The availability of health personnel in the rural areas of poor countries is generally seen as problematic. This paper contrasts a lottery-based assignment of personnel between rural and urban areas to a free-market solution in which personnel are paid a premium to accept a rural posting. The lottery system can lower total cost and increase the number of personnel in rural areas.
View Article and Find Full Text PDFJPEN J Parenter Enteral Nutr
July 1987
Twenty-five insulin-treated diabetic patients were randomly assigned postoperatively to 5 days of intravenous infusions of ProcalAmine (3% amino acids, 3% glycerol, and electrolytes) or FreAmineIII + dextrose and electrolytes. The solutions were given isocalorically and isonitrogenously. Insulin was adjusted to keep glycemia at the level of 150-200 mg/dl.
View Article and Find Full Text PDFA multicenter study was conducted to compare a new peripheral intravenously given solution containing 3 per cent amino acids, 3 per cent glycerol and a complete pattern of maintenance electrolytes--ProcalAmine--with an isonitrogenous amino acid control solution--FreAmine III--in patients undergoing elective gastrointestinal or vascular operations. Fifty-two patients received the control solution and 48 patients received the experimental solution in a double-blind, randomized trial for five consecutive postoperative days. A complete hematologic and biochemical assessment was carried out daily throughout the five day infusion period and two days after the termination of infusion.
View Article and Find Full Text PDFA continuous 30-day metabolic N balance study was conducted in seven elderly men (75 +/- 4 yr) and eight elderly women (78 +/- 9 yr) to evaluate the current protein Recommended Dietary Allowance for older men and women. The subjects received a diet providing 0.8 g egg protein (N x 6.
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