Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low-or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
JR.f p RESENT LAW PERMITS the makers of most identifiable products to fix the prices at which these products may be resold (or below which they may not be resold) in most states in the United States. This is permissible on goods which are in free and open competition with other goods of the same general class, 1 and no agreements among competing sellers at any level are sanctioned.' These "safeguards" to competition provide the basis for the contention that the fair-trade laws do not eliminate competition or raise prices. The opposing view is that competition is as important in distribution as in manufacturing, and that dealer competition is inevitably eliminated. Consumers are thus limited in the range of choices they may exercise with respect to service facilities, convenience, or price in the sale of price-maintenance products. The makers of many products maintain prices for resale; most do not. Many producers who maintain prices on some of their products do not do so on others. A great many reasons have been offered to explain why resale prices are set. Part I of this article is an attempt to set out the conditions under which resale price maintenance has been used, and the objectives which are sought to be obtained by its use, first by dealers, then by manufacturers, and finally by combinations of both. The compatibility of these conditions and objectives is then related to "free and open competition." Part II is concerned with empirical evidence on the effects of resale price maintenance. Included is new information which has been secured on dentifrice prices in fair-trade and non-fair-trade states cover
In a questionnaire to community nurses treating dermatological patients, 14 out of 69 (20%) either treated children or gave advice to parents regarding childhood eczema, 35 (51%) treated adult eczema, 11 (16%) treated psoriasis, 55 (80%) treated leg ulcers, and 30 (43%) treated other dermatological problems. Specific questions regarding confidence to treat or educate were analysed in relation to the tasks being performed. All but 15% (8/55) treating leg ulcers were confident about their ability to apply four-layer bandaging. However, 8 out of 11 (72%) respondents treating psoriasis were not confident about their ability to treat scalp scaling, 11 out of 14 (79%) of those treating childhood eczema were not confident about applying body suiting, and 26 out of 36 (72%) of those treating eczema (any age), were not confident about ability to recognize infection as a cause or complication of dermatoses. The favoured educational modalities were visits to the local dermatology department (60/69, 87%), availability of a dermatology Nurse Practitioner or Liaison Nurse, or access to a hospital nurse-run dermatology clinic (both 44/69, 63%), or attendance at courses (36/69, 52%). Community nurses have an important role in treating and educating patients who may not require or be able to attend hospitals for treatment; they will achieve this best by provision of relevant locally based education, with allocation of adequate study time.
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