BMJ : British medical journal

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• BMJ · May 2001

  Editorial

  The BMJ 's ethics committee is open for business.

  no abstract available

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• BMJ · May 2001

  Editorial Comment

  Implementing national guidelines at local level.

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• BMJ · May 2001

  Randomized Controlled Trial Clinical Trial

  Perineal massage in labour and prevention of perineal trauma: randomised controlled trial.

  To determine the effects of perineal massage in the second stage of labour on perineal outcomes. ⋯ The practice of perineal massage in labour does not increase the likelihood of an intact perineum or reduce the risk of pain, dyspareunia, or urinary and faecal problems.

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• BMJ · May 2001

  Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage model.

  To develop a predictive model to triage patients for discharge from intensive care units to reduce mortality after discharge. ⋯ The discharge mortality of at risk patients may be reduced by 39% if they remain in intensive care units for another 48 hours. The discharge triage model to identify patients at risk from too early and inappropriate discharge from intensive care may help doctors to make the difficult clinical decision of whom to discharge to make room for a patient requiring urgent admission to the unit. If confirmed, this study has implications on the provision of resources.

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• BMJ · May 2001

  Editorial

  GMC: approaching the abyss.

  no abstract available

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