ABSTRACT
OBJECTIVE: To test specific standards set in the newly established cleft lip and palate service in three regions of the U.K. The standards relate to record collection and outcomes. DESIGN: Retrospective analysis. PATIENTS: Records of 31 children, 5 years of age, who were born in 1997 with complete unilateral clefts of lip and palate and were treated by surgeons in three regions. MAIN OUTCOME MEASURES: Record collection standards were measured by collecting dental study models. Outcomes were measured with the 5-Year-Old Index. RESULTS: Of the 31 subjects, 52% had excellent and good outcomes. The 31 cases represented 62% of the total records collected. CONCLUSIONS: The three regions examined fell short of the standards set, but the outcomes were improved compared with previous national outcomes. The failings in record collection need to be rectified. This study provides baseline data for further development of cleft services within three regions.
Subject(s)
Cleft Lip/surgery , Cleft Palate/surgery , Dental Records/standards , Hospitals, Special/organization & administration , Quality Assurance, Health Care/standards , Surgery, Oral/standards , Child, Preschool , England , Hospitals, Special/standards , Humans , Models, Dental , Quality Assurance, Health Care/methods , Retrospective Studies , Treatment OutcomeABSTRACT
A method to help facilitate efficient implementation of pulsed ionization methods on a double-focusing sector mass spectrometer is described here. This method involves the addition of an inductive detector between the electric and magnetic sectors. The inductive detector will allow a crude, but complete time-of-flight mass spectrum to be acquired with as little as a single laser shot, thereby avoiding the necessity of sequentially compiling limited mass ranges as has been done previously. Mass analysis by the complete sector instrument can be performed simultaneously with the time-of-flight analysis.
