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OBJECTIVES We aimed to: (1) assess the association of average, low, high and variable mean blood pressure (mbp) on death and the common morbidities of very low birthweight infants, and in doing so, (2) to derive representative reference ranges for mbp in very low birthweight infants. STUDY DESIGN This five year retrospective study assessed 1 min computer(More)
Quality of life is multifactorial, but may not be adequately assessed using existing validated health measures. The Mother-Generated Index, a subjective tool to measure postnatal quality of life, was assessed in a study of 102 women in Tayside, Scotland. They specified the most important areas of their lives having had a baby, and scored these. The Index(More)
BACKGROUND The extent of postnatal morbidity has become increasingly apparent over the last 15 years, but currently no tool is available that measures postnatal quality of life. This pilot study introduces a subjective tool, the Mother-Generated Index, which assesses the woman's quality of life and identifies those aspects that are of most concern to her.(More)
BACKGROUND Although postnatal morbidity has been well documented in recent years, postnatal quality of life has not been addressed. A newly derived subjective measurement of postnatal quality of life (the Mother-Generated Index) combines a quantitative and qualitative evaluation. AIMS This part of our pilot study aimed to compare the aspects of their(More)
BACKGROUND Contemporary broad descriptions of health and well-being are reflected in an increasing appreciation of quality of life issues; in turn this has led to a growing number of tools to measure this. METHODS This paper reviews articles cited in MEDLINE, CINAHL and BIDS which have addressed the concept of quality of life in pregnancy and the period(More)
AIM To examine the challenges and solutions encountered in the translation and cross-cultural adaptation of an English language quality of life tool in India, China, Iran, Portugal, Brazil, and Poland. BACKGROUND Those embarking on research involving translation and cross-cultural adaptation must address certain practical and conceptual issues. These(More)
OBJECTIVES preterm birth represents a significant personal, clinical, organisational and financial burden. Strategies to reduce the preterm birth rate have had limited success. Limited evidence indicates that certain antenatal care models may offer some protection, although the causal mechanism is not understood. We sought to compare preterm birth rates for(More)
AIMS A discussion of the existence, prevalence and characteristics of the nocebo effect in health care. BACKGROUND There is increasing but inconsistent evidence for nocebo effects (the opposite of placebo). Causal mechanisms are believed to be similar to placebo (negative effects result from suggestions of negative clinical outcomes). Risk screening in(More)
OBJECTIVE to assess whether the Mother-generated Index (MGI), a validated postnatal tool, was acceptable during late pregnancy; minor modifications to the wording of the existing tool were made. The MGI allows for qualitative and quantitative assessment. DESIGN face-to-face interviews were conducted by a single researcher using the modified MGI and the(More)
OBJECTIVE To assess whether the provision of computerized physiologic trend data could improve outcome in newborn infants requiring intensive care. DESIGN Randomized, controlled trial, with subsidiary questionnaire studies. SETTING Tertiary neonatal intensive care unit with 12 intensive care cots. PATIENTS All infants admitted between January 1991 and(More)