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Reports the closure of a psychiatric hospital in London, England. Assessment of social, financial costs and benefits of discharging patients from the long stay, acute and psychogeriatric wards of Friern and Claybury Hospitals; Criticism on community psychiatric care; Aspects of resettlement and use of specific mental illness grant.

Reports the selection of professor Robert Kendell as chief medical officer in London, England. Career background; Contribution in the field of psychiatry.

Focuses on the state of women's reproductive health in developed and developing countries. Percentage of women with pelvic fistulas resulting from obstructed labor; Influence of traditional practices on the health of women; Factors contributing the lack of appropriate medical care.

Reports maternal deaths due to poor maternity services in Great Britain. Analysis on the data on the overall maternity rate; Identification of the cause of maternal deaths; Recommendations for the improvement of the organization of obstetric services.

Focuses on the impact of poll tax on community care proposals in Great Britain. Views of Kenneth Clarke, the Secretary of State for Health, on the increase payment for community care; Criticism on the management of social security money by local authorities; Role of proposal on the promotion of health.

Focuses on the development of Media Resource Service. Usefulness of wider database; List of topics requested; problem in the variation of medical practice.

Reports on a call from the British National Health Service to health authorities to improve the treatment of mentally ill people. Lack of support to the government's care program approach; Inadequacy of care of schizophrenic patients; Need for the coordination of health and social service personnel for the care of mentally ill people.

Focuses on the legal power concerning the community care of psychiatric patients in Great Britain. Necessity of supervised discharge for patients cared by mental health services; Scope of the Mental Health Act of 1983; Concerns of psychiatrists about the proposed supervision power.

Reports developments related to health in Great Britain as of May 19, 1990. Invention of the product 'Skinner' for the treatment of herpes; Conflicts between National Health Service and the operation of the Community Care Bill; Condemnation on the decision of the General Medical Council to continue the suspension of doctors.

Reports developments on medical care in Great Britain as of May 1990. Search for the latest neutron therapy unit for St. Thomas' Hospital; Reduction of the time limit for termination of pregnancy; Restrictions of visa applications for the United States.

The protocol of a clinical trial serves as the foundation for study planning, conduct, reporting, and appraisal. However, trial protocols and existing protocol guidelines vary greatly in content and quality. This article describes the systematic development and scope of SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) 2013, a guideline for the minimum content of a clinical trial protocol. The 33-item SPIRIT checklist applies to protocols for all clinical trials and focuses on content rather than format. The checklist recommends a full description of what is planned; it does not prescribe how to design or conduct a trial. By providing guidance for key content, the SPIRIT recommendations aim to facilitate the drafting of high-quality protocols. Adherence to SPIRIT would also enhance the transparency and completeness of trial protocols for the benefit of investigators, trial participants, patients, sponsors, funders, research ethics committees or institutional review boards, peer reviewers, journals, trial registries, policymakers, regulators, and other key stakeholders. [ABSTRACT FROM AUTHOR]