Obstetrics in Small Hospitals

Carter, L V; Dooley, Denis; Elliott, Charles; Semple, Andrew B.

doi:10.5694/j.1326-5377.1980.tb134922.x

Cited by 11 publications

(1 citation statement)

References 1 publication

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“…Recommendations were made during the 1970s that hospital obstetric units with a volume of fewer than 500 deliveries annually be consolidated or closed (National Guidelines for Health Plan-ning, 1977). Several studies since that time have provided data challenging these recommendations and support the relative safety of small-volume obstetric services (Black & Fyfe, 1984;Carter et al, 1980;Fallis, Dunn & Hilditch, 1988;Hein, 1986;Rosenblatt, Reinken & Shoemack, 1985).…”

Section: Discussionmentioning

confidence: 99%

Closure of Rural Hospital Obstetric Units in Missouri*

Lawhorne¹,

Zweig²

1989

The Journal of Rural Health

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We studied 65 rural hospitals in Missouri that provided obstetric services in 1986. The hospitals were divided into three groups on the basis of their physician obstetric staff: family or general practitioners only (38 hospitals), family practitioners and obstetricians (22 hospitals), and obstetricians only (five hospitals). From birth certificate data, we detected a decline in the mean number of births in all groups of rural hospitals comparing 1980-1983 with 1984-1987. Births in family practice only hospitals declined most over the past four years (35%), whereas there was only a 4 percent decline in the number of births to rural Missouri women. In 1987, 10 of the 38 family practice only hospital obstetric units closed due to loss of physician services, whereas none of the other hospitals stopped providing obstetric care (X2 = 8.40, p less than 0.005). These findings suggest that rural hospitals with family and general practitioners exclusively on their obstetric staffs are at significant risk of closing their obstetric units.

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Section: Discussionmentioning

confidence: 99%

Closure of Rural Hospital Obstetric Units in Missouri*

Lawhorne¹,

Zweig²

1989

The Journal of Rural Health

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An EMS-induced mutation in a tetratricopeptide repeat-like superfamily protein gene (Ghir_A12G008870) on chromosome A12 is responsible for the liy short fiber phenotype in cotton

et al. 2019

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Transcriptome analysis of North American sweet birch (Betula lenta) revealed a higher expression of genes involved in the biosynthesis of secondary metabolites than European silver birch (B. pendula)

Singewar

Kersten²,

Moschner

et al. 2021

J Plant Res

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The North American Betula lenta L. (sweet birch) has been used for medicinal reasons for centuries by native Americans. Although sophisticated technologies have rapidly been developed, a large information gap has been observed regarding genetic regulators of medicinally important compounds in sweet birch. Very little is known on the different genes involved in secondary metabolic biosynthesis in sweet birch. To gain a deeper insight into genetic factors, we performed a transcriptome analysis of each three biological samples from different independent trees of sweet and European silver birch (B. pendula Roth). This allowed us to precisely quantify the transcripts of about 24,000 expressed genes including 29 prominent candidate genes putatively involved in the biosynthesis of secondary metabolites like terpenoids, and aromatic benzoic acids. A total number of 597 genes were differentially expressed between B. lenta and B. pendula, while 264 and 210 genes showed upregulation in the bark and leaf of B. lenta, respectively. Moreover, we identified 39 transcriptional regulatory elements, involved in secondary metabolite biosynthesis, upregulated in B. lenta. Our study demonstrated the potential of RNA sequencing to identify candidate genes interacting in secondary metabolite biosynthesis in sweet birch. The candidate genes identified in this study could be subjected to genetic engineering to functionally characterize them in sweet birch. This knowledge can be beneficial to the increase of therapeutically important compounds.

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Obstetrics in Small Hospitals

Cited by 11 publications

References 1 publication

Closure of Rural Hospital Obstetric Units in Missouri*

Closure of Rural Hospital Obstetric Units in Missouri*

An EMS-induced mutation in a tetratricopeptide repeat-like superfamily protein gene (Ghir_A12G008870) on chromosome A12 is responsible for the liy short fiber phenotype in cotton

Transcriptome analysis of North American sweet birch (Betula lenta) revealed a higher expression of genes involved in the biosynthesis of secondary metabolites than European silver birch (B. pendula)

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