Publications by authors named "Martin Boyce"

Background: Most countries are off-track to achieve global maternal and newborn health goals. Global stakeholders agree that investment in midwifery is an important element of the solution. During a global shortage of health workers, strategic decisions must be made about how to configure services to achieve the best possible outcomes with the available resources.

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Article Synopsis
  • The text discusses how Midwife-led birth centres (MLBCs) offer a viable alternative to traditional hospital care for low-risk pregnancies, aiming to improve maternal and neonatal health outcomes.
  • A cost analysis of 12 MLBC sites in Bangladesh, Pakistan, and Uganda revealed significant variability in costs per birth, highlighting midwife salaries and operational expenses as key factors.
  • The findings suggest that MLBCs can lead to better health outcomes at lower costs or provide high cost-effectiveness compared to standard care, indicating the need for further cost assessments during implementation.
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The third global State of the World's Midwifery report (SoWMy 2021) provides an updated evidence base on the sexual, reproductive, maternal, newborn and adolescent health (SRMNAH) workforce. For the first time, SoWMy includes high-income countries (HICs) as well as low- and middle-income countries. This paper describes the similarities and differences between regions and income groups, and discusses the policy implications of these variations.

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Anterograde tracing techniques combined with postembedding immunocytochemical staining were used to determine the gamma amino butyric acid (GABA) content of pretectogeniculate (PT-LGN) terminals and their postsynaptic targets. The results provide evidence that PT-LGN terminals are GABAergic and that they contact GABAergic interneurons. These results corroborate previous anatomical studies and support the idea that the PT-LGN projection functions to disinhibit thalamocortical cells in the dorsal lateral geniculate nucleus.

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The experience of a sperm bank during a five year period is reported. Artificial insemination by donor (AID) was carried out on 1188 women using frozen sperm prepared in doses of 0.25 ml.

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Among 3 000 patients attending a subfertility clinic, the proportion of cases with a history of urethritis was found to be very high among heavy smokers. A similar increase was observed among those whose daily alcohol consumption was equivalent to more than a litre of wine. When standardised for age, both these differences remained highly significant.

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