Evaluation of pregnancy outcomes in women with GCK-MODY.

Aims: To determine the fetal and maternal outcomes in pregnant women with Glucokinase-Maturity onset diabetes of the young (GCK-MODY).

Methods: We studied the obstetric and perinatal outcomes in 99 pregnancies of 34 women with GCK-MODY. The mutation status of the offspring was known in 29 and presumed in 33.

The clinical management of hyperglycemia in pregnancy complicated by maturity-onset diabetes of the young.

Objective: Women with maturity-onset diabetes of the young (MODY) are often first identified and diagnosed with diabetes during pregnancy. Genetics and hyperglycemia play an important role in determining fetal size in MODY pregnancies. The principal objective of the current study is to determine the outcomes and clinical management of hyperglycemia in pregnancies complicated by glucokinase gene (GCK) and hepatocyte nuclear factor (HNF)-1α MODY mutations.

Triangulating data to improve care: case study.

The implementation of neonatal nursing indicators focusing on standards of record-keeping and the core neonatal nursing activities initially failed to bring good results. The decision to take an action-planning approach, a cyclical method of identifying problems and seeking ways to resolve them, gave staff 'ownership' of the process and resulted in rapid progress. The challenge now is to sustain and continue improvements in care.

The influence of pre-existing psychiatric illness on recovery in burn injury patients: the impact of psychosis and depression.

We hypothesised that patients with a co-morbid psychiatric illness would show poorer outcomes in recovery from their burn injury compared to patients with equivalent burn injury but without a pre-existing psychiatric illness. A secondary aim was to investigate the effect of self-inflicted burn injury. Consecutive admissions (n = 190) to a burns inpatient unit were screened for the existence of a formal pre-burn psychiatric disorder.