Lancet
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In a retrospective study of necropsies done in a general hospital over five years (1971-75), fatal strokes in elderly patients often appeared to be due to acute hypotension caused by such extracranial events as heart-failure, occult haemorrhage, or multiple pulmonary emboli. In patients over the age of 60, 47 out of 120 strokes were interpreted as being caused in this way; in patients aged 70 or more, 35 out of 72. The findings suggest that more active investigation and treatment of such extracranial disease might improve the prognosis of the elderly patient with stroke.
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Comparative Study
Applying resource allocation formulae to constituent parts of the U.K.
If the health care budgets of the constituent nations of the United Kingdom in 1977-78 are added together and then redistributed on the RAWP formula there would be a significant movement of resources from Scotland and Northern Ireland and to England and Wales. The differential geographical allocation of resources within the U. ⋯ However, the political costs are such that RAWP-type goals for the U. K. would be difficult to achieve.