWSD) rats by use of X-irradiation by Engle and Spencer. The tumor was passaged through 63 generations over a period of 32 months. The original tumor, an adenocarcinoma, changed into an undifferentiated carcinoma following the 19th transplant. The tumor grew well in NWSD rats of either sex at various ages. It was invariably fatal, causing death of the host within 15 to 35 days following transplantation.Tumor, thymus, spleen, and plasma from 7 rats receiving transplants of tumor at 3 to 9 weeks of age were examined with an electron microscope at intervals of 8, 15, 22 and 30 days after transplantation. Four normal control rats of the same age were also examined. The tissues were fixed in glutaraldehyde, postfixed in osmium tetroxide and embedded in Epon. The plasma was separated from heparanized blood and processed as previously described for the tissue specimens. Sections were stained with uranyl acetate followed by lead citrate and examined with an RCA EMU-3G electron microscope.


Author(s):  
Daryl A. Cornish ◽  
George L. Smit

Oreochromis mossambicus is currently receiving much attention as a candidater species for aquaculture programs within Southern Africa. This has stimulated interest in its breeding cycle as well as the morphological characteristics of the gonads. Limited information is available on SEM and TEM observations of the male gonads. It is known that the testis of O. mossambicus is a paired, intra-abdominal structure of the lobular type, although further details of its characteristics are not known. Current investigations have shown that spermatids reach full maturity some two months after the female becomes gravid. Throughout the year, the testes contain spermatids at various stages of development although spermiogenesis appears to be maximal during November when spawning occurs. This paper describes the morphological and ultrastructural characteristics of the testes and spermatids.Specimens of this fish were collected at Syferkuil Dam, 8 km north- west of the University of the North over a twelve month period, sacrificed and the testes excised.


1996 ◽  
Vol 26 (12) ◽  
pp. 1364-1370 ◽  
Author(s):  
R. S. H. Pumphrey ◽  
S. J. Stanworth
Keyword(s):  

2014 ◽  
Author(s):  
Roald Amundsen ◽  
Godfred Hansen
Keyword(s):  

2020 ◽  
Author(s):  
Marian S. Sapah ◽  
Jennifer E. Agbetsoamedo ◽  
Prince O. Amponsah ◽  
Samuel B. Dampare ◽  
Daniel K. Asiedu

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