Hospital medicine (London, England : 1998)
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The methods of monitoring the injured brain in intensive care have relied mainly on intermittent measurement. There is now increasing clinical interest in newer continuous forms of bedside monitoring that can help direct therapy earlier and more precisely. This article reviews continuous methods of monitoring cerebral perfusion, oxygenation, brain chemistry and function.
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Clinical governance represents a culture change in the NHS, making managers of health care institutions responsible for clinical standards as well as the financial bottom line. Doctors and managers will need to be educated to play their full part in this new culture.
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In 1997, Hong Kong became a Special Administrative Region of the People's Republic of China. The new government took control of a Western style health-care system and a population whose health is comparable to the rest of the developed world. This article describes the existing health-care system, the state of public health and some of the challenges and opportunities facing the new administration.