A comparison of labor and delivery management activities in two settings

Similarities and differences in management activities and patient health outcomes between a traditional physician staffed labor and delivery setting and a certified nurse-midwife staffed Birth Center within the same hospital were described. The 950 study subjects, low income, minority women, were classified as low obstetrical risk by a POPRAS score of 25 points or less at time of admission for labor and delivery. The study subjects were similar in demographic, antepartum and intrapartum characteristics; the labor course was problem free for the majority in both settings. There were no remarkable differences in health outcomes between the groups. Management activities varied between settings; these variations were policy related rather than health related. The POPRAS rating system was an accurate predictor for 93% of BC subjects and 85% of LDU subjects. Charge for service was approximately $600 less for BC women; length of stay did not contribute to the difference in charge. Overall, BC respondents to the attitude survey were more satisfied with their labor and delivery experience than L\&DU women. ^

Bacterial biomasses and activities in the Northwest African upwelling region

During the 'Meteor' expedition SUBTROPEX '82, sediment samples were taken at 14 stations in different water depths at 35, 29, 25, 21 and 17 °N, and measurements of bacterial biomasses and activities were carried out in these different upwelling-intensity areas. Highest densities and biomasses by AODC (2.2 x 10**8 cells, corresponding to 14.8 µg C/g sediment dry wt) were recorded at 21 °N, year-round upwelling, at 1200 and 800 m, but at 500 m biomass was still 4.3 µg C/g dry wt. Relatively high densities and biomasses (6.5 and 6.8 µg C/g dry wt) were found at 17 °N, upwelling mostly in winter and spring, at 1200 and 800 m. AODC were 2 to 3 orders of magnitude higher than viable counts, incubation at 2 or 20 °C. For deep-water sediments, counts at 2 °C were higher than at 20 °C. Biomass and ATP concentrations were highest in the 0 to 2 cm sediment layers; they decreased with sediment depth. Bacterial biomasses were correlated with organic carbon and ATP concentrations. The fractions of Bacterial ATP were calculated to be 2 to 24% of ATP-biomass. On the basis of organic carbon, however, fractions of Bacterial Organic Carbon were only 0.02 to 0.06%. For microbial communities, the conversion factor 0.004 for BOC to BATP seems 2 orders of magnitude too high. Maximum AEC ratios of 0.53 to 0.70 were found at 21 and 17 °N; the other stations had AEC ratios of 0.21 to 0.47. Numbers of bacteria with respiratory ETS were between 0.5 and 10.5 % of AODC. An exception was the shelf station at 35 °N with 34.2% of AODC.