Rowena Young

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A baby presented on day 5 with symptoms of classical galactosaemia which are believed to be owing to a lack of uridine diphosphate-4-epimerase, rather than to the usual galactose-1-phosphate uridyl transferase defect. Apart from galactosaemia the condition was characterised biochemically by a red cell accumulation of galactose-1-phosphate and uridine(More)
Recruitment and retention of general practitioners (GPs) has become an issue of major concern in recent years. However, much of the evidence is anecdotal and some commentators continue to question the scale of workforce problems. Hence, there is a need to establish a clear picture of those instabilities (i.e. imbalances between demand and supply) that do(More)
Evaluating a person's physical and psychological make-up and his physical and cultural environment are skills that must be learned by physicians-in-training. The faculty of the Boston City Hospital Primary Care Training Program at the East Boston Neighborhood Health Center uses the home visit to help residents develop these skills. This article discusses(More)
The authors in this article describe a 12-week primary care elective for third-year medical students. The administrative and teaching resources of the Boston University School of Medicine, clinical sites at three Boston community health centers, and federal/state and private foundation funding are coordinated to provide a longitudinal, integrated experience(More)
BACKGROUND The combined impact of maternal depression and in-home violence, and how their relationship with physical punishment varies with child behaviour are unknown. OBJECTIVES To determine the combined impact of maternal depression and violence exposure on smacking and explore the role of child behaviours in this relationship. METHODS Multivariable(More)
  • R Young
  • Social science & medicine
  • 1999
Much has been made over the years of the view that health-related geographical research has failed fully to explore the complex and mutually reinforcing impact of social and spatial relations on individual health-related behaviours. At the same time, there is a growing awareness elsewhere in the social sciences and in health services research of the(More)
While collecting information for a consumer pamphlet to assist cancer patients in navigating through the medical system, the National Cancer Policy Board discovered the data that were available were critically insufficient. In response, the turned their attention to analyzing our ability to assess quality of cancer care. Their findings along with ten(More)
One of the major issues pertaining to the pending legislation for Patient's Bill of Rights is the potential of liability health care plans, particularly when they decline coverage they consider not medically necessary. We call these contracts "managed health care" plans. But, realistically, when is it managing? When is it medicine? When, if at all, does(More)