Mental Health Services Funding and Development in Kwazulu-Natal: A Tale of Inequity and Neglect (Original Articles) (Report)

Mental Health Services Funding and Development in Kwazulu-Natal: A Tale of Inequity and Neglect (Original Articles) (Report)

It is estimated that 14% of the global burden of disease is attributable to neuropsychiatric disorders, with depressive illness, anxiety disorders, substance abuse and psychotic disorders contributing the greatest proportion. (1) Over 30% of disability-adjusted life-years (DALYs) are attributed to mental disorders which are expected to rise significantly over the next 2 decades. (2,3) Co-morbidity […]

Trends in Hospital Librarianship and Hospital Library Services: 1989 to 2006 (Report)

Trends in Hospital Librarianship and Hospital Library Services: 1989 to 2006 (Report)

INTRODUCTION The status of hospital librarians has concerned the Medical Library Association (MLA) for many years. As regulations, standards, and the economy have cycled through changes, hospital librarians have been challenged to demonstrate their value and avoid downsizing or closure of their libraries. As Holst succinctly stated in her Janet Doe Lecture, “Hospital libraries today […]

High Prevalence of Comorbidity and Need for Up-Referral Among Inpatients at a District-Level Hospital with Specialist Tuberculosis Services in South Africa--the Need for Specialist Support (Original Articles) (Report)

High Prevalence of Comorbidity and Need for Up-Referral Among Inpatients at a District-Level Hospital with Specialist Tuberculosis Services in South Africa–the Need for Specialist Support (Original Articles) (Report)

Tuberculosis (TB) in HIV-co-infected (HIV-TB) patients is characterised by high rates of smear-negative pulmonary and extrapulmonary disease, with increasing levels of antimycobacterial drug resistance and high rates of co-morbid opportunistic infections (OIs). (1,2) Difficulty in making the diagnosis of TB in HIV-infected patients results in diagnostic delay and the need for increased hospital admission. Prior […]

Utilisation and Outcomes of Cervical Cancer Prevention Services Among Hiv-Infected Women in Cape Town (Original Articles) (Report)

Utilisation and Outcomes of Cervical Cancer Prevention Services Among Hiv-Infected Women in Cape Town (Original Articles) (Report)

Cervical cancer is the most common cancer among South African women. The age-standardised mortality rate from cervical cancer is 21.0% in South Africa but only 8.9% worldwide. (1,2) This differential highlights inequality in the availability of screening for easily treated precursor lesions. South Africa’s cervical cancer burden severity is compounded by its HIV epidemic (2008 […]

Psychosocial Oncology Services in West Virginia (Scientific Article)

Psychosocial Oncology Services in West Virginia (Scientific Article)

When cancer used to mean certain death, physicians often withheld diagnostic information to protect patients and their families from the fear, shame and guilt that often accompanied this disease. A study by Oken in 1961 (1) found that 90% of physicians in the US usually did not disclose the diagnosis of cancer to the patient. […]

National Emergency Medical Services Education Standards: Advanced Emergency Medical Technician Instructional Guidelines

National Emergency Medical Services Education Standards: Advanced Emergency Medical Technician Instructional Guidelines

National EMS Education Standards and Instructional Guidelines – Completed in 2009, the National EMS Education Standards (the Standards) represents yet another step toward realizing the vision of the 1996 EMS Agenda for the Future, as articulated in the 2000 EMS Education Agenda for the Future: A Systems Approach. The Standards define the minimal entry-level educational […]

Community Medical Center v. Emergency Medical Services of Northeastern Pennsylvania Inc.

Community Medical Center v. Emergency Medical Services of Northeastern Pennsylvania Inc.

Community Medical Center (CMC) appeals from the grant of a motion in favor of Emergency Medical Services of Northeastern Pennsylvania (EMSNP), dismissing a complaint for lack of subject matter jurisdiction. CMCs claim is based on alleged deprivations of its due process and equal protection rights under the Fifth and Fourteenth Amendments in violation of 42 […]